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T12N R3W SEC 15 LT 132
GRE ,,ER ANCHORAGE AREA BOR,_ JGH ~ / Departmen[ of EinvironmeBtal Quality ~-'--~':"' 3330 C Street Anchorage, Alaska 99503 - - INSPiiCl'10N REPORT ON-SITE SE~X~[ DISPOSAL SYSTEM SEPTIC TANK: DISTANCE NUMBER OF FROM WEI_L[S~ ( MANUkAC ILJREFS~.~ _MATERIAL p/~ '~ COMPARTMENTS INSIDE LENGTH INSID~ WlDTII ~ _ LtQUI[) DEPTIt ~ _ LIQUID CAPACITY ALLONS. / FOTAL LENGTH NUMBER OE LINES / DISIANCE BE1WEEN LINES _ TRENCH WID'I'~ IN. tOTAL EFFECTIVE ABSORPTION AREA --I SQ. Fr. LENGTH OF EACH DEP[H OF FILTER WELL: TYPE CONS] RUCTION _ DEPTII _DISTANCE FROM: BUILDING NEARILST NEAREST SEPIIC SEEPAGE FOUNDATION , LOT i INE ., SEWER LINE ..... rANK ._, SYSTEM _ DISTANCES: DIAGRAM OF SYSTEM SEWER LINE DEPTH: REMARKS: -- i]l[:i I Liil",ll:31'l] [::,:l:l'tl[fl?ii;):.:3i"d :['.i; 'ii I: ~[ "ti~ll :: l:::'l::::[~:l ::1::: 'I'H[:: II;i'li:hlE:H (:11:;' ]::,f:;'[:':1 [i",ff' I[lli: 13,1 I:::'qll OF F:I 'I'I::i:ENE:H O[::~: F:'lf' :i:?; 1'lIE: D:I'.:;iI::II",JE:~: Ei"li:~l{'l[i:~:ir"! 1HE :i!;UI:;:F:J::K3E: ~:i1[::: ~:il::i:(ll. lhiD ~:iNI) Il'II: i~::LI I' I Eil'"i OF i'l Ilii: li::':tE:l:::l","l:::FI iii O1",1 ':: :[ 1'4 f: I!i:i!:'t ::'. Ilil!:i;i% :i::i; h!l) !i:l:i:i 14 :1:1::;'11~] [':O1:< ~lll:: I:iil:i'f¢','%l i:'hil::'1['l :1:'-:: i'HI: FJ:I:N;I:I"lJlH DTiF:"F[I OF' GI::i:F:t"/EI Fi:~-:ll41i~ili",I 'll'l~i; OI. fil:::F:~l !.. l:liq[::' 'i Ill:: ihi OH OF lilt. il ~E;:::E:FIVF:IT:iiOI",i ,:::I:N F'I:i:EI FEi I::$: H()II,S Per fo rlued for 'ibis form reports: Soils log ........... ~ ............ Percolation [esl Dep th Feet 11 12- ~'?o~o 13- /~.'¢ Was ground water' encounEered? If yes, at what de;¢Lh? Po rcol a t i o,n ra Ce mi nu re, fi~Proposed irlsLalla'Lmoi~-;'"~L,~a--ge Pit 72q£/'CF..¢t Drain Field DepU~ o'f I~/le~ DeptF~"i~'~'Eo~'F-i)il; or treHch ......................... .._:¢<._,, ................................ -/ ........................... 0,10 ((¥?4)