HomeMy WebLinkAboutT15N R1W SEC 9 LT 32C
GR rER ANCHORAGE AREA BOROL 4
DEPARTMENT OF ENVIRONMENTAL QUALIT~
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
MAILING ';* '~'(} . (';.
ADDRESS ~('tX_~' ~/'~¢'~___L //_? ¢_~/ /-i ~ ,. PHONE
DISTANCE FROM
UQU~D CAPACITY
GALLONS, INSIDE LENGTH
NUMBER OF
COMPARTMENTS
LIQUID
.INSIDE WIDTH DEPTH___
SEEPAGE SYSTEM: SEEPAGE PiT:
NUMBER OF PITS~SIDE DI~ OR WIDTH____
LINING M~'~I . DISTANCE~
NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
_, LENGTH ,..,DEPTH
.SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELIJZ'O'E";_~~), FOUNDATION ~// , NEARESt LO~ LINE
NUMBER OF LINES ~ DISTANCE BETWEEN LINES~/''-~ ' ~(,;:' fRENCH WIDTH
ABSORPTION AREA ~'~3~/~') SQ, FT. LENGTH OF EACH LINE ~'"~_~
DEPTH: TOP OF TILE TO FINISH GRADE '~ DEPTH OF FILTER MATER~AL BENEATH TILE
TOTAL LENGTH
., OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL:
TYPE i'L;~0'~ I'~ DEPTH
NEAREST
LOT LiNE , SEWER LINE
DISTANCES:
DISTANCE FROM -'- WATER
, BUILDING FOUNDATION. _SAMPLE
- / SEEPAGE
.'~ ~D .~.~:--' , :-
2 SYSTEM_ ~>¢ ~&'~F' CESSPOOL
SEPTIC
TANK
DIAGRAM OF SYSTEM
., NEAREST
OTHER
, SOURCES__
- /
/
DATE
APP ROVED-~---, ~J (~t