HomeMy WebLinkAboutSEIDLER #1 BLK 3 LT 3idler'
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050-131
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME D~_
MAILING ADDRESS
LEGAL DESCRIPTION
~ IUiq. cap~city in gaUons I ....
~,,~ I DISTANCE TO' ~Well
~ I' I
~ ~ ~ Manufacturer
~ ~ I I Wall
~ I DISTANCE TO: ~
~ I Nd. of Unes I Length of each Unel
~ ~ Width
~ I Type of crib -- B~
~ I ~ TO: Well
~ IGl~ Depth
Inside length
Dwelling
Foundation
Total length of li~b/
Material beneath tile
?'
Depth
Crib depth
Building foundation Nearest lot line
Driller Distance to lot line
Sewer line Septic tank
Material
Nearest lot line~,,~,~. I __
T,.e, ch w,%
PHONE
~"~upEGWR AD E
NO. OFBEDROOMS
PERMIT NOob~,, f¢~
No. of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance between lin6s ~
_
Total effective absorption area
PERMIT NO.
Total effective absorption area
PERMIT NO.
OTHER
PIPE MATERIALS
SOIL TEST RATING -' '
t/q,
INSTALLER
REMARKS
APPROVED
DATE LEGAL
7~-1:)~3 (~ev. 3/78)
F:'EI:;;'.M I T i~',lO. ,'
I'.':,EF:'FIF~:TMENT I-iEFIL. TH F:INE:, EN',,,' :[ fE:OI'.,IME:I,qTFIL. ,:OTECT I ON
Et25 "L. '" :~E;"FF..'E:ET., FtNC:HOF~'.RGE., I::'tK.
26d.-4?'2E~
C::~ ~'-,-~ .... ?.S~; :.'If.' "f' EE 5 E l.,.! EE'~ If:EL' .F-" IEEE;: If'-! % T'
S::I. EI5 2;L:'
Ft F' F' L .. I C: FI i,,,I T
L. O C F:I T ]: O N
I.... E ('.:i F:I L.
· .TCIHN F'. E:,LtI',,ff.,I
B I RE':H H I I...L.S E:,F;:.
L...21: E::.'.": ?;E IDLER
!..CIT ':_;; I ZE:
I'"If:I::.::II"IUH I'.,ILII"IE~E:F;.: CIF' E.E'E:,F.'f"I"IMSi =
THE F..:FZI;:!IJIFi:Ef.::, SIZE CIF 'I"HE ':FI'EL I-E,.:,.[ F tIOI'.,f '.'-.";'.4':i;TEM .I~;:
THE LENGTFI DIMENE;IOI,',I I:'.-.'; 'I'HE LEi'.,tGTH ,::IN FEET.':, OF THE 'f'F.:ENIT:H OR [:,F4.':FIII~',IFIE:L.E:,.
THE E:,FPTH OF F:I TFi:E:I,.,IE:H OR F'IT ]::5 THE E:,ISTFIIqOE: E;E'I'I4FE:N THE SI...IRF.'RCE OF' THE
I:jF;~:E)IJNE:, FINE::, TNE E:O'FTOI,"I OF THE E'>'h:::R',,,'RT 1 OI.4 ,:: I N F:EE:T ::,.
THERE :[.'---;', NO SET I.,.I:[[>TH FOF.: TFi:EI'.,tE:HE%.
THE GF~:RVEL. DEPTI-I I'S THE MIN.IP1LtFI [:,EPTH OF' 0'iF4:FI',,,'EL. BETP.IEEN THE OUTF'FILL. F'IF'[.'"-
RNI:.':, THE BOTTCff'I OF THE E::.::I:::FI',,,'RT ]: ON ,:: I i,',l FEET >.
t- [=[,,H1T F:tF'F'L. ICFtNT HFI% 't"F.IE~ [~E =.F _I,4..-.,IE, IL.I "FI-I tNFC;f;:PI 'FHI:E; [.El-HR FI1EI'.I[ [:,UF~'.INI:3 'THE
I N'.'?.';'FFtl._L.I:fT I I:ff.,l Il' L.,[': :'L: ... -' 1 .I. -_ I'C.,' CIF' FIN'T' P.I[/LI_Z, FIE:,.]'FIIZ:EIqT 'TIZ~ TFt ]: ::-.'; F ........ P. ~ F [: [.; 'l" ' FIND TFIE
NUI'"IE~ER I:F [.E::,IEE.I',I.,E.:, THF:IT TFIE FIE:LL t.,~I!._l_ ':SER',,,'E.
I"IIN;[MUM E:,]:5'T'RNC:E [3E:TP.tEEN FI 1.4EI...L F¢.4E:, Fli",l"r' ON-SITE SEI4FI[iiE C, ISF'CIS';RL :.'S"r':.:.:f'EM
:I.E,Z~ I-'"E:ET FOR I::1 F'[~:I',,,'FITE t.,.IELL. C'ff,'i.: ::l..~'SEt TO 2F.'~E'~ FEET F'F4.:Eff't FI F:'I..IE~[...IE: !-,.IELL E:,EF"EI~'~E:':[I~',IG
UF'Ot',I TNE T"FF'E OF F'UEC~:[C P.IEL. L..
I"IIN:[HUM [.':'I'.'STI":II",ICE: FROM Ft F'F.:I',,,'RTE I,.IELL TO Fl F'F.:I',,,'FITE :.'.C, EP.IEFi: LINE IS:; 25 FE:ET
TO R COMI"ILINIT'¢ :5[.:.:P.IEFi: LINE IS"; 'F'5 FEE'I".
OTHEP. RE:L.-.P...I I [;.:El'dENTS I'dFl"r' F:IF'PL."r'. :;'SF'E:C I F I CRT I Oi~'4S'; RNE:' CONST[;;'.UC:T I ON [:' I FICiF.:F:IMS.';
R"/F'I ]: !...FIE',L.E TO I NS;t..t[,~E PROF'EF4: I I",ISTF':tLLRTI O1"4.
I CEI:;;:T ][ F"r' THFZlT
::L: ]: F:ff"l F'RMILIRF.'. FILTH THE P::EI.;.:!IJIRE:MENT2'}; F-"OR Eli'.4--'.SITE SEI.,.IE[;~:E; FINE:, I.,.IE:L.L.S RE; SET
FCIRTN [3'.¢ THE ML.li,.,I.I C I F'FIL I T'T' OF' RNCHO[~:FIGE.
2: ! I.,.IZLL. IN'."STF:ILL TNE S"¢STEM I1"4 RCCI.'.'IRDFINCE NI'I'H THE
~:: :[ UI'.,IE:,ER'.STFfND THFI'I" "I"I-IF'_,2~/:.S,]:TE :SEP.IER S'-tS;TEI"I MP"I'-,.' F-;.:[':':I;:!UIF.'.E ENLRF4:GEMEI'.,IT IF' THE
F4:E:E;IE:,ENCE' i'."; F.4::~I..,~-.~.D ,~)/~/f,~'::L.UL':,E MOR[.E 'TI-.IFII'.,t ]i: E~Er..:,F4:CIOMS.
[] SOILS LOG
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
4
5
*-,,~,~..., 1D
17
20
COMMENTS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
/
SLOPE
[] PERCOLATION
TEST
WA8 GROUND WATER S
ENCOUNTERED? · OL
/ P
DEPTH? .
Reading Date Gross Net Depth to Net
Time Time Water Drop
X /~_
/:
PERCOLATION RATE
PERFORMED BY:
(minutes/inch)
72-008 (6/79)