HomeMy WebLinkAboutTract 02B
G!!'- ATER ANCHORAGE AREA
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME /~'/~:P ~e~EY J~, MAILING ADDRESS ~0~ ~ 0~Ll~ PHONE ~('/~ ~¢~
LEGAL DESCRIPTION '7-~t~T' 2/~ '~'~'P~-~-' ~/'~"
LOCATION
TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER ~ MATERIAL
INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTMENTS /
LIQUID CAPACITY ~0 GALLONS.
S~PA~PA -I~P- TL~" ~ _ OR WIDTH LENGTH ~ ~
NUMBER OF PITS 0-'-~ _~DA~M?ER /
LINING MATERIAL C~b%I-Z-E: ~ DIAMETE.~RR /~TH DISTANCE FROM: WELL
/. TOTAL EFFECTIVE
BUILDING FOUNDATION ,~T~ LINE -~ . _ABSORPTION AREA (WALL AREA)
SQ. FT.
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION -- LOT LINE
CESSPOOL _ , OTHER SOURCES
APPROVED DISAPPROVED
DEPTH
NEAREST SEPTIC
SEWER LINE TANK __
REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
DIAGRAM OF SYSTEM
DAT E - ~/~ ¢~/Z~4~/¢///¢~'2- AP P R OV C// G.A,A.B.'
GREAT[-~,~ ANCHORAGE AREA BOROUGH
SEWAGE' DISPOSAL SYSTEM -- APPLICATION AND PERMIT
DRAIN FIELD . OTHER
COMPLETION DATE ANTICIPATED -- p~~R
FINAL IN~PEGTION~ 34 HOUR NOTI~ EEQUIEED~ BACKFILLING OF ANV ~YSTE~ ~71THOUT FINAL INSPECTION B~ THE
~IEALTH DEPAET~,~ENT AUTHORI~ WILL BE SUBJECT TO pROSECUTION.
WATER MAIN TO SEPTIC TANK ~[e -. SEEPAGE PIT /~_-'F~*_
SEPTIC TANK, ~='~o, SEEPAGE PIT ]00 ~, DRAIN F~ELD
EXCAVATION ~ FEET INTO UNDISTURBED SOIL.