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HomeMy WebLinkAboutT12N R3W SEC 15 LT 75 MUNICIPALITY OF ANCHORAGE D' RTMENT OF HEALTH AND HUMAN SEF ,ES Environmental Health I)ivision 825 "L" Street, Anchorage, Alaska 99502, Telephone 264~4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTIC)N REPORT TANKS -;PTIC HOLDING TYPE OF SY,~ TRENCH or,gmaL grade L~ W, DRAIN ~ OTHER WELLS z~IVATE ~] OTHER fldentifvl ,.Z~/ F~T FT DISTANCES ~-----~ -r( SEPTIC ABSORPTION FROM ~ TANK FIELD WELL WELL LOT LINE 'UUNUIt IIU~l ? ti(S: ~.~.~-~4~ ........ . . CoflJ]¥ tllat Ihis inspection was pl~rformed according lo all Municipal and Stato !luidolinos lo effect on this flare: CE- 1~16 ] i.) / 0 9/'8 6 ,~,.~;. 1::: I ,, 8R ACRINi) (:: ,::, P L :i f y t I'i a t :: illth!Ii ipv LhE~ F'h.u'i:kc::i. pa].:~'Ly c:~t ,"'~ric:hcmagf:;~ (ifl[JA) al'd::) t.h(-! StaLe nf A].aska. 2. :[ ,~:i.:l I. :in!i~L.::t]J Ll~e~ !E~¥Eikc.!iiJ :i. li at:::i:::clr'ch:zllc:c~ w:i. Lh ail MOA i:::c:idins ,:'d,d ENGINEERING GI oLOGY Conrulting and Services, Arct~c.Subarctlc P.O. Box 110186, A~h~ge, A~ 99511 SOILS LOG-- PERCOLATION 'rEST [] SOILS LOG ~ERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION:__ 4- 7 10 12 ~3 14 20- S LO F'E z SITE PLAN WAS GROUND WATER ENCOUNTERED? .Al 0 __ 0 P IF YES, AT WHAT E Reading Date Gross Net Depth to Net Time Time Water Drop Anchorage P.O. - DX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-49,.~kx 4744 TONY KNOWLES, MA YOB DEPARTMENT OF HEALTH & HUMAN SERVICES January 9, 1987 #860382 Sandra Joan Thibodeaux 9661 Carlson Road Anchorage, Alaska 99507 Subject: T12N R3W Section 15 Lot 75 On-site Sewer & Well Permit 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 perrait. 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) R.N. Robinson Program Manager On-site Services RWR/ljw enc: copy of permit ENGINEERING GL .)LOGY Consulting and Services, Arctic-Subarctic P.O. Box 110186, Anchorage, Alaska 99511 · (907) 344-0641 .~ zo~- 75 [-- · Foundation Investigations * Site Exploration * Inspections · Percolation Teutu * Soil Reports * Drilling Supervision SURVEY TYPE [] AS-BUILT-- NO CORNERS SET ~] PLOT PLAN - AS-BUILT-LOT SURVEY--TOPOGRAPHY [] LOT SURVEY [] RECERTIFICATION AS-BUILT- NO CORNERS SET :7 f: SYMBOLS © ,~ssu~D ELEV. E~-~> DRA,NAGE ~ o WC~3D FENCE ~ x x-- DHAIN LINK FENCE NO[E: Fences (ire shown in fheir appro×imafB locations only. --/ --/ / Itlstheresponsibili/yoflhe builder or owner~ prior lO construction, lo verify proposed buildinggrode relative lo finished grade end ulilily conr~clion~ and Io delermine *~bich do not appear o~ the recorded subdivision plat. ILEGEND hub & tack-found [] set iron rebar -found 0 set ~ron p~pe -found ® set brass cap -found 1~ set alum. cap -found 0 set Prep, ar. ed by ENCt¢ IVI £H ./NC. Professional Land Surveyors Lot Survey Certification I hereDy Cedilk/ thai I have surveyed Ihe properly shown fha imlxove~fienfs s~luafed er'~'o~ch o~ odjoce~l oroperl' Scale-' 1" = 30' Drown by¢~AH Date Surveyed: JULY 31,1984 C~ecked bi"RE~] Oat~ AUGUST 2, 1984 Grid: 2436 ]W'0'84-182 Legal Descr[pfioa: LOT 75, SEC.15, T12N, R3W, SH