HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 49Lo'l"
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rER ANCHORAGE AREA BO. 1UGH
Department of Environmental (~uality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~d~ ~i'~/(-f:~ MAILING ADDRESS PHONE
LOCATION ,~'¢-~I~'~"/~//~/~/''4~'/1~'(~ ~))'1~'~) LEGAL DESCRIPTION &"~'//~'~ ~'~1~ ~ L~
SEPTIC TANK:
D,STANCE
FROM WELL ~-- MANUFACTURER MATERIAL
INSIDE LENGTH
_ INSIDE WIDTH__ __LIQUID DEPTH____
NUMBER OF
COMPARTMENTS
.LIQUID CAPACITY /~g¢~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION___
ADDITIONAL ABSORPTION
DIAMETER "~'OR WlDT;I /Z~', LENGTH/~_~ DEPTH
!
CRIB SIZE: DIAMETER.~'~) DEPTH ~ _ DISTANCE FROM: WELL
/~1 'rOTAL EFFECTIVE
NEAREST LOT LINE . ABSORPTION AREA (WALL AREA)
.SQ. FT.
WELL:
TYPE _____
BUILDING
FOUNDATION _
CESSPOOL
APPROVED
CONSTRUCTION DEPTH DISTANCE FROM:
NEAREST NF-AREST SEPTIC SEEPAGE
LOT LINE SEWER LINE TANK SYSTEM
OTHER SOURCES
_ DISAPPROVED_ REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL ·
LOT SLOPE:
DIAGRAM OF SYSTEM
DATE,/I~,~/'*~7~/Z',~APPROVED ~ ~'(~ ~