HomeMy WebLinkAboutSPRING BROOK VISTA #1 BLK 5 LT 3
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephon0 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
FPHONE [] NEW
MAILING ADDRESS
LEGAL D ESCRI PTIOT, J
LOCATION
Wall
I DISTANCE TO:
I- ~ Manufacturer
~ ~Liq. capacity in gallons
~.. M ] ~3~ANCE TO' Well
~ ~ -" IWell .
~ ~ DISTANCE TO: ]
~m ] Ne. of lines ~ Length of each hne
~ -- ~ ] %p ~ile refit' '
~ Top of tlle to f Is~ grade
~ Length Width
~ ~ I Type of crib Crib diameter
-~ ~ DISTANCE TO:
Well
~ Cla~ ' ~ , /~'Deptb
~ ........ ~ ~ Buildi~]g fou~dptio0
Absorption area
IDwelling ?
Width
Inside length
Dwelling
Material
Nearest lot line
I Trench width
NO. OF BEDROOMS
PERMIT NO.
8> 3 ~ .S'-o 72
No. of co.~partments
Liquid depth
PERMIT NO,
Liquid capacity in gallons
F ou n~qt i~j~ PERMIT NO,
Total length of lines Distaace between lines
.'~'- ~ inches ~
Material benead~ tile~ ~ ~ q inches Total effective absorption~area
Depth PERMIT NO.
Crib depth Total effective absorption area
Building foundation
DrillecD
8ewer line
Nearest lot line
Distance to lot line /I~P..I~ P))VIlT NO. (~
~ ~.,.) .~<-~ ~/_'/.--,--~ ._ t..-~_~,
Septic tank - 1 Absorption area(s)
OTHER
SOIL TEST RATING
INSTALLER
REMARKS
.' II ~
~ , ~ ',
~PPROVED
DATE
/.- o-r ~,
PERH:[T NO.
E:,EF'FIRTHIEI'qT uF HERLTH Fli'.,l[:, EI'.,I',,,':[RONHENTFIL. F'F..'.OTECT]:Ot',I
f~::;?5 '" L '" :5]"F..'EET., RI'.,IE:HOi;.:FtBE, F:tI<.
26,:t.-q-72E~
,:; 8::~-:O5~Z~7 ::,
FI P I:::' L :[ E: I::1 t'.,l "f'
L. 0 C:IR T I O hi
LEGI::IL.
R'.:i!;SOC:I:RTE II",I',,,'E:STHEI"4T E:O F'. O.
99999~
LOT "Z.': BL.K 5 :~;F'F.':INGE:F.:OEd.-':.' SUE:
BCI',:-:: ::L:ld:3::l. IEFIGLIE RIVER FII<. ~.'59,q--Z.':gEd.
LOT :Z:;IZE 999999 SQUFIF.'.E FE:ET
TFIE L. ENGTH [:,II"IEN:"E;ION :[:i.:; THE L.EIq(:~iTI4 '.'.':[Iq FEET::' OF '1"HE TRE:NCH [:iR [:,RI::IZIqF.1.'ELE:,.
THE I.":,EF'TH OF R TREI'.,ICFI OF:: F':I:T :[:-2; 'THE E:,I'STFINCE BETI4EEN THE 'F.:,UFd'--FtE:E OF THE
GROUIqE:, FINE:, THE E',OTTOH OF ]"HE EXC:FI',,,'FIT I OIq ,:: :[ N FEET::'.
THE GRFi',/EI.... [':,E:PTH :1.'~; TI~IE H]:NIHLIhl E:,EF'TI.4 OF GRR',,~EL BETI.,.IEEN THE OLITFFIL. L. PIPE
lUff,II:, TFIE BOTTOH OF THE E',,.::E:R',,,'FITION ,::]:l'-,I F'EET).
F'ERH I'1" RF'F'I.~ l CFINT FIR:iS TFIE RE?JF:'OIqS l E::[ L. I T"r' TO I i",IFORH TH I S I)EPFtRTMENT E:'UR I I",IG THE
I N."Z, TFILLFITI ON I t",I:~;PECT ]: ON."5 (:iF FIN"r' klELI_~.'; RE:'JI~CENT TO TH I S PROF'ERT'T' FIN[:' THE
NLIHE:ER OF RE:i;IE:'ENCES THFIT THE t4EL.L I.,.IILL :SERVE.
BRCt"-::F ]: L..I... I l",1(3 (:.iF:' Ftiq"r' ::-.,'¢2;TEH I.'.1 ]: THOUT F']: NFIL :[ N:;SF'ECT 101",1 FIiqE:' FIF'F'ROVFIL B'T' TH I '5
E:'EF:'FIF.':TI~tENT I.,.1:[ LL BE :E;UBJEE:T TO F'RO::;ECLIT I ON.
I'"1:[t",1:[i'"11...11'"1 [:' :[ ~.';TI::INCIE BETI.,.!EEN I::1 ,t,.IELL. FIN[;:' Fi1"4'¢ ON"-f:~;]:'f'E '.'Z, EP.IFIGE [."I!5F'OSRL 5'¢':;TEFI I2';
::t.E~E~ FEET FOR R F:'R]:',,,'R]"E 14ELL OR :'LSE'~ TO 2E~E.~ FEET FF.'.OFI 1"':1 PUF3L]:C I.,.IELL E:'E:PEN[:'ING
UF'OI",I THE T'¢F'E OF' PUBL.]:.C HELL.
H.T. NIP1UH [:'I:STI:::II",IE:E FROH FI F'F::[',,,'FITE [4EL.L. TO R PRI",,'FITE SEI.,.IEF.: LINE ]::.:.; 25 I::'EIET FINE:'
TO FI COHHUNZ'I""r' !iS;EI.,.tEF-: L]:NE ]:':'~; 75 FEET.
OTHER F..:EC!U :[ RE:ZHENT:.'Z, P'IFI"r' F~F'F'L'T'. SPEC I F' :[ CF:I'f TONS FII",IE:' CON':_:,"I'RLICT :[ 01''4 E:' ]: laGRFII"tS FIRE
R',,,'R ]: L.F:IE:LE TO ]: i",tL~URE F'ROF'EI:;;: ): I",I'_:;'TRLLtaT Z ON.
I CEF:'I" i Fr"r' 'I"HI::IT
:L: I RH FFIHT. L. IFIR t.,.ll'f'H ]"FIE RE¢!LI:[I;~:[L"HENT':::: FOR ON-:-:,I"I'E ~;EI.,.IER2; RN[:' !-,.IELL."C, RS; ~-:;,E'T'
FORTH E',"r' THE HUN:[CIF'RL:['T'¢ OF' RNCHORRGE.
2: I I.,.tlL.L. :[i",l'.".'i;"FI, a~.L_ THE L:;"r':STEI"~ ll",l RCC:ORDFIi",tCE I.,.IITH THE L:O[:'E~.";.
::~.: :i: IJN.[.',ERSTF~I(ID' ]"HI::IT ]':HE' ON-".':'~;II"E :~E[4ER :E;"r':STEH HFI"r' REQUIRE ENLI::IRGEHENT IF '['FIE
..................... ./ ............... ,z,'-. ¢.:h~ ....... -- .% .....................................
P.:f:.:::, J.l.:,l:.r,,H.,,:[:: i :~, h:.:[:,I'IUL;'bLT~.L:~ , I.~LI .I.[',]t;'.:LrLIL:~[:. I'lUl~.:b. I I'-IHr',t :::
:~: :[ Gi'.,IE:E:, :~... .................... ~ ............ ~- ~Z"..-~- ................. :% ....................
PIFFL.~:FIt'.,I'[ H.::U.....[H]E .[i'l,l::.. FIIEtll .... ~F..I: .
:[ '.:'.?,UED B"r'__,._...,.~. ................................. [:,FITE .................. "~-". C'~.
~OG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
925 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR: J~"Z~''
LEGAL DESCRIPTION:
1
2
3
5
?
~2
~3
14
15-
17,
2O
DATE PERFORMED:
SLOPE
SITE PLAN
lO-
ENCOUNTERED? _
:
DEPTH?
G~'oss Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN B~TWEEN FT AND FT
PERFORMED BY: (:~'/)S'~' L~ '.~O' CERTIFIED BY: DATE:
72-008 {6/79)
SO UTHCEN 1-RA t. REGIONAL OFF/CE
Municipal Department of
Health, Fmvironmental Protection
ATTN: Bob Pratt
825 L. Street
Anchorage, Alaska 99501
February 10, 1983
E]
[]
BILL S//EFFIEL D, GO VERtVOR
43'/E. Street
SECOND FLOOR
ANCltORAGE, ALASKA 99501
(907) 27,~ 2533
P.O. BOX 515
KODIAK, ALASKA 99615
(907) 486-3350
P.O. BOX 1207
SOLDOTNA, ALASKA 99669
(907) 262-5210
P.O. BOX 1709
VALDEZ AtASKA 99686
(907~ 835-4698
P.O. BOY, 1064
WASILLA, Al ASKA 99687
(90?) 376-5038
Dear Mr. Pratt:
Due to barium levels in excess of the MCL the Springbrook Vista
Subdivision Water System is not in complaince with the State D~'inking
Water Regulation.
Sincerely,
NM/msm
Mike Mathews
Environmental Field Officer .
MUNICIPALITY OF ANCHORAGE
I~.~ MUNICIPALITY OF ANCHORAGE DEPT. OF
· //~"1~ ~'~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRON,Mr:N'r,t.,L ;:; L;T£CTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 I ,'. ~,.., ~ .~ ~ ,,..
~ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAI LING ADDRESS
~EGAL DESCRIPTION
LOCATION NO, OF BEDROOMS
Well I AbsorptJonarea Dwelling I PERMITNO.
~ Manufacturer
Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth
j ~ ~ Well Dwelling PERMIT NO.
DISTANCE
TO:
O ~ < Manufacturer ~ Material Liquid capacity in gallons
~ No. of lines Length o~ ~c~ line Total length of lines Trench width Distance between lines
~ ~ ~ Top of tile to finish gra~
Length Width Deptl{ ' PERMIT NO.
~ ~ Type of crib Crib diameter ~ib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ ~ss Depth Driller Distance to lot line PERMI~O.
~ Building foundation Sewer line Septic tank - A~sorption area(s)
~ DISTANCE TO:
OTHER
~)IPE MATERIALS
J
Sell TEST RATING
INSTAELER
,- ' .'-':,. ~ ~.~~
~ ~ , DATE LEGAL .~'/~ ~jO& ~ ' / '
72-013 (Rev. 3/78)
I;:,EF:'FII;i:'THE:NT ,. ' HERL..'TH Fff.JD El",!',,,' I ROI'.JHEt'.(/"F~t ..... Cr'FECT I ON
:E: ;;.:: ~':i '" L '" :E;TF;:EET., RI'.,tC:HE~RRGE., Flk:.
:E~:; lEE: ~..~.~ E b-~: IF::" E: !F;.::: th'1% T'
LOT :5I ZIE
T'.¢F'E: OF' SOZL FI[?'L;E~F:F:"/"IEH'.,I 5"r'?f'EH :(:5' "FRENCI"4
:~;ll]:L. F4:I::(I'II"4C~ ,"Eh:) F'f',."'E:F;: ::' =:
THE F.':E(;!LI ]: Fi:ED ~i!; I ZE OF' 'THE !.~;O I L RBSOF;:F'T I OIq :~;'¢?..;TEP'I I :~2;:
'' ......... E:, IEfi",l I'::; TI~E E~,'I"H IN FEZET::, OF THE TRE,,!CH OF;'. [:,F:RINF:IEEI...E:,.
'THE ~...b hi: I H Z i'"IEN:!~; ~ L
THE DEPTH OF' FI 'T'I:;i:ENCH ~!~f~: F"}:!f' :1::~: THE [::,T2';TFINCE [ii',E"I'I,.IEEN THE ~SLH:;~'.FFIC:E: OF THE
GI',bL"IUf.~[:, I::INE:, THE BO'TTOH OF' THE EXCFI',,,'I:::IT I ON ,:: t t',! FE:'ET ::,.
'!'HE.3:;itE: I:.E; NO ~;E21" I.,.I):D'FH F'OF: 'I"F;:ENCHE'L:;.
THEE (:~iF:FI',,,'EL DEPTH iS THE i"IIN]'HUH DEPTH OF GRFI',,,'EL. BE'TI,.fEEN THE Efl...IYFF:IL.I... F'IF'E
FINE:, THE BOTTEd"t OF THE E:XE:FI',,,'FIT]:ON (IN FEET::,.
F-'EFd"II"I~ F]F'!:::'L. IC:FINT I--f1::t:!5 "I"I~IE RE:,F_I',I::,I~:,I[ I1 TO Ii'.,IFEII:~:H 'I"HI':'~; E:,EF'FIF?.THE:i'.,IT [:,L.IFi:It'.,ll::~i THE
]: N'..E;TFILLFI'T' :[ 01",1 ! t'.,17; F'!::E:T I ON'.::'; OF' F:tI",I'T' 14EL. L,i~ FID...TFICENT '1" 3 "!q'-I Z :!2; :'i::~'E F'EI';:T"r' FIND THE
'1 I .Jt"IE:E_. ~. OF F::E!!~; Z E:,ENCEL~; 'T'HI::IT THE: HELl_ 1.4:1: L.L. :'.:.';E~:',,,'E.
E:FICI':::F'IL.I_:t:I"I::~i 3F' FII'-,!"/ ':'.i;'¢'.'STE:H L,JITH"tlIT F']:I",ff:!L :I:.I',I=,FE._.I ION. I:::IH[:, I'-If FF.,-tL E,~ 'THIt.5
I:::,E::F'I::~F;:]q'"IEhlT I,.! I L.L E:E :E:LJE:..:rECT '1" 3 PI-:;' ': '.'~ EC:LFI' :[ L31'.,I.
I"1! I'.,! I t','IL.It','I [:, ! :E; 'I" FI N C: E E:ETI,.IEEN FI I.,~EL.L RN[::, F:IN'¢ ON-...% I 'I"E: :i~EI.,.IF~GE [:, I :i:;F'EI%RL 'J~;'¢FSTEH 1' '.:.:.;
:1..1~)!::~1 [:: [i[ [.~: "1" FO[T..'. t:::1 F'[~:.T.',,,'¢:t"['EJ t.,.t[EL.L. OF,;'. J.'SEI "1"O ;;i:i].:.'IEl I::'EET FF:'.I:]H','I FI F:'IJE~L. ZC I,.IE:L..[.. [:,E:F'EF4E:,ING
LIF'ON THE T'T'F'E CIF' F:'UE:L. IC HEL. L..
!"t :1: ,N 1' HUH [.':,
'f'EI F:l C(]lf'lt"ILINIT'¢ ::ii;[El.,.![i:[~: L It",!E ]:5'; i:'t]; I:::'[':ET.
L3"f'HER F;:EQLI I FdEh'I[:_'i",t'T'LE; l"'11:::1'¢ FIF'F'L.'¢. SPEC ]: F' :[ CF:Ff' I Oi"4~'5 ~Ftl~[:, COi'.,!::-:;'rl;;:lJCT t EH'.,! [::, I FIC~F;:Fff"I:5 FIRE':
I~',/f':t ! L. R EH._ E:
F' E:'£ 1!::;~: ~"dt Z: '~tF EC' :-'-:,i F"' ::E ~:~.'. ,~EE: ::D'.';: ~:~IE~: C:: ~E th'l E:,~ E=. ~:~." 2!-~: .3. ..... ::L .~-2~ ~iD ::] ....
! CEFi:-F I [::"¢ TI-'tRT
::L: :[ FtH F'RhtIL:[FIF..' I.,.IITH THE: [;~E6!LIIF;'.EHENT'.~ FOR OH-SITE ~;Et.,.IE~'.~5 P~I"~D IqEt..L~; FI:E;
F:Of~:]"H D"r' THE HUN I C Z F'F!I.... :[ 1"'¢ OF:
;2: :[ HILL IN FIC:COf4:DRNCE 1,.I:[TH TPIE E:ODE:~;.
Z: I UN[:,EF4'.'.~JTFlt OI",I"'SZ]% E;EI.'.IEF;: :E;'¢:Sq"EH HR'~¢ RE6iU~RE ENLFIRGEP!ENT IF THE
RES :[ E:,E!'.~C[E I ~J; THRN ]: 8EI]:,D. OOH%.
C I H',,,'L?.:;~;T
January 4, 1982
Assoc Invest Corp
P.O. Box 1101
Eagle River, AK 99577
Permit %~ 810718
Subject: L3 B5 Springbrook Vista
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
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 should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Sewer and Water Program
Enclosure: Copy of Permit
[:,E:PRR'f'ME1,',!T r'~r HEFILTH fiND E1",I',,,'IRONMEI",ITRL r"'='Ol"EF. CT`rO1,',l
:325 ",. '::i;TREE:T., FI1",tCIqOF.:RGE., Al'.'.'.. 9S ~.
264.'"4.720
fl:Zu ~'-,~ ..... '.S ::[ T EX ".~.". fl~ I..-! i F-." F" E I;.:.: ~'"'D % '-IF'
,:: 800506 )
FIF'F'L I CF:IP',I'T
L. 0 E: FI T :[ O I'.,I
L. EEiFtL
R2;2;OCIFITE INVESTME:NT CO P. 0. BO~',', 1'1..0:t.
-, ,~' , [,,,
1:OT ~' BLK .5 _,Pt~.INGE:F..:OOK , I_TR
LOT 2;IZE
'.3~000 '=:QI.IFiRE F'EET
"f"¢F'E': OF:' 2;OIL FIE:2;ORPTION 2;'.r'STEM IS: TRENCH
MFIXIMUM NLIME,'ER OF BEDROOMS
SOIL. RRTING ,::SQ FT,,'BF:)= ±50
THE F:tEQU`rREE:, 2;]:ZE OF THE SOIL RBSORF'TION S"r'STEI"I I'2;:
THE LENGTH [:,IMENSIO1,.,I 12; TFIE LENGTH ,::IN FEET> ElF' THE TRENCH OR DRRINFIELB,.
THE [:,EPTH OF FI TRENCH OR PI'I" I_q THE [:,ISTR1,.,IC'E BETI.4EE1,.,I THE SI.JF?.FFICE OF THE
GFi:OUN[:, R1'.,tD THE: BOTTOM OF' THE E::..ICFI',,,'RTIFdq ,::IN FEET;,.
THERE IS 1'.40 SET I,IID'f'I-.I F'OF.'. TRENCHES.
THE GF'.FI'v'EL. DEPTH I5; THE MINIMUM DEPTH OF GF.'.FIVE'"L BETHEEN THE oU'rFRLL PIPE
FINE:, THE E:r'rFTOM OF TFIE EXCR'v'RTION ,:.'`rN FEET).
F'ERM]:T RF'F'L]:CFINT HI:IS THE RESF'ONSIE:ILIT'¢ TO INFORM THIS DEPRRI'MENT DURING THE
`rN2;TFI/..LFITION I1,.,ISPEC"t"IONS OF'" FIN~'r' 14ELL. 2; FIE:'..TFICENT TO THTS PROPER'I"¥ FINE:, THE
1"4UHBEF'. OF F".':ESZB'ENC[:'2; THFIT THE HELL 14`rL..l. '="~,ER","E.
.................... -r fL.-I~ £:, ,:: 2: ::, Z !'-.!12:-:;,; F" E f.":: -f" :[ C, I'-.! ':.~; R F.' E I~: E': ,;:! I....! :.t: F.'.' l[--Z [::., ............
E:RC:I<F ILL. I I'.,IG OF R1'.,1'¢ $'¢STEM 14`r THOUT F I NRL. I N2;PECTI ON RN[:, RPPRO',,,'F:IL B'.r' 'FH 12.1
[)EF'F~F.:TMENT 1.4`rLL [?,E 2;UE:.]'ECT 1"O F'RCISECUTION.
MINIMUM DISTFINCE BET!,,.IEEN FI [,.IEI_L RN[:, FI1'-,1'.¢ O1'4-SITE SEI.,IAGE [:,ISPOSFtl.. 5"r'STEM IS
:L00 F'"EET F'OF.': FI F'F,'`r',,,'Fi'I"E HELL OF.': t50 TO 2RO FEET FROM R PUE:LIC HELL DEPEND`rNG
UPON THE T'¢F'E OF F'UBLIC HELL.
MINi'MUM [:,`r'STFiNOE FROM FI PRIN,'FITE HELL TO R F'F.'.I',,,'RTE 2;EHER LINE 'rs; 2.=, FEET laN[:,
]"O FI C;CIMMUI'.,IIT'.? '.SE[,.IER LINE 12; 75 FEET.
OTHEI:;;: P.E[.:PJIF..'.EMENTS MFI'-r' RF'PL.'¢. SPECI'FICFITION$ FIND CON2;TF::UCTION DIRGRFI1,'IS FIRE
FI',,,'FI I LF4[.::LE TO 11,'4SURE F'F'..'OPEF?. 'r NS]"FILL. RT t 01,',1.
I C:EF.':T I F"?
:iL: I FIM FFIM]:L.]:FIF:: I.,~ITI"] THE REQUtREME:NT'Z.q FOR ON-:~,ITE E;EI.,.IE:P.:2; RN[.', HELLS FI.S SET
I:::'OF:TH B'¢ THE 1,"IUN`rCIPRLIT'¢ OF flNCHORFIGE.
_ L. UDE::,,
2: i HILL. INSTFILL THE 2;"r'STEH IN FIE:CORE:'FINC:E I.,.IITH THE ..... '-
:3:: I UN[:,ERSTFIND TI"'IF:Ft" THE ON-SITE SE:HER ':;"r'2;TEM MFI'¢ REQUIRE ENLRRGEMENT IF' THE
I:~:E2;`rE:'E1",ICE I2; REMO[:'EL.EC' TO INCLUE:'E MOF-'.E THFIN 3: E:EE:'ROOMS.
Y4. 0
825 "t/' ST REE'I
ANCHOI~AGIi, ALASKA 99!501
(90'/) 264-411/
C.,~:OI~G'E M. ',NJL.LI V/Uq,
MA
LIEN I'
Decembe: 33.~ 2.980
Associate Investment Company
Post office Box ll01
Anchorage, Alaska 995].0
Permit- ~1800506
,
Subject: Lot 3 Block 5 Springbrook Visha Subdivision
A permit issued by this department for well and/or sewer
system has expired as of this date.
Pei~{mits are issued on a ca].endar year basis, as stated on
the permit, by authority of MunicJ. pal Ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for
our files.
If there are any further questions, please cal,], this
office at 264-4720.
LNB/ljw
enc: Copy of Permit
SWP/0 5 7
[~SOI LS LOG
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
DATE PERFORMED: ~:~' / 0 ' ,~O
COMMENTS
SLOPE
SITE PLAN
WAS GROUND WATER /'/.~"'~ S
ENCOUNTERED? ~' C.~ ~' L
O
P
IF YES, AT WHAT /0'~ E
DEPTH?
Gross Net Depth to Net
Readin9 Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND __ FT
72-008 {6/79)