HomeMy WebLinkAboutLot 43, 70
~-y,/~ M UNICl PALl TY OF ANCHORAGE
I DEPARTMENT OF NEALTH & ENVIRONMENTAL PROTECTION
~ ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WELL INSPECTION REPORT
PHONE ~
~ J CO ~ IAbs°rpti°na[" ~w011ing t PERMIT
~1- ~ Manu f~cturer ~ ~. Material~_ ~ No, of compartments
.... Liq' ca~cityj o'oin gallons iF HOME.DE; Inside .... length Width Liquid depth
~% DISTANCE TO, Well ~OO~ Foundation i~ ( Nearestlotline I0'
~ ~ Trench widt~ ~ Distance between lines
~ Class Depth ~'~ D~iller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building ~n .~ Sewer line Septi~ ~C) ~ Absorptio~)O
OTHER ~ ~) ~ O ~
PIPE MATERIALS
REMARKS ~ ~ .... ~_
72-013 (Rev. 3~78)
'FI IE: ~ ~!:NG'I'I'I
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SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6.950, Anclmrage, Alaska 99502 276-222~'
SOILS LOG-- PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION: ~'~
SLOPE SITE PLAN
! .
1
2
3
4-
6-
7-
8
9
10
11
12
13
14
15-
16-
18-
19-
20-
WAS GROUND WATER
ENCOUNTERED?
i i
IF YES, Al' WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN
CERTIFIED BY:
FT AND -- FT
72 008 (7/76)
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