HomeMy WebLinkAboutParcel B
Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: __'~----'~L/,~ ~'ZP f.~"~-- PID Number: ~~/~.~
Name: ~~/ ~. ~~ / . Wastewater System: ~ew ~ Upgrade
~o. ~ ~/E~ / ~~ ABSORPTION FIELD
Phone:_~ ~o of B~ooms: ~ Deep Trench ~hallow Trench ~ ~ed ~ Mound ~ Other
L~~~ '~'Bl°cM /~ ~Subdivision Deplb to pipe bottom free, original~zgrade: Ft Gravel deplh beneath pipe ~, Fl
Township: ~ Range: Secti~ Fill added above original gra~:/ Gravel length:
WELL: ~ ew ~/-/Z-¢~ ~ U pg rod e G~ave, wid,h: ~/Yt. Number el lines:/ Dislance betwe~Ft.l[nes:
Cla~tion~t~(Private. A.B.C): Total~Depth~ Ft Cased~To: 4Ft Total absorption area:~..~SQ Ft. Pipe~material: ~
Driller: Date installed:~/
~A/ ~~l~ Dale Drilled: Static Waler Level: Installer:
Yield ~GPM Pump Setat: Casing Height AboveGmund:
SEPARATION DISTANCES ~s~t~c ~ Holding ~ S.T.E.P.
Surface
Lh~te /~ /~ __ -- -- Size in gallons: .~amdacturer:
Curtain ~ M~c
Drain ~ ,~ t ~ ~ Pump Make & al Inspections performed by:
Remarks: BENCH MARK
Location and Description:
Assumed Elevation:
ENGINEER,S SEAL
Inspections performed by ~o:~k~l-~&~ ~.a ~aea: 1st ~
Department
72-0131Rev 9/91) MOA 25
Permit No. $W930067 Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: KNOX SUBDIVISION, PARCEL B
PID No~5246101
CO1 CO
i/82.6
1000 GAL
79.1~/ I
SEPTIC
INSULATION
MT C03
68.6' NO WATER FOUND 8-4-93 ·
N.T.S.
EXISTING WELL
A B
FCO 9,5 23
CO1 71.5 76
C02 95.5 86.5
C03 93.5 110
MT 94 90
5 BDRM
HOUSE
RIVE
NO PROPERTY LINES WITHIN 150' OF PROPOSED SYTEM
NO POINIS OF CONTAMINATION WITHIN ]00' OF WELL _-
_E~GIN E~ER'~ SEAL
~SEPTIC TANK ~;~- C:¢ ,' ""-'x:' :-., '::' ':'.
~NEW TRENCH
~o~ C ~ ~ ~ __ __ __ :co~,
SCALE 1" = 40' ~ m t~
/
x
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW930067
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:TRAW LARRY A.
OWNER ADDRESS:PO BOX 671391
CHUGIAK, AK 99567
DATE ISSUED: 4/23/93
EXPIRATION DATE: 4/23/94
PARCEL ID:05246101
LEGAL DESCRIPTION: KNOX PARCEL B
LOT SIZE: 4~412~62~(SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
/
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E
August 12, 1993
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 'L' Street
Anchorage, Alaska 99501
REFERENCE: Knox Subdivision, Parcel 'B'
RECEIVED
AUG I 2 1993
Municipality of Anchorage
Dept. Health & Human Services
Request you re-issue permit #SW930067 to drill a well and
install a septic system on the referenced property.
The referenced permit was issued on April 23, 1993. After
the permit was issued there were some legalities which
prevented the septic system from being installed as depicted
on the site plan drawn on 4/15/93.
Two more test holes have been excavated and percolation tests
performed in the area of the proposed septic system. The
monitoring tubes within the test holes have been checked and
found to be dry. The approximate location of the test holes
are located on the attached site plan.
This property has enough area for a future septic upgrade,
which can be seen on the attached site plan. We do not
anticipate any adverse effects on neighboring properties by
the installation of the proposed septic system.
If you have any questions, or require additional information
for your review, please contact us.
17034 NORTH EAGLE RIVER LOOP . SUITE 204 · EAGLE RIVER, ALASKA 99577
I"=,30'
SCALE
SITE PLAN
ZZ
2~
z~
z~<~ O~
~z~
0 --I ~ ~ I~ ~
~--~' z
<~o~o
m
z~z
Z
U
13%
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: ~ T~
DATE PERFOR~
1
2
7
8
g
10
11
12
14
1§
16
17
18
lg-
20-
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT
DEPTH? p
E
I'~enitoring? ~Z.tf, Date:
SITE PLAN
I
I
Gross Net Depth to Net
Reading Date Time Time Water Drop
:~ ~ (~,~" ~,~',
: ~z 5 '~" ~/~"
PERCO.AT,ONRATE( 15?,~.,n.,ea.,nch, PERCHO.ED,AMETER 6
/,
, ~ ' e, Leo ~o~t~ ~e 20~ CERTIFY THAT THIS TEST WAS PERFORMED IN
'- ~' er Alaska 995~
W~[~ ~AfE AND MUNICIPAL GUIDELINES~N EF~CT ON THIS DATE. DATE:
ACCORDANCE
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14-
15-
16
17
18
19
20
DATE PERFOR
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT ~ ~)
DEPTH? p
E
0epth tO Water Afler,~,~ ~/~/,/~,
Monitorino? ~" ~"' Date: . .
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
:~ ~ ~%" ~¢,~"
:~o ,~ S'/~ V~'
PERCOLATION RATE /(~) (m]nuteshnch) PERC HOLE DLAMETER
r· TEST RUN BETWEEN '~ _ FT AND /~/ FT
PERFORMED BY: - -'-'~ ' I /// ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
/// ~
ACCORDANCE WITH ALL STATE AND MUNICIPALGUIDELINE~ONTHISDATE. DATE:
72-008 (Rev. 4/85) ~
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Knox Subdivision, Parcel 'B'
GENERAL:
1.
The scope of this project includes the installation of a
1000 gallon septic tank and a leachfield trench to serve
the existing three bedroom residence on the referenced
property.
Construction shall be in accordance with the approved
site plan and design drawings; Municipal permit with any
special provisions or conditions; and all applicable
State and Municipal Wastewater Disposal Regulations.
The contractor shall be responsible for obtaining any
necessary underground utility locates.
Unless specifically agreed otherwise, the property owner
shall be responsible for final grading areas subsequently
depressed from soil settling. On all leachfield mound
systems, the property owner shall be responsible for
ensuring a satisfactory vegetation growth over the
mounded area.
Contractors installing wastewater disposal systems must
be certified by the Municipal Health Department for
system installations. Owners installing their own
systems must also receive prior approval from the
Municipal Health Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic
tank manufacturer. Construction shall include two 4"
cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent
settling or shifting of the tank.
Ail standpipes on the septic tank shall extend a minimum
of 12 inches above final grade.
4. Septic tanks installed with less than 4 ft. of cover
shall be insulated.
Page Two
Knox Subdivision, Parcel
August 12, 1993
o
A foundation cleanout shall be installed one to four feet
from the building foundation. In the line between the
tank and the leachfield there shall be two adjacent
cleanouts (unless an effluent pumping system exists
within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 ft. from the
tank. The first cleanout, in line, shall be to clean
toward the leachfield. The second cleanout shall be to
clean toward the septic tank.
Final grading over the septic tank shall be such that a
positive slope exists away from the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on
the design. The bottom of the excavation shall be within
2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched ruffed-
up) before gravel (sewer rock) placement.
o
Once the gravel is installed, the distribution pmpe is to
be installed level with the perforations faced downward.
Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
o
A silt barrier must be installed between the final gravel
layer and the native soil backfill. Ensure the silt
barrier covers the entire gravel surface before placing
backfill.
Monitor tubes shall be of four (4) inch diameter and
installed approximately in the locations shown on the
design. The portion of the monitoring tube extending
through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This
is equivalent to the effective depth of the gravel as
noted on the design.
o
Backfill over the final gravel layer must not be less
than twenty-four (24) inches. Insulation must be
installed when the backfill depth is less than thirty-six
(36) inches. The finish grade over the trench must be
mounded to prevent the formation of a depression after
settling.
Page Three
Knox Subdivision, Parcel 'B'
August 12, 1993
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be
constructed by a Municipally approved septic tank
manufacturer.
o
The following pipe materials are approved for use in
septic system installations in the Municipality of
Anchorage:
Tvpe of Pipe
Perforated Solid
Cast Iron
ASTM D3034 (PVC)
ASTM F810 (HDPE)
ASTM D2662 (ABS)
Yes Yes
Yes Yes
Yes No
Yes Yes
Use of a type of pipe other than listed above must be
approved by the inspecting engineer.
Insulation shall be at least 2" thick extruded direct
burial polystyrene (Dow Chemical Company Styrofoam HI or
equal).
Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
o
A permeable nontoxic silt barrier (Typar 3401, Mirafi
140N, or equal) must be installed between the final
leachfield gravel layer and the native soil backfill.
o
Ail leachfield gravel (sewer rock) shall be 0.5"-2.5"
screened gravel with less than 3% passing the #200 sieve.
o
When sand is being used as a filter material, it's
gradation specifications must conform to current M.O.A.
or D.E.C. requirements.
Page Four
Knox Subdivision, Parcel 'B'
August 12, 1993
INSPECTIONS:
Typically there will be a minimum of three (3) inspections
required during the mnstallation of the wastewater disposal
system. These inspections will occur as follows:
The first inspection must be conducted after the
excavation of ditches, pits, trenches, or beds and
before the installation of any gravel. A septic
tank may be set in place, but may not be backfilled
before this inspection.
o
The second inspection must be conducted after the
placement of the silt barrier, gravel, distribution
lines, standpipes, cleanouts, and insulation, but
before the placement of any other backfill.
o
The final inspection is to occur upon final grading
of the property.
Often there will be more than these 3 inspections required.
Especially with the installation of multiple trenches, sand
filters, pressurized distribution systems, etc. Thus, the
inspecting engineer is to be contacted at least 24 hours prior
to the start of construction. If necessary, a pre-
construction meeting will take place on-site.
Tom Fink,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
March 24, 1993
Mr. Lawrence A. Traw
PO Box 671391
Chugiak, AK 99567
Subject: Well and Sewer Installed on Parcel B, Knox Subd.
Mr. Traw:
This letter will confirm the conversation between you, Mr.
Robinson and myself on Tuesday, March 16, and the decision on
your request for a time extension to obtain the required
permits. It has been duly noted that the well was constructed
on September 26, 1991, and the sewer system was installed in the
spring of 1992, both without benefit of permits. These are in
violation of Anchorage Municipal Codes 15.65 and 15.55.
Per our discussion, you are willing and able to proceed with the
permitting requirements of AMC 15.65, and 15.55. However, prior
to application for an On-site Sewer and Well Permit the existing
well must be temporarily abandoned. As Mr. Robinson stated to
you, abandonment must be accomplished by removing the attendant
pump and supply pipe from the well casing.
Upon receipt of a certified letter from a state licensed well
driller attesting to the well abandonment, appropriate soils
tests, water monitoring and engineered design, this department
will consider issuing the necessary permits. These must be
received by this office no later than 4:30 PM on Thursday, April
15, 1993. Upon approval of the permits you will have until 4:30
PM on Friday, May 28, 1993, to deliver an engineers as-built of
the approved well and sewer installation.
Failure to comply with the requirements of this notice on the
dates specified, will result in the issuance of citations on
four (4) counts of AMC 15.65 and 15.55. We recommend that you
maintain open and progressive dialogue with this office to
eliminate any possible misunderstanding.
We look forward to timely completion of this situation.
Sincerely, ¢
On-site Services
db/216
U
SCALE
SITE PLAN
April 15, 1993
ROBERESHAFER P E
RQGERSHAF:ER PE
CIVIL ENGINEERS
(9071694 2979
FAX 694 ~211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SiTE PLANS
ROAD DESLGN
SOiL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
Anchorage, AK 99519-6650
REFERENCE: Knox Subdivision, Parcel "B"
We request you issue a permit to install a septic system to
serve the existing 3 bedroom house on the referenced property.
Two soils tests were performed on the property. The
approximate location of the test holes are located on the
attached site plan. The monitoring tubes within the holes
have been checked and found to be dry.
This property has enough area for a future septic upgrade,
which can be seen on the attached site plan. We do not
anticipate any adverse effects on neighboring properties by
the installation of the proposed septic system.
If you have any questions, or require additional information
for your review, please contact us.
Sincerely,
Roger J. Shafer, P.E.
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
F~%TERIAL SPECIFICATIONS
REFERENCE: Parcel B, Knox Subdivision
GENERAL:
1.
The scope of this project includes the installation of a
1000 gallon septic tank and two spill-over drainfield
trenches to serve the three bedroom residence located on
the referenced property.
Construction shall be in accordance with the approved
site plan and design drawings; Municipal permit with any
special provisions or conditions; and all applicable
State and Municipal Wastewater Disposal Regulations.
The contractor shall be responsible for obtaining any
necessary underground utility locates.
Unless specifically agreed otherwise, the property owner
shall be responsible for final grading areas subsequently
depressed from soil settling. On all leachfield mound
systems, the property owner shall be responsible for
ensuring a satisfactory vegetation growth over the
mounded area.
Contractors installing wastewater disposal systems must
be certified by the Municipal Health Department for
system installations. Owners installing their own
systems must also receive prior approval from the
Municipal Health Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic
tank manufacturer. Construction shall include two 4"
cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent
settling or shifting of the tank.
Ail standpipes on the septic tank shall extend a minimum
of 12 inches above final grade.
Septic tanks installed with less than 4 ft. of cover
shall be insulated.
page 2
Lot lB, Block 1, Stony Brook
A foundation cleanout shall be installed one to four feet
from the building foundation. In the line between the
tank and the leachfield there shall be two adjacent
cleanouts (unless an effluent pumping system exists
within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 ft. from the
tank. The first cleanout, in line, shall be to clean
toward the leachfield. The second cleanout shall be to
clean toward the septic tank.
Final grading over the septic tank shall be such that a
positive slope exists away from the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on
the design. The bottom of the excavation shall be within
2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched (ruffed-
up) before gravel (sewer rock) placement°
Once the gravel is installed, the distribution pipe is to
be installed level with the perforations faced downward.
Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
3 o
A silt barrier must be installed between the final gravel
layer and the native soil backfill. Ensure the silt
barrier covers the entire gravel surface before placing
backfill.
Monitor tubes shall be of four (4) inch diameter and
installed approximately in the locations shown on the
design. The portion of the monitoring tube extending
through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This
is equivalent to the effective depth of the gravel as
noted on the design.
Backfill over the final gravel layer must not be less
than twenty-four (24) inches. Insulation must be
installed when the backfill depth is less than thirty-six
(36) inches. The finish grade over the trench must be
mounded to prevent the formation of a depression after
settling.
page 3
Lot lB, Block 1, Stony Brook
INSPECTIONS:
Typically there will be a minimum of three (3) inspections
required during the installation of the wastewater disposal
system. These inspections will occur as follows:
The first inspection must be conducted after the
excavation of ditches, pits, trenches, or beds and
before the installation of any gravel. A septic
tank may be set in place, but may not be backfilled
before this inspection.
The second inspection must be conducted after the
placement of the silt barrier, gravel, distribution
lines, standpipes, cleanouts, and insulation, but
before the placement of any other backfill.
The final inspection is to occur upon final grading
of the property.
Often there will be more than these 3 inspections required.
Especially with the installation of multiple trenches, sand
filters, pressurized distribution systems, etc. Thus, the
inspecting engineer is to be contacted at least 24 hours prior
to the start of construction. If necessary, a pre-
construction meeting will 'take place on-site.
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be
constructed by a Municipally approved septic tank
manufacturer.
The following pipe materials are approved for use in
septic system installations in the Municipality of
Anchorage:
~ype of Pipe
Perforated Solid
Cast Iron
ASTM D3034 (PVC)
ASTM F810 (HDPE)
ASTM D2662 (ABS)
Yes Yes
Yes Yes
Yes No
Yes Yes
Use of a type of pipe other than listed above must be
approved by the inspecting engineer.
page 4
Lot lB, Block 1, Stony Brook
Insulation shall be at least 2" thick extruded direct
burial polystyrene (Dow Chemical Company Styrofoam HI or
equal).
Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafi
140N, or equal) must be installed between the final
leachfield gravel layer and the native soil backfill.
Ail leachfield gravel (sewer rock) shall be 0.5"-2.5"
screened gravel with less than 3% passing the #200 sieve.
When sand is being used as a filter material, it's
gradation specifications must conform to AMC 15.65.060D.
PERFORMED FOR:
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:
LEGAL DESCRIPT[ON:~'~/:N'C----/.~...L~- ~ O,¢' ¢~,~.~ (~'1¢') Township, Range, Section:
5
6
7
8
9
10
11
12
14
~7
20
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
s
IF YES, AT WRAT L
DEPTH? pO
E
Depth to Water ~ller
Monitoring? ~\-c, &~ Date: "¢('~"'~
Gross Net Depth to Net
Reading Date
Time Time Water Drop
?..- \ ,, ?..,~ to ~,,,~ %"--14' \,..
PERCOLATION RATE '7~J (mtnutes,~nch) PERC HOLE DIAMETER
TEST RUN BETWEEN '~ ''¢''' FT AND ,~,5'"" FT
COMMENTS
PERFORMED BY: `% & S ENGiNEEI'~ING ~ ""~'-~ (' ~ --")~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WIJ];~¢IeLc~'[,6,~I,E;~B~L~?/~L GUIDELINES IN EFFECT ON THIS DATE DATE:
72-008 (Rev 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION:'~/~"¢.4.A¢~'~, ~ 0,~ ¢,~t¢~ '~---~tD Township, Range, Section:
SLOPE SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15-
16
17
18
19
2o
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, ATWHAT O
DEPTH? p
E
Deplh l0 Waler ~Det
I~oniloring? ~0 ~ff~.~ Dale: '~ ~ i,~'.~
Gross Net Depth to Net
Reading Date
Time Time Water Drop
~ / ~', ~ ~l~~
PERCOLATION RATE(. "~,'~...-/tm,nutes/mch) PERC HOLE DIAMETER __
TEST RUN BETWEEN '~..___.~__~ ET AND '¢, S"' FT
COMMENTS
PERFORMED BY: '"' :; ~:NGI~,~EE~ING I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCEWITH. A.,~[.,..q, ~,~ S,~ ~0~) lB GU~ELINb~ IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)