HomeMy WebLinkAboutWYNTER PARK #1 BLK 2 LT 23
GRE.
ANCHORAGE AREA BOr
Department of Environmental quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK', I~L'~ I~k~ I~)
DISTANCE (~j~,
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTMENTS
.LIQUID CAPACITY_/~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION__
ADDITIONAL ABSORPTION
DIAMETER ~.OR WIDTH ~ LENGTH I~t, DEPTH
CRIB SIZE: DIAMETERJ~_DEPTH ~f DISTANCE FROM: WELL.
TOTAL EFFECTIVE
NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SLt~
SQ. FT.
WELL:
BUILDING
FOUNDATION
CONSTRUCTION__ DEPTH_ DISTANCE FROM:
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:.
PIPE MATERIAL'
REMARKS:
Form No, EQ-031
DATE7/¢/7 g/ APP ROV E/~~ ~'~' ~-
/ G.A,A,B.