HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 8 LT 18
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G~'~'~TER ANCHORAGE AREA BORO~ ,~H
/J,..AflTMENT 0F ENVIRONMENTAL I~UALI...
3500 TUDOR ROAD ANCHORAGE, ALASKA gg507 27!LBBB§
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
S,"2T', C TANK:
NUMBER OF
DISTANCE FROM WELL ~ ~",/'~/~x. //"..~" MATERIAL ,'~/"-~"~ -,"-,~-- ~ COMPARTMENTS
LIQUID CAPACITY ,,"/~"~ 4"'~)&''~ GALLONS· INSIDE LENGTH INSIDE WIDTH
LEGAL DESCRIPTION
,,,,-
LIQUID
DEPIH.__
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PllS IDTH , DEPIH
LINING MATE~.~A.''/''~ DISTANCE FROM WELL , BUILDING FOUNDATION~''~
NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELl ..-.---'"F'C~['~-~AHON ~'~ , NEAREST LOT LINE,
NUMBER OF LINES .,~'//~DISTANCE BETWEEN LINES ~ TRENCH Wl~,~/
AB SQ. FT, LENGTH OF EACH UNE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
, OF LINES
IN. ABOVE TILE
WELL: TYPE .~,~,,"~/~,/"////-~'~"DEPTH / DISTANCE FROM ~ WATER
.. . BUILDING FOUNDATION ~S~PLE ~ NEAREST
/ NEAREST SEEPAGE OTHER
LO/ LINE ,, SEWER LINE / SEPIIC ~ _/
TANK SYSTEM CESSPOOL ~ SOURCES
DIAGRAM OF SYSTEM
DISTANCES:
I
DATE
HEALTH DEPA~TM£NT ~ ~SE ~
~CHO~GE, A~S~ 99501
Performed F~r ~Ptl~e ~o.l.e~ Da~e Perfo~ed 2~ ~OC [~70
This Fc~ Reports a: So/Is LoR ~ ... · -Percola:xon Tes~ ....
Depth
Feet.
Was Ground Water Encountered?
If Yes, At What ~epth > ~
pross T/me
Reading
Date
Net Time
Location Sketch
Depth To H20 Net Drop
Froposed Instal~Seepage Pit Drain Field
Depth Of Inlet ~, .Dep~ To Bottom Of
COMMENTS: c~_ _