HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 80
GRE/."~% ANCHORAGE AREA BOR'"u-"H
Department of Environmental Quality "~'
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
?2.
NAME ~'~ ~r/~ MA,L,NG ADDRESS P. ONE
SEPTIC TANK:
DISTANCE ~-~ ·
FROM WELL
INSIDE LENGTH
MANUFACTURER e.~/~C,~ ,,~'t~L- MATERIAL
INSIDE WIDTH LIQUID DEPTH
~'7~ NUMBER OF
~- COMPARTMENTS
I IQUID CAPACITY //ODD GALLONS.
SEEPAGE PIT:
NUMBER OF P.TS /O,AMrrER ¢?'ORW,DT.~'.EN~T~'. DEPT. ~'
LINING MATERIAL~'y~'[''c~ CRIB SIZE: DIAMETER DEPTH DISTANCE FROM:
~/~/~ ~ TOTAL EFFECTIVE
BUILDING FOUNDATION , NEAREST LOT LINE~
WELL
ABSORPTION AREA (WALL AREA) ~'"'~-
ADDITIONAL ABSORPTION
WELL:
BUILDING NEAREST NEAREST SEPTIC .~!
FOUNDATION LOT LINE SEWER LINE. TANK ./c~' ,
CESSPOOL
APPROVED
OTHER SOURCES
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
DISTANCE FROM:
SEEPAGE
SYSTEM /~'
REMARKS
DIAGRAM OF SYSTEM
LOT SLOPE:
REMARKS:
Form NO. EQ-O31
GreAter ANCHORAGE ArEA BOrOUg~
PERMIT NO.
SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT
PHONS
OTHER
flOTEz THIS PERMIT IS NOT VALID WITHOUT ~OIL
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE: REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL. QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SEEPAGE PIT
FIELD
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDIHG INSTALLATION.
DIAGRAM OF SYSTEM