HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 7 LT 13
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPE¢IION REPORT ON-SllE SEWAOE DISPOSAl ~IE~
MAILING ADDRESS 7/// ~/~_~ PHONE
-- LEGAL DESCRIPTION 7~ x~ ~//~//~
SEPTIC TANK: ~
DISTANCE C~/f//~I~'/~L//~£,~-~
NUMBER OF
FROM WELL MANbFACTURER~'~"~-"'~'~! MATERIAL ..~'~"~'d~ COMPARTMENTS /
INSIDE LENGTH -- - 'INSIDE WIDTH ' __LIQUID DE~H~IQUID CAPACITY ~ GALLONS
SEEPAGE PIT: I
I N / TOTAL EFFECTIVE
BUILDINGFOUNDATI'ON.~..~ E~..L~TLINE. · ABSORPTION AREA (WALL AREA).~,.,
ADDITIONAL ABSORPTION
WELL:
TYPE ~4/~'Y~_~
BUI~DL C, ONSTRUCTION. ~
G N '
..... L.~.- ~AREST ~AREST
ruuNOA~, , LO~ LINE. ~ , SEWER LINE.
CESSPOOL. ~~S
APPROVED DISAPPROVED . REMARKS
~'~DE~ DISTANCE FROM:
SEPTIC ~ SEEPAGE
LOT SLOPE:
REMARKS= ~
Form NO. £Q-O31
DIAGRAM OF SYSTEM
O.A.A.B.
iGREATEr ANChORAGe AREA BOROUgh ,
! DEPARTMENT OF' ENVIRONMENTAL QUALITY ' ' PERMIT NO.
i 3330 "C" STREET ANCHORAGE, ALASKA 99503 · '
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND P£RMIT
THIS PERMIT IS INOT VALID WITHO
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL
DEPARTMENTOF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
BY THE
SEPTIC TANK
SEEPAGE AREA SIZE
TYPE
MINIMUM DISTANCES, REOUIREMEHT5
GRAVEL ~ACKFILL ~
DIAGR OF SYSTEM