HomeMy WebLinkAboutLEVAR LT 4 CREEKSIDE TOWNHOMES
MUNICIPALITY OF ANCHORAGE-
\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PRQTECTION
ENVIRONMENTAL ENGINEERING DIVISION
I 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME pHONE
~AILIN~ ADDRESS
LEGAL DESCRIPTION
~ ~ DISTANCE TO: C O ~ _
~ a Manufacturer ~ ~ Materia~..~ ~[~ ( No. of compartmen~
Liq. capacit~ in gallons ins
____ [~O IF HOMEMADE; ~/--tt~ Widti, Liquid depth
*~ DISTANCE TO: Wel'~ lq Dwelling *ERMIT NO.
~ Manufacturer -- Material Liquid capacity in ]aliGns
~ Well Foundation ~O '~ ' Nearest lot lind ~ PERMIT NO,~
~[ OtSTANC~ ~O: CO ~YV~ '~O
j ~ Z No. of ]ine~ Length of each line Total length of lin~s Trench widt~ Distance betw ~is
~ ~ Top of til~ to finish grade Matori~l beneath tile Total effective absorptioJa area
Length Widtl~ Depth
~ ~ ~ PERMITNO.
~ ~ Type of ~rib~ Crib diameter-- Crib depth -- Total effective absorption area
~ Well ~ Building foundation Nearest lot bne
~ DISTANCE TO:
~ Class ~ Depth Driller ~ Distance to lot line PERMIT NO,
~ DISTANCE TO: Bu Iding foundat o ~ Sewer line Septic tauk Absorptiou area(s)
OTHER
~IPE MATERIALS
SOIL TEST ~ATING
INSTALLER
~-'
APPRO:EDO : DATE LEGAL
72-013 (Rev. 3/78)
HERLTI.-4 FINE:, EN'v'
~--'it I.,..i~ I',,.tl ,.'11] Cz % F''
DEPFIRTHE]I',JT C,.
F:2f5 ~' I._ '" f~'FF.'.EFZT, I;INC:HOF.',AC~E,, FIK,
;Si'; ES; 1.,.11 E] IF-?, F" [:EEl: F~?.' ~'"'~ :11] '"IF'
L I N C: : O N'S;T F,'I.IC T I O N
[*, _ E I N S T ,~'.;~~'
L4 LEV[IF.'. ::,,, [..
-f FL
L.L: FYF ]i I;i N
LEGF:II..
TYF'E CiF ...... ':;FI.TL I:IB:ECF.'ET:[ :l"J '"SYSTEP1 .'['"":,: TRIENCH
I"II::IX]:MUH NJHE:EF.' OF' BEDROOM:5 :-";
SI::[ZL.. Ri:':IT[i"JCJ ,:: :E,]..-.! FT,.."BIR::,= ,~,...o5
THE F:E:LT. II.J.[F:.EL_.,:[ZE OF ]'PIE SO]:L FIE:~;OF.:F'T ]: ON _,t...,'fLI1 ]:S:
THE LEN6TH [::,:[HEf. IS]:ON :[S THE L.ENGTH (IN FEE]') OF THE TRENCH OF.:
THE DEF'TH OF F-~ TRENC. H OR P:[T ]:S-i; THE E:,ZSTFINCE E:[E'f'HEEI'.J THE SUF::FI::ICE OF.' TI. IE
GROUI'.JD FIN[::, THE BOTTOH OF THE E',:.:',C:FI'v'FIT ): ON ( ]: N FEET ).
THEI:[tE ZS NO SET H.TDTH FCIE'. TF.'.ENCHES.
THE: GF.'.FIVEL [::,EF'TH .T'S THE H.TI'.JIMUr,1 DEPTH OF' GF.".FI',,,'EL DE=."FHEEI'.J ]'FLEE OL.ITFF:ILL. F:':(F'E
FIN[:' THE E:OTTOH OF THE E',:':',C;FI'v'FITIOH ,::]:N FLEET).
F'E:F.:M :1: T I=IF'PL ]: CRNT HI::IS THE F.':ESP 3i'.JS .T r¢ ]: L. '[ T'T' '1' 3 ]: NFCiF.:H 'Fid :[ S"; DE:F::'FtF;:'I"HEI'.JT E,_ E'.~ H 3 'THE:
~.I'.JSTFILL. F]T.TOI'.,I ]:r.JS;PEC:T]:ON'..5 OF FIN"r' HELLS IqE:,...TF:ICEI'.JT TO TI"t]:S Ff ~FEF. Ir FII"JI]:, "1"1~I[~
N.MEE'[~' OF F.'F/'.~]'DENr:E'S THFIT THE HE:LL H:[LL =[..P.. E.
............. . ,,~-:. . ==. EiE C: -I''' ]: C:::, t'.ql ,=..=.. ¢~ IEE
[.,h~.l-...[ ZLL]JlqG CIF FII'.JY ::~.=][:.I1 I.,.I]:TI~ICIUT F:I:i'.,IFIL ]:r.J':;F't:..':C:T'[l"li'.J F:tND FII=.'F'F.'.O'v'I::IL
[:,EF'I::IF~:THEI'.JT H ~ L L BE '.SUELTECT TCi F'F.': 51E: J'i"_T EJI'.J.
H]:N:[MLIH D]:S, TFINCE BETHEEN FI HELL RN[.':, F:INY OI'.J..~S]:TE: SEI.,.IFIC~E D]::~!;F."O'.'SF:IL 5'T'ST[:':H 1:'.:.];
:tO'.3 FEET FOR la F'F;:Z'v'FITE HELL.;
:;L50 TO 200 FEET FF.:OH FI F:'UBL..):C HELL DEPENI::,]:N6 UF'ON THE: TYF'E OF PUBL][C HL::L.L..
OTHEf~'. RE6P...I:[REHENTS HRY FIPPLY. SF'EC):F.TCRT.'I:ON.S FIN[) CONSTF;.'.UC'F]:Or.J [:,ZFICiF'.FIM%
R'v'F:'I:[ L.I=tBLIE TO :[ i'4SI..IF~:E PF;:OPEF.: :[ N'.:..71:'taL. LI:~T ~. Ol'.J.
].' C:EF.:T I FY
2.: :[ l::ll'd I=F':IM:[L.]:FIF.'. H]:TH 'THE: F.:E":L:.!UIREHEENTS; FOR ON-SITE L:;EHEFi:2; RH[:, HEL. LS RS SET
FORTH BY THE I',IlJN]:C~[F'F~L]:TY OF FIr.,ICHOF.'.RCiE.
2.: :[ I.,.I]:I...L ]:NS:;TFIL. L THE S't%TEH .'[l'.J FiCC:C~F.:[:.',RNCE HI:TH THE: CODES.
3:: ;[ UN[.':,EF.t':STRI'.JD THFIT THL:: OI'.,I.-4S~TE S[::'HEF. I S'¢5;TE:.H FIRY F.'.E~:.:!U :I:. RE ENI~.F~F.p.':iEH[£N'T :(F' THE
t",:'.ES]:E:,ENCIE :IS REMC~r.:,EL. EE:, TO :[J'~IE:LI...IDE HOf;.'.E THFIN :~: E:EDE:C,3H'=T,.
:!.':-,
]:
FIPF'L .T CMNT L~ ZI'.~: C:CH'.,IS'I~.:UCT :[ OIq
.~ =: =;, ... c:~. r= 'r ............................... .~ ............................................... E: RTE:
COIXISI. J[ TING G[:.OLOGIST
SOILS LOG
Location. ~ ~ .....
Soil Type
0
2
4
6
16
18
2O
Water Level
Remar Its
Total Depth of Excavation
Groundwater
~ Not Reached
Depth, if Reached
Classification Method
Visual
( ) Sieve Analysis
()
I
Material at Total Depth__
Bedrock
~ Not Reached
Depth, if Reached
Gary F. Player, Consulting Geologist