HomeMy WebLinkAboutLAKE RIDGE TERRACE TR A1 LT 9
( ertffie rilling og
by
OOC Co, d~a
SULLIVAN. WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759
OWNEROF LAND ~f)/SO
LEGAL DESCRI~ION
DATE - Started Ended
PE~IT NUMBER
DEPTH OF WELL /0 q I
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR
KINI) OF CASING
KIND OF FORMATION:
From 0 Ft. tod Ft. C~',~/6 .~'~',¢~0~0 Fro,,
From d Ft. to (~ Ft. O~Z ~Od4~ Fro,n.~
From g Ft. to~ J Ft. ~/~ ~ .~ .~' ~ From
From ~} Ft. to-~ Ft. ~4/~, ~ ~ From
/
From~Ft. to ,Ft, ~3~A72 ~ T From
From. ~ Ft. to ~ Ft. [~ ,~51/~(, ~ From
~rom 7~ ~t. to 3~ Ft. ~Z~/o~ ~ g;~ ~o~
From~Ft. to Ft From
Ft. to , Ft
Ft. to Ft.
Ft. to Ft.
FI. lo Fl,
Ft. to Ft
Ft. lo Ft.
FI. lo Ft
Ft. to Ft.
.Ft. to Ft._
Ft. to ,FI.'
From Ft. to Ft.
From FI. to Ft
From FI. to Ft.
From__Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From FI. to Ft.
From FI. to Ft.
From Ft. to Ft.
Fr°.m~Q~ I V ~D
From Ft. to Et..
From ;lt to s
F Munici~.ality of Anchorage
re ni~..~s_a.s~/~do; ,, .... ~ .... ~,~
From__Ft. to Ft.
MISCL. INFORMATION:
PAGE
1 OF
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW910114
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:DISOTELL CARL A
OWNER ADDRESS:P.O. BOX 770210
EAGLE RIVER, AK 99577
DATE ISSUED: 5/21/91
EXPIRATION DATE: 5/21/92
PARCEL ID:05131557
LEGAL DESCRIPTION: LAKE RIDGE TERRACE TR
9
A1 LT
LOT SIZE: 48322 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 0
THIS PERMIT IS FOR THE CONTRUCTION OF:
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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
WELL LOG MUST BE SUBMITTED TO DHHS.
CONNECTED TO PUBLIC SEWER.
ISSUED BY:
PROPOSED HOUSE WILL BE
DATE:
seo!^.~es ue~unH '~ q~leeH
eDeJoqouv jo ,4~dlUd!o!un~l
NOTE
It is the responsibility of the Builder to
field check distances t,.~ lot lines prior
to commencing construction.
~.; P~ELIMINARY
I hereby certify that I have surveyed the following
described property: /- o '/-'~,;'~ ~r? ~.,:' './ /~ -- /~
~ ...~ : / t, 4_2 v.- :: ,,. .G/~-[~
~-/~,~... ~i' ; __~
Anchorage Recording Precinct, Alaska. and that the pro-
posed ~mprovements. as plauned thereon by the builder,
will be within the property lines and will not overlap
or encroach on the prop~'ty lying adjacent thereto, that
no improvements on property lying adjacent thereto
encroach on the premises ]n question and that there are
no roadways, transmission lines or other visible ease-
ments on sa~d property except as indicated hereon.
Date(] at Eagle River, A)aska
this_. / '~_'~"~'~' day of /',~ ~. ;-~' 19'.;' ':
ROBERT C. JOHNSON ;"'::' ~' -'
SCALE: Registered Land Surveyor No. 88dLLS
1" = ~2J..'- Box 456, Eagle River, Alaska
Phone 694-2543
"MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1, GENERAL INFORMATION
Complete legal description
Lot 9; Block A-I~ Lake Ridqe Terrace
Location (site add'ress or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
~c~Disotell
Day phone 694-5797
P.O.Bo'X 770210 Eagle River, Ak. 99577
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual well ×X
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site '
Holding tank
Community on-site
X×
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system,
72-025 (Rev. 1/91) Front MOA ~21
5, STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the dat~ of this inspection.
Name of Firm
S & S ENGINEERING
Address 17034 Eaqle River Loop Road No. ~t14
Eagle River, Alaska 99577
Engineer's signature
Phone
DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Sen/ices (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineeds work.
72-025 (Rev. 1/91) Back MOA ~21
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ~1'~ ~.~z.- ~.~'t ~---/~<¢-¢. ~,OL~--"~el I.D.
A. WELL DATA
Well type
Log present (~'N)
Total depth
Sanitary seal (~N)
If A, B, or C, attach ADEC letter.
Y
ADEC water system number
Date completed '~ '~% \ Driller
Casedto '~o~ Lc" ~,~--, Casing height
Wires properly protected ~)'N)
FROM WELL LOG
Date of test ~ ~ \
Static water level z~,~ ~
Well flow ~'~, ~
Pump level LJ¢--
AT INSPECTION
g.p.m. ~ g.p.m.
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
; On adjacent lots
; On adjacent tots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ~ c'~ ~/~o° ~'--0'-
Nitrate
Other bacteria
S & $ ENGINEERING.
Date of sample:
Collected by:
p R
17034 Eagle River Loo oa;;
Eagle River, Alaska 99577
Foundation
Water main/service line
CONTINUED ON BACK PAGE
B. SEPTIC/HOLDING TANK DATA
Date installed
Cleanout~ (Y/N)
High Water alarm (Y/N)
Date of pumping . Pumper
/Surface water/drainage
72-q26 (Rev. 7/91) Fronl
Tank size Compartments
Foundation cleanout (Y/N) ~ ~on (Y/N)
Ata~est ed (Y/N)
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N) "Pump on" level at'
High water alarm level ~
Meets MOA electrical co_..des~N~
SEANCE FROM LIFT STATION TO:
We'll on lot On adjacent lots
Manufacturer
Manhole/Access (Y/N) .... - ...... - .....
"Pump off" level at
Cycles tested
Surface water
D. ABSORPTION FIELD DATA
Date installed
Length Width
Total absorption area
Depression over field (Y/N)
Results (pass/fail)
Peroxide treatment (past 12 months) (Y/N) ~
SEPARATION DISTANCE FRO/M~SORPTION FIELD TO:
Well on lot ~
To building foun,.Ca~n
On ad~
,~e water
Curtain drain
Soil rating System typej --f-
Gravel thickness ~Td-tal depth
Cleanouts p~o~/N)
~.~D~.~ forat~of adequacy test
bedrooms
If yes, give date
On adjacent lots Property line
To existing or abandoned system on lot
Cutbank Water main/service line
Driveway, parking/vehicle storage area
Date of Payment
Receipt Number
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on tb_~ dale of this inspection.
S & S ENGINEERING ~ ~ ,;,,~ ,,
Signature 17034 Eagle River Loop ROad No,
Eagle River, Alaska 995~
Engineer's Name
Waiver Fee: $
Date of Payment
Receipt Number
CHEMICAL & GEOLOGICAL LABORATORY
A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO.
5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343
ANALYSI~ RESULTS fo~: INVOICE ~ 50161
Chef, ab Re£.~ 92.0102 Sample ~ 1 Matrix: WATER
FAX: (907) 561-5301
Client Sample ID
PWSlD
Collected
Received
Preserved with
L9 BA-1 LAKE RIDflE TERR. Client Name :S & $ ENGINEERING
UA Client Acot :SNSENGP
JAN 7 92 @ 14:30 h~s. BPOf :
JAN 8 92 @ 15:00 h~s. Req$ :
AS REQUIRED Ordered By :RAY
PO~ :NONE RECEIVED
Analysis Completed : JAN 10 92
Laboratory Super-visor ,: STEPHEN C. EDE
Releaeed By '. ~k.~ ~_ ~.~
Send Reports to:
1)S ~ S ENGINEERING
2)
Parameter Results Unite Method Allowable Limits
NITRATE-N ND(O.IO) mg/1 EPA 353.2 10
Sample ROUTINE SAMPLE COLLECTED BY: BAT.
Remarks:
1 Tests Performed ' See Special Instructions Above UA-Unavailable
ND: None Detected "See Sample Remarks Above
NA= Not Analyzed LT-Les8 Than, GT-Greater Than
F
R
0
M
REPLY
SL~ID PARTS I AND 3 INTACT - POLY PAK (50 SETS') 4P472
~T~o-~® 4S 472 ~ART 3 WILL BE RETURNED WITH REPLY.
Tom Fink,
Mayor
unicipal ty Anchorage
Department of Health and Human Services
825 %" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
January 8, 1990
R.L. Maroney
350 Fern Street
Anchorage, Alaska
99504
Subject: Lot 9 Block A1 Lake Ridge Terrace S/D
Permit #890117, PID #051-315-57
The subject permit, issued by this office for a single family
well and/or on-site wastewater system has expired as of December
31, 1989.
Permits are issued on a calendar year basis by authority of the
Municipal Code of Regulations. A new permit must be obtained
from this office for an well and/or on-site wastewater system
not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on-site
wastewater system, the original as-built inspectioh report
(three-part form) must be sent'to 'this office for review,
approval and documentation'.
When applying for a new permit, the fees are: $90.00 for an
on-site wastewater permit; $50.00 for a well permit; $140.00 for
a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
John Smith, P.E.
Program Manager
On-site Services
JW/ljm:200
enc: Copy of Permit
"Kids Are Our Future"
1,9 ~:'I_ ' P M
...... i,.. E R I '1'
....... x,. S'IRiEET
0 a y F' h o r] (-B:
:;:]'7' 6--1 55 !
'T'RAC]' A'-' t
and Human Set'vic:es v,~:i, thin :'t~O days
....... :.:1::.,-, v .I. ~ .... L 1 ~ .11::. ,,
:1: CER'T I I:::'Y "i"FIA'T ]~
J.,, :[ <'~.tR~ ~';:::dl'~:i.].iaP (.'..~:i.'l:..}"l thE' r'(.'~qL.tiP~:eI~E.H"'FL~B ~'(::)P or?...s:i.t.e '[B6:ewE.)r's~ ai']c[ w(~.~)l:l.s Y:d;4 set.
f'or't.h by 'I:..1"1,~'.~ hh..u"i:i.c:ipa.].:i, ty (::if' AFIc:l'toi"age (MOA) ar'id the Stat. e:, o{' Alasl.::a,,
2. I ~¢.~i].1 :i. nst. ail the system in acc:cmdar'~c:e ~,~i't:.l"l alt MOA C:OdE, Ei ancl r'egu:l, at. icins,
and in comp ]. iaru::e w:i. th the cle:,sJ, gri cr'it, er'.ia c,f this per. re:it.
3,, I w:i.:l. 1 adhePe t.o all HOA anc! State o¢ Alaska r'equiPement, s for' the set. bat:l<
d :i. st,:d'~ce'.,s ~' p,:)m alqy e,x :i. st. J. rlg ~¢~e]. :!. ~, wCaste~,,ater' d:i. sposal system c:m pub 1 :i.c
s(~:)w6.H"age) sys't:.em (::H"~ t. his or' any adjac:ent or. r'm:ar'by ].ot.,,
4. :[ L.tiqd62i"st.~[Id t. hat this pe)r'mi'L is valid for a maximum
a:l. so unde)r'st, ar~c! that. 'Lhe capac::i.t.y of the t.o'l:.al ~ys't:.(~:.)Jf~ is 3 bex::!r'c)c)ms anti
an'/ E.n:,~~. will r'e:,qui,"~, an adclitional per'mit,,
(O~,.,~rm:,r'-) !:R~ .... MARON!:::Y / ]
........................................................
./
/p,~.. c~, ~ 0o O-g'k4/
>~
om
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
NAME ]PHONE
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
Well~j~ Absorption are~ , Dwel]ing ~/~ PERMIT NO,
DISTANCE TO:
~ ~ DISTANCE TO: Well ,~j j Dwelling PERMIT NO.
O z < Manufacturer Material Liquid capacity in gallons
m ~ n area
Length Width /Depth PERMIT NO.
~ ~ Type of crib Crib diameter rib depth Total effective absorption area
~ Well Building foundation Nearest lot line
m DISTANCE TO:
,' Class ~A/ ~epth E~' / ST ~i~ ~ Distance tolotline PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
PIPE MATERIALS~ ~ OTHER ~
INSTALLER
/ ~ //~~~.~
-- ~ ;:,fin: .......... '.";., .":~ ." /
APPR D ./ DATE LEGAL
DEPFIR. TMENT I}~ HERLTH RND ENVtRONMENTRL ~ROTERTtON
825 '"L STREET.,
C~"-.tt--S ."E T~
PERMIT NO.' ( :-':3:~_.-1~:23: )
RPPLtCRNT DRNNY MRF.:ONEY
LOCRT I ON
RNCHORRGE., RK. DS '1
264-472A
5 EII-.I F_' F-: F' EF.: ~"'1 Z T
~7±25 OLD SEWRRD HIGHWRY 99502
LEGRL L 9 T. Ri LRKE RIDGE TERRRCE
LOT SIZE 999999 SQURRE FEET
T'¢F'E OF SOIL. RBSORPTION SYSTEM IS: DRRINFIELD
MR;:-:; I MUM NUMBER OF BEDROOMS =
SOIL RRTING (SQ FT?BR)= 85.
THE REQUIRED SiZE OF THE SOIL RBSORPTION SYSTEM IS:
[:,EF"TH= 4 LE~4,-~TH= ~.-- _~F-_H .- EL [:,EF'TH= i
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF FI TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCFI'¢FITION (IN FEET).
T~-ttE TF-:E~-.]C:H ~...JJ -ir [:.TH I S 5. E,~----~TM FEET.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRR"/EL BETWEEN THE OLITFRLL PIPE
RND THE BOT]'OM OF THE EXCRVRTION (IN PEET).
E]E nS'-.~Ljt Z F-:E[:, "_~EF'T l' C: T FtI'-~It-::: S.; l' ZE: ::L £'-, £'l,-..~-t ,_SFtLLC, I'-~S
PERMIT RPPLICRNT HRS THE RESPONSIBILITY ]'0 INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF RN¥ WELLS R[:,JRCENT TO THIS PR. OF'ERT'¢ RND THE
NUMBER OF RESIDENCES THRT THE t4ELL WILL SERVE.
BRCKFILLiNG OF RI'4Y S'¢STEM P-IITHOU]" FINRL INSPECTION RN[:' RPPROVRL B'¢ THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE [.',ISPOSRL S'¢STEM IS
· 00 FEET FOR R PRIVRTE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM R PRtVRTE WELL TO R PRI'¢RTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MR'¢ RPPL'¢. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
I-3'v'RILRBLE TO INSURE PROPER INSTFILLRTION.
F"EF-:tPl Z T E~"=-:-"F" 'r F-:E5; [)E£:E~'-IE:EF~' _---=:-1 _. iD:E:]:
I CERTIFY THRT
:L: I RM FRMILIRR ,WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH B'T' THE MUNICIPRI_IT"r' OF RNCHORRGE.
2: I WILL iNSTRLL THE SYSTEM IN RCCOR[:,RNCE WITH THE CODES.
]:: I UNDERSTRND THRT TFIE ON-SITE SEt.,..IER S'-,"STEM i"1R¥ REQUIRE ENLRRGEMENT IF THE
RE':';IDENCE IS REMODELED TO IhlC:LU[:,E MORE THRN ]: BEDROOMS.
SIGNED: .......................
RPPLICRNT DRNNY MRRONEY
ISSUED
B · ....... I - - -
V4. 0
PC)LJGH 6 650
ANQ~tORAGE, Al ASK/'\ 9950:'-0::~9
(907) 264-4111
DEPARTMENT ()~ I lE,d iil ',!t ) ENVIRONMENTALI~ROI,~CNON
January 31, 1983
TO: Permit Applicant
<Permit ~: 820757
Subject: Lot 9 Tract.A1 Lake Ridge Terrace Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the per'mit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel~
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057
.-....~ ':~ TF.: F:!:I. LI:::Lk:E F' T DGE "rr:c'~'~F'c', ~-~-.., ..,,
.... =,~:, ~ , T'ii; F'[:'FITNFTE:'i
I"!Fi::-~ l!"J!_i?'~..i"~!Jh~EiER Oi:=. EiE[>RiZiOivl'.:.!; :: :!: E.:,O]:L ....,, ,E,m-'~'N'"'~.,,.~ ,"'::;Q.._....
THE RE(;!U :i: F.':ED S l :i~:i::': OF 'i-FiE: S D :i: L iqE:E;CJRF'T i C i'.~ 9 "d':.: TE'?,t 'J: :~;:
'THi}/ LEi:NGTH E:,:(I"iE:.HSIOixl iS THE LENGTH ( tN F'EET::' OF' THE 'T'F:E?',!CH OR DRRINI=:[EL.D.
THE E:,EF'TH OF i:~ TFtENCH OF: PIT IS THE DIE;TFINCE E:E"FHEEN THE E;Lila;:F'FIC:E OF' THE
EiROUNE:, RNE:, 'THE E:OTTCiH C)F THE E:::':'.CFi'v'RT'!ON ,::iN FEET).
TF!E GRFF/EL DEF'TH IS THE i"!iNZHUH DEF'TH OF GR~',,,'EL. DE:THEiEN THE OUTF'FIL.L F'ZPE
FINE:, THE: BO'T'TOH OF' THE E:i,-~:CF?v'FFT'ION (iN FEET::'.
F'ERHZ'] RF'F'L.]:CFINT HHL=. THE R'F:":-;F""'-J':;1'FT
. _ ' ...... t
:i~ I",ic "FF:~i i I:::Ft"! i]]li'.~} i NSF'ECT J. LIN:::, C)F FIN'? i.,~I.EL. LS !:tE;',:f!=iCEi"4T TL-! ....: F'F' "' I::' I=' I;;' "F '~.' ?'t!",t!]) '"t ,""
................. r~.E.: ...... :N...~:.:, THF!"f THE
,., , I=,~,, ~ l'"lI::' ....
E.¢:~ "",'"F 7 ,. ,. T. i'-,h3 (IF .::!?.'-? :S ?:g-"t'El"! .L,.! I THCIUT F i NI::!L L' i~.,!'~;F'FJ!'.::T Z i.3i'-,i FINE:, F:. :'F'R "' ',,'FIL E~"d TH ! rE;
E:,EF'RF:']?iENT !,.I :[ LL E:E: :SL E ]'E 'i T' -r '] F:'F.::CE'E;E:(::LFi" i ON.
!'"l I is] ! !"!Lt!'4 [::, i S'FFINCE iEE~:Ti,iE:EN Fi -HE:LL F:Ii",iC:, R,N'./ ON-S I TE SEHFiC~E [::, l SF'OSI:::!L S'.?S"i"EH :I: S
::LO0 FEET FOF: i~ F:'i:~:i'v'FtTE i.,.!ELL.. OR i50 "fO 200 F'EET FRCH'"I R F'IJBL. tC t.,.iEtJ.... DE:F'EENE:,!NG
LIF'ON T'HE 'T¥'F'E OF P!j[gL!C HELL.
i"'iiN!HLH'"! D!STFiNCE t::!;'.Oifl F! PR ! ',,,'RTE HELL. TO Fi F'R!VFITE E;EHER LINE !E; 25 F'EET R!'.,ID
TO R C:(]H!"!UN!T'~.' SENEF: L. INE iS ';::'5 F'EET.
OTHER F'.EE:!U iF:E:I"IENTS i"iRV Fff::'F'L?. SPECIi:: !CRTtONS i:~ND CONSTRUCT]:ON E:,I F!GRF!HS [~i~:E;
FI',,,'F:i ]: L.FdE:L.E "FO i NSURE F'ROF'ER t !',iS'FFILLRT' i
I C:IEF:'?iF"/ THi::iT
:J.: I Fill F:F:!HILIF-IR Hi'T'FI THE !:.-::E!:QLIIREHE!",!TS FOR ON-.-Si"FE '.;.!;EI.,iERS FINE:, t.,.!ELLS f:!S SET
F'ORTH B"? THE !'"iUi'-,!i C I Pi::~L.:I: T? OF'
;2: I !.,!iLL_ INE;TFiLL THE S"r'STL::!h! iN FiCCOR!/:'FiI",ICE i,.! :ii -!." i'"l THE
ii:: i L!i'-,!DEF~:STFff',ID 'T'HF!T 'T'FiE: ON'--SiTE SE!.,.IEi:;;: S'T'S'T'E]"I i"1!:::I? !:;.tEC!UiI~;:E EtH/_RI:~:GEHEi',iT IF' THE
R!ESiDENC['E Ii:; F.':E]'!OE;'ELED 'T',9 INCLUDE HORE ']?'IF!N i: E~EDROCH"iS.
.~~ ' 7125 OLD SEWARD HWY,
, ,' & -*ENGINEERS, INC. ANCHORAGE, ALASKA 99503
S,. ~ 349 - 6561 ~ TEST PERCOLATION
SOILS LOG - PERCOLATION TEST
PERFORMED FOR:
~4
SLOPE
7
lO
11
12
1
WAS GROUND WATER
ENCOUNTER ED?
IF YES, AT WHAT
DEPTH?
14
17
18
19
20
Reading Date
PERCOLATION RATE
TEST RUN BETWEEN
u~,./ ,~L:~
Time
COmMENtS WA'FO--P_
O^TE PERFORMED: '2~ JULV ~
VI ¢~(~ ~. (minutes/inchl
Net
Time
Depth to Net
Water " Drop
SITE PLAN