HomeMy WebLinkAboutWYNTER PARK #1 BLK 3 LT 4
GRE/-I:!R ANCHORAGE AREA BOP'UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
NAME
~,~ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ADDRESS
LEGAL DESCRIPTION
PHONE
SEPTIC TANK:
DISTANCE
FROM WELL __
INSIDE LENGTH
-- MANUFACTURER S~'~t-I(- ~1, MATERIAL ~(Z~'J~P.L~' NUMBER OF
-- COMPARTMENTS '~
INSIDE WIDTH _ LIQUID DEPTH LI(~UID CAPACITY /~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS ~,
LINING MATERIAL
DIAME'FER ,~f
CRIB SIZE:
BUILDING FOUNDATION__
OR WIDTH /~~, LENGTH~Z, DEPTH //I
~ _ DISTANCE FROM: WELL
DIAMETER ~¢ DEPTH /
NEAREST LOT LINE ~,(~' TOTAl_ EFFECTIVE ~,~
- , , ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH . DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERI,AL ·
LOT SLOPE:
REMARKS: _
A
DIAGRAM OF SYSTEM ~
'1
'
¢.,t/
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