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HomeMy WebLinkAboutR & R TR 2 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 ._.[ UPGRADE MAI LING ADDRESS LOCATION ii . / . f-b/ /~ /"Nj . NO. OF BEDROO~ ~ ~ Manufacturer ~f~ _ ^ ~ .-~-C~ \ ~ Material~ [ No, of compartments .~ Liq capacity [ngallons ~ ,,~.~ nsdelength Width ~ ~iquid depth ' ~' [ Dwelling /~ PE~~ ~ ~ ~ ~ DISTA~O: [ ~ ~ // ~ ~ ~ ~ ~ ] .. ~ ' ~ ..... ~ - ~iquid capacity in gallo~ ~ ~ ~ ~o. of lines Length o~ each line ~l ~ *otal length o* nnes~t/I Trench ~,dthT/_~ ~ D,stance betweon h~ ~ IToooftletofinish~raoe ~ I Material benoath tile ~ ~ ~ Total effective aBs.oroti~l area ~ Length ' ' Width ~~ PERMIT NO. / ~ ~ ~ /~vpe of c~ib ~ ~b d]ama~er Crib depth ~ Total effective absorption araa ~ ~ ~ ~ We Build,ha foundation NeW. lin e ~ ~ ~TANCE TO: ~ ~~ ~ Clas~. ~ Depth Driller Distance to lot line tu Building foundation ~ DISTANCE TO: OTHER REMARKS Sewer line PERMIT NO. IO -f ~o~rea~s~ Septic tank /' APPRJDV~ DATE 72-013 IRev. 3/78) · '1"1'It!: I..l!';N(iii FH ]?' ~1: ["ll::i;['-,!:i:i; :!: Oi"4 ]: i!i; i!}!ii: ! .l:!::i",l(!iTH ( Zil I~.,I F:'l'iiTi:'l ) ()}::: "i'Hli!: '1 F~'!::::["4C!"] t::)N: DFi:I::i ]: !"4F' :i iii:} D (.i[::i:()l..I}'-,t}.) I::t[",}[) 'i']'[[ I:i:(1)}""}"O['"] O[::' ]'![[:!i ]~::::'::()l:::l¥!'::]-['~((?~l (Ei",~ [:::'1';]:~"!'). Ii:!II:':IIZ'Z:I'(F: Z[ i!.. !: l"d(i!i 01':: !:::INY :!!;"/?!!}iH I,t' I'l~ 'f! i-I" l:: Z[ blF'lt. })l!i:l::'i:::li:;i: !'i'"II::!i!",IT ..'.I ill I l:l!: i!!:;I..Ii::i:.)I?i(YT' '1"(') 1:::'1:;:('] '.:4:( i'i .J'.' I"1 i1: i"! :!i I"tl..I1'! [) ]' (ii I F:Ii".!(.i;Ii~i !]!i:I~:T!.'.II!iE!i",I I:::i I.'.IEI ! !-ll"d[) FIt",I'," ()l"l-'ii; ;( 'iTl ':i;t!:iil,!l::!~'::i~:il D :ii t:!i;l::'(i!'.~i;l::l! ::, 'd:::, !: !'I ]' ::l.;3F.i I::'l!iili::'l' F:CIt:;ii I:::1 F:'!:;::!:V!::II'I!il l,lt]~l..,; :.!.l!i(:) I'i'~ ;;?I:':ll::: l'::l:!'~:i:"t' I:::'1:;~:()1"! F:I I::'l..ll::l, i!i('i: !.,I11!:1 I I)l~!ii:::'[i:!",![:';l;!",l(!i i..11';:'()t",! TI'IL:: I'"dF:'!i!i 1:]!t::' I':'1..t17,1 :~' i: i,.IF:l !. _-: '.'i'ff!:i:;? !:;iil:i:l]:!l..I :!i I:,i'.!':ii!"'I!::~i1",! I'i~il I'"tl;::!"d I::iF:'!;:'! _"r~ iii!;l:'l:!i(]i: iti I::: i!i C;I::IT i( i'!I'T:!; I:':lb]D ":~ I'd'::;'l' l:;i'l IF': !' '1 ('1!"4 !]i:' iii i::l(iil;ii!;;:l!'!'!:!i !:1"?!;:1 ]] !,.FIl:iill .1::[i Fill) '( I",l:!ii;Ijl:;iff!:i F:'I:;i'.Iii)F:'I~:iI:;i: it. ["l?i T.i':II .t_F:tT ii] ii: (]:1:(!:;i:'1' i!i !:: "l" '! H!:::I T :;i.: :ii FII'"i I::: F:II"1:t: !.. :!ii;':1!:;i: I411'i'II I;;'(iI!:;ii I"11 !i!',"~' I'l"tlil I"!1.11",! :Ii (ii: :I] l';:'i:::!l. ;:ii: il 14 :( L t. :1: !",!:!]i;'i' !:':IL.!.. FI'II:( :i!;::: ]: I..fl",lll)l!!:l';i"_:i;l'l:::ll",l[:' TI"IF!'i f!'lt::: t:;i'i::'i:i; :( O1!it",t(:i:1!: :1; '.!i!; i:;i:li!i!'"iOt?'li2 I:::i I:::'F:'I :i: 12:i;::1 I",1T ~!"! I"1 Russell Oyster 694-2774 O & E ENGINEERING & DEVELOF,vlENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Performed for: Name: ~/l//~ / 7 ' SOIL LOG /-~(o 5 T/t,'//~ ,~./ Mailing Address: Legal Description: ~_~>~Z-~)o/c_ ~-¢ '"'-/~./~C'~7- /// Tel. No Earl Ellis 688-2280 Depth (feet) 0 6 7__ 8__ 9__ 10__ 11__ 12__ 13__ 14__ 15__ 16 Soil Characteristics PLOT PLAN PERC. TEST Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: No 1/ If yes, what depth Drain Field Performed by: Date: