HomeMy WebLinkAboutWYNTER PARK #1 BLK 3 LT 8
GRE/
ER ANCHORAGE AREA BO/' JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
~ NUMBER OF
INSIDE WIDTH .LIQUID DEPTH__ _LIQUID CAPACITY. ~)~¢)O GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION__
DIAMETER ~l OR WIDTH Iq', LENGTH I~'. , DEPTH
t
. CRIB SIZE: DIAMETER ~ DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
. , NEAREST LOT LINE 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 MATERIAL:
LOT SLOPE:
REMARKS:
Form No. EQ-031
DIAGRAM OF SYSTEM
APPROV ED>d~4
(~/G,A,A,B,