HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 43I..off
GRE/
ANCHORAGE AREA B0F '. It
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS~¢X/¢'~' ~'/4U.~¢~1<', ~Jq¢'/¢~ PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
M AN U FACT U R E R '~'¢g(~ -'~- ~/": MATE RIAL
INSIDE WIDTH __ LIQUID DEPTH
/¢ NUMBER OF
~- COMPARTMENTS 2~ --
LIQUID CAPACITY /~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION___
ADDITIONAL ABSORPTION
DIAMETER __OR WIDTH ~'~.1, LENGTH ~ , DEPTH
CRIB SIZE: DIAMETER_ ~ DEPTH _ DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE__. . ABSORPTION AREA (WALL AREA)
SQ. FT.
WELL:
TYPE L~Vl~ I~
BUILDING
FOUNDATION
CONSTRUCTION . DEPTH _ DISTANCE FROM:
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE TANK __, SYSTEM .
CESSPOOL
OTFIER SOURCES
APPROVED
_ DISAPPROVED
DIS'rANCES:
INSTAl_LED BY:
PIPE MATE FtlAL:
LOT SLOPE:
REMARKS~
Form No, EQ-031
REMARKS.
/~~ "'"~"~- ~'~DI
DATE
GREATEr:{ ANCHORAGE:; AREA BOROUGH
PERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
SEPTiC TANi~ TO SEEpAge Pl.r WALL~/~
SEEPAGE AREA
DRAIN FIELD
SEEPAGE PIT --, DRAIN F'IELD
WELl_ TO SEP'r]c TANK
DRAIN FIELD
, SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANI( -- SEEPAGE PIT
[DRAIN FIELD
SEP'TIC TAHK, ., SEEPAGE PIT l , DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAS'~ IRON INTO AND OUT OF SEPTIC 'FANR AND INTO (;RIB CROSSING GAP OF
GRAVEL I~A(:I(FILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.