HomeMy WebLinkAboutTRI LAKES BLK 1 LT 10C)/Z. Z7
GAAS-HD-I
Gff,~'-,TER ANCHORAGE AREA BORO~.~---H
HEALTH DEPARTMENT ~
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCAT O
SEPTIC TANK:
DISTANCE FROM WELL_
LIQUID CAPACITY 7 ~-~0 GALLONS.
MATERIAL
INSIDE LENGTH
ADDRESS _ PHONE
LEGAL DESCRI~
~C~ ~_ NUMBER OF
/
INSIDE WIDTH ~ DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT:
/ OUTSIDE DIAMETER OR WIDTH
L .~(~' DISTANCE FROM WELL_
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGTH '~ , DEPTH
BUILDING FOUNDATION
2 sQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
, FOUNDATION , NEAREST LOT LINE
DISTANCE BETWEEN LINES TRENCH WIDTH
SQ. FT. LENGTH OF EACH LINE
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL:
LOT LINE
TYPE. DEPTH
NEAREST
SEWER LINE
DISTANCE FROM
. BUILDING FOUNDATION
SEPTIC SEEPAGE
.. TANK . SYSTEM
WATER
· SAMPLE_
CESSPOOL
. NEAREST
OTHER
· SOURCES
DISTANCES:
DIAG RAM OF SYSTEM
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