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HomeMy WebLinkAboutKENO HILLS #7 TR BKeno Hills #7 Tract B #020-171-45 Municipality of Anchorage Development Services Department _0 i BuMug Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ti.anchorage.akUS (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. PID Number. 407,01-17 I "•4.5 Nam, h r �e Wastewater System: ew Y .� ❑Upgrade AGa.aa: ABSORPTION FIELD P wr.e: Nuniwr a B.aocma: D De.pTmrrls O SHeFw Tr.rvT kaed p MaaN p polan LEGAL DESCRIPTION soa Ham4 C). .5 Taal D.plh Iran QVAd paha 2-,5 cpo*p Fr. 9:crk Lac subcWsim KC=No 7 D.pn n ppe boaan trap oripiW pace: '. Cravat depth baraFt pipe: 141t15 -O n. P Tawnsnip: Range: Sam.rc FA amb ab" a" pada: C-"Lwgn • iL c'] Fl. Well: ®.New ElUpgrade Grew advt 15 eaart«o14,.e D�abiw. Groan wa: Fl, 5 it CaSsir"at (Prlvale, A 9. C1 Taal DepIrc Casa to Taal absapw arta r 2 OC P" AAatanal: /'� I C-- Ig 6Fl. Ft F? STM D ((J /�, DaeMW* shbawaalewt wWl.r(�' rh Naarr'� Drohswn.0:Au ✓tf T:eia Pump At / Casiq H-0 AW_ Grant TANK �o GPM FL 2 Ft SEPARATION DISTANCES QSeptic ❑ Holding ❑ S.T.EP.( FO ❑ Other. To Septic Absorption Lift Holding PutrriPlivat M"^if9°` h c,panly From Tank Station Tank Seer Lin I Gal. vie" /Fiielldd7/ ✓ / N NIA MalenL` p Numb a aanpaM.M13: C SUwCewal.r�Oryre A/ r ` LIFT STATION La Line / /4 Sue. Gal. MarWa .r. Fa avcn Al 'Pure ar lrv.l 'Pump ar kw at High wmer sta at Curtain Orin / v p P Rfate a I,boel" E!earcY hsp.aaa+tMp rnm0 Dy Rema/.s: . F'r e id r r h BENCH MARK No tanmarl ano D.smpaat 60i9irzallY t19e Nom' !n Z3;rrh Asaur...o E "accm IeU, Sh 115 6/,4 a e FYI v,1000 -Per 41 c7 - Engineees Stamp Inspections performed by S f ?:(--~4f Dates: 1" u � JIiA' _J' l l°. 49Iti Q l 2^°SE Development Services Department Approval 0 ! , Reviewed and approved by: �i /pDate: D- O ` 0 FSO? r 1�, .J R SW980325 AS BUILT PLAN 1 FROM TO DIST. Field Well 132 CO1 A 73.8 Col B 61.2 MT A 77.5 MT I B 163.7 STCOI I B 119.6 STCO1 I C 131.1 1500 Gal IS' a 00' T. I T. It �o b t. z z 0 I � Y I I w I I o 1��... T. ahoy+ r lav e JAMES SIZEMORE & ASSOCIATE$ CIVIL ENGINEERS & SURVEYO SW980325 AS BUILT DETAILS 1_�i- g17.6 _I_ - 3-2,s I � l�o3aiD4- Pere I h 1.2 -So Gaf 5c7' - /A5 541 L -r P5E0 PLO q2o qg2 � 6oT T [!I 784-7 SEc,T 10 /` BYu-13oand Ln 54 4-er Fob, JAMES SIZEMORE & ASSOCIATES CIVIL ENGINEERS & SURVEYORS AweMunicipality of Anchorage Department of Health and Human Services lam 825'L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom http:mvww.ei.anchorage.ak.us Mayor Permit Numher: #S\Y 980325 Date of Iccue: 8-26-98 Date Started: 8-3-99 Date Completed: 8-3-99 Is %%ell T r 91 D rriMinn• Kenn Hills # 7 Tracl E Property Owner Name & Address: Chris Harare P.O. Sox111490 Anrhorano A QQ.ri 11 Parcet Identification Number: 020-171-45 located at noproved remit location? 2 Yes ❑ No Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil r)pe, llticl.ness & N'a0.v Strata From To Casing hype: Steel Stick-up 0 2 W311 Thickness:.25 inches organics & silt 2 3 Diameter: 6 inches Depth: 20 feet gravelly silt 3 10 Liner Type: bedrock 10 185 Diameter: inches Depth: feet Casing stickup above ground: 2 feet H2O 140 160 Static crater level (from ground level): 8 feet Pumping level: 185 feet ager 2 hours pumping:j gpm Recovery Rate: 4 gpm Method of Testing: airlift Well Intake Opening Type: ❑ Open End ® Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: Genlnnite # S Volume: I b(ZQ Depth: Start 0 feet Stopped _ feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: clorox Comments: Well Driller: Alpine Drilling & Enterprises P.O. Box 110496 Anchorage, AK 99511 ::........:. ':.`.:..ct: � il:.-...`:;tf Fn..:: a ad! :: L :: tic pr:;i•�.t; ouncr svitSir. 30 ;:� • : n:'c; •rrlcrnr, a..:: t;;c prnperij .:,.0— .i, n!. -:4-n r.: the Tyro .+£TToarI, .r- TT........ Al" rt..•:.:. MUNICIPALITY OF ANCHORAGE ' Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 9_10-q5 Z 30pm ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SW980325 Legal Description: KENO HILLS #7 TR B Date Issued: Aug 26, 1998 Expiration Date: Aug 26, 1999 Parcel ID: 020-171-45 Design Engineer. 0027 James Sizemore & Associates Site Address: Owner Name: Chris Hamre Lot Size: 435702 SO. FT. Owner Address: PO Box 111490 Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage . AK 99511-1490 This permit is for the construction of: ❑✓ Disposal Field ❑? Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. The excavation shall be for the removal of the organic layer to a maximum depth of 1.5 feet. Received By Issued By Date: a Date: 6.Z&7 .19 169•]9.22• .6S feat - N IH o. 1 Well f).- - - - O Proposed 1250 Gal r ST� H P[oDoaed 15• a BO• �•Ir w ' Bed DlepoaalPleld y «lS •e T. 01 � ; T. n.. IC—� Alternate Bed Site �• T. B. IS 7 w t• w wee o 622.56 feet JAMES SIZEMORE & ASSOCIATES TRACT B, KENO HILLS ADDN. NO. 7 PROPOSED WELL 6 SEPTIC SYSTEM SITE PLAN Scale•. 1' - 200• Drawn By:_�y�_ DATE: AUG. 5, 1998 Cekd. By: GRID 3438 James Sizemore & Associates Civil Engineers & Surveyors 6410 Switzerland Drive Anchorage. AK 99516 (907) 345-1572 WASTEWATER DISPOSAL SYSTEM TRACT B. KENO HILLS ADDN. NO.7 0.0 GENERAL 0.1 The scope of this project consists of installation of a 1250 Gallon Septic Tank and a 15' x 80' bed drainficld containing 1.0 feet of surer rock. 0.2 Construction shall be in accordance with the approved site plan and design drawings, Municipality of Anchorage permit with any special provisions or conditions. Deviations from the approved design drawings shall be coordinated and approved by the engineer conducting the inspections. 0.3 All construction procedures and material used to construct the system shall comply with Municipal and State regulations. 0.4 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading arras after the system is constructed and soil is compacted and mounded over the bed disposal field and the Septic Tank. 1.0 SEPTICTANK 1.1 The 1250 gallon septic tank shall have two compartments and shall comply with Municipality of Anchorage Requirements. The tank shall include two 4" cicanouts for pumping access. 1.2 The septic tank shall be set level and shall be bedded as necessary to prevent settling or shitting of the lank. 1.3 All pipe connections to the septic tank shall be made with waterproof mechanical couplings. A cleanout shall be installed upstream of the tank within 5 feet of the house foundation. A double cleanout shall be installed downstream, within 5 feet of the septic tank. The first cleanout downstream of the septic tank shall clean toward the drainfield. The second cicadout shall be to clean toward the septic tank. 2.0 SUBSURFACE DISPOSAL FIELD 2.1 The subsurface disposal field shall consist of a 15' x 80' bed. The bottom of the bed shall be excavated level and shall be approximately 2.5' beneath the existing ground level. 2.2 The bottom of the excavated trench shall be level within +/- 2". And compacted or smeared surfaces shall be raked to allow for proper infiltration of effluent. 2.3 A minimum layer of 1.0' of filter sand shall be placed over the excavated area. This will insure the separation distance to the water table, and the sand can be used to insure a level bottom for the bed. 2.4 A total of 1.0 ft of sewer rock shall be placed over the excavated arca. The perforated distribution pipes in the drainfield shall be placed as shown on the drawings and shall have at least 6 inches of sewer rock beneath the invert. The distribution pipes shall be placed level, with holes in the perf pipes pointed down . 2.5 Sewer rock shall be 0.5 — 2.5", screened gravel with less than 3% passing the # 200 sieve. 2.6 Cleanout pipes and monitor tubes shall be 4" diameter and installed as shown on the plans. The portion of the monitor tube extending through the sewer rock shall be perforated All monitor tubes and cleanout pipes shall have waterproof caps conforming to Municipality of Anchorage Specifications. 2.7 Filter fabric shall be placed over the scwcr rock, and a minimum of 3 feet of backfill shall cover the rock. If less than 3 feet of fill is available, rigid insulation will be placed over the field 3.0 ENGINEERING INSPECTIONS 3.1 A minimum of four engineering inspections will be required during construction of the system. One after the septic tank is set prior to its backfill, one after excavation of the Bed prior to placement of filter sand, one after placement of the sere er rock and the distribution piping, eleanouts and monitoring tubes are in place. The final inspection shall be alter filter fabric is placed, the bed is backfilled and the final grading is complete. 3.2 The contractor shall coordinate with the engineer at least 24 hours prior to start of construction. If the contractor desires, a site -0sit with the engineer prior to start of construction can be arranged. / PROBABLE IMPACTS TO ADJACENT PROPERTIES A) WELLS The proposed wastewater disposal system is designed in accordance with current Municipal Wastewater Disposal Regulations. The proposed bed a ill be greater than 100 lt. from the well on this lot, and adjacent lots. Therefore there should be no adverse impact on wells from this new bed B) WASTEWATER SYSTEMS The system is designed in accordance with current Municipality of Anchorage regulations. There should be no adverse impact of adjacent wastewater disposal systems. C) RESERVED SPACE/SURFACE AND SUBSURFACE There is enough space on this lot to put in another replacement system and still maintain the required protective distances between wells and disposal systems. D) DRAINAGE The location of the disposal system will not interfere with any drainage. The arca disturbed during construction of the system will be graded and sloped to prevent ponding of water S'- 9`I (03 Municipality of Anchorage 7 TV DEPARTMENT OF HEALTH & HUMAN SERVICES $25 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR. 7/ `� /L��//c--!,(/J DATE PE LEGAL DESCRIPTION �� "', `O•" ,^ �juis� 9 t0 11 Q- 13- 14- is- 16 - 17 21314161617 18- 19- 20- COMMENTS 81420COMMENTS e�76d � Grew el e) cc /17,0 WAS GROUND WATER f! 7 ENCOUNTERED) Time IF YES, AT WHAT WAIN Drop DEPTH' r) WON �T • 7— _ .. MINION MEMO Immm Milos ONION milm Is ommoommom MORMON ME WAS GROUND WATER f! 7 ENCOUNTERED) Time IF YES, AT WHAT WAIN Drop DEPTH' 0epih to Water Art r/ P Mxdoring7 .f) Date. Reading Date Gros: Net Depth to Net Time Trme WAIN Drop r) �T • 7— _ .. PERCOLATION RATE 4— t,,' uses mehi FERC HOLE DIAMETER i It I HUNBEIWkLN _�'_ 1 A4J —FT r - PERFORMED By. _ ae�IO�C" 1 ~� �CER1ifY AT THIS TEST WAS PERFORMED IN ACCORDANCE W11M ALL STATE ANO MUNICIPAL OVIVELrNES IN EFF CT CN TMIS DATE DATE. 72.00E (ROV 4/ES) L PERFC LEGAI 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ,EST RUN BETW EN .� FT AND 7 FT COMMENTS C-2- ';5 rev �1� 7 PERFORMED BY: J • 7- ACCORDANCE WITH ALL STATE AND MUNICIPAL 72-O08 (Aft. 4/85) IFY THAT THIS TEST WAS PERFORMED IN EFFECT ON THI DATE. DATE: / r` cz �L PERFORMED LEGAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS r%4 ( Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST r m/''Iqa n icr 6L DATE PERFORMED: ���Townshlp, Range, Section: IV iiy 7 SITE g311dr 6raca-l © cc, a 57, CC9 We iEy o ye PERFORMED BY: ZZ I =,j JZj L ACCORDANCE WITH ALL STATE AND MUNICIPAL 72-008 (Rev. 4185) WAS GROUND WATER Y ENCOUNTERED? IF YES, AT WHAT DEPTH? ? Depth to Wrier After Monitoring? Dire: w••w• Y Jame. F. Slauma• � yqf *11411 ,a"! ®®mmm W44900r- %s r�A��VNE".v a PERCOLATION RATE (minuteain�cjh) PEERRC HOLE DIAMETER TEST RUN BETWEEN cCi� FT AND • 7 /FT CERTIFY THAT THIS TEST WAS PERFORMED IN IN EFFECT ON THIS DATE. DATE �•i����in RUC 16 98 03126P Denali General Contractor 19071 561-1843 P.1 �- DENALI GENF1tALCONIRACTOILS F.O. Box 111490 Telephone (907) $61-1540 Ancnorage. Alaska 99611 Fax (907) 501-1643 TO: On Site Services Attn: Jeff Fax: 343.4788 From: Chris Hamre Pages: 1 Tel: 343.4744 Arte: August 17, 1998 Re: Installation of Septic System 0 Tract "B", Keno Hills Addition tR O Urgent 0 For Review 0 Please Comment 0 Please Reply 0 Please Recycle e Comments: Jeff: I have applied for a permit to install the above referenced system. This system is on my personal Property for my Ilully and I have plannod to install the system myself. I own the necessary equipment and have the expertise for the installation and have employed an engineer who will supervise and document the I,mialtalion as required by ordinance. If you have any questions, concems or require additional information please contact me. • It you did n .t receive all pages, please call (907) 561-1340 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING Parcel I.D. ©7o- 17 / —45 H ^A # P4C204Q,-Z Expiration Date:_ I — GENERAL INFORMATION Coat Sl e legal description K6 N0 q 1 LL 5- 7 r8 8 Location (site address or directions) i.. __..:�... Ct1} ntt Property owner(s) chis Ha 2 re Day phone nire��n address 'O C ,OAA - Lending Lending agency Day prone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4- 3. TYPE OF WATER SUPPLY:' Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sever ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health .Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and!or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Appreva! are valid for 90 days from the date of issue for properties served by a private or Class C we!] and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples Certificates are valid for one year for properties served by Class A or B we!ls or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. MunicipaPty or" Anchorage <o, sQ �- Development Services Department .•��< Building Safety Division On Water and Wastewater Program ;wu,a�' ''�"�• -Site , 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 9951M650 www.ci.anchorage.ak.us (907)343-'904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING Parcel I.D. ©7o- 17 / —45 H ^A # P4C204Q,-Z Expiration Date:_ I — GENERAL INFORMATION Coat Sl e legal description K6 N0 q 1 LL 5- 7 r8 8 Location (site address or directions) i.. __..:�... Ct1} ntt Property owner(s) chis Ha 2 re Day phone nire��n address 'O C ,OAA - Lending Lending agency Day prone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4- 3. TYPE OF WATER SUPPLY:' Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sever ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health .Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and!or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Appreva! are valid for 90 days from the date of issue for properties served by a private or Class C we!] and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples Certificates are valid for one year for properties served by Class A or B we!ls or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown belrnv, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State cedes, ordinances, and regulations in effect at the time of installation. NameofFirm J�-)MCS-S `i zzes�dr'� f���5c Phone 4si—!57Z Address Co -f-i0 Or' Engineers Printed Name J=21-726ri a!f Date Ayr, % d 5. DSD SIGNATURE Approved for --4— bedrooms. Disapproved. Conditional approval for Additional Comments bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: / Original Certificate Date: - %- O Z. (R.. 0M) Municipality of Anchorage • Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw St P.O. Box 196550 Anchorage, AK 99519.6650 www.ci.encharage.ek.us (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: & CNO H I LLS ?w ? T R B Parcel ID: OZ,O— [ 71-153 A. WELL DATA 4 Well type J -9C I U134C If A, B, or C provide PWSID a _ Well Log (YIN) Y - Date oomple 7 f Sanitary seal (YIN) Wires Property Pied (Y/N) _ Total depth Wsft. Cased to ZC_R. Casing height (above ground) n. FROM WELL LOG AT INSPECTION Date of testAuZ /3 10Z Static water level !,� fL / ft Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform—0--colonies/1 00 mi. Nitrate FZQQ mgA. Other bacteria oolonies1100 ml. Arsenic: _ mg.fl. Date of sample: T )3—O Z Collected by: B. SEPTICIHOLDING TANK DATA Tank V Tyq� g rial S'F = -7 Date Installed 4 Lj Tank ; v 90 ' ,7 Number of Compartments c-. Cleanouts (YIN) Y Foundation detinout (Y/N) Depression over tank (Y/N) Gln _High water alarm (Y/N) N Date of pumping Lb i Pumper _ Q d G ��,�id �PTdn26)� C. A,�RPTION FIELD DATA Date installed _?9� Soil rating (g.p.d./A= or ft'/bdrm) System type 1304 Length) ft. Width i ft. Gravel below pipe CJ- S ft. Total depth ftEft. absorption area(Z o Monitoring tube _j_ Depression over field A) Date of adequacy test — 3 —© Z Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test e0D in. Water added j"O al. New depth ©in. Elapsed Time: _min. Final fluid depth _ in. Absorption rate >= 01-5 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) �% 0 If yes, give date D. LIFT STATION Date install _ Size in gallons 'Pump on" level at in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lOslatlem on lot 1 rC Absorption field on lot Public sewer main /ylA Sewer /septic service fne> I ®O +N, Manhole/Aceess (Y/N) water alarm Meets alarm & at in. On adjacent lots / ns� / On adjacent lots � 00 / Public sewer manhole/cleanout Holding tank A/ / t SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 1 Building foundation --I-Y—, _ Property line Absorption field 7 5 ' Z Water main Wells on adjacent lots > I co Water service line >4 3 Surfacewater I/O (j P SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO - Property 6 C(oc,C Property line 14-01 l Building foundation r.J. z Wateir main Water Serviceline %O / Surface water Vato C/!B Drivewsy. parking/vehide storage %u ' Curtain drain NOAH K(U1n Wells on adjacent lots I Q'r) F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in • s+ `1 conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name J,2 /?%(f'- S12 F s r ��%�� , ° t •r• Date A,`1 17 ©�;''�..�...»...• �• �� ,:yfv ss+t``►tas� HAA Fee E 6-75. o o Waiver Fee $ Date of Payment V-7 2/6 2 Date of Payment Receipt Number ?moi Receipt Number (Rev. 12101) AUG -16-02 10:IIAM FROM -MEC ENUIRONI,ENTAL SRU Lt�CUE Environmental Services Inc. rrrrrrrrrrrrrrrrrr� CUE ReLN 1025202001 Client Name James Sizemore & Associates Project 11ameM Keno Hills #7 TRB Client Sample ID Kenn Hills t/7 TRB Matrix Drinking Water Ordered By P%%'SID 0 Sample Rematkt 90?5615301 T-833 P.02/03 F-162 All Dates/Tlmes are Alaska Standard Time Printed Daa!Tlme 08/1612002 8:48 Collected Date/Time f R/13/2002 11:50 RecetsedDate/fime 08/13/2002 13:30 Technical Director Stephen C. Ede Released By-ws+'Y�F' Allowable - Prep Malysis Results p L Units Anhal Limits Date Date Init Waters Department 0.359 0.200 mg,L EPA 300.6 (<=10) 08/13/02 JDT Microbiology :.: �rntory Tnial Coliform IOn, NoColi co!/100ml. 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