HomeMy WebLinkAboutHYATT ESTATES BLK 2 LT 1MyattLI
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GrCAT~ ANCHORAGe. AREA BOROT,~.,.ATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road -- Pouch 6-65
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
/ ADDRESS '
LOCAT,ON EGA'DESCR'PT'ON
SEPTIC TANK: ;'
DISTANCE FROM WELL
MATERIAL
LIQUID CAPACITY /'"'~5 ~ (~ GALLONS.
~,~/~, ,/~,~ ::~:::. NUMBER OF
COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH.
LIQUID
DEPTH
SEEPAGE SYSTEM: SEEPAGE PiT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERI~
~ ~ OR WIDTH , LENGTH , DEPTH
DISTANCE FROM WELL BUILDING FOUNDATION
NEAREST LOT LINE
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELl
NUMBER OF LI~~
ABSORPTION AREA
FOUNDATION , NEAREST LOT LINE.
DISTANCEBETWEEN TRENCH WIDTH
SQ. FT. LENGTH OF EACH LINE
TOTAL LENGTH
OF LINES
EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
tN. ABOVE TILE.~
WELL:
LOT LINE
DISTANCE FROM
TYPE ~--~-~--~---~--D'E~T~I-~ BUILDING FOUNDATION.
/ ~
· NEAREST SEPTIC
~ SEWER LINE , TANK , SYSTEM
WATER
SAMPLE
, CESSPOOl
/ ,~NEAREST
OTHER
, SOURCES
DISTANCES:
DATE
DIAGRAM OF SYSTEM
APPROVED