HomeMy WebLinkAboutWYNTER PARK #1 BLK 3 LT 11
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ER ANCHORAGE AREA BO'
Department of Environmentat Quality
3330 C Street
Anchorage, Alaska 99503
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INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
LEGAL DESCRIPTION /'" //
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER ~"r~C~'( ,~"1'"l~'~'1... MATERIAL
INSIDE WIDTH_
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY /~) GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION
DIAMETER '~, OR WIDTH /~, LENGTH I(¢1,. DEPTH 121
CRIB SIZE: DIAMETER ~ DEPTH (O¢ DISTANCE FROM:
NEAREST LOT LINE '~'~ TOTAL EFFECTIVE
WELL
ABSORPTION AREA (WALL AREA) /'/~'2
FT.
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
_REMARKS
_ DEPTH DISTANCE FROM:
SEPT lC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No, EQ-031
DIAGRAM OF SYSTEM
APPROVED- _ /(./_,.__.
/G.A.A.B,