HomeMy WebLinkAboutT15N R1W SEC 5 LT 103 S2OAAS.HD I
Gr''' ~,TER ANCHORAGE AREA BOROIJ~H
HEALTH DEPARTMENT
327 EAGLE S~'. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL__ )~- I ,.~ATEmAt1~0 U e t7 [.3 C& t4¢7¢/" 'r'
NUMBER
OF
COMPARTMENTS
g4q. -i, f5/
7
LIQUID CAPACITY ~) O ~ __GALLONS INSIDE LENGTH INSIDE WIDTH /
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAM fER
OR WIDTH
DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPIION AREA (WALL AREA)
, LENGTH_ ) 41 ,DEPTH
, BUILDING FOUNDATION
2 dod) sa. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
FOUNDATION. , NEAREST LOT LINE
.DISTANCE 8ET~VEEN LINES IRENCH WIDTH
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
ABSORPTION AREA
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: TYPE '~) ~'1 /~b~ Fz~D DEPTH. 'l'2~ ¢ DISTANCE FROM 6'~ '7 / WATER~,~ ¢~*
, ,BUILDING FOUNDATION.l/ SAMPLE ~ ,, F4EAREST
LOT LINE
NEAREST /~(¢2 ! SEPTIC SEEPAGE /~O -.~__ OTEIER //-')/'~
SEWER LINE _, TANK /~- / , SYSTEM , CESSPOOl , SOURCES'
DISTANCES:
DATE
DIAGRAM OF SYSTEM