HomeMy WebLinkAboutALYESKA BASIN BLK 5 LT 5
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TER ANCHORAGE AREA BOROL' ~
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3500 TUDOFI FIOAD ANCHOFIAGE, ALASKA ggs07 27g-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
ADDRESS · ' ~'
DISTANCE FROM WELL
LIQUID CAPACITY ~:;~C=~ __GALLONS.
__LEGAL DESCRIPTION
PHONE__
,,~'~_ / NUMBER OF /
MATERIAL "" COMPARTMENTS
_~ LIQUID
INSIDE LENGTH '~ INSIDE WIDTH DEPTH.~
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS -~"'~.,,~,~OUTSIDE DIAMETER OR WIDTH LENGTH , DEPTH ,
LINING MATERIA[ ~ DISTANCE FROM WELL .... BUILDING FOUNDATION ,
NEAREST L~~~____ .~T_~OT~.~ECTIVE ABSORPTION AREA (WALL AREA) __ __SQ. FT.
TILE DRAIN FIELD:
~ TOTAL LENGTH
DISTANCE FROM WELL .... FOUNDATION ~NEAREST LOT LINE __, OF LINES__ ,
NUMBER OF LINES DISTANCE BETWEEN LINES "'~CH WIDTH __IN. TOTAL EFFECTIVE
WELL: SAMPLE , EAREST
TYPE f",~,~'~.,"/'~. DEPTH BUILDING FOUNDATION._
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES
DISTANCES:
DATE
DIAGRAM OF SYSTEM