HomeMy WebLinkAboutT12N R3W SEC 14 N2 NE4 Now Heritage Heights, Crest Wood or Rockhill S/D's
GR[
'ER ANCHORAGE AREA BO' UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECI'ION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE //)q/
FROM WELL
INSIDE LENGTH
MANUFACTURER
MATERIAL ~'"~/-~:~"~¢ /
NUMBER OF [
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY~O~ _GALLONS,
SEEPAGE PIT: / '~ ~ ~'~ ,~ /
NUMBER OF PITS DIAMETER__OR WIDTH C7>~',/ LENGTH , DEPTH
LINING MATERIA ~/C'O/¢; CRIB SIZE: DIAMETER ~/ ¢ DEPTH _ DISTANCE FROM: WELL
BUILDING FOUNDATIO ~ NEAREST LOT LINE>~-~ /O ,~ TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) /~
SQ. FT.
ADDITIONAL ABSORPTION
CESSPOOL
WELL:
tYPE
- ~' CONSTRUCTION DEPTH
BUILDING ,/.~ '¢/ NEAREST .¢ /,, , NEAREST SEPTIC//~,/
FOUNDATION ~*' 3 , LOT LINE ~ (~ '/¢ /I] SEWER LINE TANK
'--- , OTHER SOURCES I R~ ~-~2 ~/~g~/~- ~0g¢¢..o1~ ~pA)~
DISTANCE FROM:
SEEPAGE /~',
SYSTEM
APPROVED __ DISAPPROVED
. REMARKS
DISTANCES:
INSTALLED BY~v~L~ {0)4,
PIPE MATERIAL: C ~1~'~ 'I' ~0 '--'
LOT SLOPE:
DIAGRAM OF SYSTEM
DATE APPROVED
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PI~RMIT
so,L. T~,T ,E,U,_T,". '~'~____ O.,'. 1~
SEPTIC lANK TO SEEPAGE PI~ WALL
WA'i'ER MAIN TO SEPTIC TANK
ALSO CONSIDER AREA WELLS.
. SEEPAS. P~T /0 t
SEFFIC TANK, '~-- ~.., SEEPAGE pIT
TO RIVER, LAKE, STREAM
., DRAIN FIELD
CASf IRON INTO AN~ OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UI~IDISTURBED ~OIL.
GRAVE[. BA(;KFILL
DATE
~.~ ~ !^. ~i r/~"' 0 '5 AN(]hul(!k~.E, ALASKA 99502
Performed For ~'[~ ~ " .
' L]~_ZZ~'f~m~/ ._Date Performed__
,Legal Descrip~o~~' Block ~5~ivision
This Form gel)or~s Soils~9.__ ~-~ ....
Depth
~ee ' ist'iss ~
t So~l Character
W~s Ground Water Encountered?
If Ye~,'At What Depth?,
Propo.sed ~nsta~~ Seepage Pit ~ Drain Field
