HomeMy WebLinkAboutHIDDEN HILLS BLK 1 LT 42
oGRE
ANCHORAGE AREA BORP
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME /~"* ~-" A/.~ ~D2~ ~____~._ __ _
LOCATION /-77.
MAILING ADDRESS ~".'~:{j ~ ~'O T~ _~¢Z:./L__ PHONE
//I/~/:~ ~;¢~L/~ SC R IPTI ON
SEPTIC TANK:
DISTANCE
FROM WELL~Z~ MANUFACTURER
INSIDE LENGTH ~"~ INSIDF- WIDTH
MATE RIAL ¢-~7~'~ /
NUMBER OF
COMPARTMENTS
GALLONS,
TILE DRAIN FIELD:
~ '~ TOTA~L_ LE_N__G_TH
DISTANCE FROM WELL ~'~._FOUNDATION NEAREST LOT LINE __J~INES
NUMBER OF LINES BETWEEN LINES T IN. 'TOTAL EFFECTIVE
ABSORPTION AREA S'~F. LENGTH OF EACH LI/NA~
~-....~e P T H~H_.._~O F ~R
DFPTH: TOP OF TILE TO FINISH GRADE__ __MATERIAL_ BENEATH -FILE IN, ABOVE TILE IN.
WELL:
TYPE_
BUILDING
FOUNDATION
CESSPOOL _
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
'~'~MA R KS
_DEPTH DISTANCE FROM:
SEPTIC ~ SEEPAGE
TANK Z'~ SYSTEM __/ ~O' ~'-
DISTANCES:
INSTALLED BY: L-~'//~'
PIPE MATERIAL:~-----/¢~~/ '~-7'/1~¢)/Y'
Form PW.02?
DIAGRAM OF SYSTEM