HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 8 LT 3
C~TER ANCHORAGE AREA BOROtLGH
HEALTH DEPARTMENT L. i ~,
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
b/4'O
NAME
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
/0/o~ ',',A,L,NGADDRESS "J ~00. ~~F 57-~u~sr~ PHONE
LOCATION
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE FROM WELl /~"
LIQUID CAPACITY
1I, - 4 I
MATERIAL ~ CI~.,CF~- NUMBER OF
COMPARTMENTS
GALLONS. INSIDE LENGTH ~ INSIDE WIDTH '~' LIQUID
DEPIH,
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
/ OUTSIDE DIAMETER. __ORWIDT" ~ LENGTH
~ &g .D,S,ANCE FROM WELL ~'L /'/4*~'*g-- BU,LD,NG ~O~..O.
. ,o,~ ~.~c,,v~ ~,so,.,o. ~,~ ~ ~,~. so...
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA.
· FOUNDATION
DISTANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
., NEAREST LOT LINE
TRENCH WIDTH
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
~ DISTANCE FROM WATER
WELL: TYPE __,, DEPTH BUILDING FOUNDATION ~SAMPLE
NEAREST SEPTIC SEEPAGE
LOT LINE ., SEWER LINE , TANK , SYSTEM o CESSPOOL
DIAGRAM OF SYSTEM ~.-
DISTANCES:
NEAREST
OTHER
, SOURCES