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T12N R3W SEC 33 LT 68
,;:.F[~, = MUNIC, IPAI IT¥ OE ANCI;OfiAGE ' ~,~,F~¢.<.~':~ DEPARI'~VIENT OF HEAl.TH ~ ENVIRONF.~EIXtTAL PRO'FEC'I ION E~V R()NVIE~I'A. ENGINEERING DIVI~ION .~ 825 [.Street- A~.:horafle, AMslra 99501 '[eh~ph0nn 264 4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WEll. INSPECTION REPORT MAILING ~ORFSS J L LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS ~ ~ O/STANCE 10 Well Dwellinq ...... 7~~ ~ ~ p IEq~ or tile io finish fll~ldl! . Material t)ontathtlle ~ Tut~%Rect~v~ ,~ljS(~l)~ion area OTHER SOIL TEST RATING INSTALLER REMARKS APPROVED LEGAl. 72 013 (Rev, 3/78) [:,FiiFI ii: NF" ]I: I"iiF::l::.:: I '1 "t !'.iil. tH~:E~:F: OF 131:1/13, FIIO()HS :: :2 SO;II.. I.I1,: :':-- I1.'1 :'~ ,:: SI]ii I':: "f,. E,I ' ..... '" :i~:!:) 'I-HIE F!rD;i:!I .I 1/F;~:!!:D :il; :~ ;;!:Iii: (31:: 'Fill!!: ...... iii, i i:[ L FIE:%13[;iil:::'"!" ]/[::Ir.,! ": I::.1 !,' .... T ,:~ : !"l ii: l",! :( t'!iiJH D ;£ STI;:II"IIC:I!~ !!:IZ"FI,!E:E:hl 1::i HE:LI... l::ll"iiD t:::l!"ii"r' ON"S ]: '1"!~: SEHI:'I('iE D J.(313 !::E:li!:-I' F:'O!:~: I:::t I'::'FII]:',,,'FtTE 14EL. L. O1:'~: ::L!5~3 I"O ;~i!:~3(:!i F'~i~E7 F'I'::~OH I..IF'OI'.,t 'FHlii: 'l"'.r'l::'E OF' F'I...IF'?,L.:[C !,11-~'1..[ l"ii]:HIii'lt..IH D]:'SII;'FFII'.IIC!E FP. OH I::ii F:'R!:',,,'l:'t-I'~ii: 14EI..L. TO I::t F'l';i:f.'v'Fl'ii"[~E Sf]:[,!EF: L:I:HE: ]:Z: ;25 I:::'l.':'iiET I:::1!",![:, ~r3 F:I r-:Fff'll'l_i~'!'['l'L'' S!EHEFi: L.:[t'.,II:~ :i:!'~; 7"!:':i rI,IIELI._ I.OGS t..1::_ t:;;E~::!I..J:I:F:EI3, I:::II'-,!E:, t',iil..l'_:~T i3!E FIIE'Ft..tI';i:I'.,II~D 'F'O THE: !:i,E:I:'F!Fi:-I"HEt'.,I? 1,!. !r'~.!.r,! Cfi:: I'!'iiii!: I,IF.[.L. C(3HF::'LE-i cr'Ft~II:::F: Fiil!i:l::!l..l:[l:~;E:h!i.~Nii':[i; I'll::ii'./ FfI.:'F:'L?. SPEC1/F]:CFti':[()NS FIND COI'.,!STF?t..tCT:f/OI'.! FIVI:::i]:I.I:::IEH...li: TO 1/HSI.Jl:;i:[!ii r::'l;i:OPEFii II:I'4STFtl..L. FtT:[ON. :[ CE;F:t'1/!::"./ tHFII' J. l: F:II"t F:I:::tH :[ !._ 1/F:tFii t4 '[ Ttl 'iHE l::'O!;?'tlii E?'r' '['I.IF.-:: HI...IH]:C):F'F!L]:'r'¥ OF ;2: ]i i,.! ]i !..[, J: t'.,I:~:;TFtt_t.. 'I"~IF: S':,-"_.'i;T!~:hii :]:::: 1/ l.)ND!ii:t:;;'.t!!i;'r'FiND THt:::IT THE (:)I'.II~,.S:[TE l:;i:i!~25Z):!)li!:l'-iiC[~: ]:S Flff':]"IODEL. t.:i:D TO F:IHI:) Ii.!Ei;LL~ii; Fl'z; ii:l".!t..F:h~;i:13E,HEl"iiii :[1:::' 'IFil!ii; I..E(:!iFIL L.O] ...... ~,,:, SEC r :L-_.tH tR2H 'THI: LI'ENGTH D I MEN'_:i;:[ ON :[ '=-~ THE LE:NGTH ( I h,! F'EE"f' ::, OF:' THE TREI',IE:H OR '!-FIE [::,[~;PT'H OF' r::l TRENCH OR P:[I" ):':'J; THE D]:::TFiNCI': BETHE[i:t'-,I THE SI..IFitF'F:I(:::[:: OF "['!-I[~ CiF:OLIN!:) FIN[)THE IL:',O't'T'EII','I Cfi:' THE E:=.=:CI=t',,,'I::ITi()N ,:::[t'.,I F'EET) 't"HE (:,iF~tFI'v'EL DEF'TH ~!~; THE:: HIN:[MUt'4 [:,t~:PTH OF' GF'FI',,,'EL. BE-FI,II~i:EN THE O!..ITFF:ILL. PIPE FII'.,!D THI:: E:O]']'0M OF' TI..IE 1::4CF'I',.,'FIT'!CIN (:I:N FEET). F'E:t:Ri','I;I:T Ft'-I-'L.I:-I',Ir Hi=iS '!'HE IttE'FJF':i"!:!~:tE:IL. IT'.r' -I""~ Zt",IFORhl 'I"H]:S :iNS] I=IL.L.F!'T:f:ON [I I_~ !.... f :IONS OF' F:lt",lh" f'1: '= FI[:'J'FICENT TO 'FH:[ S Nt..tI"IE:ER F' F: '" =": .... F.t.._,.[ t. I. ,f.~ I:. :, THI:::t"I' THE: HEI_L. I't I L.t.._.Lk.',' E..' '" "' ' -' DEF'F:IR TME}:IT I::'RoPr:i:RT'~¢ FiND I'I..IE: 1-fiE 81='tCKF: :1: L.I... I NG OF' F!l",!h'~ ':" '" ........ _,~:tE:.II HITHr}L.T F'INFIt. '[H':~F'E':TI'JI'.,I FIND F ; ,, ~' ., 1. Bh" THT'= DEF:'!::II'~:i"HEI'.:I]" 1,~]'__t.... !~,E: SI.IE~JE:C'I' 'F(} F'F?F'v~:E'~':I i']' "t"1. t"1 :[ t",! ]: i'"ILII'"I D I L:.;'FF~t",!CIE 8ET!.qEEN FI kIEI_L F:tI',J[:, I::IN'-,.' CIN-"'S I TE SEI,~I:ZI(.:'iE E) ! SF'OSFtL d.l:~l!~t F:'IEE:-"]- F(]F~'. FI F::'R:[',,,'FITE !'!ELL Ol:;;r _1..Eh)] TO 200 FEET F:'Ft[]r,1 I::i P!.IF3LI:C !4E:LL. DFi;PEt'.,!f::,!NG UF'ON THE T'~.'PE OF:' F'LIE&.IC I',111'.;! J: MI..IF! 1} I E;TF:II'.,!CE FROH FI F:'F:;: :[ 'v'FITE HEI. i._ TO F:I PR :[ 'v'F:ITE :!;ITI4EF.,: L.. ~ NE :I: S 25 F'EET F:I!'.E) ]"O F1 COI',IMLII'..!!T".r' :i~;El, t[!]:;: LINE I'.::; 7": F'E:ET. I,iEL..L.L. OGS FIRE F~:E(i:!IJ):[:~:~:[:, FIND t',!LtSI- E',E FtEZI-LIRi'.,IE]3 TO i-HE; DEF'F=IF'THEhlT I,.f:['IHiN CIF 'I"HE HELL C:OMF'L. ETION. C) FHl~i:l::ir RE(;:!U ]: RL=.MEZN-F'f~:; i"IF!'Y FIPPI .'-r'. :!;PEC ~ F :[ C!::]T Z( OI",IS I=lt',![) O31",ISTF~tlJC F Z[ ON [::, ! FIGRFIH::~; I:::IRI;{ I:::I'v't=IZ[LI=I!:",L.E: ]'O II",ISI...II::::E: F'I=.'~OPER INSTI':IL.LFIT):Cfl'.I. I C:E!:;?:i' :[ F? THFI]" :f.: .[ FIM F'FIM:£1_.:[FIR t,1:!:'1"1.-f THE: RE(;!UIREMENTS I::OR FORTH B"r' THE: MI_lt",!:(CIPF:IL.]:-i"r' OF' I::tI",tCFI(]RFII3E 2: I f'.11L.L :[ NS1"FILL THE S","'.:ii;TL:}'I I f".! FICCOF':DI=INC:E 141 'i"H THE COl}ES. ii:: ~ UI".I[)ERSTFIN[) THf:I'T THE Ol",l-'_::;! TE SEI,IEF.: F~rE'SH)EI",~CI:] I~l ~[::, TO J:NC!..,I...IDE: I'"lOf~:[E ]'HFII'.,! FINE:, I,!E'J ': F::fS ':: E.'fI_FIR ;ii_:J:H'.:.f'Ft' 3: F:' THE S ]: G N E [:,: q IqUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, A~lchllra!le, AI;~ska 99501 264-4720 SOILS LOG - PERCOLATION TEST J PERCOLATION PERFORMED FOR: DArE PERFORMED: 18 19 20.