HomeMy WebLinkAboutDEBORA #4 Lots 7 & 8ter
*4.
GRr'TER ANCHORAGE AREA B07UGH
Department of Environmental Quality +
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM+
NAME -1 ( MAILING ADDRESS
PHONE
LOCATION LEGAL DESCRIPTION4Ot 7 I' 8 17PbrG
SEPTIC TANK:
DISTANCE ....��
OF
FROM WELL MANUFACTURER Steel F be1?C1 PM �ee l NUMBER M
MATERIAL COMPARTMENTS I
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY /-t GALLONS.
SEEPAGE PIT: ��
NUMBER OF PITS _L_. DIAMETER � OR WIDTH _W, LENGTH �s' DEPTH JI/
LINING MATERIAL rT CRIB SIZE: DIAMETER ±r DEPTH _A!L DISTANCE FROM: WELL V
/ TOTAL EFFECTIVE
BUILDING FOUNDATION_, NEAREST LOT LINE �S ABSORPTION AREA (WALL AREA) 336 SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE Gt/ —CONSTRUCTION DEPTH _
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION LOT LINE—,SEWER LINE , TANK.
CESSPOOL—,OTHERSOURCES
APPROVED DISAPPROVED —
REMARKS
DISTANCE FROM:
SEEPAGE 7/
SYSTEM
DISTANCES: DIAGRAM OF SYSTEM
�
INSTALLED By: 0WtiQ{A 4inC
I s+ rA bdr,.l
Trailer
PIPE MATERIAL:
LOT SLOPE: ,Si3
T.�lufe� Fv(/ /972
REMARKS:
licit
DATE /1 y %
G.A.A.B.
Form No. EQ -031