HomeMy WebLinkAboutBOWLBY Lots 1 & 2 Plat# 86-007 S-8264
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
Environmental Health Division
CASE REVIEW WORKSHEET
CASE NUMBER:
S-8264
SUBDIVISION OR PROJECT TITLE:
DATE RECEIVED:
August 6, 1985
COMMENTS DUE BY:
August 30, 1985
Lots 1 & 2 Bowlby Subdivision
( ) PUBLIC WATER AVAILABLE ( ) PUBLIC SEWER AVAILABLE
( ) COMMUNITY WATER AVAILABLE
71-014 (Rev. 5/83)
,~r'~"'""- ENVIRONMENTAL ENGINEERING DIVISION .~-
~ _,ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION I~R-T----~---__~ ~'
NAME "~ ....B~-',...~ / PHONE
LEGAL~ESCRIPTION
jWet, ~,~ ~,~,1Absorption are? Dwelling ~ PERM~NO..
DISTANCE TO: ~ ¢ '
~ ~ --Manufacture~ ~. ~.~ M~~~~ No. o~ c~p~rtm~nts~
~ Liq. capacity in gallons Inside length Width Liquid ~epth
~¢~ IF HOMEMADE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
~ ~ ~ M~nu[acturer Material Liquid capacity in gallons
~ Wel~~~~~~ Foundation/~, Nearest lot line / ~ PERMIT
~ ~f-tile t~nish grade Material beneath tile , Total e~ive absor.~n area
- I~ I J ....... ~! inches ~
~ Length Width Depth PERMIT ~O.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line '
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER ~
PiPEMAT~IALS~ ~ ~ ~.~ ~
REMARK8 ~ ~ ~/
.
. .,, ,, ,.,,, .....
I
APP~OV[O /) DATE/~/ LEGAL
72-013
3/78)
PERFORMED FOR:..
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
~.3 SOILS LOG
MUNICIPALITY OF ANCHOE,AI~IE
MUNICIPALITY OF ANCHORAGE
DEPT. ~OF HEALTH &
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTI[t:~'~RONML~TALP~I~N
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
'AUG
SOILS LOG - PERCOLATION TEST
DATE PERFORMED: '
SLOPE SITE PLAN
Robert A. Sharer
No. 1457-E
72-008 (6/79)
ENCOUNTERED?
o
P
E
IF YES, AT WHAT
DEPTH?
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN. FT AND
(minutes/inch)
FT
.~JlClPALITY OF ANCHORAGE '""-~ · ~,
DEPARTMENT OF HEALTH & ENVIRONMENTAL PRUI EL;TiON
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 :'
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL DESCRIPTION
ZoZ* /.3/
LOCATION
~v t DISTANCE TO:
I-;~ J Manufacturer
u~ }Liq. capacity in gallons
' / 25-D
F~ :~ DISTANCE TO:
I
i Z;i-Manufacturer
U~
¢ I-
,,.I
Well
DISTANCE TO: Well /~.~,_~ /
No. o-'--f line~- ' / Length of ea-ck~ lin~
o~,~ I .SO
Top of tile ~. f,~h grad~
j Absor. ?n a;ea
IF HOMEMADE: 1 Inside length __
Well j~ ~--'~'~'_[~-g
..... /
Foundation ·
Length Width
Type of crib Crib diameter
Well
DISTANCE TO:
Depth
Building foundation
Dwelling
lWidth
Material
Nearest lot lille
Total length of lines Trench width
-~"-~) ' ~ O inches
Material ben-eath tilo
Depth .~1~ inches
Crib depth
Building foundation
PHONE
~ ,~o(3- ZZ~5'J )aFNEW
,,~ UPGRADE
NO. OF BEDROOMS
PER, LVIlT NO.
No. of comp.~tments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PEP~MIT NO~ ~
Distance between lines
Total effect,~.~ abso~rpti.,~ area/ /'"~
PERMITNO. t~l~ ~ ~
Total effective absorption area
Nearest lot line
Class Driller Distance to lot line I PERMIT NO.
DISTANCE TO: Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
"'~--~'~?ALIT¥ OF ANCHORAGE
DEPARTMEN, ;'" ;~LTH AND ENVIRONMENTAL P~
825 L, Street, Anchorage, A{aska 99501 264-4720
SOILS LOG - PERCOLATION TEST
· ~ [] PERCOLATION · 'iN ' TEST
2
3 ~ ~
7
8
10
13
14
15
17
18
SLOPE
DATE PERFORMED:_ ~'~'~'~"~ '' ~'~
L-OT I
SITE PI.AN
WAS GROUND WATER ~ S 1
ENCOUNTERED?
P
E
IF YES, AT WHAT
DEPTH?
Gross Net
Reading Date Time Time
PERCOLATION RATE
Depth to
Water
L
Net
Drop
(minutes/inch)
COMMENTS __
-- ~. ~. ~ -'.~ i~?;~;,;!:,.:.:,
PERFORMED BY: .... _,.t .... r' ~ -:~. " '
72-008 (6/79)
72-013 YRev.
TEST RUN BETWEEN ......_.___._- FT AND FT
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·
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G £g£1 ([9'£g£1 'J,gO oO0'N )
(gL' 199) (gg' 199) ~6 '199 h
'3,, J;~ 90 oO0'S
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