HomeMy WebLinkAboutKASILOF HILLS BLK 2 LT 13 MUNICIPALITY OF ANCHORAGE
DE ;TMENT OF HEALTH AND HUMAN SER~ :S
Environmental Health Division
825 "L" Street, Anchorage. Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPFCTION REPORT
Lot
LEGAL DESCRIPTION
TANKS
SEPTIC E~ HOLDING
TYPE OF SYSTI=M
[] TRENCH ~,~J~"BED [] W. DRAIN [] OTHER
/~'~P, C)FT ~_..-""), t} FT
i otal absorption area j D~slance belween lies [,~
17- so
Nu~.~ r~ E.q bor~.ol ilnos ] ~o~1 .~t n~ -~ Pipe m nten'll, ,
,.~ PRIVATE ' '
WELLS
OTHER (Identifv)
__ FT Cased to
REMARKS:
.... ,"b~ska 99572'
Masicipal and State guidelines in dlssl 0. this date:
Health Department Apploval: __~'*'- ~'
72-013 (3/85)
WELL
LOT LINE
FOUNDATION
SEPTIC
TANK
ADSORPTION
FIELD
t
WELL
AS-BUILT DIAGRAM tShow Iocabon of weJI. septic system, properly mines, Ioundal~or
___ cerliiy thai Ihis inspsclion was psrlormsd accsrdinil to all
x961
CDMPUTATION SHFk-q
DA'rE:
SHEET
BY.
CKD _
OF
Z./2
JO r
/.~' /9 .%1,6 o /=
DATE:
SHEET
BY
CKD
OF
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] ~OILS LOG
[] PERCOLATION
TEST
LEGAL DESCRIP~ON: K~' ~ ~ LL~ ~U G,
O~
1
2
5
6
7
9
10
11
12
13
~4
15
16
17-
18
19
DATE PERFORMED:
SLOPE
SITE PLAN
; GROUND WATER I~¢/. S
JCOUNTERED? I~',~ L
O
P
~ E
YES, AT WHAT "7, ~,
· (]ross Net Depth to Net
· t~;ading Date Time Time Water Drop
~.0 ~:~:~o ' ~7
/
PERCOLATION RATE. I~' 5/".. q;, i.,.: ,(,l~inCte~s/inch)
i . ,.:¢,,¢.'F"' ', .-x ¢,' , ~ ;¢, ,
· TEST RUN BETWEEN ~\¢FT AND... ~,,~',t~, ~F.,T,',
~OMMENTS t.,.~ ~/'? l,,,,,~:f sf~,cc ~-," (.c~.,t., ~_¢..Zd'~a.~'w~.r,,t-~
CERT F ED BYe, ,/~ ;_.N,~ ~ .. DATE:
72-008 (6/79) ',', , ,' ,~',~'~