HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 8 LT 2
GR,F'"T, ER ANCHORAGE AREA BOROUGH
. . HEALTH DEPARTMENT f \
327 EAGLE ST. ANCHORAGE, ALASKA 99S01 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
~_j/_~ [/· v /~ ADDRESS
SEPTIC TANK:
DISTANCE FROM WELL ~,~"I~_~4,T ~ MATERIAl
NUMBER
OF
COMPARTMENTS
LIQUID CAPACITY ///'~ GALLONS. INSIDE LENGTH. 2~ '~'~)C~/~/U7-.INSIDE WIDTH/
LIQUID
.DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MAIERIAI
NEAREST LOT LINE
OUTSIDE DIAMETER OR WIDTH
, DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPIION AREA {WALL AREA)
LENGTH DEPTH
, BUILDING FOUNDATION
.SQ. FT.
TILE DRAIN FIELD:
) +' / ~ /.t~ / TOTAL LENGTH,.~
DISTANCE FROM WELL C,--~)~ · FOUNDATION t' NEAREST LOT LINE , OF LINES
NUMBER O~ ,INE~ OISTA,C~ ,~TWE~, UNES /~ TRENCH WIDTH ~0" I,. TO,AL
ABSORPTION AREA 5 ~ SQ. FL LENGTH OF EACH LINE ~ ~ /'
DEPTH: TOP OF TILE TO FINISH G~ADE ~ ~ I DEPIH OF FILLER MAI[RIAL BENEATH Ill[ ~ II IN. ABOVE TILE
WELL: '~U~/IO DISTANCE FROM ' WATER
TYPE. , DEPTH ,BUILDING FOUNDAIlON. , SAMPLE . NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE . SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES~
DIAGRAM OF SYSTEM
DISTANC~/?