HomeMy WebLinkAboutT12N R3W SEC 33 LT 185 W2
GRE^,ER ANCHORAGE AREA BOR,.JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
SEPTIC TANK:
FROM WELL ~0 MANUFACTURER ~,~L.A~-~' MATERIAL _ - COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH __ LIQUID DEPTH
LIQUID CAPACITY /~.~,~0 GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL IlO FOUNDATION ·
NUMBER OF LINES DISTANCE BETWEEN LINES _
NEAREST LOT LINE
TRENCH WIDTH
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE_ MATERIAL BENEATH TILE____
IN. ABOVE TILE IN.
WELL:h" ~.u,..~,-,~ ~
TYPE
BUILDING
FOUNDATION__
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST NEAREST
LOT LINE , SEWER LINE
OTHER SOURCES
__ DISAPPROVED REMARKS
DEPTH
SEPTIC SEEPAGE
., TANK SYSTEM_
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY~
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE: ~.~
REMARKS:
G.A.A.B.
Form ED-032
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ENL. RRGE:HENT IF' THE
.... .EATER ANCHORAGE AREA BOROb..
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR RO'AD
ANCHORAGE, ALASKA 99502
Performed For ~<Nw~'om~x- S~L¥'~I~ Date
Legal Description: Lot/~Block Subdivision
This
Performed
CASE #
Form Reports Soils Log ~S Percolation Test
Depth
Feet
Soil Characteristics
Was Ground Water Encountered?~/~l~r~ ~?o^
Iw Yes, At what Depth? --~
l I:
Reading Date Gross Time Net Time Depth to H20 Net Dropl
Percolation Rate Hinute
Proposed Installation: Seeoa~e Pit
Depth of Inlet Depth To
C~MMENTS:
Drain Field
Bottom Of Pit Or Trench
Data