HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 2 LT 7D
LOT
000
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
MAILING ADDRESS
LEGAL DESCRIPTION
NO. OF BEDROOMS
]~el, I Absorption area Dwelling PERMI* NO.
~ Z Manufacturer~ ~~ Material ~~ No. of compartments
Liq. capacity in gallons inside length Width Liquid depth
0 ~ ~ Manufacturer ~ Material kiquid capacitg in ~allons
~Z ~ ~ Foundation ~ 5 Nearest lot line PERMIT NO.
~= DISTANCE TO: 'g~e ~ 5
~ No. of lines Len ach line Total length of lines Trench width Distance between lines
~ ~ ~ ~ ~3 ~l ~ ~q inches _
~ ~ Top of tile to finish grade~l ~ i~ Material beneath tile~ O inches
.~ ~ Total effective absorption~ ~area
Length Width Depth PERMIT NO.
~ ~ Type of crib Cri eter Crib depth Total effective absorption area
~ell~ Building foundation Nearest lot line
~ DISTANCE TO:
~ ~as~ ~ Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER '~ ~ ~1~ ~
SOl L TEST RATING
INSTALLER ~01)~9 ~C ~
REMARKS
I '
X' DATE LEGAL
72-013 (Rev. 3/78)
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:.E!; I G I'-,I E [:, '
GREt~iER ANCIIORAGE AREA BOROUGh
DEPARTr,iENT OF ENVTRONMFUTAL QUALITY
3330 "C" Street
.ANCHORAGE, ALASKA 99503'
Performed Fo,- ~iTow~cl. luS ~Sie-C~mrq
Legal Description: Lot BlockI
-t,
Feet
1--
3--
4--
7--
8---
9~
lO~
11--
13~
14-'
Soil Characteristics
Case
Dated Performed..
Subdivision ~1~
This Form Reports Soils Log :k[ , . Percolation Test
- Soil Tes~ Must Be Logged To 4' Below Proposed Seepage System
O e p t h /t~
}/as Ground ~ater Encountered?
'I'f Yes, At What Depth?
Reading ate Gross Time Net Time Depth to?Fl%,~':"':;~Ib~c Oro
, , .~.,,'. ~;
J ' . ~ ~ x*.~::,'.," ,.
........... ~ ',.~ ~ ..... '.~ ~~g'.W-- ~.:
...... , . ~.. . ~- _~ ~ , _~. $."~.". ...... ~. .'-~ ~ :
ercola~]on I ate ~ ~1~ ... ~ - ' ~,;".:'.'. '
...... ~ ... I ~ ~-.... ,, ~.,:: t
P R ~ ~ ~ "~ ~,.~
Proposed Installation: Seepage Pit Drain
Depth of Inlet.__ ~/t._~De.pth to Bottom of P~t or Trenc~
COMMENTS' ~r,.kc~ )a~c,- ~r , ~ ' ~f ~ " ---
..................... ...-
Test Performed BY ~ ~ , Da ·
: .. i - 7.~/'