HomeMy WebLinkAboutBROADVIEW BLK 1 LT 1
Municipality of Anchorage Page I of 'Z~
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: 5ti~J ~2~:~1~' PIP Number:
Name:K__..~4r~y H. T~N~5[H Wastewater System: ~New ~ Upgrade
Add~:~S"~~ ~ ~N~, ~0~ ABSORPTION FIELD
Ph~s:~.~~.~l(0 ~ ~No. of Bedrooms:~ ~ Deep Trench ~ShallowTrench ~Bed ~Mound ~Other
~Depth~inal grade:
LEGAL DESCRIPTION so,.,,m: 0-~ ~s~.~t. ~,
Lot: ~ Block: J Subdivision: Depth to pipe botto~ ~jigin.[grade: GraveIo.~,de~th ~eneath pipe
Township: I H N Range:I ~. ectlon: ~ Fill,dried abo~o~lginal grade: Ft. 'Gravel ~ ' Ft.
Number of lines: Distance between lines:
WELL: nSP~e ~L~G ~ Upgrade Gravel~Wt~ ~O Ft. ~ ~ Ft.
Classification~Private.~~A,B,C): Total~Depth: Ft. Cased~.To: Ft. Total absorption are~ SQ, Ft. Pipe material:
Driller:% {~ ' V~] Date Or,led:~/~ Stallc Water LeveI:~u F,. Installer:d - ~ ~S~ Date installed:
Yields, 9 ~ GPM ~NO~ ~ Ft. ~ Ft.
SEPARATION DISTANCES ~ s.p.~ ~ .o~d~g
TO SeDtic Absorpllon Lift Holding Public/Private Manufacturer: ~/~ ~apacity in gallons:
From Tank Field Station Tank Sewer Llnea
Well ~ +~ ~t ~ +~l Material:/ Number of Compartments:
s.~f.c, tl~~ H~~ ~100~ LIFT STATION
Water
Lo,
Fou.datio. , .,~ +~' , ~ "Pump on" level at: ~" I''"ump °"'' le~"' ",:
Curtain Pump Make & Model ~ Electrical Inspections performed by:
Remarks: ~ ~ F~H ~d~ ~ ~ BENCH MARK
~~ Location and Oescriptlon: ~/~,,
Inspections performed by: C ldo b~ /E~5 Dates: 1st ~/~1/~
2nd,
Department of Health and Human Services approval
72-013 (1/91) MOA 25
Permit No. $W930315 Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
196650
P.O. Box · Anchorage, Alaska 99519-6650 ° Telephone: 545-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description' BROADVIEW LOT 1, BLK 1 PID No.: 050-321-16
I/2'REBAR
1/2'REI~AR 197.t8 APPROX
WELL
AREA
~ i/E,REL]~
70.49
g 89'57'50' W
SWING
TIES
B - C = 59,8
D - C = 57,8
B - E = 85,3
D - E = 16,7
B - F = 68,6
D - F = 23,4
A - D = 57,5
[-~/4' CLEANDUT (TYP)
NON[TOE (TYP)
'3/4'REBAR
MONITOR TUBE
SEWER CLEANOUT
WELL
NEW LEACHFIELD
EASEMENT
INSULATION
ELEVATIDNS
(NOT TO SCALE)
SE CORNER LOT TOP OF RE,AR
ASSUMED ELEV = 100.00'
SCALE 1" =60'
"R~GINAL '~ 12/12/94
GRDUND 0
2-3' ADDED FILL J~
,~7ir1']]''.~2' 35PS] ]NSULAT[FIN
TANK .............. ORIGINAL
~1 I~k6' SEPTIC ORAVELI I GROUND
' TRENCH i = 108,3'
ELEVATIDNSI
TRENCH 1
~/ END DF PIPE BTM = 112,5
E ENB DF PIPE BTH = 112,5
~/ ENB HDN]TDR TUBE BTH = 111,8
E END MONITOR TUBE BTM = 111,8
TRENCH 2
~V EN]] DF PIPE BTM = 109.4
E END DF PIPE BTM = t09.4
~V END MONITOR TUBE BTM = 108.8
E END MONITOR TUBE BTM = 108,8
Arctic Te~hnoloiy :,,...~. z~
P.O. Box 240148
701 W~t &lin Av~ ~101
,~Akldm TOlOlXlmW: 8fX)-770-7110
OutMde Almdgc gOT-M3-7110
FAX: 907-6634246
PleMe Ixm uo: Laura - ~jgle fliver Engir~.tX]
November 30, 199~ FAX Page:
~ ia ~ no~ IYorn Denni~ I.~zano, concerning ~ el~l ~ ~e ~ ~ ~. ~ ~
~ ~ ~ C~ ;~ ~ ~d ~ a ~~ mn of ~! ~ ~ ~e main d~l~n
~e~ ~ D~i ~ ~.
~en ~ get M f~ ~. I~ ~ ff ~ ~ ge? ~ie fln~ ~ ~ ~e on ~e wll ~
~M~ Ala~'~ Control Nee~
r tting
by
DOC Co. dba
SULLIVAN WATER WELLS
P,O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759
OWNER OF LAND
ADDRESS ¢~"~'"' c~
LEGAL DESCRIPTION
DATE- Started Ended
PERMIT NUMBER
DEl'TH OF WELL 4 /.3
~'.5~ST~.V¥1(' LEVEL OF WATER F'F. ,
~^LS..ER .R 5~.5-'
KIND OF FORMATION:
From ~' , Ft. to /-~ Ft. O U~ < /:~ 0 ~,= From~
F,om~Ft. to .... Ft. S ~"-- C /~ Fro~~
From Ft, to
From ,,, Ft. to Ft,
From
From
· Ft. to . Ft.
Ft, to , Ft,
Ft. to~ Ft.
· Fl. to Ft
Ft. Io__Ft,
Ft, to . Ft.
Ft. to Ft.
Ft. lo~Ft.
Ft. to ., Ft.
Ft. to .Ft.
____Ft. to~Ft.
Ft. to Ft.
Ft. to_____ Ft.
Ft. to Ft.
Ft, to, , Ft,
Ft. to__.Ft,
Ft. to .... Ft
MISCL, INFORMATION:
/ /{
I I/
) ,_.:.~ f o/4,-
DRILLER'S NAME ,' L..
PAGE 1 OF 1
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 AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW930315
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:TENNESEN GARY MICHAEL
OWNER ADDRESS:8520 SHRUB CT.
ANCHORAGE, AK 99504
PARCEL ID:05032116
LEGAL DESCRIPTION: BROADVIEW BLK 1 LT 1
DATE ISSUED: 8/23/93
EXPIRATION DATE: 8/23/94
LOT SIZE: 37463 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT:
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / 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 343-4744 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.
SPECIAL PROVISIONS
RECEIVED BY:
DATE:
DATE:
Louis Butera, P.E.
Registered Civil Engineer
August 11, 1993
John Smith, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Broadview, Lot 1, Block 1
Narrative
Dear Mr. Smith:
The proposed septic upgrade will have very limited impact on adjacent properties for the
following reasons:
1. The area has large lots allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, based on multiple soil test holes.
4. Drainage will not be adversely affected, the septic system is mounded and will
require landscaping to direct surface water away from the system.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\1993\93-023A.NAR
P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · Fax (907) 694-3297
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL:
LOT 1, BLK 1 BROADVIEW SUBDIVISION
mo
GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health and State
Department of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the
engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to
meet Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. It is always recommended that a surveyor locate the nearest lot line position and the location of
any easements.
SEPTIC
TANK
Tank is to be Orenco Systems with lift station and 20 OSI 05-HHF pump wired to code by a
licensed electrician, receipt to be provided to engineer.
Bo
DRAINFIELD
1. The drainfield is to follow the natural land contour to maintain uniform total depth of the
drainfield bottom approximate contour shape is shown on site plan.
2. The total depth of the drainfield excavation is to be as shallow as possible, removing only the
topsoil layer to soil surface shown as acceptable soil on attached soil logs, depth varies.
3. The 6' separation to bedrock is to be achieved by an imported clean sand fill placed without
mechanical compaction and leveled to +0.1'. Sand source is to be approved by engineer prior
to construction. Estimated depth of imported sand is 4.0'.
4. The drainfield gravel to a depth of 1' is placed on sand layer and is to be covered with typar
fabric material.
5. Pressure effluent pipe is to be buried at +4' and covered with 2" burial foam. 1-1/4" PVC
effluent leachpipe is to be installed 2" below top of gravel layer and is to contain 1/8" holes
spaced at 1.7' (21") facing up with orifice shields installed. Pipe ends are to contain cleanouts
buried just below ground level with rebar markers.
6. A combination of soil and extruded board insulation with a minimum soil depth of 2' is to be
placed over the leachfield and sloped 3:1 beyond leaehfield at edges.
7. The area over and between the drainfields is to be finish graded to prevent ponding of surface
water runoff. The entire leachfield mound is to have 4" topsoil and seeded.
8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to
any Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
GRAVEL ELEVATION = 3' above grade (mounded) GRAVEL DEPTH = 1'
DRAINFIELD LENGTH = 112' DRAINFIELD WIDTH = 5'
SOIL RATING = 0.8 GPD/ft2 BEDROOM CAPACITY = 3
SEPTIC TANK = 1,250 with lift
Twenty-four (24) hours notice required for all inspections.
\1993\93-023A.SPC
I/8'REBAR
L[]T 2 BLK !
SEPTIC +100'
1/2'REBAR
o Do° o^0 ~
PRESSURE PIPE CLEANaUT
NO KNOWN CURTAIN DRAINS
TH 7
N B4°12'4
197,18
HDUSE
AREA
:HDP
1/a'REBAR
PRDPDSED
WELL
70,49 i I
S 89°57'50
RBLLING HILLS
LOT 8, BLK 8
SEPTIC +30'
WELL +100'
~1000 GAL
SEPTIC TANK
WITH LIFT
¥
2 - 5'x56'
LEACHFIELDS
~1-1/4' CLEANDUT (TYP>
a - 5'x56'
RESERVE AREA
3/4'REBAR
[] - TEST HOLE
· - MONITOR TUBE
o - SEWER CLEANOUT
+ - WELL
~ I - PROPOSED LEACHFIELD
EASEMENT
WELL & SEPTIC SITE
LEGAL: LOT 1 BLK 1 BROADVIEW
OWNER' GARY TENNESEN
CONTRACTOR: N/A
JOB # 9,3-025 DATE' 08/11/95 SCALE
EAGLE RIVER ENGINEERING
A P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-S 95 IAX: (907)
PLAN
1" =50'
SER WCES
694-3297
EAGLE RIVER
ENGINEERING SERVICES
P,O. Box 773294
EAGLE RIVER, AK 99577
(907) 694-5195
JOB BROADVIEW, Lot 1 Block 1
SHEET NO. OF
CALCULATED BY. DATE
CHECKED BY DATE
SCALE
93-023
08/11/93
Single Family Three Bedroom Residence
3BR = 450gpd
Soil. absorption :rate = 0~8 §pd/ft2 .
Trench absorption area = 450 + 0.8 = 563 square feet
Drainfield .dimensions
Width = 5'
Gravel depth "= t ......
....... Length = 563 + 5 ::x ~.. 112.5'
PreSSure laterat holeS:
1/8" orifice: hole .@ 5'~ residual head
28 gpm flow rate + 0.43 gpm/hole = 65 holes
llT LF + 65 = I:.T! =: 21;:" h01e spacing on center
\1993\93-023A.CAL
PROOUCT ~)4.1 {$i~ Sb~ts} 205-1 (Pa~ed) ~® Ioc. Grolon. Mass 014/1. T00rde~ PHONE lOLL FREE 1.8~].~5.6380
EAGLE RIV
ENGINEERING SERVICES INC.
P, o. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694-5195
Jo.- /~'~'~,~,~','
SHEET NO
CALCULATED
CHECKED BY
SCALE
DATE
PERFORMED FOR:
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
G,q, ey
LEGAL DESCRIPTION:
'lt..
5/L~ ~L4y
2
~AV~L~Y ~ILTY
3
4
5
8
7
8
9
/
Township, Range, Section: 7'/~ flY/
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
WAS GROUND WATER
ENCOUNTERED? . WP
S
IF YES, AT WHAT
DEPTH? /V/4 pO
E
Oeplh to Water Alterz).~.'/7
Moniterlng~
Reading Date Grosm Net Depth to Net
Time Time Water Drop
PERCOLATION RATE 4'J (minute~/inch) PERC HoLE DIAMETER
COMMENTS
PERFORMED BY: ~'/'~'~:~-~ I ~~
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
72-008 IRev. 4/85l
CERTIFY THAT THIS TEST WAS PERFORMED IN
PERFORMED FOR:
Municipallly of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION'.
2
3
4
5
6
7
8
g
Township, Range, Section:
SLOPE
/T /
SITE PLAN
10
11
12
13
14
15
16
17
18
19
20
WAS GROUND WATER
ENCOUNTERED?
L
IF YES, AT WHAT O
DEPTH? p
E
Depth to Water Alter _
Monilorlng? ,~)~'"[ Dale:.
Gross Net Depth to Net
Reading Date Time Time Water Drop
/ ', ..¢-.'~ ~,0 / ~,.,.., (~ ~//o /zl/~,
PERCOLATION RATE /L.J, 5 Iminutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN . //' ~- FT AND ~ FT
COMMENTS
PERFORMED BY: ~/~5 i ~ERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Munlclpallly Gl Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEG^L DESCR,.T,O.:
1
2
3
4
5
6
7
8
g
10
11
12
13
14
15
16
17
18
lg
S/LT l,v/ 5,4tv0
/~(.,'< /
2O
SLOPE SITE PLAN
WAS GROU.DWATER
ENOOU.TERED? W0
S
L
IF YES, AT WHAT O
DEPTH? p
E
Depth lo Water After
Monitoring? ,~-.Y Dale:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ,~' j'/ {minutes/inch) PERC HOLE DIAMETER ~ ~'''
TEST RUN BETWEEN ..~, c) FT AND '~' '~ FT
COMMENTS
i DA T E O ^ T E ~"~/"'//~-~
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON TH S , : .
?2-008 IRev. 4185J
Municipalily ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
1 S/L'P/ C1.,4~ ~,/
8
g
SLOPE SITE PLAN
10
11
12
13
14
15
16
17
18
19
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
I]eplh l0 Wmr After
Monitoring? ~,'~."/ Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
9~( ,~A//~ ~ /:5 ~:50' §' /u//~
I " ~:~:~' I~ WI,'-~ ~, /")//~ I 'hu
"' P;~l'.~b ~ /9//u
PERCOLATION RATE / (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~' '~ FT AND -~/ ~ FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE,
72-008 {Rev. 4/85)
CERTIFY THAT THIS TEST WAS PERFORMED IN
PERFORMED FOR:
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
2
4
9
Township, Range, Section:
- /
SITE PLAN
m #/
lO
11
12
13
14
15
16
17
19
20
WAS GROUND WATE.
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? P
E
Depth lo Water After ~/,,,,,/?
Monitoring? ,/~,~-- "~ Dale:
Gross Net Depth to Net
Reading Data Time Time Water Drop
¢~,,~,~ ~/~//~ ~ .~,'o ~', I~ 0 ~llc~
~ ', 5:Z~;15 IONI~ ? 0[1~ / 0/1~
" ~,'-~'¢;~ lo ~uJ '20//u I 9//0
PERCOLATION RATE ~;7, Z.J. (minutes/inch) PERC HOLE DIAMETER ~ ~''''
TEST RUN BETWEEN ~'- ET AND ~ . FT
COMMENTS
PERFORMED BY: 8/F__.~..~ , ¢~-'~)-- CERTIFY THAT THIS TEST WAS PERFORMED '"
72-008 {Rev. 4/85]
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section:
SLOPE SITE PLAN
10
11
12
13
14
15
16
17
18
19
20
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? P
E
Depth lo Water Alter 4 /../_/"/~'
Monitoring? ,~/?-.~ Oate:
Gross Net Depth to Net
Reading Date Time Ttma Water Drop
~ ,, ~: I~; ZD /~ /V/~ /~ ~//~ / '/1~
PERCOLATION RATE % {minutes/inch) PERC HOLE DIAMETER ~ ~''
1EsT RUN BETwEEN (?"/~ FTAND /' ~ FT
COMMENTS
PERFORMED BY: ~ ,?~-.D I CERTIFY '[HAT THIS TES'[ WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFEC'[ ON THIS DALE, DATE: ~?~."~,.'~, ~
(Rev 4/85)
6
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
.5//.--r y
o l-4'"1//L~4,x4
5,4/'/1)
20
COMMENTS
' '_/,?l-" ~', ".
~',~. . : ~,~.
~'-%"~'"1°''' ..........
~,~'~", J LouisA. B,Jtera
DATE PER
Township, Range, Section: ~"//.//V n]'~'¢~'~'%~'~.,-' L,
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
Depth to Water Alter ~ ~E-' *Z) '/
Monitoring? Dale:
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER
'rEST RUN BETWEEN ~ FT AND Fl-
PE.FORMED BY: ~/~ I ~"~"'~~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCO~DANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE: ~./~/./~
?2-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG m PERCOLATION TEST
PER.O.MEO
LEGAL DESCmPTION:
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
~E~FORMED:
DATE -~_~~ '?
Township, Range, Section:
SLOPE
20
1
WAS G.OUNDWATE.
ENCOUNTE.ED?
DEPTH?
Oeplh Io Waler Aller
Monitoring? 2~)~-, "/~ Date:
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
{minutes/inch) PERC HOLE DIAMETER
COMMENTS
TEST RUN BETWEEN
FT AND ~ FT
PERFORMED BY:
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
CERTIFY THAT THIS TEST WAS PERFORMED IN
DATE:
72-008 {Rev. 4,85)