HomeMy WebLinkAboutWYNTER PARK #1 BLK 2 LT 24L.,ol'
GRE
'ER ANCHORAGE AREA BO
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
UGH
NAME
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYS'rEM
LOCATION
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL __
INSIDE LENGTH
. MANUFACTURER SI'~/%~I(
INSIDE WIDTH
._~t'i~L. MATERIAL ~T'l'-~l~l- NUMBER OF
COMPARTMENTS *Z.
LIQUID DEPTH LIQUID CAPACITY [~00 GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
DIAMETER ~/~' OR WIDTH I%~, LENGTH I'')''1, DEPTH __C/I
CRIB SIZE: DIAMETER (~ DEPTH ~ I DISTANCE FROM: WELL
TOTAL EFFECTIVE
, NEAREST LOT LINE __ ABSORPTION AREA (WALL AREA) ~'~
SQ. FT.
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION DEPTH DISTANCE FROM:
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINF SEWER LINE TANK __., SYSTEM
OTHER SOURCES
DISAPPROVED REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form NO. EQ-O31
APPROV[
G.A.A.B.