HomeMy WebLinkAboutJ & J LT 2 ~UNIClPALITY OF ANCNORAGE ~
DEPARTMENT~,OF I'IEALTH & ENVIRONMENTAL PROTFCTION
ENVIRONMENTAL ENGINEERING DIVISION
825
L
Street
J~Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPQSAI_ SYSTEM AND/OR WELL INSPFCTION REPORT
,~UPGRADE
LOCATION
---- Wel Absorption area Dwelling
Manufacturer ~") ~-".-~ .. ~' M~-"~.~.~
% "f tile ~ _b L .... [ ~nches
No, of ~partments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance between fines
Total effective absorption area
, , PER T .
Total effective al~s~ptiol~r,,¢¢~/ ~ ~
N~.~.~ ~o~ ~i.~o ~ ,~
Type of crib
Width ~.? / Depth
Crib diamete_._~r ~. Cr b
Well __~ ~ ~/j ] Building~un~atiom
-- ~. J Driller
-~ ~ / ,~ //~ ~-_
Buildin9 foundation J Sewer line
OTHER
DISTANCE TO:
DISTANCE TO:
PIPE MATERIALS
so~ L TEST RAT~r~--~
REMARKS
Distance to lot line /PERMIT NO,
Septic tank 1 Absorption area(s)
72-013 {Rev, 3/78)
JDATE
DEF:'AF:~TMENT OF HEAL.TI.t AND ENV I F:,~ONMENTAL. I~'1:~c..3 ....... I I::&,~'T' I ON
U ..... L ~:),1 I' E:J:, I , Al I[~,l IJ ~AL4::., Al< 99501
264"' 4720 ~
F:'ERM ]: T N[),~
DA'I"E ISSUED::
A F::'I:::' L iii CANT ',:
ADDF~E SS:
COIq"I'ACT
I..OT S I ZE'.:
MAX BEDROOMS:
i 1/0 1
C['IEZT GILES
% ,r:!Hg. E~
EAGLE RIVEF~ A[C 99577
SUBDIVI~3ION: NA
SE[:T :1: ON ~ 8 i 'I"OWNSH I F::'
3
ava:i, lal::)le 'l'.c) yc]u :J. I1 (:J(:.?s:i.(Jl'l:i.I](i:j yCH. U' best Fi'Ls ¥'OUl- site,,
DE]::'TH TO F::'IF::'E BIll"TOM (F"I',,)
J!3F:/AVE!]... DEF:'TH (1:::'1",~)
'I"(Z:FI'AI.. Dlilf]::'TH (F::'T.)
[')F:~flVIE:L.. I,~JID'I'H (I:~T.)
Gl:~Vli!i]....LENGTH (F:'T,,)
C~RAVI!i:I.. VOI...I. flqE (CU,, YDS. )
T~qxll< S]:ZE (GAl..S)
SO):,L RATING (S[~,,I:::'T,, /~R)
'>r"~,~ DI!!EF:"f'H 'f'O I.l.I l: ~,:l(::)*'l"l"(~ll¥l ,::: ":' '~' F::'T'. '""l ......
......... l l.(,.UJ. Id,, ZI\ISLILATIC!N
'~' t,DE]::'T].'I TO F::'IPE ):3OTTOM < 4,, 0 F:'"I",,MAY RE:QUIRIi:~: A I..IF:'T S'I"AT't'.]Iq
.;[..~I. "I'ANI::: MI.,I!LN' I'"I~VI![ AT I,.1:::.~,::tl. '1'1~IO [',OMF::'AF:R'I"MEIqTS
I F::' A
'TI. lIEN
W I !...L.
I!:I..EC'TR :1: CAI...
F'~II L.[(,AI I
f'cip't,.l'l by the Mur'~:tcipa],ity c)f' A l'l l::: l n:) r, age:! (Ifil]A) and the',, ,r'it.a'l:e c)f' AIasl::a,,
Jl: 9,~:i.].].J.l'ls'l:.a],]. 'L. hf::) sys'l'.i~)m ir~ ~':1c:cl3Pi::h'arH::l::~ with a].I'I"IOA
and :i.n coml::~].J, ar~ce wi'l:,h 'Lhe des:tgl~ cp:i.t(,.spia t:)f' 'l'.h:tt[t p[:~pmi'l:.,,
I wi].], adhepe 'l:,c) all M[IA ~:il'l(::l State (:)I' A:l. asl::a r'i,:)(:]L~:i.P(.:)ffl(:.'H"lt~[i '~'CH" 'l'.h(:) ~si.'d'. bacl::
amy c.)riJ, ar, g(:.:)m~mt w:i.].], p(:.:)quJ:pe an addit:i.c)na], i::)c.n"m:i.'t.~
L..II:::']' S'TA'I"ION IS INS:I'AL, L..ED ] I N AN AF~I]:A (:](:)VEF~IE:D BY MOA BUI L,.D
(:D AN EI..E[:C',TI::~ bEJF~I"IIT ~lxll:) INSF:'I~:[',TI[]N MUST BE OB]'A]:N[J~D; (;:~D AS.~.BUIL.]'E~
NO]' BE AF::'F::'F?I AN EI..E~:CTRICAL. INSI::'ECTION RE[POFRT~I AND (:3) 'T'I.IE
W(]RI-:: BV A L]JCENSE~D
D A T I!!: ::
MLJ~IClPAL. ITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. S!reet, A~chorage,
Alaska
99501
264-4720
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION',__
1
R~b~d A. Sh~i~ar
No.
4-
5
6
7
8
9
10
12
13
14
15
16
17
18
19
20.-
SLOPE
SOILS LOG
PERCOLATION
TEST
[!RED?
Gross Net Depth to Net
Reading Date Time Time Water Drop
/
]ERCOLATION RATE "~ / ~/~' {minutes/inch)
~_ / .-/ jTESI' RUN B~TJNEEN FT AND FT
72-008 (6/79) . .