HomeMy WebLinkAboutLot 01A
~~ ~'[ 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 / ,~ /f
[] UPGRADE
MAI LIN G A D D R ESE~/ ~-~._ ,,~
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LOCATIO~~ ~ NO. OF BESOMS
~ I Wel¢ OO Absorption area Dwelling~ PERM~
~ DISTANCE TO: I O~ ·
Liq.~ ~gallons IF HOME,DE: I nsid~ Width ~ Liquid depth .
~ ~ DISTAN~ ~el~ ~ ~we lin~ PERMIT NO.
~--~ ~rer ~.~. Material ~ .... Liquid~apac~~ n ~allons
~ DISTANCE TO: WellLength/eOof * Foundation¢~ / Nearest lot ~ , PER Ml~e
No. of lines~ / inches Distance between lines
_ ea~i~l Total length d~ I Trench~th~
Total effective ~sorption area
~ Top of tile to finish grade ~/ Material beneath tile ~ inches
~ Length Width Depth~ PERMIT NO.
~--~ ~ Type of crib _C[ib-di~meter Crib depth ~ Total effective absorption area
~ ~ ~' .... '~ line
~ ~ Well Building foundation ~
~ NCE TO: ._~-
~ Class__~ _~~ ~ Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS ~ . O-- ---'~'~'
so~ ~ T~ST RA~ ~
INSTALLER ~ ~
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APPROVED ~ DATE LEGAL
72-013 (Rev. 3/78)
I"ii::tJ:~:;.r'~:"r' Fi. M~qTl':'/s:2,r'
ERGLE R ]Z
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'.'HE RE{:!U Z Ri:I:, ff;:[ ZF2 OF "f'HE SO ! L RE:'FF [;'F"F ~ Df.. S"r'~E;]'EM I S ' ~.~
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'T'hlE LENGTH DIMENSZON Z:~; 'THE I..ENGTH ( It",i FEE"F> OF THE TRENCH OR [)RFi!P',!F'iEL. D.
'T'HE [:'EF'TH OF R TRENCH OR F:'):T iff; 'TFiE E:'I?T'F!NCE E~E'THEEN THr< ::;U!;~:FFfCE OF: THE
GROLiNi} FIND Tile E',Cq"TOM OF' THE EXCR',,,'F~TZOf.,! (ZF,l F'EET).
THERE i% NO :SE'T' i,]~[:,TH FOR TREf-,!i]:HES.
'THE: GRFi',,,'EL DEF:'TH ZS; "I'HE MZNZFILIt',-I DEPTH OF' (3RFaVEL E)ETHEEN THE OUTFRI.L F:'ZPE
F~i'.,iE:, THE E;O]'T(}M OF THE EXCF!',,,'FITZOf.,I ( ZN FEET).
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F:%Ri"! ! T , ~If F ~... ]: CF:IhrF HF:iS THE
]' '. ': ' 'i::~. F!'T' Z Z i'.4 Z hE4;F'ECT ! ON:~; OF Fff-4'.¢ !.,.iEL..I...:: R[:,,!FiCENT 'T'O TH i :Fi F'ROPERT'.~.' I::;IN[) THE:
NLiF,'ff3ER Lff.. REft;tE:,ENCE:E; THRT THE I,,,::.LL.
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!"iii'-~Zi'1UFi D!::.:.;TF:!NCE Ei,'ETHEEN Ih i*IE:[..[.. FiND FIN'.r' ON-S]:TE :5EHFIGE !} .Ii SPEd~:F:&. E;'.?%'TEF! ;£E;
FEET FOR R F:'R):',,,'F~T[~ F.!ELL..; OR
]'O 2!2n3 FEi:ET FF4:Oi"I ia PUE:L~'C ll,.IELL DEPE"_'NE:,ZNG UF'ON THE ]"'.:'F'E-'. OF Pt.!E:L. Zf:: HEL. i ....
O]"HER RE~]:¢J!REMENT% MFI"r' FiF'F:'L'9. ff;PECZFZCF:ITiONE; f:!f',!D C:ON'::x;TRUC:T).'ON DZF!GRF:Ii"!% FliRt:/
LF:IE~LE TO i Nr~;URE PF~'.OPEF;.: i'N?f'F:!LI..F:IT Z ON.
F'h.' THR'T
F:F:Ii"!IL. iF:!I;;: k!.'f.'f'H THE F~:ff):¢JZREMENT% FOR
THEE f'ILfNZC:]:F:'FIL. ZT'¢ OF F~NC:HOF~tFIGE.
]:ht:5"FRLt. THE :E;'¢:~;TEM If',t FriCCORDRi'.,!CE HZTH "FHE CODE~E;.
(.JN[:,ERJ~7'FFIh!i} ]"HFtT THE ON-SITE :F;EHER ~:'gL4;TE]"I IdR"r' f;'.Eli:!tJ):RE: Eh!LFIRGEi'"!Ei",!T IF:' 'THE
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~ONSTRUCTION TEST L~B
"One Test is worth a Thousand Opinions"
2204 Cleveland Anchorage, Alaska 99503 277-0231
Perfo~ned for Mackey Construction
Legal Description: Lot iA Block
This Form reports: SOILS TEST Yes
Depth
Feet
Soil Characteristics
1.5' Peat
14'
Date .Performed 4/24/79
Subdivision Mt. Eklutna Heights
PERCOLATION TEST
Test #2 near shop.
'Brown Sandy Silt
with Occasional Gravel
Brown Sandy Gravel
Trace of Silt
(GP)
Bottom of Test Hole
Was Ground Water Encountered
If YES, What depth?
No
Reading Date ~ Gross TJnue Net TLme i Depth to H20 Net Drainage
Percolation Rate Minute
Proposed Installation: SEEPAGE PIT DRAIN FIELD
Depth of Inlet Depth to Bottom of Pit or Trench
CO~ENTS: 150 Sq. ft. drainage area required per bedroom from - 8' ~o
Test Performed by
Data Certified By: CONSTRUCTION~EST LAB
Date : 9/25/79
CONSTRUCTION TEST LRB
"One Test is worth a Thousand Opinions"
2204 Cleveland Anchorage, Alaska 99503 277-0231
~erformed for Mackey Construction
Jegal Description: Lot lA 'Block
?his Form reports: SOILS TEST Yes
Depth
Feet
Soil Characteristics
Date ~erformed 9/24/?9
Subdivision Mt. Eklutna Heights
PERCOLATION TEST
Test #1 near roadl
Gravelly Silt and Organics
Sandy Gravel
Sandy Gravel (GP)
/ race Or anicsl
(roots etc.
12'
las Ground Water Encountered
f YES, What depth?
eading i Date I Gross
ercolation Rate
Proposed ~
Depth of Inlet
Of~,IENTS:
Net TLme Depth to H20 Net Drainage
Minute
SEEPAGE PIT DRAIN FIELD
Depth to Bottom of Pit or Trench
drainage area required per bedroom
est Performed by D~
Data Certified By: CONSTRUCTION TRST LAB
Date : 9/25/~9
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