HomeMy WebLinkAboutT14N R2W SEC 11 Lot 3A-2
MUNICIPALITY OF ANCHORAGE i
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
NAME PHON ~~
LO OAT ION N
Well I Absorptio Dwelling
DISTANCE TO: 10~) e '~
A Mated
IF HOMEMADE: Inside lengt~ Width
DISTA~ Dwelling ERMIT
~EW
[~]UPGRADE
DISTANCE TO: Well J~O '~'
No, oflines I Lengthofe~¢~.l~#
Nearest ]~¢ ne+
Total length c~li~ ,
of tile to finish grade ¢
Length
rib diameter
Material beneath tile
Depth
Building
ISTANCE TO:
Depth Driller
DI STANCE TO: Building four~ t~¢ Sewer IJne/~O
5 ~ Total effectiv~l~a s Un area
PERMIT NO.
Total effective absorption area
dearest lot line
Distance to lot llne P ER MI~[O~.~i ~ ,~.~ m l
Septic t~n~ ,~f._ Absorpt on area(s)
OTHER
PIPEMATERIAL%,~ ~30~__~d~ ~1~¢
SOIL TEST RATING i~_O
INSTALLER
REMARKS
DATE LEGAL
u
PERH Zf' NO.
Fff::'F'I- )] CFtNT
LOCFfT I ON
L !:~!] (3 FI L
F.IO H F:!I::i:D E:R)i CKSOIq
EFIGLE R I'v'ER
LX]'[':~:-FI-2 T:L4N R;;~:J.,.I .SEC
L..OT :~; :[ ZE 4,::1 (~lOEI SQL.II:::IRE F:'EET
I'h.'F'E OF: :"!:;O ! k I:qE:.'.:!;OI:;'.E:7 I ON ':'5"r':~;TEM I :!5: TRENCH
MFIF:::[Mt..IM NI31"IE:ER OF: DE[:,F;:OOMS =
!5OIL. RFi'rlNG ,::SQ FT'/DR:: .... :1.46!1
THE REQLI I RE[:, S I ;?.E OF THE SO I L RE:SOI:;::F'T I ON 'S"r'S~FEM I Z:
'IHE LENG]'H P Z i'"!Ehl% ! (:It'.,! :1:':~; 'I"f"IE: I_ENG'I"I'I ( i 14 FEE'T' ) OF' -FHE TRL.']:NCI.I OR DRFI): NF':[ ELD.
'FIDE E:,EF:'TH OF: R T'RENCH OR F'I'T' IS THE I)I~;T'FIhlCE E:ETFIEEZ,f THE :i};IJF?.FI::IC[![ OF ]'HE
GF:rEILIi'.,I[) FfJ'-]¢, 'f'}-.J~: E',OTTOM OF' THE E',:.::CF!'v'FI"['ION ,:/~N FE:ET).
'I'HERE ]::E; NO SET klIf)TH FOR TRENCHES.
'THE: C. ffRt::IV[EL DEF:'TH IS THE h'!IF,!XMLIM [:,EPI"H OF' GRFIVIZL. IBETHEF::N ]"HE L3UTF:I::tL.L. P):PE
FIN[) Ti. IE BOTTOH OF THE E::.:',E:FI'v'FI-F I Ol'.,I ( I N I::'EET ).
!:::'EF::ti'"i ]: -!- I::tI::'r::'L. ZCFIN'f' FIFIL:; 'THE:: RE:E;PONSiECI.'L. IT"r' FO II",ff::ORM ]'HIS E:,EF'F:hq:'FMENT [)IJRIiqC') THE;
!I'.,tSTFIL.L. Ftr'ION INSF'EE:TIONS OF F:INY I.,.!ELJ..~3 F!D,)FICENT TO TH:!::5 F'RC)F'[.i:RT'¢ FIN[) TFIE
i'.,!LIME~EI:;: OF' f,?E%!f)ENCE:5 'THF:Fr THE Fffi~L.L.P.IZLL.
DF:ICKF ILI... I NG OF' FtN"r' :S'.?::3'I'E]"i N Z THC)LIT F' I NFIL I I",ISF'ECT I OF,I F:I!',I[::, F:!PF'r;~:OVFIL. EW TH Z S
DEF'F:tRTMENT HIL. L SE: SUB,:rECT T()
MihIIt"ILIM. DI:E;TF~NCE: BE'FHEEN Ft 1.4EL[. F:IF,ID Fff',IY' ON-fi;ITE SEk!I::IGE [:,I~;F:'Oi;FIL. :i!;"¢::;;;l'[{{M
:l. 00 F:'E[ET F:'OR F:t PRIVF1]"Ei: HEL.[..~
:.!.50 TO 200 F:'EE]" F:ROM FI F'UE:L. IC HELL DEPEF, I[)!NG UPON 'TI'IE T"r'PE OF PUE',I._IC HEU
0 r'HEF: REQU I P. EMEN]'S HR'-d FtPPL.'.¢. '}.;F'E:C I F I E:FIT ;[ ONS F:INC, CON:..'B]"RUC]"I C)N [:, I FtGI';i:I::ihE; FIRE!
FI',/FIIL.FIEd_.Zi: TI) IN:SURE PROF'ER :fN:!;TFIL. L.F:IT!C~N.
I E:EF-'.'T.!:F'¢ THRT'
:!.: ]: i:::!M FF;:IMIL.):RR HiTH T'[!E REQIJIREHENT:~:: FOR C$,k'"?H[TE :~;EHER:E; FII".II} HEI....[.:i~; FI:E;
F::OF:'/FH [~',"d TI'IE i'"ILIF,IZCIF'FIL. ITY OF: FIF,!CHOI;::'r::I[:iiE.
;2: I Iqik.l_ ZN:::i;TFILI_. THE S'¢:E;-FEi'"I IN F!CC:OP.E)F~[",!CE HITH T,'-"IE C:(][)E]~'J.
]:: I I..INB"EI:~:?FFIND -FHF:IT TI'I~ ON-'i~ZTE :5[:::ldE[~:'. '.'5'¢?FEM ['"lFl"r' RE[::!UIRE EI",ILF:IRG[']}'IEi',FF :IF' TI'IE
P.E:':'i:]:[:'ENCF: ZS F~Zi!]'"IODE[.E[:' ]'O ):NCI..U[)[~: MORE THFIN [ii:
ri:; I (3NEf}: .................
Fff:'F'L. ! CFf1',IT !.IOHFIR[) [i;R I CKS13N
O & E ENG,NEERING & DEVELO't ,vIENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Performed for: Name:
SOIL LOG
Tel. No,_
Earl Ellis
688-2280
Mailing Address:
Legal Description: LoT
Depth (feet)
Soil Characteristics
0
2__
3__
4__
5__
6__
7__
8__
9
10__
11__
12__
13
14__
15__
16__
~P
Ground Water Encountered: Yes
/
No ~ If yes, what depth
PLOT PLAN
PERC. TEST
Proposed Installation: Seepage Pit
Drain Field
Comments:
Performed by: