HomeMy WebLinkAboutROBINDALE LT 18
MUNICIPALITY OF ANCHORAGE ~
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
PHONE I'~j~ NEW
NAME ~-~-"~'~( ~'~ ~:2L,~ ~.~/~A~/5 ~ ~O~ 2~'~'~ [] UPGRADE
MAI LING ADDRESS
LEGAL DESCRIPTION
LOCATION
DISTANCE TO:
~-~ Manufacturer <~/
~ ~ Liq. capac ty n ga Ions
Yell ~¢~1 Absorptions!area
/ ~-~ IF HOMEMADE:
DISTANCE TO: Well
Manufacturer
DISTANCE TO: Well/V~
NO. of lines, Length of each line
Top of tile to finish grade ~ ,~
Width
Length
Type of crib Crib diameter
DISTANCE TO:
~ Well
Class Depth
DISTANCE TO: Building foundation
Dwelling
Material ~2
W dth
NO. OFBEDROOMS
!
PERMIT NO. 70D~) Z ? Z
Inside length Liquid depth
Dwelling PERMIT NO.
Liquid capacity in gallons
Foundation/
Material
Nearest lot line
Trench width
PERMIT NO, .~:~ (~__~..~._
Total I e ~h~o~f~l,i n es
inches
Material beneath tile~./... ~ ¢./ inches
Depth I PERMIT NO.
Distance betw~?>es
Total effective ab.~sorption area
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distance to lot line
Sewer line
Septic tank
PERMIT NO.
Absorption area(s)
OTHER
PIPE M AT E R IA LS ,~;~/'~ ~'<:c-~
SOl L TEST RATING
INSTALLER
REMARKS
APPRO~ . /
DATE LEGAL
,
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]"HIE LENGTH D t MEI",!~:: I' O1",I I' :!~; THE I_Ei'41:3'T'H ,.'.' I N FEE:T ::' OF THE 'T'i:RE~]',ICIq OP. [::,[;.':F:I. !' NF' ! EL.D.
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I::tt",IC' THE IE:OT"FOH Of THE E:::'::C:FiVF!T I ON ,:.' Z i'.,! F'E~:ET).
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["! i l"~ i P'IUM [:, .'!.' ':'i.:.-]"F:I?'~CE:
:1.00 FEE'T'
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OTH[~:P. Fi:E:QU I F:E:ME::i",ITS MFI"? F:!F'F'L..."/. ::T:;i:::'EC ]: F ]: CFI]" ]: ONS F:iI",!E:' C:ONSTFU.JC:Ti ON Et, Z l"'"tI.Ei[;i:l:::i["l:i~; F~!:~'.E
F]',,4::I Z L_!::!E[LE: TO I N:E;UF[:[.:.': F:'!:~:'X]PE~.E: I NSTFIL. LF!TI !:If.,!.
! CEi:F.~T .i: F'"r' T'HF!T
2: Z I-,.IZLL TNSTFILL. 'T'HE S"r'E;TEM .T.F,! F~CCOFi:DF:INCE !.,.!ZTH THE CO[:,I.:i!:S.
O Er E GEO' "CHNICAL Er DEVEL( '~MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Soils El. Foundations
Performed for:
SOIL LOG
Mailing Address:/~o ×- f:~//
Legal Description:
Depth (feet)
0
Earl Ellis
688-2280
Land Developmemit
Soll Characteristic)
,m
10__
11
12
13
Ground Water Encountered: Yes__ No Y If yes, what depth ,
Proposed Installation: Seepage Pit_._.~Dratn Field
Comments,: