HomeMy WebLinkAboutEKLUTNA HEIGHTS #1 BLK 4 LT 6A 051 /77
GLOATER .~NCHORAGE AREA BOROUGH
Depcrrtmeni of Environmental quali$~""~TER AREA BORO~H
N? 8 6 6
Anchorage, Alaska
INSPECTION REPORT ON-SITE SEWAGE [ SYSTEM
SEPTIC TANK:
MAILING
ADDRESS
LEGAL DESCRIPTION
PHONE
DISTANCE FROM WELl
LIQUID CAPACITY ('
GALLONS.
MATERIAL 5 ?~ ,('~ :~ NUMBER OF .'~)
COMPARTMEN~r.s ' ~ ~'
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
NEAREST LOT LINE
DISTANCE FROM WELL (/~'/~?////
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
LENGTH /' d- /
, , DEPTH
, BUILDING FOUNDATION
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF L.~
ABSORPTIOI~' AREA
DEPTH: TOP OF TILE TO FINISH GRADE
, NEAREST LOT LINE
TRENCH WIDTH
, FOUNDATION
DISTANCE BETWEEN ~.
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL L~NGTH
, OF LIN~S.
.~-'~lN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL:
TYPE t.C,il~llV), , DEPTH
NEAREST
LOT LINE , SEWER LINE
DISTANCE FROM WATER
,BUILDING FOUNDATION. SAMPLE
SEPTIC SEEPAGE . ..
, TANK , SYSTEM , CESSPOOl
, NEAREST
OTHER
, SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
DATE
F'
GRF~'~ER ANCHORAGE AREA BOROUGH
DEPAk ENT OF ENVIRONMENTAL QUAL~
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Performed For Date Performed
Legal Descrip'~ion: Lot ~>Block ~ Subdivision
This Form Reports Soils [og..~J Percolation
Depth
Feet Soil Characteristics
9-
10-
Was Ground Water Encountered~.. //~
If Yes, At What Depth?
Reading Date Gross Time Net Time Depth to H20 Net Dro~
N
nute
Proposed Insta'~']ation: Seepage Pit Drain Field
Depth Of Inlet Depth To Bottom Of Pit Or Trench
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