HomeMy WebLinkAboutWESTGATE PARK BLK 6 LT 3LoT
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ANCHORAGE AREA BO ' ,UGH
==~ ~-' Department 3330°f EnvironmentaIc Street (~uality~" ~'~
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
LEGAL DESCRIPTION
PHONE
'~AN K:
DISTANCE ~
FROM WELL(.-- 0.~'~
INSIDE LENGTH
MANUFACTURER ~'~/'~ ~'~
MATERIAL
NUMBER OF
COMPARTMENTS
~'~ INSIDE WIDTH L~QUID DEPTH -- LIQUID CAPACITY ,~O~2~f_~ GALLONS.
SEEPAGE PIt:
NUMBER OF PITS '~~~OR~VVIDTH ~ LENGTH DEPTH
UNING MATERIAL__. CRIB SIZE: ~D E PT H~.~T~.~ E F F E~:)IT~vTEAN C E F R O M: WELL
ADDITIONAL ABSORPTION ~ ~
SQ. FT.
WELL:
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
-C./~ O~NSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST ~ SEPTIC SEEPAGE
SEWER LINE TANK SYSTEM
REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY: ,,~'~/'~
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No, EQ-031
DATE
G.A.A.B. ~
GREATE,.q ANCHORAGE AREA BOROUGH ;
SEWAGE DISPOSAL SYSTEM ~ APPUCATION
TEST RESULTS -- ~ NOTEJ THIS PER~IT IS NOT VALID WITHOUT
At~EA SIZE
TYPE
~PTIC TANK. 25 f~o SEEPAGE PIT 100 f~. DRAIN FIELD 50 ~[-_ [ ~ r:~il(d ~h~.~ver line
F U DATION TO SEEPAGE PiT --20 ~3~. DRAiN ~ELD
SEPTIC TANK ___~ ~ SEEPAGE PiT 20~ _, D~AIN D[EL~
WATER MAIN TO SEPTIC TANK ~0 f~ _. SEEPAGE Pit
ora~n ~LD 10