HomeMy WebLinkAboutALYESKA Block 5 Lot 3
ANCHORAGE AREA Bf' ,
' ~k~ I~ Department of Environmental Quality
Anchorage, Alaska 99503
INSPECTION REPORT oN-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS ~"~0,~'~9 ,~/~, O-~£ /O/C~)¥. PHONE
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LEGAL DESCRIPTION /~/~ ~ /:~/~'.-~- /~:)/?g~;~L~;~
DISTANCE
FROM WE L LC~~/~
INSIDE LENGTH
MANUFACTURER
INSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY/~2~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS __
LINING MATERIAL
BUILDING FOUNDATION ~
NEAREST LOT LINE__
, DEPTH
DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ~Zg~/r~
BUILDING
FOUNDATION __
C'ESEPOOL
NEAREST ~$-r_
LOT LINE , SEWER LINE
OTHER SOURCES
DEPTH
SEPTIC
, TANK __
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS: ~..~<:,/V/V~¢7 ~'~
Form No. EO-O31
DATE
./ .~ ,/? ? .-~
G.A.A.B. )
