HomeMy WebLinkAboutWYNTER PARK #1 BLK 2 LT 13
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~' ANCHORAGE AREA BOR"
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
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INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
-- MAILING ADDRESS __ PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
Urn'
- MANUFACTURER ~¢J'( '~ MATERIAL_ ff~e~- NUMBER OF
COMPARTMENTS
INSIDE WIDTH --.LIQUID DEPTH _LIQUID CAPACITY__/~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS_
LINING MATERIAL_
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
D'AMETER.Td'oR W'DTH /7~, LENGTH//)', DEPTN
CRIB SIZE: DIAMETER ~DEPTH_~! DISTANCE FROM: WELL
NEAREST LOT LINE. ~.f! TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT,
WELL:
TYPE ~¥"~1~/'/~'/~1 ('/~- C 0 N S T R U C T I 0 N
BUILDING NEAREST
FOUNDATION __ LOT LINE
CESSPOOL
., OTHER SOURCES_
APPROVED
DISAPPROVED
. DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK__ SYSTEM
-REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL,
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM