HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 7 LT 14
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
~EPTIC TANK:
FROM WELL '~-~'x~"~'~MANUFACTU RER
INSIDE LENGTH
NUMBER OF
MATERIAL '-~'-~'-~" ~--'" COMPARTMENTS
INSIDE WIDTH ----'-" LIQUID DEPTH ---"-'" IIQUID CAPACITY~z~z~ GALLONS.
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
iDIAMETER
CRIB SIZE:
F~.~LOTLINE ~.~ ~. ABSORPTION AREA (WALL AREA)
O R WIDTH , LENGTH.~.~.--.--D~pTH'-"----~
WELL:
TYPE
.CONSTRUCTION
BUILDING NFIAREST NEARE5~/'/''~
FOUNDATION , LI~T LINE , SEWE~r'LINE
CESSPO~ O;'HER SOURCES ~
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
SEPTIC SEEPAGE
TANK. SYSTEM
DISTANCES:
INSTALLED BY: ~ ~'~
LOT SLOPE~
Form No. EQ-031
DIAGRAM OF SYSTEM
DATE <~"~',/PY~:~//~?S APPROVED ~ G.A.A.B.