HomeMy WebLinkAboutEAGLE RIVER HEIGHTS NORTH BLK 4 LT 6. oc'o ooo
~,i~,~AT~.R ANCHORAGE AREA BOROUGI~ ·
D~partment of Environmental Qu~ht¥ G~
3500 Tudor Roc~d -- Pouch 6-650
Anchorc~ge, Alaska 99502
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
N°. 998
LEGAL DESCRIPTION
SEPTIC TANK:
MAILING
ADDRESS "'~;~'~/-"~'-- "~'/"~;~9/c~'/~% P HO N E~"~'~'~'~'
DISTANCE FROM WELL
LIQUID CAPACITY
MATERIAL -~'~-~' NUMBER OF ~
COMPARTMENTS
~,~Q ~-~ ~-~-/ -- ~/~/~,~'~Z~ LIQUID
INSIDE WIDTH DEPTH
GALLONS. INSIDE LENGTH
SEEPAGE SYSTEM: SEEPAGE PiT:
NUMBER OF PITS / OUTSIDE DIAMETER ~ OR WIDTH
LINING MATERIAl k~/~J(~-~lz'~ ~_~ ,~¢~)-l~', ~"JJ-,')~?"~'~/'~"~-DiSTANCE FROM WELl (~
NEAREST LOT LINE ~'~) /4 '~/~' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
LENGTH '"'~-~(~ , DEPTH '~
BUILDING FOUNDATION '~'~'~
,~'6''~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROMWELL .FOUNDATION , NEARESTLOT LINE
LINES ~ANCE ~ TRENCHWlDTH
NUMBER OF ~
ABSORPTION ARE~// SQ. FT. LENGTH OF E~ /
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
, OF L~,/ .
/IN. TOTAL EFFECTIVE
IN. ABOVE TILE
C,/, ~ DISTANCE FROM -- WATER ~
WELL: TYPE DEPTH , BUILDING FOUNDATION SAMPLE , NEAREST
~ NEAREST SEPTIC _ SEEPAGE ~-~ OTHER --
LOT LINE SEWER LINE -- . TANK SYSTEM ~ . CESSPOOL SOURCES
DISTANCES:
~'~,~ ~. /
DIAGRAM OF SYSTEM
DATE
APPROVED*~'- ~' - ; ~ ' ' HEALI,~UIHORITY
