HomeMy WebLinkAboutMARU LT 11A
MUN C .A.TV OF ANC,O.AGE
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE ~N'EW
MAILING ADDRESS
~OC*T,O~ .0. O~ ~..OOMS
Well Absorption area DweJlin PERMIT
~ DISTANCE TO: /O~~ /~O ~ ~--~ ~ ~
~ ~ Manufacturer ~ ~ Materi~__ --/ ~o. of compartments
kiq. capacity in flallons Insido length ~idth kiquid depth
~O ~ IF HOMEMADE:
~ ~ DISTANCE TO: Well : Dwelling PERMIT NO.
O Z ~ Manufacturer Material Liquid capacity in gallons
=O~ Well/~ Foundation ~ / Nearestlotl~.. / NO.~
~ DISTANCE TO: '¢ PERMIT
~ ~ ~ No. of lines / Length of each line Total length of lines Trench width Distance between lines
~ ~ ~ Top of tile to finish grade f Material beneath tile Total effective absArption ~rea
Length I W~dth Depth PERMIT
~ ~ Type of crib Crib diameter Crib depth To~al effective absorption area
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO,
~ DISTANCE TO: Building foundation ' Sewer line Septic tank Absorption area(s)
OTHER r L~ I ~ '
PIPE MATERIALS ~ ,
SOIL TEST RATING ~ ~ ,, j
INSTALLER J
"' Ill
~q~ '-. JU;'~E 25, ~971 .'."~?~,~. ,~
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
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2-:
L. OT: iJ_R
F.:RNGEE: :.t,H
E:LOC:K: .NR
DEPTH TO F'];PE E:OTTOH (FT.)
GF:ff'/EL !.,.!ZF.:'TH (FT.
GF::RVEL. L..EiNGTH (F:'T.
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...... :,::~ .u.~ I:;t.F.:E THE
S'WL:.;TEEI"i. CI--!(:)OS:,E THE OF"T];CtI'.,! THF!T E:!EST FITS Y']IJF' SI'I'E.
· -'!r" ~:~~i!,.H BEE [:. fl..d [:> F.". F-~ :E_ N
4.
/ :!!:;. El/,,.,. ) 4. 5 7. 5
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i. T. F:!!"! F:'!:::!!"iZL]:F-iR !,.!:i."Ti-! THE i'.q:Eg!i.J]:Fi:E.'HEI'.,iTS .F'OF,.': ON-SI'T'E SEPJERS RI'.,ID P.!EI_L.S 8:5 SET
F:'E$;:'i"H BY TFiI:'E HI...!N :[ C::[ F:'F:fl._ ]: TY i]F I::INCHOF~'.FtGiE ,:: I"IOF! ::, F:II'.~E:, THE STFITE OF FIL. FISt(R.
2. Z HZL. L. :!:i'.,!:!i;"FI:IL.L. THE SYS.;TE[I',I :i:!'.,i FIC:CEtF4:I)F:INCIE i4ZTH FILL ['IOFI CODEL:; FIN[:, REGULFITTONSJ
FIND ! l'q COi"IF'L. I FIt'.,!CE i.,-! Z 'T'H 'FF.!E: [:,IEt.-E; i GN CF.': I TE:F..': I R OF:' TH I S F'ERH I T.
Z 14:[L.L. F!E:,HE:RE 'FO FILL H[)}::I f:l['.,tD 'STFI'!"E Ol::' FiLF!S,k::FI F.':EQLI]:F.'EHEi'-4TS FOR THE SET BRCK
!E:, :I: STFINE:ES F'i:~:Ohl F:iNY EX ]: S"i' ]: i'-,i(]i F.!ELL .... !.4FfS"I"EFIFITEF'. [:,ISF'OSFIL SYSTEH. OR PUBLIC
SEI,]ili[RF!GE:'S'.r".'STEH ON ".r'HZS OF:' FINY F![:,JRCENT OF.: NEFtRBY LOT.
i.-": E,'E[:,F.'.OOHS FINE)
4. ...... t' I...!i'.,IDE:F;:STF:IN[:, "FHFI'T' '!-H]::B F'EFi:i'q!'T """~..::, ',,,'FILLTD F'OF.: Fl I',IFIXII'lt_IH OF
Ri-.,iY E:I'.,iL. Fii:;i:GEHENT !.,.I ! LL. F.':E(tT. RJ I F:E RN Ft[::,[::, Z T ~ OIqFiL F:'E:F.'.I'"I 1' T.
i'F F:! L]:I::T STF!T.'[OI",I IS itqS'!"F!LL.E[:' IN !:::IN i::IRER C:O',,,'E[I';-'.ED E:Y HEiR BUILDING E:O[':'ES.,
THEN (:]..) RN ELEC'f'F:ZCi:::iL. F'E:RH:I:T RN[:' INSF'ECT]:ON HUS';T DiE OB'TRINED.~ ':.'2) AS-BUILTS
F.!~:L.L NOT ELF....: RF'PRO"/ED i,.tiTHOUT FIN EL.E:CTRIE:RL. tNL:;PECTZON REPOF:T.~ FIND ,:: ::~: .'." THE
E[...ECTF::ICRL. !,.IOF.:K i"IL.iS'F BE: DONE E:',Y R LZCENSED ELECTRIC-TRN.
M U N I C I P A'L~Y~_O~F/A N C H OlO,AG AGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
~ SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR: ~' /-- )/ /. ~. '?
LEGAL DESCRIPTION:
DATE PERFORMED:
SLOPE
SITE PLAN
10
11
12
13
14-
15-
16
17
18
19
2O
Rebert A. Sha-N~r
No. 1457-E
WAS GROUND WATER A,/() ~
ENCOUNTERED? O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
_ ,~,,,,,m~ :~%'~,'~.,. /./
~ /
COMMENTS
~ ~ ~ E:~I(~INEERING
PERFORMED I~¥: i SR[~ 196X
r~.~'~i[.RIVER, ALASKA 99577
PH, 69~2979
72-008 (6/79}
PE;
TEST RUN BETWEEN FT AND __ FT
(minutes/inch)