HomeMy WebLinkAboutREED LT 5ii)
5
oGREA'
ANCHORAGE AREA BORC"'
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS PHONE
LEGAL DESCRIPTION !,b~ ~ { )~ ~' I ~'
SEPTIC TANK:
DISTANCE j ~)(:)l
FROM WELL
INSIDE LENGTH
MANUFACTURER
MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH_
LIQUID CAPACITY~ /Il~c/t~? GALLONS.
SEEPAGE PIT:
NUMBER OF PITS i_ DIAMETER '7--i~)- OR WIDTH /7, LENGTH DEPTH
LINING MATERIAL (-'lC CRIB SIZE: DIAMETER~DEPTH /'~'''~''' DISTANCE FROM:
TOTAL EFFECTIVE
WELL
ABSORPTION AREA (WALL AREA) '~/Z
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION ~'1-~, N CU-\ ¥'('t DEPTH
NEAREST NEAREST SEPTIC .... ,
LOT LINE SEWER LINE TANK
OTHER SOURCES
DISTANCE FROM:
SEEPAGE -<~.~
SYSTEM /" '~ i
DISAPPROVED__ REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAl '
LOT SLOPE:
REMARKS:
Form No. EQ-031
DATE
,/~./G.A.A.B.
OEr
RusseH Oyster
694-2774
Soils 8 Foundations
E
GEOTECHNICAL 8- DEVELOPMENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Earl Ellis
688-2280
Land Development
SOIL LOG
Performed for:
'Legal
0
Soil Characterl stic~
lO
ll
Ground Water Encountered: Yes No ~'~ If yes, what depth~
Proposed Installation: Seepage Pit v: Drain Field~
~4ay 6 ~ 1975
for Lot 5 t~ed 5ubdivisi~t.
t~ar Sir:
~f)a~t,~nts ai~n~val tho subject 'lot ~,~st have a 1000 gallon
a soils ' '
;malys~s. iho syst~ t~ ~,~leti~ ~t b~ insi~ct~d by this
If you should l~aYe ~'~y £urther quostions, pleaso do not hoaigato to
c~dl ~:o a~ oar ~_ia~:lo River office, our telephone nmiber is 694-2116,
t~aglo Riwr District ~' "
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