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SIC
G`OJER ANCHORAGE AREA BORO►'-',H
HEALTH DEPARTMENT NO 385
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 _
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
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LOCATION LEGAL DESCRIPTION �eT®2.-5G//f�'Fl�=%'
SFPTIC TANK.
NUMBER OF
DISTANCE FROM WELL MATERIAL 1 _COMPARTMENTS
LIC UID
LIQUID CAPACITY ��li/ GALLONS. INSIDE LENGTH_ INSIDE WIDTH DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT:
'3
NUMBER OF PITS J OUTSIDE DIAMETER OR WIDTH "4 , LENGTH DEPTH
LINING MATERIAL �t'�✓c� J ���N � . DISTANCE FROM WELL– BUILDING FOUNDATION__,
NEAREST LOT LINE =- TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /2,7 `zs SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
OUN
, NEAREST LOT LIN
TOTAL LENGTH
OF LINES
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH JN. TOTAL EFFECTIVE
AB716N AREA SQ. FT. LENGTH OF EA H UNE—
DE TOP OF TILE TO FINISH GRADE DEPTH OF FILTER7�M�Wrn_IAL TH TILE IN. ABOVE TILE—_
WELL:DISTANCE FROM �� WATER
-- TYPE�i.�'��l;a �' DEPTH C!' ,BUILDING FOUNDATION._L_ �_SAMPLENEAREST
/ _ NEAREST SEPTIC/ SEEPAGE //GL:� / OTHER Ls
LOT LINE ��U SEWER LINE La ,TANK .-V J SYSTEMS CESSPOOL , SOURCES__
DIAGRAM OF SYSTEM
DISTANCES:
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