HomeMy WebLinkAboutDEARMOUN #2 BLK 2 LT 13o,,B.,o-~ y .. GRr~"ER ANCHORAGE AREA BOROU'""~I
DL.,,.RTMENT OF ENVIRONMENTAL OUALI1,.
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8680
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
ADDRESSMAILING ~ ,~ ~. ~/~ PHONE~
LEGAL DESCRIPTION ~/' ~'~'
SEPTIC TANK:
DISTANCE FROM WELl ~ ~/~/7~///'~/
LIQUID CAPACITY /z~'~')Z~ GALLONS.
MATERIAl. ~' NUMBER OF .
COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH__DEPTH
SEEPAGE SYSTEM:
SEEPAGE PIT:
NUMBER OF Pits / OUTSIDE DIAMETER OR WIDTH
LINING MATERIAl ~' ~ ~,/~"' . DISTANCE FROM WELl ~
/
NEAREST LOT LINE ~ . TOTAL EFFECTIVE ABSORPTION AREA ~ALL AREAJ
'~FIELD:
LENGTH "~ ~ / , DEPTH
BUILDING FOUNDATIO'
DISTANCE FROM~ FOUNDATION. . NEAREST LOT LINF
NUMBER OF LINES DISTANCE~ TRENCH WIDTH
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE ~
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE
WELL: TYPE gi~'/")~,~'/z'Z,,6//,/'"2,//DEPTH DISTANCE FROM
~ BUILDING FOUNDATION
NEAR~ SEPTIC SEEPAGE
LOT LINE , SEWER LINE , TANK , SYSTEM
WATER
SAMPLE__, NEAREST
OTHER
, CESSPOOl . SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
G .A.A.B.
· .... gRE~rER ANCHORAGE AREA bOP~OU~
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
SO,L TEST RESULTS
SEEPAGS PIT DRAIN FIELD ii OTHER
To ,E '"STALLED BY ~~
FINAL INMIEC'T1ONi ;14 HOUR HOTIC[ RIEQUIRED.
~4[ALTH DEPAR'~41ENT AU~OR~ WILL BE ~UBJ[CT TO
FOUNDATION TO SEEPAGE PIT ~ /
IEPTIC TANK TO GEEPAGE PiT ~ALI ~ ~/
8[~1C TANK ~/ SEEPAGE PIT ,~ / . DRAIN FIELD
WATER MAIN TO SEPTIC TANK _/O / SEEPAGE PiT /~
SEPTIC TANK. ,g~-~"~ SEEPAGE PiT /~)~'~/ DRAIN FIELD
TO RIVER. CXKE. STREAM.
SEEPAGE TYPE
GRAY. L, IBACKPILI.
oCl 1/11
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S~H) PARTS ! ANO 3 INTACT - POLY PAK (S0 SETS) 4P472
PART 3 Wl~ ~ ~UB~D WtTH ~Y.
I~EC~;O~Mie 4S 472
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