HomeMy WebLinkAboutSUNNY VALLEY LT 5LoT'
QGRE/ R ANCHORAGE AREA BOR -aGH
Department of Environmental Quality
3330 C Street
Anahorage, Al~sk8 gg§03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE ~
FROM WELL.
INSIDE LENGTH
INSIDE WIDTH
)~j NUMBER OF
MATERIAL *~ COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY ?~4~(3 GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION
NUMBER OF LINES DISTANCE BETWEEN LINES
ABSORPTION AREA -~'~q~) ~'~
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
NEAREST LOT LINE OF LINES ~
TRENCH WIDTHQ/~/ IN. TOTAL EFFECTIVE
SQ, FT. LENGTH OF EACH LINE
DEPTH OF FILTER ·
MATERIAL BENEATH TILE~
IN. ABOVE TILE IN.
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED '
CONSTRUCTION
NEAREST NEAREST SEPTIC
LOT LINE SEWER LINE TANK
OTHER SOURCES
DISAPPROVED REMARKS
DEPTH
SEEPAGE
SYSTEM
DISTANCE FROM:
DISTANCES: '-~
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:-
LOT SLOPE:
REMARKS:
DATE /'~-~ -')'~l APPROVED ~' L/
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:i: I:z 'THE
GRE R ANCtlORAGE AREA BOROUGH'~-J
DEPARTI'iENT OF ENV[RONMErlTAL QUALITY Case #
3330 "C" Street
.ANCHORAGE, ALASKA 99503·
Legal Description: Lot ~ Block
This Form Reports Soils Log_ ~/~:
- Soil
Depth
Dated Performed i
Subdivision $u~¢ L/~k~W f/m~;
Percol ati. on Test__
Tes~ Must Be Logged To 4' Below Proposed Seepage System -
Soil Characteristics
Feet
Was Ground Water Encountered?
'If Yes, At What Depth? /V~_A_
Reading Date
,
GroSs Time
Net Time
· ?o
Depth to H20 Net Dro
PePcolation Rate
Proposed Installation:
Depth of Inlet ..... - .~"'
Mi
Seepage Pit Drain~
Depth to Bottom of Pit
Date Certified
Dat~