HomeMy WebLinkAboutMCKINLEY HEIGHTS BLK 2 LT 14
QGRE ANCHORA6E AREA
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS /~l PHONE
LEGAL DESCRIPTION ~/' ~/~'/~/ /~/~- ~ ,/~ ~Z.;~//~/~
SEPTIC TANK:
DISTANCE /(/?C~ /
FROM WE LL MAN U FACT U R E R/'<//)/f"'//~A/ MAT E R IA L
INSIDE LENGTH '~ INSIDE WIDTH ~ LIQUID DEPTH
· ~'' ~, NUMBER Of
C.~/Y &~ ( COMPARTMENTS /
LIQUID CAPACITY_ /~2~S;(g) GALLONS.
SEEPAGE PIT:
)
NUMBER OF PITS / DIAMETER ~ or WIDTH /~, LENGTH /~:~,~ DEPTH '~ !
LINING MATERIAL /~/4/~-g CRIB SIZE: DIAMETER__DEPTH DISTANCE FROM: WELL /
; ' TOTAL EFFECTIVE
BUILDING FOUNDATION '-'~[~) NEAREST LOT LINE /~? ABSORPTION AREA (WALL AREA) '"~$" FT.
ADDITIONAL ABSORPTION
WELL:
TYPe /~l~,,//~L~ CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE
CESSPOOL OTHER SOURCES_
APPROVED DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH ~'~ ~ <-~'- !
~ DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED BY: //f),'~,/?~/V
PIPE MATERIAL: ~;/f~.s / .~.K¥/Y' '
LOT SLOPE:
Form No, EQ-031
DIAGRAM Of SYSTEM
DATE