HomeMy WebLinkAboutT15N R1W SEC 8 LT 70T15 -NS RILd
Sic, g
Lot
10
UGH
GRE(
ER ANCHORAGE AREA
Department of Environmental Quali
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
. MANUFACTURER
MATERIAL
NUMBER OF
-- COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
,LIQUID CAPACITY [~l~ --GALLONS.
SEEPAGE PIT:
NUMBER OF PITS__I · DIAMETER__/~t OR W DTIq~.~, LENGTH J~_~_~, DEPTH
LINING MATERIAL~/~-~[¢.. CRIB SIZE: DIAMETER.~I DEPTH
-- (~ - DISTANCE FROM:
BUILDING FOUNDATION_
ADDITIONAL ABSORPTION _
NEAREST LOT LINE ]~'[
WELL IqF~
TOTAl_. EFFECTIVE
ABSORPTION AREA (WALL AREA) ~'~ ._SQ. FT.
WELL:
"]' --CONSTRUCTION
TYPE 01~..t~.L.l~I) C'r'"¢~)~K~,D . DEPTH
BUILDING NEAREST NEAREST SFPTIC
FOUNDATION .... LOT LINE_ ____ SEWER LINE TANK
CESSPOOL
APPROVED
OTHER SOLJ RCES
DISAPPROVED__
DISTANCE FROM:
SEEPAGE
SYSTEM /qF!
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL.
LOT SLOPE:
REMARKS:
'~-~'" ~//'~D]AGRAM OF SYSTEM
DATE
G;REATER ANCHORAGE: ARE:A I:3OROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO
FOUNDATION 'FO SEEPAGE Plt~), DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
WATE" MAIN TO ~EPTIC TANK /O
S[PT,C TANK,-/~, S~EPAGE