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T13N R3W SEC 26 LT 6C
O MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRON[VIENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT I Manufacturer Materia,~ No. of co,ma.ts ~0~ DISTANCE TO: ~ 9w~ PERMIT NO. ;OZ-- k { ~~ ~ ~Materi~l z ~apacit~gallons ~a 8,STAflCETO: Well ~ . Foundation /P + NearestlotliT~ , PER,ITNO.? No. of lines / ~.[ Material beneath tile Total area Length of each in~o, Total length Trench wldt~/~ Distance betweenJines ~ ~ ~ Top of tile to finish grade ~ inches Length Width ~ ~ep~ PERMIT NO, ~ ~ Type of cr~ ~ib diameter Crib depth ~ ~T°tal effective absorption area ,- SOIL TEST RATING '1~O ~ ' '~ / '' :~ APPR V DATE LEGAL 'l:.h')'[L Rt::ITZiqG '2:GE! t- I,- Lk.. -i"HE [~:[E(i:¢J :[ f.;:[:~[::, :~:; :i: Z!E EtF' THE :....I. [.. F~E:~.6CJf:~:F'T :[ CI!",! :, ~ .:,. f:.t ]: :!~;: 'H"IE L.[ii:h,IGTH [:) I MEt".J,:/!; 1[ ON 1[ :5 THE: LENGTH ,:: :[ N FIE[ET ::, OF THE TRENCH (:)Fi: [:)F.:F:I T NFI E:L.E:,. THEE LT, E[::'-I'Tt Cfi: R T[~'.[E:?',!EH-'I OR: F').'f' l::2; THE E:C[?f'Fii",E:E E',E-;TI, IE[EN "f'HE :i~:IjF:FFIC:E OF:' THE OFU;:)IJi'-,!E:, FIN[:) 't'H[!; [3,OTTOI'"t OF THE E::-::C:!:I'v'FITZON (;li",l THEi:~% :[:~; NO :E!;F)2i" !,.I ]: [?I'FI F:OR: THE: GFi:F:I',,,'E;L E:,EF' 'f'H ~ ~: THE f'1 :( i",l :[ I"lLIh! DEF'TH OF:' GF?.FI',/[~:!._ E',E£Ti,.!E:E:N RNE:, THE E',OTTOPI ElF' THE: E'?::CFi',,,'wr']:Oi*~, ,:::£f,! FEE:T). ............. [.[.[ F. li E.. 4t i::,...F::rI'-,!G THE: F'l:i[R?i ;[ "t" F'II::'F'L.][C:t::INT FIFI[:~; TH[i] R'f?':I::'"N'::]'f~TI TT'.? 'TCI ]]?.,!:E;Tf::II..L.I::I'i"]]CIN ]'N:!i;i::'ECT][Cd'.]2E; iZiF t::!N'T' I,.![!;I.L:5 F:IE:'..]'FIE:[:.'[NT TCI TI'II:Fi; F'F:I]]It::'I:2'R'f'~'r' I:::IND 'i"HE iqL.iHBI!:Fi: OF: f:~:[£~; :!1 [:'E:I",IE:[:":-; 'f'HFIT THE!: !.,tE:[iL. I. [~:FIC:I'::i[::':!:LL.:[i",!I:~:J OF:' f:!t",l'¢ . ...... ILl I,I)'TI'IOUT F"rNFII.. :[I'-,I~i;F'EE:T]:OI'-,! FIND F:~:~F'I:;i:L3',?FIL. I::.,T '['!'-I ]; :i~; E:,IEF'I:::ff;:THENF HZLL. E,~.. ':: IFL'IF:I-:T "l'l]l I"ItN):!dLI["I I::,Z~6TFhNC:E BET'H[~:EN R I.,IEiLI... F:INi:::, F¢,!'¢ ON.-~C,]:TI'ii; [SEI,.!F!E:iI:~: D I:~i;F'O:!i;I:::iL. ::?'r'2;TE'P! !t!~; :[.E[(i) FEi:ET F'CIR: Fl I::'I:~::["?FITE !-,.!EL[..~ CITI.'Ji~:J:7 ~?.[ii[[]]!l..,J ]] [~:[~:~'~EN'["?.':[ fql'::l'¢ l::iP!:d...'.rL :~.:I:::'EC )i l::' ~ C:!::IT i[ ON::]~ I::iNE:, C:Oi"~S?¥'FS..ICT ]i CIJ'.,! P, ]i F:IG[?.I::!i"I:E: i O[:i:F'.F]:F:'"r' T~It::'I"I :1.: :[ FIt'"I F¢~Ii'"I:[L~!::I[~: H.T. TH THE I:~:[[(;:!l_l]:[~'.!'i[l'"l[J:[",!-i":i!; I::'CIR~ ON""E;i[f'E :[¢E~:!.,IER~; F:OF?.TH [?'r' '['l"l[~: ffiLINiCJ;F:'FtL. Z't~'-/ OF' 2: ]: H :!:!..L. :[ hI~?I?ILL. THE :5"r'%TE?'I l N FIC:C:OF'.[;)I:::If',tC:E ['.! 1[ TH THE; 1~:: ]; I..IN[::'[/I:,?.:~;TFINE:' "['['I[:1'i' '['I'IE: ON""~;;[-f'[E ::~;[[!.'J[;[;~: ?¢:E;TIEI"I FII:::!'~" F;E:Qt. JIF?.iE EIqLf::tI:~:G[EH[ENT :IF:' THE : ....... :: ....... ~ ............. : ........... : ........................................ ,- [: .......... :':: ........................... ','.:,. ;'2', 2204 ~--'?ONSTRUCTION TEST L~B "One Test is worth a Thousand Opinions" Cleveland Anchorage, Alaska 99503 277-0231 ~erfomned for ~. ~ ~n~ Jegal Description:- Lot ~C B~k ?his Form reports: SOILS TEST Depth Soil Characteristics Feet Date Performed Subdivision PERCOLATION TEST Ground Water Encountered YES, What depth? ':eading , Date Gross TLme [ Net TLme i Depth to H20 Net Drainage 'ercolation Rate Minute Proposed Installation: SEEPAGE PIT DRAIN FIELD Depth of Inlet De~th to Bottom of Pit o~ Trench 'est Perfo~ed b', %,[,~ ~ Data Certified By: ~ ~ ~- ~"' Date :' /~ /~