HomeMy WebLinkAboutBRUIN PARK Bruin Park Missionary Baptist Church
) ~'~- J 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
NAME(,./ p/~l .~L~j~ PHONE [~;~'~EW
MAI LI ~G AbDRESS
h ~ Man uf,¢tu ret 4 X~. ~Z~/ o.o ~p, rtme nt,
Li~:~Y'"~"°"'I' ,F HO~E~E= ,nsidelength Width Liquid depth
. ~ ~W~]~ ~ Dwe~lin~ PERMITNO.
0 ~ ~ Manufacturer~ Material Liquid capacity in gallons
~ Top of ,~to?2h grade .~ :~. .~¢ 77, inches Total effe~tiv.~bsorptio~ area
Material b~neath the ~ inches ~ .~..~,
~--~ ~ Type of crib Crib dlameter~/~ Crib depth Total effective absorption area
OTHER I
D~PARTi"I~NTk,~_,. HEALTH AND ENYIRONMEi'.:!,]~FI[-~ &~f~/~.~Oi'-~,~
'L' STREET., AN :HORAGE.,
~3N--_. Z TE SEL,JJER PE 1-~--.'1',1Z T
PERMIT NO. ( 78~474 )
APPLICANT FLOYD KING - PASTOR SRA BOX i76~ 2~44-t5750
LOCATION LAKE OTIS & O"MALLEY
LEGAL El,/2 B I NE t/4 SEC20 Ti2N RS~W LOT SIZE ~0000 SQURR~ET
MA~<IMUM NUMBER OF BEDROOMS = 5 SOIL RATING (SQ FT/BR)= 85 ~
THE REQUIRE[:, SIZE OF THE SOIL ABSORPTION SYSTEM IS:
E:,EPTH= -12 LE~'-,ir...~TH= . 27 ~]F~:R"-,,,"EL E:,EPTH= (_--).
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR F'IT IS THE DIST8NCE BETWEEN TNE SURFACE OF THE
GROUND AND THE BOTTOM OF THE E~CAVRTION (IN FEET).
THERE IS NO SET NIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE 80TTOM OF THE E~CAVATION (IN FEET).
PERMIT RPPLIL:RNT HAS THE RESFONSIBILIT9 TO INF~JRM THI=. DEPARTMENT [:,LIRING TNE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL. SERVE.
TbJCs (2) I f~SPECTI C~r-15] FIRE REZ~!LII IRE[i)
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR ~ PRIVATE WELL; OR
150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL..
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS 8ND CONSTRUCTION DIAGRAMS ARE
AVAIL8BLE TO INSURE PROPER INSTALLATION.
PERM I T E..--~.P I RES I::,ECE~B. EF.: ~-:~L~ i'---]'~ ?'E:
I CERTIFY THAT
i: I 8M FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS.SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I WILE INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
~ ~: I UNDERSTRND THRT THE ON-SITE SENER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS ~MgpELED TO INCLUDE ~ORE THAN 5 BEDROOMS.
APPLICANT~' ~ "~FLOYD KING - PASTO~
" ~ )- ( v~..
ISSUED B~ .......... x ....... [~TE .............. '"~
MUNI~:.~.ALITY OF ANCHORAGE
I~OUCH 6-650 · ANCHORAGE, AK 99502 · PHONE 279-8686
FINANCE DEPARTMENT
CASH RECEIPT
.0.52607
ADDRESS
REMARKS
Org/CC Acct/ObJ Cost Centel 6
;'~40-OB7 (Re~. 1/77) DISTRIBUTION: White ~ Treasury~ ¥~ll~w ~ c~tomer?'PJnk ~;~;5~ ,G01denrod -- Department
January 4, 197~
Floyd K~n~,l P~r
Star Route A Box 1765
Anchorage, Alaska 99507
Subject: E½ Block 1 Section 20 T12N R3W
Permit 977791
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Health and Environmental Protection
Sewer and Water Section
Hb-L L--HN
i_C CHI I ;[ (i,IN
LJ~I.~IqL
i HE I...ENG I H 1.2) 1 MEI"4:~.; 10Iq I ~; '1 HE L. ENG IH ( i N FEE'i ;, OF file I' fl~:ENCH O1-4 L:,IM-'I l hlF' 1 ELD.
iHE [:,bPFH OF FI iRENCH OR F-'IT 1~; 'IHE. DiSII-:Ii'.,ICE E:EIWEEN rilE SUR:F'RuE OF 'iHE
UNOUNL:, FIN[:, IH!:. L40]'IOM OF 'IHI£ EXCFIVRTIOI'.,I ,:.'IN FEEl;'.
IHERE I;:, NO SE't HI[:,TH I-OR I'NENCHES.
IHE Gh'.M'v'EL I.)EI::'iI-..I tD, I'HE FtlNiHUM DEF'-iH OF
PIN[:, IHE BEFI iOH OF '/HE EXCFl',,,'f-lllOiq (ll'.,t FEE! ).
~ P'HC:K~t3E PLHNI MR'¢ BE JJN$'~L. LE[:, HI' 'IHE PERI',]tt'fEE"~; OP~I!OM ~UE:.)Eu1 ro 1HE
PULLOL,JJ[NLJ L:uNDI I ii}NE,:
1. EI IHEN fl CLFISS ]. OI4: It NSF RPPI<'.(]VE[;, F'[..RNI f,lla~' BE INb, IBLLE[:,.
;~. H CON'I iNIJ()U$ HHIN-I'ENRNCE RGiREEfflENI' IS F::Eg!UJJNE[:'. D; FI I'IRiNIEf'4RNCE
HLit~:EEIdEhtl J.S NO[ KEPI CURRENF '¢OU MIT*' BE REQUiF~E[) lO ENL. FIRGE THE %t])A._
RBSO~:I:"I IuN S'¢SIEf,'I HN[),-'"OI~: YOU r,]R'¢ E:E 2;LIBJECI' TO PROSECU] ~ON.
/
' ~ ~-..~ CZ" ,:' ;~: ":" X ' - "=' :" .... " "
b:NCKPiLL.[NG OF HN"r' ._~_. Eft HI'tHOU"t FINFIL if'&~F'EZ{']EN RND RF'F'~:CI',/FIL E,r
L:,EPH~'.iPiENI 14IL_L E,b. :,IJE,. E_. 'FEi F'N"J2;EJ_ i.lJN
MINiFiiJP] E:,1'5i HNCE b,E.I HE. EN ~ 14ELL RN[:' RI",I'Y _N-:,1 I E :,EI4P aE I.¢.[..,F..._,hL ...,r_,l E,H I:,
J.(]D FEb. I b.J~ Iq I-~.]. HiE. HEL. L 'JFt 200 Fb. EI F .~ ~ F'IJBL~Z: HELL
EIiHE~: REt:~LID~EPlb_NiS ["llq~' IqF'PL"r'. 'SF'E3[FILI:II'I-N$ ~N[) _._N- ~.1_1_. ]...~J L.. FII;::E
HVHILHE:LE I'O IN_,IJRL -~....FE}. tNStFILL. I.~iJ. ON. ~or~ '. J~o i . ~ ~
I CEN.'ilWY tHai
:.: I HFt FHMiLI~R HI'IH THE I~'.EQIJIN'.EMENi:~; F'C$~: t]N-S~"I'E ~;EI.,~EN:S FINb WELLS Idb Sb:.t
F(Jt.<IH ~:'¢ 'IHE ML.INJ. CIP~LITY OF
z: ~ H.[L.L IN:5']'~LL. THE tS'CS]EM IN RCCOt~:[;,RNCE 141-1'H I'HE E:ODES.
_:~: I UN[:,ERS'I~ND 'fH~i THE ON.-::,Lt'E SEWER '.5'CSt'EM Mfl'¢ RE(;fiJ:I:~iE ENLHN:(aEFIENi XF 'iH~L
RF'F'LICHNf FL~ KI
RECEIVED ~-' ""~
FROM ~ '
MUNIcipaLITY OF ANCHORAGE
I~'OUCH 6-650 · ANCHORAGE, AK 99502 · PHONE 279-8686
FINANCE DEPARTMENT
CASH RECEIPT
.o. 261,23
DATE
ADDRESS / ' ? ZiP
AMOUNT " ' $ '" ' -
Or(I/CC Acct/Obj Cost Center, WA/WO 6
Collecting Orgn. No. ~. BY: ~"~
CONSULTING GEOLOGIST
SOILS LOG
0
2
4
6
16
18
Soil Type Water Level
Remarks
20
Total Depth of Excavation
Groundwat er
~Not.Reached
Depth, if Reached
Classification Method
~isual
( ) Sieve Analysis
()
Material at Total Dept~
Bedrock
~--y'~ot Reached
Depth, if Reached
Gary F. Player, Consulting Geologist