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HomeMy WebLinkAboutROBINDALE LT 19000 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & 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 ! ~'~-EW LOCATION ~. , ,~ ~ / ~ · ~ I NO. OF BEDROOMS Well ~bsor~tion e~ Dwelling ! ~ :~ IManufacturer ~ ' ' Material~ No. ofcompart~ent~ / ~ ~ q capac ty n ga OhS ........ ns de length WMth ~iquid depth ~ ~ D~STANCE TO ~~'~g P~RMIT NO. ~/ ~ -- ~[~Man ~' ~-~.~Material ........ ~'~t~d capacity m gallons D [ Well Foundat o~ __ I Nearest lot line / PER~~ ~ ~ f ~ ~No. oflines / ., ILengthofeachline~.'n/ Total length of~e~ / [ Trench width /Distancebet~enlines ~ ~ [ Top of tile to finish grade / / / Material beneath tile ~ ~ / Total effectiv~,abs?p~on area ~ ~ J Type of crib / ,~diameter Crib depth ~J Total effective absorption area / OTHER PIPE MATERIALS SOIL TEST RATING ,NSTALLER REMARKS "['I'"llE [:)[::":"F:'"i"t-I OF' t::! 'FI::::ENCH Eft,i: F:']:-i" ]:~':; THE!: D:[:~:';TI::tt".!CE: E~ET!.,.!EEI'-.! "['lq.l:!!: ?.:l_l!:~:l::'[:::lC!ii: OF: 'TH[i:: GRCII..I['.,I[':, I':ff.,![::, 'FFIIi~: Ei~CFf'TOhl C!F:' TI...IIF~: [:~:::.:',CI:::!',/I::tT:.rEL['.,I ,:: :I:N 'i"F!F!:F;:E ]::'.'i: F.!O :!i!:ET I.,.i ]: [.'.','TH l':'Ed~Jl ~I"!"1[~: GI:~i'.F:I',,,'.E!:L. DE::F::'TH :[[:!: 'I"H[::': i'"i:!:NZI"ll...II-'i DEF'~FH C1F:' -'i:::i:F:.:i::!'v'E:L. E~E"f'HE[i!:h! "i"HE CIU'TI:::F:iL.L. I::IF.!E:, "FFtE E~OTTOI"I OF:' THE: E:XCFI',/FtT ]: OF,! ,:::Iht :lj E:[,~:I:;~:T Z 1:::"¢ 'i"l',,ll:::t"f' , :ii ' · ;. '- ~, r, :::, ].': :. ~.'~ !~. h:..;::, ::1.. '*' !:::ff"i F:'FIFt :1: L :1: I:::tR !.,.1 :[ TH !:::'OI;;:'i"H , ] '1'1"'1[:!: P'll...if',! :[ C: :i: F'I::I!._. :i: 'ii'ITl i~)l:::' I::II",IC:I~'IOF::f::II:;iE:. '" ' 2: :[ .I.,.I.'I:L.!.~. 'I:N':':~;"['f':'tI._L. THE: :5"¢'.~;Tt?:!"t ~:: :[ IJN[)EI:;~:'5'I-F:![",II;)'Tl"ll:::l~f' THE: Of'.?"-':'i~;.T.!"[E ':i;!'~::l.'.lEl:~: ::i!;"r':F'~;"f'[£Pi I'"tF:l"r' F[~[~.:!:i:!I..I:[[;i:Ei: [ii:I"~L.F:ff;i:C:i!EI"ICF,!T ZF:' THE Fi:E::~;::[[)IEJ"4CIZ :[:i~; F~:E:.h'IODEL. E[::' "FO ::'i; :!: G I",I E:'; [::' ' ............................................................... ' :,: ..: :'.~;, .,~,l':, ~:,'.,.'." ,. /) ' ,..:,,...,, ~:..:.../..~ , ~.~ ........... MUNICIPALITY OF ANCHORAGE DEPARTMEN T OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-2221' SOILS LOG- PERCOLATION TEST SOILS LOG PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS Top S../ f/[// WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT · DEPTH? SLOPE SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop " i ., ~rl ~ PERCOLATION RATE /(~"/"" '--("'"'- (mi,~nute ~ ~ -''