HomeMy WebLinkAboutFAIRMOUNT LT 10
WILDER CONSTRUCTION COMPANY
ALASKA DIVISION
Contractor License #21747
June 4, 1999
Deportment of Health and Human Services
On-site Services "'
P.O. Box 196650
Anchorage, Alaska 99519-6650
RECEIVED
dUN 9 1999
Municipality of Anchorage
Oept. Health & Human Services
RE: Well and Septic Abandonment
To whom it may concern,
This letter is to inform that two wells and one septic on Lot 20 and one well and one
septic on Lot 10, both located in Fairmount Subdivision were abandoned accordin9
to code by Wilder Construction Company May 10, 1999 and May 11, 1999.
Lots were purchased by the State of Alaska Department of Transportation for
Right of Way during the Rabbit Creek Road Rehabilitation project and are located
on the Southwest and Northwest corners of the intersection of Rabbit Creek Road
and Goldenview Drive.
Sincerely,
Trevor Edmondson
Project Superintendent
Wilder Construction Company
11301Lang Street
Anchorage, AK 99515-3006
(907) 344-2593 · Fax (907) 344-1562
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVlRONMI:NTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
JPHONE ~"1~ EW
MAILING ADDRESS PO.
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
/~¢"~] ~./_~, Absorption/./ ,area Dwelling ~,~3 ~' PERMIT NO.
DISTANCE
TO:
Manufacturer Material No. of compartments
Liq. capacity ira gallons IF HOMEMADE: Inside length Width Liquid depth
Well Dwelling PERMIT NO.
DISTANCE TO:
Manufacturer Material Liquid capacity in gallons
DISTANCE TO: Well /O0
No, of lin~ I Length of/~ach, line
1.
Top of tile to finish grade ~:~ ,~
Length Width
Type of crib Crib diameter
Foundntio]~..//~..~,.~.~ t Nearest lot line~ PERMIT NO.
Total length of line] Trench width Distance betw~en lines
,.~ ~.~ inches -~
Mat0rial beneath tih; Total eff0ctive absorption area
Depth PERMIT NO.
Crib depth
Total effective absorption area
Well
DISTANCE TO:
Class Depth
DISTANCE TO: Building foundation
Building foundation Nearest lot line
Driller Distance to lot lirm
Sewer line Septic tank
PERMIT NO,
Absorption area(s)
PIPE MATERIALS
OTHER
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED
DATE
72-013 (Rev. 3/78)
LEGAL
F'ERMIT NO.
PllJI"-,! I C: I F"Fll_ I T"r' I:IF
DEPRRTMENT O~ HERLT'H RND EN"/IRONMENTRL PC'0TECTION
825 '"I STREET., RNCHORRGE., RK.
264-472¢"~
,--,[4--5 ][ TE SEI...IEF-: LIP,,-~RFiE:,r--- F"EI~.:I-.1 I T'
< ,'5,'00475 )
RPPL I CRNT
LOCR]' I ON
LEGRL.
PRUL HRLE
GOLDP'N ',,,'I El.4 RORD
POST OFFICE BOX i0-i8i2 ~95it.
LOT SIZE 38000 SQURRE FEET
TYPE OF SOIl_ RBSORPTION SYSTEM IS: DRRINFIELD
MRXIMUM NUMBER OF BEDROOMS = '":':
SOIL RRTING (SQ FT?BR)= 225
THE REQUIRED SIZE OF ]"HE SOIL RBSORF'TION SYSTEM IS:
[:,EF"I'H:: 5 LEI'4,]iTH= 87 GI~:R'..."EI [:,EPTI I=-'= ;.:.,:'. 5
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF tR TRENCH OR PIT IS THE DIST8NCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCFIVRTION (IN FEET),
T~--IE TREI"-.ICt-! I..-I I [:,TH T S 5. r.Z",~-'~-~l FEET.
'THE ARFt',,,'EL DEPTH IS THE MINIMUM DEPTH OF GRR',/EL BETHEEN THE OUTFFILL PIPE
F:IND THE BOTTOM OF THE EXC.:R',,,'FITION (IN FEET),
REL-]L~ I F..:EB, SEF'T I C: TRI'-J~--: $ ! ZE~ t 000
PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLFITION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT TFIE HELL WILL SERVE.
................... T I..,-IC, ( 2 ::, ir I"-.ISPECT T I_-'lr.l$ RRE REL-'~. U ! RE[-"
BRCKFILLING OF FINY S'T'STEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
DEPRRTMENT WILL BE SLIB.TECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R WELL RND RNY ON-SITE SEHRGE DISPOSRL SYSTEM IS
100 FEET FOR B PRIVHTE HELL OR 150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM ~ PRI98TE 1,4ELL TO FI PRI'v'FITE SEWER LINE IS 25 FEET RND
TO R COMMUNITV SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MFIY FIPPLY. SPECIFICFITIONS ~ND CONSTRUCTION DIFIGRHMS RRE
FtVRILFIBLE TO INSURE PROPER INST~LLFITION.
F'EF,,".~I I T E::-::P I RES DEIE:ErlBER '~'-: :.IL..
I CERT I F:'"r' THRT
1: I FIM FRMILIRR WITH TFIE REQUIREMENTS FOR ON-SITE SEHERS RND HELLS RS SET
FORTH BY THE MUNICIPRLITV OF RNCHORRGE.
2: I WILL INSTRLL TFIE SYSTEM IN FICCORDRNCE HITH THE CODES.
Z.':: I UNDERSTFIND THRT THE ON-SITE SEHER SYSTEM MRY REQUIRE ENLFIRGEMENT IF' THE
RESIDENCE IS REMODELED TO INCLUDE MORE THFIN Z.: BEDROOMS.
SIGNED:
RPPLICRNT PRUL HRLE
ISSUED BY ....
V4. 0
I'.IF~?IPll..li',I NIJHE:EF: OF E:E[':,F::C,gHS
THE F:EQIJIRETC, SIL':E Cftc THE
E:,E F' 7' t-t =: ,~ L_ E: I"-I ,~i 'T' H :::
THE I_ENGTH [:,IhlENSICIN IS THE I_ENGTH (IN FEET) OF' THE TRENC:H OR DRFtlNFIEL[:,.
YHE' [:,EPIH OF Ft TRENCH OR PIT 15 THE C,:£;T[~NCE E',ETHEEN THE SI_IRF~RC:E OF THE
GPOI. JHD FIND THE ~,OTTOH OF THE EF:C,~VRTION (IN FEET>.
THEF:E IS NO SET NIDTH FOR TRENCHES.
THE GRF~',,,'EL DEPTH IS, THE HINII"ILIH [:,EPTH OF' GRAVEL E:ETHEEH THE OLITFFtLL PIPE
RND THE E~OITOPI OF THE E','-<CFtVRTION <IN FEET.'.,.
PERt'lIT AF'F'LIC:FtNT HRS THE R£SFON~IBILIT, Ti:) INFOF.:M TI-lib DEPFff~:TMENT [;I..tPIhll3 FHE
[NSTFtL.[ FtTION IN_SPEIS:T[OI'.~IS 12F RNY WELLS FtDJAL':EI'IT l'CI THIS PI-::OPERT'~' PIRIE:, THE
hlUIIF.;ER T~F F:ESIDEi'.IL-:ES THFIT l'liE' NELL I.IILL SERVE.
........ -T I ..! C:m < :2: > I i'-I $ F' E:_:' L~- T I m_-I I't :L~; FI R [:: I~: E Ii:! LI FI t--~: l.:-: [:,
E~F'iC:KFIL. I_ING -~F FINY _,~':TEI'I H[THCILIT FINF~L II'J~.~FEF..T[I.d'.I FINE:, F'tPF'F~:OVRL [.'-~'T' THiS
[:'EPF-IRTP1ENT N ILL E~E S1 fi:. JE¢ T TI3 F'~:'F~SEC _ T I ON.
HINIMLIM DISTANCE _F3, ETI,IEEN FI HELL AND aNY CmN-SI'FE SENFtISF [:,IS;POSFtL SYSTE[M rS
±F_-~O FEE'! FOR F-t F'RIVAIE IdEI_.L FJR 150 TO 300 FEET FROH Fi F'I. IE:t_IC HELL DEPENDING
LIF'Ori THa 'I"T'F'E 0F f:'LIBL ICi Hi!'I.L.
HINIHLIH [',ISTANCE FROI'I FI F'RIV~-tTE HELl_ TO Ft F'RI',,,'FITE SEHEF: LINE IS 25 FEET FiN[i,
TO F~ F~OHNLINITY SEHER LINE I:5 75 FEET
HELL LCH3S F~F:E E:EQL,~RED RND t'll.l~T E~E RETIJRf]EE:, TO THE [.:'EPF~RTHEHT H[FH[r.i .E:~ [,f~Y5
OF THE' lqEI.L C:OP1F'LET[OtL
OTHER F:EOI.IIF:EP1ENTS HaY APPLY. SF'EI::IFICATION'2 FiNC, C:IZ~NF::I'RI..IIZ:TION DIRCiRFiH$ FIRE
R'v'FtII..F~BLE TO IN'51_IRE F'ROF'ER IN%TF~I. LRTION.
F::'Ez-_F~:i'I I -r E::<:F:'~ I [~:E::.:~: E ~E~C': E PI E: E?_- F?. C;- :.!
I L-:ERT I F"Y ] HFtT
:1 I Fff'l FI-:~HILIFIR NITH THE F~'EQLIIF:~EP1ENI"~ F'OR ON-SITE
FCIF:TIt B't' THE 1,11JNI C:IF'F~L I TY OF FINL-:HORF~GE.
2 I HILL INSTRLL. THE ..,N:,TEH IN F,_-:.CI:,~:I2, FINCE NITH THE CODES.
? I LINI[:,E~Y~,TRN[:, THFtT THE ON-SITE"':,EN.RF S'.r°STEP1 i"IFtY RE'_QIII~:[
.$
D =
[] SOILS LOG
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
6
7
8
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-222~
PERCOLATION
TEST
SOILS LOG - PERCOLATION TEST
DATE PERFORMED:
SLOPE
SITE PLAN
10
11
12
13-
14-
15-
16-
17
18
19-
20-
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH? ~ £/
Reading Date Gross Net Depth to Net
Time Time Water Drop
/ ~f/ (~:-~-' o I'-~f 0
;Z 7,70 i ~ / '- d . ~1~',
PERCOLATION RATE ,~7 (minutes/inch)
TEST RUN BETWEEN /;? FT AND ~'-'~. FT
COMMENTS
PERFORMED ~Y: ~/.,~'7~ "~C-~
72-008 (7/76)
TE D~TE V
INSPECTOR ~3,~"1/~1' / INSPECT(;NR ~ ' I1~ LqPEC~ ]OR \ ^
---
\
~'"-~ ~PA.TME.'r b"r'~ALT.
~ ~'~// Emq.RONMENTAL SANITATIO~IVISION MAY 2 2 1980
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNI~ PHONE
PROPERTY RESIDENT (if different from ebove)
~d**~. qt,~ed '~)v'. PHONE
2. BUYER
PHONE
'MAILING ADDRESS
S. LENDING INSTITUTION
iAILING ADDRESS
REALTOR/AGENT
MAI LING ADDR ESS
6. LEGAL DESCRIPTION
/_~F lC,
STREET LOCATION
6o TYPE OF RESIDENCE
~[~ SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
iNDiViDUAL#
COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
[] Other.
~ Three [] Six
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.) / ~f T~ ~/~'~" ~_-_~,
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH~EQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FiVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
PERMIT NUMBER
3. SEWAGE DISPOSAL SYSTEM
[~]INDIVIDUAL/ON .SITE DATE iNSTALLED
--IPUBLIC UTILITY
Connection Verified = NSTALLER
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank IAbsorption Area [Sewer Line INearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[] CONDIT ONAL APPROVAL (letter must accompany certificate)
[~...~SAPP ROV ED :
72-010 (Rev. 6/79}