HomeMy WebLinkAboutWYNTER PARK #1 BLK 3 LT 9
'!R ANCHORAGE AREA BOF
Department of Environmental Quelity
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~I~,CH/~=~. ~1 O6k)~.s MAILING ADDRESSl~oo~,~ ~'1~11 ~HONE??9'Y6Oq
LOCATION ~e~ ~
SEPTIC TANK:
DISTANCE
FROM WELL _
INSIDE LENGTH_
· MATERIAL
NUMBER OF
.COMPARTMENTS
INSIDE WIDTH
--LIQUID DFPTH
.LIQUID CA PAC ITy~_~ G A LLONS'
SEEPAGE PIT:
NUMBER OF PITS --I
LINING MATERIAL_.~?
BUILDING FOUNDATION
CRIB SIZE: DIAMETER ~! DEPTH ~ .DISTANCE FROM: WELL
NEAREST LOT LINE ~/" TOTAL. EFFECTIVE
ABSORPTION AREA (WALL AREA) ~ .SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ~ CONSTRUCTION _ DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION __ LOT LINE SEWER LINE TANK .... , SYSTEM
CFSSPOOL -, OTHER SOURCES_
APPROVED DISAPPROVED - REMARKS
DISTANCES:
INSpLLED BY:
PIPE MATERIAL
LOT SLOPE:
REMARKS~ ___
Form No. EQ-031
'~---"'~ DIAGRAM OF SYSTEM