HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 8 LT 1OIq ol
G~E~TER ANCHORAGE AREA BOROUGH
· HEALTH DEPARTMENT [ :'
327 E~,/~E ~1'. ANCHORAGE, ALASKA 99501 2~ ,~2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
MAILING
ADDRESS__
LEGAL DESCRIPTION /~'~' (
.PHONE
SEPTIC TANK:
DISTANCE FROM WELl
LIQUID CAPACITY [ ~)(~L"') GALLONS.
INSIDE LENGTH
NUMBER OF
COMPARTMENTS
~-/ LIQUID ~.
INSIDE WIDTH ~" DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT:
I OUTSIDE DIAMETER OR WlO/H
~)/"s--~ DISTANCE FROM WELL (
~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH C, RADE
· NEAREST LOT LINE
TRENCH WIDTH
, FOUNDATION.
DISTANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
WELL: TYPE
LOT LINE
D,STANCE EROM WATE.
DEPTH , BUILDING FOUNDATION,__SAMPLE . NEAREST
NEAREST SEPTIC SEEPAGE OTHER
. SEWER LINE . TANK . SYSTEM o CESSPOOL , SOURCES__
DISTANCES:
DIAGRAM OF SYSTEM
J ,~ ; ICp_ o F.-