HomeMy WebLinkAboutTAIGA LT 3Oql o31
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~'~ / Municipality of Anchorage ~'
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION POUCH 6-650
ANCHORAGE, ALASKA 99501
INSPECTION REPORT ON ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL
NAME ..~C:,~NI "3~'~'~'~,lE"~ LOCATION '~.~lp"pE~pJ ~q ~
, ADDRESS ~'~ ~k~ ~ PERMIT NUMBER
LEGAL DESCRIPTION
PHONE(S) ~ ~ ~-~ '~N~ ~ ~OF BEDROOMS
SEPTIC TANK
MANUFACTURER
MATERIAL ~'t~D,e_pN~Z,~,<~ #OF COMPARTMENTS
INSIDE DIMENSIONI DEPTH
LENGTH WIDTH
CAPAC TY N GALS,
SEEPAGE SYSTEM
~,~TI L E DRAINFIELD
NUMBER OF LINES
DISTANCE BETWEEN LINES
B E P~i~ 1~'1' ~
TILE TO GRADE FILL BELOW TILE
~SEEPAGETRENCH OR [] PIT
LENGTH EACH
TRENCH
WIDTH
FILL ABOVE TILE
FILL MATERIAL DEPTH
[] LOG CRIB
[] RINGS- DIA.
TOTAL EFFECTIVE ABSORPTION AREA; ( ~'"J ~ SQ. F7
wELL
-'~'m.(~. ? PIPE MATERIAL
CLASSIFICATION BEPT
INSTALLER "2
72 012 (9/77)
DISTANCES
SEPTIC SEEPAGE SEWER
TANK SYSTEM LINE CESSPOOL WELL
LOT ~-
LINE ~ ,~...~ .~-
FOUNDA' ~
SYSTEM DIAGRAM
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RNO !'!'i~( 6:OI'iQH ~)!::' 'iHi'[ i~[i:':;Ct::!',/t';!'i ]~iq ([]iN
2204 Cleveland Anchorage, Alaska 99503 - 277-0231
Locatxon LOt 3
Sheet of
WoO. No--~- _-~erator J, Mack
D;~e T~75 -
01~e~ Nat Goodhue ....
DI~PTH CIASSIP ICATION SA},IPLE
p~nT ~ DATA
Silty Sandy Gravels ~o / '
~"~ Moist to 12 feet
6- ~ Then Wet S~n~ ~. '.'
~'~ , 'v
8 (GP-GM)
~. .~ ~ .~ c~ay
~4, Silty Gravelly Sands, Wet
15 (SM) · Organic
16 ' ~ntent
l~ Bo~eom o~ tes~ hole ~
~0 NO Ground Water or bedrock one ~untered
Percolation rate 1" per 10 mil utes
19. as determined by percolation est
20' between -2 and ~10 feet
21 Prost
24. W~er
25- Table
TEST HOLE. LOCATIONS
TAIGA SUBDIVISION
LOTS