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HomeMy WebLinkAboutLot 13 Address 2Zoo MUNICIPALITY OF ANC}IORAGE L>' [',~'~'MEN'T OE HEALTH AND btUMa~q SEE :~g Bn~iromae~a~ Health Di~sio~ 825 '1_" Street, Anchorage, Alaska 99502, Telephone 264 4720 WELL LOT I.l~'& / AS-.BUII.T r)IAGRADJI (Show location of well, septic system, [xoperty hnes, fourldatlon, '- ~.- - ) ............. cerl y that this inspection was perlormed according t~ all Iqunicil]ai aid State {tuiddines in died on ti]is date: ENGINEERS SEAL PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 lO 11 12 13 14 15 16 17 18 19 2O Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST Township, Range, Section: WAS GROUND WATER ENCOUNTERED? NO -- IF YES, AT WHAT DEPTH? Depth 1o Water Alter ,%' ¢~'1¢-'-~'? ~onitering? _ Dale: SITE PLAN I I_.._1 I I ! Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN -- FT AND FT ,;:../ .<~ i , , .,~ ~/' COMMENTS ., )~;~'~ -- ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE· DATE: ALASKA ENVIRONMENTAL CONTROL SERVIC . INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO. CHECKED BY SOALE I '~--- lO0' [dELL.- OF DATE DATE -- L__ - J .\ ALASKA ~,IUIROFImeFITAL COFITROL $~dlCe$, IF1C. I~n§in¢¢rin§ $ ~nuironm~ntrJ S~udics .IROFIITIEff[AL COF1TROL SERL, :ES, IFIC Legal Description Sample Depth D 10% D 60,% TEST HOLE NO. Date · ~ ~ , '~ Reported to Plotted Checked by , ~pproved by, StEV[ ANALYSIS SIZE OF OPENING IN INCHES I NUMBER OF MESH PER INCH U.S. STANDARD ~ ~ ~ © ' ~ GRiN SIZE tN MILLIMETERS -- ' ..... i CO..SE I .F,.E ICO,RSE, .~O,UM' COBB~S SAND GRAVEL P.O. X 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-:~X.:t, dx 4 7 4 4 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 9, 1987 Art Davidson 2200 Gambell Street Anchorage, Alaska 99503 Subject: Lot 13 Rainbow Valley Subdivision On-site Sewer & Well Permit #860175 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1986. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as-built inspection report (three part form) must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4744. Sincerely, ~.W. Robinson Program Manager On-site Services RWR/ljw enc: copy of permit