HomeMy WebLinkAboutHAMANN LT 20
NAME
MAILING ADDRESS
,_OCAT,ON
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF: HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 LStreet-Anchorage, Alaska 99501 Tolephone264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/_~.-L INSPECTION REPORT
TF~o-~-~ ] ~EW
] Well/__ [ Absorption area . Dwelling ·
DISTANCE TO: t _A,/~'/- /~ / ~_~
Manufacturer ('~ -- --~C~~ [Material, ~----
Liq. capacity in gallon~l ............. Inside length ~dth~
I Well . /
DISTANCE TO: I ///¢'¢'//t~
No. of lines , I Length of~ach ,ipe
ITopoftdetobmsh r~e ~~
~:.
~en~th ~idtb ~ ~ ~
Type of ~ Crib diameter ~
IClass ~, ~ ~~
~ 5 ~O: Bulld,ngfoundatlon
OTHER
PIPE MATERIALS
Founda~. Nearest ____ lot /._. 2~_~_~_ line
Total le~gt_h of ]~ngs -- Trench Will
_.'~ ~ __ _ 'inches
Mater~lpeptl~ ben,th tile ~ inches
Crib depth ~
~ ~ Distance to lot line
~er ~ / Septic tank
NO. OF?ROOMS
PERMIT NO.F /
No. of compartrnents/
I_icluid depth
.iquid capacity in gallons
Distance between lines
Total effective absorpilo~.~
Nearest lot line
PERMIT NO.
Absorption area(s)
SOIL TEST RATING /...~ --
APPROVED
DATE LEGAL
F:'[!i R N I '1" N O.
F~F'F::'L I C FII',!T
L. O C FI 'T' 1' O N
D!EF'I::II:~'.'TmHFzNT CIF HEFIL. TH F'II'.,I[) El'.,l'v'I RONP!Ei'.,ITFI[. F:'Fi'X]TEE:TI
',F:'c2~5 "' L '" '.::~;TFq:I}:E:'i"., FII'-,IC:HCfl~i'.FIGE:., FIK.
!"il::l hlP1F:IN C O!'.,l'.:i: T.
HFIf'li"IFII'~ S,.." D
L.;2C~ FIFtI'"II"IFIIq :~;,..'.r.::,
'T"r'F:'[E OF::' :50 1 L.. I::IB~5ORF'T I Ed",l S'T':E;'F[EP1 ]: :.:-:,: TRENCH
I'IRF:; I PIlJM iqLII"IE:[~Fi: OF [~:E:DF;:OOI'"I:E; = i~: '_;T,O ! L I::~rR'I' ! BIG
TIlE [;;:E:l;:!l..I I F;;:EE.', :4; I .ZE OF THE '.E;O I L RE',E';CIFRF'T I O1',1 'S;'¢:E;TE:H :1.' :.:i;:
THE LENGTH [:'IHEN"2, ION I:3 THE L. ENG'I'H ,::I1'.,t FEET:) OF THE TI:;::ENCH OR DF.':FIINF:'!ELD.
TI...tE:Z DEP'J"H OF' FI 'T'Iq'.[.:.:NCH EIR: F'ZT .1.':E; T'H['Z D]:S'I"Fti'.,ICE Ei',ETklE[.EI'.,t THE :i.-:;I..J[;itF:'F:ICEE Oi::' ThlF
GI~'.OI...II',!!.".:, FtI'.,ID THE' E:EI!'TOf'I OF:' THE E;:.:;E:FIVFtTI ON ,:: .'1:. I'.,! FEET >.
'THEP:'.E Z S NO :~:;ET I.,.I I [)'FH F:'OI:;:
THE QF;:F:t',/E:L [:,EF:'TH I :~; THE M I N Z I"ILIt'"! D[::':P'I"H OF' GRI:::I',/EL E:ETI,JEE:.'N THE OUTFFIL. L F:'
FIN[':, 'THE E',OTTCd"i CIF' THE: EXC:F:I',,,'FIT I ON ,.': ]: t'.~! FEET ;:,.
F:'EI';:£"!ZT I"iFFLt_.I-.F,II HFtS I'HE RE:3F:'I31',IS¢IE;ILIT'T' 'l'"J~ :[I'-4FOI-RM THI:B E:,EF'RRTHEI'.,I"F [:,L.IF;:tI'.,!C~ THE
I N:.:J;TIX:ILL. F:FF I ON I I",IE;I::'F£C:'T I Ell'.,l~!!; ElF' Fli'.,I'T' I.,IELL:~, Fi[:,..TI::ICE:I',IT 'TO T,LI I ::_-1 F:'ROF'E:f4'.T'¢ FIND, THEE
i'.!I_.II',I[..:~EF~: OF I;i:E:E;IDE;I'.~C:I.Z::.T 'I"HlaT THE I.,.tELL kI:[LL
[3F:tC:I.CF' .1: LL. I I'.tG OF FIIq'T' :.:i:,'.,.'STE:M l,.I I TI'IOLFF F I iqFtL I N'.SF'EC:T I Oi",l FIND FiF'F'[[:I)~,,,'I::IL EdT' TH I ~!;
C'[EF'F:IF.:"Fi?IENT kl
I"1 t I",11 P1Lli'"I E) I '.:STFIt'.,IC:E E:E'I"I,IEEN FI I.,.IEI..L. I:IN[:, FII',!.'T' OJ',l"q~, I '1"]~: SEMFIGE D I ::-:,POSF:tI... :!:.;'T':~FQ-'EH t
J..C~EI FEi[i:'.T FOR R PRI',,,'IqTE HELL.. OFf. ~.SE'i TO 2E~g~ F[CET F'ROt'"I F~ PUBL. IC: Ft[::iI...L.
I..IJ::'Oi'.,I THE T'fF'E Iii[= F'UBL.!C: I.,.tEI...L.
P'! ]: I";! Z I'"IUFI ['." I :STI::INC:E F'Fi'.OI'I FI PF,:'. I Vla'T'E t.,.IELL. TO FI F'F.". I VFITE :E;[P. IEF':: L ].' i",tE ]: L:!; ~FS F'EE:T FIN[:,
-I"1) F:I C:C$'Ii',tI.JI.,I!T'¢ S!;E:[,.tECF~: LINE I'.:.:: '?5 FEET.
O'!"HFZFR F~'.E~]:!U I !~:Et',IE:t'.,Fr'L~i I"IFI'T' I::IPPL."r'. ':}J':'~-"C: :[ 1::' I (.":Fll' 113f',!~; FIND C:Ot"~:"::TIRUC:T I ON [:' .1. IhF~i[~Fii'"IS
F:I',/F:I :[ LFI[.X.',LE: '1-'O I t",!SLIP::E F'F,.':CIF:'[~:I:~: I N?FFII._L. FI'I-I O1',!.
]: C.'EI;;:T I F:"r' 'I"HFIT
::L: I F:If"t FFtI"IlLZFIF~: N.I'TH THE
F'Cd:~:TH E','T' 'f'lqE MI..liq I C I PFIL. I T'¢ C1F Fli",tC:HL':IF.~FIGE.
;2: I NILL. ZI",ISTFIL. L THE: ':'.':'T':~:;TEi"I IN I::IC:COF4:C'FINCE:: k!I'1"H THE CODE:F;.
:~i:: I UN[.':'E:F:::E;TFiI",I[> THFIT THE ON-"L::;ITE !.'T,E:klER ?¢E;TEP'I MI:'i'T' R:E[;)IJIRE ENI...FriF;'.G[:ff.i"IE:I",!T IF' 'TH[i:
RE2i;IIi:'Ii:~:NCE I:i-i; R'.EMO[>ELE[:, 1'O INIi:L. UDE f"IE~P::E THFII',! bi: E~E[>IROIZ$1:i3.
/
//:'" ..,_"
FIF'F:'I_ I C: l::! l".! if/ ~' HFIMi"IFli",I
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
12
13
14
15
16,
17
18
19
2O
COMMENTS
MUNICIPALITY OF ANCHORAGEL~'', ~'
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SLOPE
SOILS LOG
[] PERCOLATION
TEST
DATL: PERFORMED:
~/~ SITE PLAN
Robot! A. Sha~
No. 1457-E
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Reading Net Depth to Net
Time Water Drop
Date Gross
Time
?,
~¢PERCOLAT ON RATE
TEST RUN BETWEEN FT AND
(minutes/inch)
---- FT
PERFORMED BY:
72-008 (6/79)
S & S Enginee~i~t.q
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~J PERCOLATION
TEST
825 L. Gtroot, Anchorago, Ala,k, 99501 264-4720
SOILS LOG - PERCOLATION ]'EST
PERFORMED FOR:.,~.J~~''~ "~*~ ¢; ~'
DATE PERFORMED:
LEGAL. DESCRIPTION: .~.Of ,~.O //' ..... ~, S',,~-/~,',Z,~x>~ ~-,/z/,.,,~,, /~. /mv'~ .S'~.~ .~,.~ /'~',z:-.~.~ __.
SLOPE SITE PLAN
I
2
3
4
5
6
7
9
I0
11
12
13
14
15.,
17-
18
19
20
COMMENTS_
WAS G ROUND VVA't'ER
ENCOU NTE'R?D?
.:
'IF. YE~ AT WHA~
DEPTH?
Re~ding '- O~t~ Gross Not Depth to Net
Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
FT AND
(minutes/inch)
Fl'
PERFORMED BY: ~z ,"~,~/d.-,t
CERTIFIED BY: ('~9