HomeMy WebLinkAboutHANSON ACRES #1 BLK 1 LT 16
.INSPECTION REPORT ON-S,I,T,E SE,WAGE, DISPOSAL SYS~TEM
/:'///,~/~1£~:)/,~;~ Mailing Address___,f:~'~_ L~f~'~,, <~-/%~(..,, : ~ ....... Ph.~,~/
S PT C TA K: is ance f om we a aria! of compartments
Liquid capaclty-}35~:gallons. Inside length ,,:: Inside width ~ Liquid depth
SEEPAGE SYSTEM: Seepage Pit: Nu~er of pi~s ..... ~utside dia~er ~ ~
w~dth~ , lenEt~ ., d~pth , lining material . Dist~ce from
well.._ ~ building fo~da~ion_ . , n~arest lot line Total effective
~sorption a~ea (wall area) sq. ft.
TILE DRAIN FIELD: Distance from well Q~-~'./ fo~datlon ~/, nearest lot line
Total len~h of lin~ ~([/ Nu~er of lines ~ Distance between lines Trench
widths. _~n. Total eff~c~iv~ ~sorpt~on area./~O sq. ft. Length of each llne
Depth: Top of tile to finish grade_~ ~'
. Depth of ffl~er ~erial beneath
tile~ ~O in. Above ~ile ~ ~
WELL: Typ~'.
, ~ neaPest
lot line ~¥3', neaPest seweP line~, septic tank //0 ~ seepage system -~ /
cesspo~l~ ~ otheP souPces
DISTANCES:
DATE
DIAGRAM OF SYSTEM
APPROVED
Health Aut'h'ority
" ~ ^ SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
BELOW TO BE FILLED O~ BY HE~TH DEPART~NT
This is to serve a ' ~ ' ~///
DIST~CES:
I certify that I am fam~llam 'with the requi~m~nts of Greatem Ancho~aEe Area Bo~ou§h
Ordinance No. 28-68 and that the above described system is in accordance with said code.