HomeMy WebLinkAboutT12N R3W SEC 20 SE4 SE4 SE4
__ ~ MUNICIPALIITY OF ANCHORAGE to
' ~ ~ Department of Health and Environmental Protection
//~~/ 825 L Street, ~chorage, Alaska 99501
[~~/~ 2 6 4 - 4 7 2 0
'~> ~uest for Approval of Individual Sewer and Water Facilities
~1.~ Proper~y Owner: ~~ ~ ~'~,
Mailing Address:]~ ~~~ phone:~
2. N~:O'~Bu~y~ r:
: Mailing Address: Phone:
Lending Institution:
Mailing Address:
Realtor/Agent:
Mailing Address:
Phone:
Phone:
5, .Legal Description: /~ /t/ ~3~ ~'~--~. I~) .~~/
Street Location: ~ ~~ ~ ~J"
6. ~]F~~: Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
o
Water Supply: *Individual Well ~ Public/Community System (
If Individual Well, well depth ~ ~
If Community System, name of system
Sewage Disposal System: On-site System ~ Public System ( )
If On-site System, date of installation: I ~ ~
",-'~,:, d~ GREATI]R ANCHORAG[ AREA BOROUGtt
:,,,,..: = I'~ ~'i97~ ~1 DEPARTMENT OF ENViRONMFNTAL QUALITY
~" 3330 "C" Street
~, o~ mW~oN~m~ ~U~UW A N C H 0 RAG E, A L A S KA 9 9 5 0 3
Case #
.8~
10--
11--
12--
13t
14t
Performed For TheBaha'i
Legal Description: Lot Block
This Form Reports Soils Log
~ Soil Test Must Be Logged To 4"
Depth
Feet Soil Characteristics
Peat, etc.
Light brown clay CH
Fine sandy silt ML ....
Coarse sand with medium ....
SP-GM
gravel and trace of silt ._
Medium gravel and sand SP-SW - I ' ' -
Medium-to-coarse gravel, SW it.l-
cobbles
Was Ground Water Encountered? No
If Yes, At What Depth?
Dated Performed_June 3, 1974
Subdivision *See below
Percolation Test
Below Proposed Seepage System -
Reading
Date
Gross Time
Net
Time Depth to tt20
Percolation Rate Minu%e
Proposed Installation: Seepage Pit X Drain
Depth of Inlet Depth to Bottom of-Pit Or
COMMENTS:
bedroom.
Net DropI
Field
Trench 14'
Based on Boroughregulations~afidrequirements, werecomment218sq.ft.~er
*SEi/4, SE1/4, _S_E_i/4, SE 20,
Test Performed BY._ Joh.n_J___ameson Date Certified BY:
Date: