HomeMy WebLinkAboutTIMBERLINE LT 9 Municipality of Anchorage Page I of
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: _~t~/ ~ 7' (~11~ PIDNumber: O/.5"/
Name:~, ~::t'~ ~'c,~O/"y~'~:3[t"' b~ Wastewater System: D New ~ Upgrade
Address:
~o/ Y~.~c~ P~% ~c~ ~e~/( ABSORPTION FIELD
Phone: ~_~ Ne. of] rooms: ~ Deep Trench D Shallow Trench ~Bed ~Mound ~Other
LEGAL DESCRIPTION soi,.ati.~: ~ot~,.~.~ from o~i.i.~, gr..~:
Township: ~ Range: ~ Section: Fill added above original grade: Gravel length:
I
I
WELL: ~ New D Upgrade Gravelwidth: Numberoflines: ~Distan~be~eenlines:
~ ~' Ft. ~ ~ Ft,
;las]if]cation (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Pipe material: ~ f O
Dr]liar: Date Drilled: StaticWater Level: Installer: Date installed:
SEPARATION DISTANCES ~ s.~t~ ~ Holding U
TO Septic Absorption Lift Holding Public/PSvat~ Manufacturer: Capscityin gallons:
Prom Tank Fie~d Station Tank Sewer Lines A~ C~ O~ ~ ~ I
Wel~ J ~ ~ I l ~O I __ -- ~ ~l Material~ ~1~ Number of Compadments:
Sudace
w~t~ >~, >~' - - - LIFT STATION .~
Lot Size in gallons: ~ Manufacturer:
Line ~' ~' --
I
"Pump on" level at: ~ "Pump off" level at:
I
High
water
alarm
Foundation I ~' ~ ~ - -- ~ I
Cu~ain ~ ~ Pump Make & Model ~ Electrical Inspections pedormed by:
I
~Remarks: ~,~/~ ~/ ~/' c.~ BENCH MARK
Location and Description:
Assumed Elevation: ]
Inspections
pedormed
by:
Department of Health and Human Se ices approval ,-.. ,'.:
Reviewed
and
approved
by:
72-013 (Rev. 9/91) MOA 25
PERMIT NO: SW970112 PAGE 2 OF 3
PID NO: 01516419 I
I
/ c.o.'s \ "A" I
/0.~./' M" ,,L. , \\ ~
/ /~(~ 15'WIDEX59 LONG '~ r~ I
Z,, /~l~l~l /~SOIL AB SORPTIONBED ~ ,1
I
I
, o
,,K,, ,,j,, ,,H,, DBL C.O. I
C.O.'S
SWING TIES: I
FROM: COR. '"A" OOR."B' OOR. "O" I
I
TO: I
S.T.O.O. "E" 17' 47' I
S.T.O.O. "F" 21' 50' I
DBL, C.O, "6" 26.5' 52' I
BED C.O."Ht' 99.5' 72.5' 121.5'
BED M.T. "1' 100.5' 73.5' 123' I
BED C.O."J" 103' 76.5' 126' I
BED C.C, "K" 107, 81' 131' I -
BED C.C. "L" 75.5' 63.5' I
I
BED C.O, "M" 88' 68'
BED M.T."N" 82.5' 70' I
BED C.C."O" 84.5' 72.5' I
I
I
'
......................... ~ LOT 9 TIMBERLINE SID
~~";'~ '~'"V~'~ SEPTIC SYSTEM INST.
~e~ .%. ..~' --~ FLA~OP TEC~IC~ SER~CES SCALE: 1": 30'
~ofess~O~ 14530 ECHO ST~ET DRAWN BY TFM
~ ~ ~CHO~GE, A~S~ 99516 AUGUST, 1997
PERMIT NO: SW970112
PAGE 3OF 3
PID NO: 01516419
::
3 FEET , ,
)IL COVER
88.9'
1250 GALLON
SEPTIC TANK
:PP FILTER SAND
DIST PIPE INV.
ALL PIPES, ALL ENDS
BOTTOM SAND
ELEV. 74.8
BOTTOM T.H. #1 M.T. ELEV. 70.3'
WATER @ 71.4' ON 5/5/97
BOTTOM AS&G
SEWER GRAVEL
ELEV. 76.9'
I
~"~"¢"'--~' t' ·
~ ~ ~ ~.so~o~s~.Uoo~E · b~
~L~ %.. ..e' ..~ FLA~OPTEC~IC~SERVICES
w~o ~~ ~o~ ~4530 echo s~e~
~ ~ ~cHo~oe, ~ns~ 99s ~6
LOT 9 TIMBERLINE SID
SEPTIC SYSTEM INST.
AS-BUILT CROSS-SECTION
NOT TO SCALE
DRAWN BY TFM
AUGUST, 1997
LOCATION OF WELL
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING & WATER MGMT
WATER WELL RECORD
BOROUGH
LOCATION/SKETCH:
SUBDIVISION LOT BLOCK SECTION QTRS
/
DEPTHS MEASURED FROM~.~casing top r~ground surface
BOREHOLE DATA:
Material Type and Color
Depth
From To
s£C .0,vow. s.,.
I-iN DE
Ds r~w
MERIDIAN
Depth of hole: ~ ft
Depth of casing:
DEPTH TO STATIC WATER L~EL:
.~ ft below ~top of casing ~ ground sudace
Date: ~
RECEIVED
AUG ?- 5 1997
METHOD OF DRILLING:/'[~"air rotary [] cable tool
[] other
USE OF WELL: ~E~-~omestic [] irrigation [] monitor
[] poblic supply [] other
CASING STIC~ ft. Diam: ~ in. to~~ ft
Casing type: r.~? in. to~) ?'~ ft
WELL INTAKE OPENING TYPE: [] open end [] screened
[] perforated/)[~ open hole
Depths of open~s: ~7 to ,.~._~'~ ft
fviu ,~ality ~
Oept
SCREEN TYPE: Diam: in.
Slot/Mesh Size: Length: ft
GRAVEL PACK TYPE:
Volume used: ~Depth to t, op: , ·
GROUT TYPE:
Depth: from ft to ft
D~ELOPMENT M~HOD:
Duration:
PUMPING LEVEL AND~IELD:
after ~--*~ hrs pumping
PUMP INTAKE DEPTH: ft Horsepower: __
WELL DISINFECTED UPON COMPLETION? ,~{~r~YES
gpm
[] NO
CONTRACTOR INFORMA/T'I~N: ~ / -- ,
Regi.s,te~,~d Business Name~
Signature of Authorized Res~senta~ive
REMARKS:
3601 C St, Suite 800
Anchorage, Ak 99503-5935
ohx~o~%~RQ-2538.Fax{907)562-1384
PAGE 1 OF
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUM~ SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW970112
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES
OWNER NAME:J. GREGGORY SARBER
OWNER ADDRESS:9901 PROSPECT DRIVE.
ANCHORAGE, AK. 99516
DATE ISSUED: 6/02/97
EXPIRATION DATE: 6/02/98
PARCEL ID:01516419
LEGAL DESCRIPTION:
TIMBERLINE LT 9
LOT SIZE: 64595 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION 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 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
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:
ENSURE TOE OF MOUND TERMINATES WITHIN THE PROPERTY
RECEIVED BY: _
DATE:
Rick Mystrom,
Mayor
Mtmicjpajity of AnchOrage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
June 3, 1997
T~d Moore, P.E.
Flattop Technical Services
14530 EchoSStreet
Anchorage, Alaska 99516
Subject: Waiver Request for Lot 9 Timberline Subdivision
Waiver Request #WR970020, , PID #015-164-19~ SW970112
Dear Mr. Moore:
Your request for a waiver of the required 10 foot separation
between an on-site wastewater disposal system and a lot line has
been approved. The waived distance is the absorption field to
the west~ common property line with Lot 8 of 3 feet.
This approval applies to the existing on-site wastewater disposal
system lot line separation only. Any future upgrade to the on-site
wastewater disposal system will require all separations be met or
another approval from this department.
If there any further questions or concerns regarding this waiver,
please call our office at 343-4744.
-s.ite Services
ljw #7
Sarber
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR# WR970020 PID# 015-164-19 HA~ Permit #
Date Received: 05/19/97
Legal Description: Lot 9 Timberline Subdivision
Engineer: Theodore F. Moore/Flattop Technical Se~vic'es
AppLLcan%~,.,: $. Greggo y Sarber
Waiver Requested: Lot line waiver allowing absorption system ~o be within 3 feet
of the west property line common with Lot 8.
Criteria: 1. Geology:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
Points:
3. Other:
Waiver is Granted: ~'~ Waiver is NOT Granted:
List Conditions ~r Reasons for above:
Date: Og/O~~ By:) /~~
hme of Reviewer
Rec ~: 02716 Amount: $ 115.00 Date Paid: 05/19/97
CIVIL & ENVIRONMENTAL ENGINEERING ,, ENERGY CONSERVATION & ANALYSIS
THEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 May 19, 1997 ANCHORAGE, ALASKA 99516
M.O.A. DHHS
P.O. Box 19-6650
Anchorage, AK 99519
Dear Sirs:
RECEIVED
MAY ! 9 1997
Municipality of Anchorage
Dept, Health & Human Services
The purpose of this letter is to provide the required design narrative in support of our application for
a permit to construct wastewater disposal facilities on Lot 9, Timberline S/D, located on Vosikov Place.
Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review.
A lot line waiver is also requested allowing the soil absorption system to be within 3 feet of the west
property line common with lot 8.
The proposed system will be constructed between test holes #1 and #2. As can be seen from the soil
log, a coarse gravely stratum with a measured perc rate of less than one minute per inch was encountered
in each of these test holes at different depths dependent on thc amount of peat overburden. The owner
wishes to obtain a permit for a conventional gravity type soil absorption bed. Since the measured
percolation rate is less than one minute per inch, a minimum of two feet of filter sand will be necessary,
and this will also provide the required vertical separation from bedrock and groundwater. Using the bed
application rate of 0.7 gpd/sq, ft. specified in the wastewater ordinance, this proposed 4 bedroom
residence requires a total absorption area of(4 x 150)/0.7 = 857.2 square feet. The proposed 15' x 58'
bed design has a total absorption area of 870 square feet.
The topography of the lot in the area of the proposed construction slopes down towards the west at
approximately 10%. Due to the proximity of the 100 foot offset line from the creek on Lot 8, granting
the requested lot lint waiver will not affect the ability to construct replacement septic systems on Lot 8.
In fact, a different site for a replacement system on Lot 8 has already been identified.
The proposed project will have no significant impact on present or future water supply and
wastewater disposal systems serving adjacent properties, nor will it have any significant impact on
reserved space-surface and subsurface, or on drainage.
Please give me a call at 345-1355 if you have any questions on this submittal.
Sincerely,
Ted Moore, P.E.
I
· I
I
· OT 8 ~°N?~
100 PT OFFSET
SITE FOR SIMILAR FROM SURFACE WATER '~/
REPLACEMENT BED50 GALEN ~ i :
CONSTRUCT / I I~1 I I // ~ R 100 I
TO~VELOT~) ~~~ ~ ~ / ' ~ I
/~ ~ /~
/ ~ ~ ~ O PROPOSED ~ I i
100FT FFSET
~ - ~ / ~ I [
LOT ~0 [
~ I
(NO WELLS OR SEPTIC SYSTEMS [
WITHIN 100' OF PROP· GONSTRUGT[ON) [ [
I
OF
-- ~. ~ ~ ~, PROPOSED WELL AND SEPTIC SYSTEM
~? 49TM ~ ~ ~ SITE PLAN
F~TTOP TECHNICAL SERVICES ~ INCH = 50 FEET
THEODORE F. MOORE
~. %. CE- 3589 .~ ~ 14530 ECHO STREET DRAWN BYT.F.M.
~¢..... .... ~.~ ANCHORAGE, AK, 99516 MAY, 1997
~~ NOTE: THIS IS NOT A SURVEYED P~T.
ALL LOCATIONS ARE APPROXIMATE.
CONSTRUCT 'i5' WIDE X 58' LONG
SOIL ABSORPTION BED WITH
2' MIN. APPRQVED FILTER SAND
'~..~4" PlA.
D-3034
PLAN VIEW
SCALE: 1" = 10' - 0"
MONITOR TUBE
CLEANOUT
2' COVER MATERIAL
5
2" RIGID INSULATION
FILTER FABRIC
DBL. C.O.
1250 GALLON
SEPTIC TANK
NATIVE GRAVEL (GP)
1/2"- 2 1/2" SEWER GRAVEL
SECTION"A-A"
SCALE:I"=5'-0"
LOT 9, TIMBERLINE S/D
PROPOSED SEPTIC SYSTEM
PLAN AND CROSS-SECTION
FLATTOP TECHNICAL SERVICES
14530 ECHO STREET
ANCHORAGE, AK, 99516
SCALE: AS sHOWN
DRAWN BY: TFM
MAY, 1997
Flattop Technical Services
14530 Echo Street, Anchorage, AK 99510
Phone (907) 345-1355
Lot 9, Timberline S/D
Vosikov Drive
Wastewater disposal system installation
Specifications
1.0 General:
1.1 The scope of the project consists of installation of a 1250 gallon septic tank from which effluent
is discharged into a 15 foot wide by 58 foot long soil absorption bed, comprised of 12 inches of sewer
gravel overlying 2 - 3 feet of approved coarse filter sand. During construction of this project special
care will be required of the contractor to not encroach on the allowed 3foot separation distance from
the property line and the lOO foot offsets from nearby surface water. Prior to excavating the bed the
contractor will have to dig several shallow test pits to determine the profile of the top of the in-situ
gravel stratum, so as to allow the alignment of the bed to be positioned on the lot.
1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor
deviations from these drawings may be allowed or required by the engineer conducting the inspections.
All construction procedures and material specifications shall conform with Municipal and State
requirements. All separation distances shall be in conformance with Municipal requirements, unless
specifically waived.
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around
any buried utilities.
1.4 The contractor shall provide adequate cover material and rough grading over all system
components to ensure that proper drainage is achieved after settlement and that there are no residual
depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after
the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the
construction.
2.0 Septic Tank:
2.1 The new 1250 gallon, 2 compartment septic tank shall be Municipally approved and shall be set.
level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4"
cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type,
rigid insulation.
2.2 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The
waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the
waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot.
A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be
installed within 5 feet downstream of the septic tank.
3;0 Soil absorption system:
3.1 The soil absorption system shall be constructed by excavating a 15 foot wide by 58 foot long
excavation to expose the top of a coarse gravel stratum which, as can be seen on the soil logs, was
encountered between 2 feet and 5 feet below ground level. Because the depth to the gravel stratum may
vary, it will be necessmy to make several shallow excavations in the general area of the proposed
construction to determine the actual elevation of the top of the gravel stratum. Then, the bed shall be
sited such that the long axis of the bed is parallel to the contours of the top of the gravel stratum.
3.2 The bottom of the excavation will not be level, but instead will rely on the use of filter sand to
bring it up to level. A minimum thickness of coarse filter sand will be required, with less than 4%
passing the #100 sieve. "D.O.T. Road Sand" as manufactured by Central Paving Products meets this
specification. Because of the need to use filter sand for leveling and to achieve the required vertical
separation distances from groundwater and bedrock, it is anticipated that an average depth of 3 feet of
filter sand may be needed.
3.3 A total of 1.0 feet of approved sewer gravel shall be placed on top of the filter sand with the
perforated distribution pipes laid level such that the pipe inverts are no less than 0.5 feet above the
bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" washed and screened gravel (as supplied by
Anchorage Sand and Gravel) with less than 3% passing the #200 sieve.
3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on
the design drawings. The portion of the monitor tube extending through the sewer gravel shall be
perforated.
3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. Two feet of
soil cover is to be placed over the filter fabric. Two inches of rigid, burial type insulation is to be placed
over the entire top surface of the gravel, in addition to the filter fabric.
3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the
surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill
slopes shall be no steeper than 3:1, unless a suitable retaining wall is constructed.
3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have
the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and
seed to promote rapid revegetation of all areas disturbed by the construction.
4.0 Inspections:
4.1 Atotal of 5 engineering inspections will be required during the course ofthe project: (1)initial
stakeout with the contractor to establish the location of the system and to discuss the plans, specifications
and construction procedures, (2) after the native material has been excavated to expose the infiltrative
surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3)
after the sand leveling and filter material has been placed, (4) after the sewer gravel is in place and the
distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation
or filter fabric, and (5) after rough backfill and grading is complete. The septic tank requires one
inspection after it is set level and the piping connected, but prior to backfill. This inspection may be
incorporated with any of the above inspections.
4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensui-e the availability of the engineer.
TEST HOLE
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Lot 9, Timberline S/D
DATE PERFORMED: May 25, 1995
PERFORMED FOR: Jim Scheffel, 651S. Obenchain l(d., Eagle Point, OR 97524
DEPTH SLOPE
(foot) Pt
ML Gray silt
GP Coarse brown rounded sandy gravel
SP/SM Gray sand
damp
GM Angular gravel
B.H. Solid Bedrock
SITE PLAN
See separate Site Plan
Depth to Groundwater Date
_-_- s.8' 5/25/95
_ M.T. D~ 6/21/95
q
Clock Net "time Percometer Net Drop
Oate~ Reading ~me _ (minutes) Reading (inches)
5/25 5 gallon presoak 2:44 21
Water gone 2:45 1 16.5 4.5
15-
16-
17-
PERCOLATION RATE <<1 (minutes/inch) PERC HOLE DIAMETER 8
TE~3'r RUN BETWEEN 3.0 FTAND 3.5 FT
COMMENTS: Consb:ucilon of an on-site soiI absomfion system in the vicinity of this test hole would requke the installation of filter sand to
achieve the required 6' vertical separation from bedrock.
PERFORMED BY FLATTOP TECHNICAL SERVICES. I ~'"..~"~/.z,,~,,(~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUiDELiNES iN EFFECT ON THiS DATE. DATE:
TEST HOLE
FLA'I-rOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Lot 9, Timberline S/D
DATE PERFORMED: May 25, 1995
PERFORMED FOR: Jim Scheffel, 651S. Obenchain Rd., Eagle Point, OR 97524
DEPTH
(feet)
13-
Pt Black Peat
SM/ML Reddish gray silty sandy loam
damp
GP Coarse rounded gravel
Similar to material in T,FL #1
damp
GP/GM Silty, sandy gravel (angular)
Ba~I. Bedrock
SLOPE
SITE pLAN
15-
16-
See separate Site Plan
Monitortubedrg 6/21195 i uJ i i i i i' i i i
__~-O~' ~ .~:. t,. ~/'.,,'*/~? o.. : : : : : : : : :
Clock Not Time Percometor Net Drop
r ,r~te Reading Time - (minutes) Reading (inches)
PE~iCOLATION RATE
TEiT RUN BETWEEN
(minutesAnch) PERC HOLE DIAMETER
FTAND FT
COMMENTS: The gravel material between 5' mid 8' B(-'L is similar to thc gravel material which was perc'ed in T,H. #1, A sand filter will be needed
to achieve 6 feet separation from bedrock.
PERFORMED BY FLATTOP TECHN CAL. SERVICES. I ..~.~ ~.~.(_ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE:
TEST HOLE
FLArTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION; Lot 9, Timberline 8/D
DATE PERFORMED: Ma,/25, 1995
PERFORMED FOR: Jim Scheffel, 651 S. Obenchain Rd. Eagle Point~ OR 97524
SLOPE
(feat)
1-
2-
3
4-
5
6-
7
9-
Pt Black Peat
Water seep
IvlL Blue silt (dense)
GM Blue silty gravel
(numerous water seeps)
GM Silty gravel (fractured rock)
B.H. Bedrock
COMMENTS:
SITE PLAN
See separate Site Plan
Dapth to Groundwatar Date
32" below ground 6/21/95
Clock Net '13me Percometer Net Drop
Data~ Reading Time - (ming~?s) Reading (inches)
PERCOLATION RATE (minute~/inch) PERC HOLE DIAMETER
TEST RUN BE'BNEEN FTAND FT
The soils represented by this test hole ar.~ not suitable for the installation of an on-site wastewater disposal system.
PERFORMED BY FLA'Iq'OP TECHNICALSERVICES. I ~,~_ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUI;',~EUNES IN EFFECT ON THiS DATE. DATE: