HomeMy WebLinkAboutVALLEY VIEW ESTATES #1 BLK 1 LT 11
r'~',, MUNICIPALITY OF ANCHORAGE
DE RTMENT OF HEALTH AND HUMAN SER, .Es
. Environmental Health Division
825 %" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name DISTANCES
~ TANK FIELD
' - ' Permit No No o~ B WELL ~0~ / ~
~-BUILT DIAGRAM
[Show Iocanon o[ well, sepnc system, property hnes, foundagon,
TANKS
Mate¢lal NO ofCompadments / ~ OO
Total absorph on area~ Dista rice between?d/
Number o~ines Soil rahngJhng P~pe material ~ ~ S~ ~ ~, ~ > Jb ~
~PRIVATE ~ OTHER (Identify) v
REMARKS:
I _ S~ ~ 10~X cmJly that Ihis inspection was pedormed according to ag
72-013 (3/85)
DATE ',' cx::~ '"=
.~. ~ ,.~ ..]k: .~ ) ,,]. 0 / 0 1 / 8 6
MAX -:,.= b-."J .... ~,,
SUBDZV!SION: VALLI_:.]Y VIEW
SECT]!]ON: 23 TOWNSHZP
3.5A (.SQ. F']'. OR ACFdES)
!4N RANGE:
Lisi'..ed below ar.e 'Lh~ op'Lic:,r-~s ava:i, labl.'..~ 'Lc, you in designing your sept:i.c
system. Cho.-_s.e 'Lhe~? rapt. ion that~a,::,,. £:L'Ls your site.
DEI:)f'Iq '['C) P IF'E< BO]"TOIq (FT.) :~:,,0 ~*
GRAVEL~ D,r:}:PTH (F:'"I"~) J.. 5
I'[]'FAI- DEI:::']-H (F'!".) q.. 5
GRAVIEL. IF~iD't'H (F:'T,.) 5.0
GRAVEL LENGTH {FT.) 59.0
GRAVEL VOL.UME (CU.YDS~) 21.9
'JANK SIZE (GALS) 1,000.0 '~"~'
SO]]L.. RA'T]:NG (SQ,, F'"F. /BR) 125
· x-x- · ,.-, HUSF HAVE A'l' I..!~ZAST TWO COMF'ARTMENTS
certify that.:
:l.,, ]: am familiar w:L'Lh LJ"l,x, requirements for c)n..-..!s:Lte sewers and ~el:[s as se'L
for'i:.h by 't. he Munic:ipa].:Lty of' Anchorage (MOA) arid the S'La.'Le of' Alaska.
;~,, I ~,gJ.l]. ires'La],! t. he s~yst, em in ac:cordance w:[t.h all M[)A c:odes ar'x::l r'egu].a'L:Lons,
al'Id ~.n c:c)~np].iancc~ tNith ~LJ"~E, CJ¢~:J. glq cEPi'[LEq-ia 0[ i:.hJ.:~; per~m:Lt~
dJ.~s'Lanc:es f'r'om.any exJ. sC:[ng ~-~e].].~ wastewater disposal sys'Lem or pLd::)]ic
any f~n]aPg~m(~nt v~i].! r~H::luJ, re an add:Lt:i.c~r~al
JF ~'.i L.IF'I" S'FAT;[ON ]:G .~N~r~,I....L.E:~) Iix! AN ~-,,x[:.A ,~..L.)Vc.~E.D BY MOA L.,U.[L.[./ItlG
]'HEN (].) AN ELEC'!"RICAL. I-E. rd~.[l AND ..II,.~[E..,I...OI MUST ~[:. OBTAINI[ED~ (2) AS'"'BLJ]:LTS
KI]:}..l_ N[)'T' )-':rEAPF::'R[]V~ WITHOUT AN LELEC~]::UI~AL~NSF'ECTION REF'ORT~ AND C];) THE
.................... ....... ' ........ ._.....
PER~OR~EO FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: ~,// ~/~/~? ~/~-a¢ '~-~'~-- Township, Range, Section:
1
2
3
4
5
6
7-
8-
9-
10-
11
?--/¢/¢/'
13-
14-
15-
16-
17-
18-
19-
20-
SLOPE
SITE PLAN
_ /
WAS GROUND WATER
ENCOUNTERED?
Oeplh t0 Wate ite..~ ~
S
~-- ~ ~ ._Grg.s._s. __~ ~ Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE -- (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEL~.~ IN EFFECI ON THIS DATE.
V
72-008 (Rev. 4/85)
PERFORMED IN