HomeMy WebLinkAboutSOUTH LAKEWOOD HILLS #1 BLK 3 LT 6
~/. MUNICIPALITY OF ANCHORAGE
,, DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION '~ ~:"~'~ ~
025 L Street- Anchorage, Alaska 00501 Telephone 264-4720
ON-SITE SEWAGE D~SPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LOCATION NO. OF BEDROOMS
Liq. a it i galJons Inside length Width Liquid depth
~ ~ DISTANCE TO; Well Dwelling PERMIT NO.
O ~ < ~facturer Mateda) Liquid capacity in gallons
~ Foundation ~ PERMIT NO~
No. of lines Distan~een IMPs
Material beneath tile ~ Total effecti sorption area
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO;
~ Class Depth Driller Distance to lot line PERMIT NO,
~ Building foundation Sewer li~e Septic tank Absorption area(s)
~ DISTANCE TO:
REMARKS --
A'T '%'..~. ~ ~ ,
~b ~'~ '~ ~ -- ~ -
APPROVEDOVED~ ~ ) DATE LEGAL
72-013 (R~v"~. {/78)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
1
2
3
5
6
7
8-
SLOPE SITE PLAN
13-
14-
15
16-
17-
18-
19-
20-
COMMENTS
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
1/; 1.7
PERCOLATION RATE
TEST RUN BETWEEN
(minutes/inch)
CERTIFIED BY: f~' ~ / DATE:?.~
72-008 (6/79)