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HALVERSON LT 10B
Halverson Lot I OB #051-131-30 Municipality of Anchorage •` '°•., Development Services Department t Building Safety Division Onsite Water and Wastewater Program, 4700 S. Bragaw St. P.O. Boz 196650 Anchorage, AK 99519.6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW980278 PID Number. 051-131-30 Hams: Peter Halverson Wastewater System: ® New ❑ Upgrade Adtbees: SR2 Box 4244, Churilak. AK 99567 ABSORPTION FIELD pr u: HunwofBadrpoma: O Deep Trvtm ® mallow Trench O Bad 0 Mand D other. LEGAL DESCRIPTION B°"a'""° Tar Depth Ran alganr grade: 1.2 GPDIF? 6.0 FI. Bleck: La: subdNebn: Depth b ppe bddont Ran algnal pude: Gravel depth pswatn pqs: 10B HALVERSON 1.74 Ft. 4.26 FL idwnehq: Range: sa W n: FM added.Rove atpnal grade: Gnats Length: 2.22-5.56 Ft. SO Ft. Well: ® New ❑ Upgrade Gravel wah; hl n 01 Ines: DMWO Oehvsen arhee: 5.0 Ft. 1 — FL Clesellica"dn (PrMate. A B. C): Taal Depth: Orad to: Taal ab a txxt rea: Ppe k tar W: te 83-83 Ft 500 Fr D3034 & F810 Ddeer Drs DrNW: SMdc water L": Inwwr: Date khwaaa: SullivanF1 CCC Const. 5/28/1999 YIW"so at: Deming Height aboae Gmund: TANK GPMunk 2 F, SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Lift Holding PubWPnvat ^nth w. apathy: Flom Tank Field Station Tank senverLlne Anchorage Tank 1250Gr, Wei 100'+ 100'+ NA NA 25'+ Maael' Na rc min an tsnM. Steel 2 surarew.w 100'+ 100'+ NA NA LIFT STATION LaLIM 5'+ 10'+ NA NA tea. .!a a: Gr. Fandetkat 5'+ 10'+ NA NA "n'p on at.- ump Wlevel at. qh wela rrm W. H. N. In. Cataln Drakh NA '50'+ 1 NA NA Punw Mahe a Model Erartcr eepecRms per anyd W Rr : 'none known BENCH MARK Tank & field Insulated. Primary & Lanes Wron: Top of garage slab reserve located wAn 30' radius of Aserarra Ebvamn: 100 FL testhole. Engineer's Stamp E OF •a:,�if00 ,ems,,• v*?4 Inspections performed by: KND Engineering Inc. Dates: 1't S/ 8/199q L �1•*� Zed Development Services Department Approval 3"' 114/2006 .. e.... ' c .. a ...;... �° Reviewed and approved by: Date: ) to °b CE •�•••:v���✓ AS -BUILT SEPTIC SYSTEM SITE PLAN HALVERSON SUBDIVISION LOT 108 LOT 5 // LOT 10B 4 BDR A-1=17' // B HOUSES B -1=2v / F1 `Tp M A-2-17' NEW 1250 +� // GAL S.T. 2- C e-2--�LsMr A-3 23.95' a ,1 // C ) 4 ! �1t�r, \ . B—, 55 93' //!tee R\�Po - DEC ABOVE 4=57.42' s/,tea R�S�� \ \ / / ,o n A-5= .17 1 ry TH #98-1 /9 B-5= 0.75' A \ 0 pi1,3 ,Q V 3RAPHICS E Q SCAL . 1:50 c Nw11Tm: SOUNDMr. DRAW MMP STww . �01. DAM 01/09/1 OW- rcc: U pp pp "H` 05-052 U U U z 0 z LION INSU 1250 CAL 4' SOLID -55- SEPTIC ABS/PVC PIPE TANK 02% _� CHUCK NOVRERvrs CCC CTRUCTMN 2401 CHILLIGAN DR ANCHORAGE, AK 99517 (907) 243-1629 FINAL Permit : ADEC 5184 PID#: SEWER ROCK TRENCH 1 FIELD BOOKS Nw11Tm: SOUNDMr. DRAW MMP STww . 04Eam KMD AseuA.T: DAM 01/09/1 OW- rcc: Wa . NW 146' AC n.05052ASS.d.q "H` 05-052 x\ecu a Qn 116 — niea oy Ley°i\nmven°n �ooaµa[ guo\a.gwoweaao.VWc H s LOT 10� KND a •y \ WELL 0.5' iD 8.9 BOH SCALES NTS ABBREVIATIONS BOH BOTTOM OF TESTHOLE CO CLEANOUT MT MONITORING TUBE DEM ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)868-3791/FAX Qwr i i Pxi C CYC $ by DOC Co. Ma SULLIVAN WATER WELLS P.O. BOX 870272, CHUGIAK, ALASKA 99587 • TELEPHONE 888-2759 OWNER OF LAND &%IC h1wL 0 46A J -o ri BORE HOLE DATA DEPTH ADDRESS $'R �o�"Qo? C//JC.iAK LEGAL DESCRIPTION �QL �lci xhj 4 or jn O d 0J64/.7JROt;.J PERMIT NUMBERDate_ of Issue' - TAX INDENTIFICATION NUMBER -OS// -3 /.30 � � Is well located at approved permit location? (_q Yes Q No 13/Yes Method of Drilling: air rotary Q cable tool Depth of well: Fi3 Casing Type TT' " Wall Thickness _ ..25-Z) Inches'. Diameter. inches, depth Liner Type: Ab^lE , I Casing Stickup Above Ground: Ok - feet Static Water Level (from ground level): r0 t Pumping level: feet after - hrs. pumping _gpm Recover Rate: /0 n gpm /r I Method of Testing: d, Well Intake Opening Type: Q Open End Q Open Hole Q Screened; Start feet Stopped 2eet ..... rforatioris Start , - (M-1, 'flet' Stopped feet � , f Grout Type: RiWT f^� TC Iume Depth: from to feet, to t Pump Intake Depth: feet Pump Size hp Brand Name Well Disinfected Upon Completion? 0Y Q /NN��o Method of Disinfection:c�/e a Cu.w e� <l Me' i f F_ 31 i ft � ' I S-4"Jg : C/�ofJ E�. r '3 Q[A9-Of11` T �/4-,0A4nJ / 73 F3 MlGe4r kjZ(-/4jS 1 /3 Fo o C � Comments: GyDMPsFTf,Q C//yAr Drillees Name f ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. 5-zscil PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW980278 DESIGN ENGINEER:KND ENGINEERING OWNER NAME:HALVERSON PETER F 6 DARLENE A OWNER ADDRESS:SR2 BOX 4244 CHUGIAK ALASKA 99567 PARCEL ID:O5113130 LEGAL DESCRIPTION: HALVERSON IT 10B LOT SIZE: 72779 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 8/03/98 EXPIRATION DATE: 8/03/99 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 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY:�n�n �/� .O DATE:/[C�� ISSUED BY:� �D�'L DATE: u• 3-% O KINID ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 11 (907)696-6111/FAX (907)696-8111 July 24, 1998 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: New sewer/well permit — Halverson S/D, Lot 10B Gentlemen: On April 21, 1998, we excavated one testhole for the subject property. The result of this test and water monitoring are attached. We propose to install a 5' wide shallow trench. The depth to water is approximately 12' therefore we have designed the system in the upper six feet of the gravel layer. Additional fill will be placed over the system to provide a minimum of 3' of cover when complete. This lot slopes from northwest to southeast at slopes less than 20% which is away from the proposed house and any surrounding wells. We propose to drill the well southeast of the house and septic area. There are no public or private wells within 100' of our proposed system location. There is neither surface water within 100' nor any known curtain drains within 50'. A low area, which indicates a seasonal drainage may flow in a swale, is within 50 feet of the proposed site although there has not been and water observed in it. We do not expect that there will be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, MAID Engineering Kenneth M. Duffus, attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test (WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLA HALVERSON S/D, LOT IOB LOT 5 KID LOT 16A MO PUBLIC WELLS WITHIN 2W OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTE& MO SEPTIC SYSTEMS WITHIN 2W OF PROPOSED WELL EXCEPT AS NOTEa _\ AW���� OF AL4, 9 TF 0) KENNETH Y. D S / CE -7116 q AV FESsiall"W Aw 9'3' 2 / DESIGN ! LOT IDA i 1 1 LOT 1 < In VAC LOT IOB< 1 , H 1 ,�� T9�' REPO' D PR AR I ••w T lip SYS H P�'L DESIGN DETAILS 4 BDRM X 150 GPD = 600 GPD 600 GPD/1.2 GPD PER SQ. FT. (1.8 MIN/IN.)= 500.0 SQ. FT (500/5'(W)) X 0.5(RF) (4.0 GRAVEL) = 50 FT. TRENCH USE 1 TRENCH - 50 (L) X 5' (W) X 4'(D) Total depth of system Is 6.0' from original grade. Total depth of gravel below distributlon pipe Is 4.0' NOTES; 1. USE 1250 GALLON SEPTIC TANK. INSULATE TANK IF (4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. PREPARED FOR: CHUCK MOWRER CCC CONSTRUCTION 2401 CHILLIGAN DR Scale; 1'= 100' ANCHORAGE, AK 99517 PAGE 1 OF 2 (907)243-1628 FIELD BOOKS COMPUTED:[" ` 'nl BwNDARr. _ DRAM. M B ENGINEERING STARING — CHECKED: KMD 20441 PTARMIGAN BLVD. ADBDRT: DATE: 7/8/98 EAGLE RIVER, AK 99577-8736 DND. nID: MM NW1260 ACAD TILE: 98058.DWG ' N': 98058 (907)696-6111/17AX (907)696-8111 WASTEWATER DISP❑SAL SYSTEM DETAILS HALVERS❑N S/D, LOT IOB n� V O N O L. SIT, ACS OF AZ4 1 ,Of 491u* IKENNETH N. DU ' S CE -7116 \ AibFESSIONp�' c 0 V v o v p D v D v c❑ 1� Y\RES,RVE SEM TH #98-1 PREPARED FOR; CHUCK MOWRER CCC CONSTRUCTION 2401 CHILLIGAN DR ANCHORAGE, AK 99517 (907)243-1628 FIELD BOOKS CWMED: sw.omt _ DRAW EMD STING: _ MCKED: KMD ASDDILT: DATE: 7/8/9 Dw . nLE: MD: NW126 ACAD FILE: 98058.DWC i10B "°'` 98058 0 Scale; 1'= 20' PAGE 2 OF 3 1.9�11V 10 ENGINEERING 20441 PTARMIGAN BLVD. EAGLE, RIVER, AK 99577-8730 6-6111 KNfD ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS LOG — PERCOLATION TEST PERFORMED FOR: iy' / A-v7N7Ji.'X/ >- DATE LEGAL DESCRIP^^ II„ I.t.a. __ I ,L in FL Township, Range, Section: ' DEPTH 1 2 3 4 5 6 7 6 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS 3. //O/o��/�v f /CCJO/Sh G/Okl,n /pas elm &/ devs G 1Gye/J G,Cah Som c rocks 3 Icia . 9rA e,I appeul'ea( wef SLOPE WAS WATER ENCOUNTERED? IF YES, AT WHAT /'/' DEPTH? 7 Depth b Water Alter'' / Monilrinq? Dale I9L►I iV 11111 U1NINIININ� U 1 M e 1111111.. 1.. 11.. Kenneth M. DWI.: W CE 7116 _. A SITE PLAN Reading Date Cross Time Net Time Depth to Water Net Drop u 21. -s: -se;, — nI _ 2 3 :410 t i:'// 3 5 — " •/ 5 O N !D r 1r 1r PERCOLATION RATE oZ tmmuteSnnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT / / / PERFORMED BY: A , I&ap-& -114 4 f fZISCERTIFY THATTHIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AL MUNICIPL511IELINES IN EFFECT ON THIS DATE. DATE: 4/ f 72-M (Rev. U65) FA 1L�1l1J ENGINEERING 2044117xARMIGAN BLVD. E;kdLE RIVER, AK 99577-8736 SOILS LOG — PERCOLATION TEST PERFORMED FOR: (/1'l " l /9 -✓1 �7/ ��' 17"/ �-� DATE I Ecol DESCRIPTION: ua_IUP/c. v Lot- Ill 'FS Township, Range. Section. . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS :PTH ��. /Oa/md /CG701� G+/OW17 y1 /vase An�t/i/JSG 14j, ell W Sot/ 6ICA r, Somme, rocks 3 via. SLOPE - ha 117 9raaG/ aPPraid Wct 41 r4. Ke..wth /A. • 1' '• �' W S_ C67t16, a' Y! aa — =m WAS GROUNDWATER ENCOUNTERED? Ym TEST RUN BETWEEN -/; /, 7D -les � mmml; FT AND �FT 1F YES, AT WHAT iP I►7Q DEPTH?Depth ffKgym Momlm ig? uu - MoniWing7 Oae x/17 98 - ha 117 9raaG/ aPPraid Wct 41 r4. Ke..wth /A. • 1' '• �' W S_ C67t16, a' Y! aa — =m oZ Ym TEST RUN BETWEEN -/; /, 7D -les � mmml; FT AND �FT iP I►7Q ©—NuLvm�jp ffKgym PERCOLATION RATE oZ Immulevmch) PERC HOLE DIAMETER TEST RUN BETWEEN -/; /, 7D -les FT AND �FT iP I►7Q PERFORMED BY. , ' I &all C2% DU �' SCERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AD MUNICIP L C IDELINES IN EFFECT ON THIS DATE. DATE 72-008 IRti. 4851 N Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us'��---f:� /wee (907) 343.7904 " I /it, CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 05,1- Parcel S1- Parcel I.D. >'31'ib HAA # O C n o (ti_$ Expiration Date: _gl e p, 1. GENERAL INFORMATION :Complete legal description 140'ttlt' e» IS Location (site address or directions) Zo D on C O (AA hGH/ �ariz Zir. Current Property owner(s) he-fe fhq f✓[ r5.0k7 Day phone add -/lo; S Mailing address Lending agency Mailing address Real Estate Agent 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 On-site Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ 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 Approval are valid for 90 days from the date of issue for properties served by a private or Class C well 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 wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 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 codes, ordinances, and regulations in effect at the time of installation. Name of Firm Eagle River Engineering Services Phone, 6,14-5-05' 1042 1 VFW Md., Suite 20 1 Address Fag a River. AK 44x77 Engineer's Printed Name (Yirr� her f?. f ewe/ Date 1-1-1-29 I0S 5. DSD ,SIGNATURE Approved for Disapproved. -4— bedrooms. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: 6AL Original Certificate Date: I to o(7 (R.. DIM) Municipality of Anchorage ,•• .�,i. Development Services Department Building Safety Division " On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ei.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: klalVt►'SO✓I ,t bdi✓/Si0✓! , Lo?- L3�Parcel 10: OSI- _ A. WELL DATA Well typeG- If A, B, or C provide PWSID # Date compleledwgg Sanitary seal ON) Total depth 9,3 -ft. Cased to —ft. o FROM WELL LOG Date of test `I / I / `) g Static water level GS ft. Well production /O g.p.m. WATER SAMPLE RESULTS: Coliformcolonies/100 ml. Nitrate 3-17 mg./1. Arsenic: , — mg./I. Date of sample: 1 AP/05 B. SEPTIC/HGLeiNG TANK DATA Well Log ON) Wires properly protected GIN) dl t� Casing height (above ground) 4b in. AT INSPECTION /a/I/o/oS L(o ft. S(o g.p.m. Other bacteria _9L1 colonies/100 ml. Collected by: IV Tank Type/Material _it���5ft�e Date installed Tank size /.2150 gal. Number of Compartments - CleanoutsON) Foundation cleanout (Y1. N) J4�4- Depression over tank (Y6) �0 High water alarm (Y/40 —n,& - Date of pumping 1&11 -J 12005 Pumper Tit. is EwrnMa ng C. ABSORPTION FIELD DATA Date installed 9 8 Soil rating g..d./ r felbdrm) 1_1 System type TAX � �1 Length SO ft. Width S ft. Gravel below pipe_ ft. Total depth ft. Eff. absorption area 20_Q ftZ Monitoring tube Depression over field 01 Date of adequacy lest Resultsas ail)��� For bedrooms Fluid depth in absorption field before test _(jL-_9 in. Water added WO gal. New depth_ in. Elapsed Time: 315_ min. Final fluid depth L .5 in. Absorption rate >= (000 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) , &%&Wn If yes, give date D. LIFT STATION Date installed "Pump on' level at _ in. D E. SEPARATION DISTANCES Size in gallons Manhole/Access (Y/N) _ 'Pump off" level at 0 ' Lt FT water alarm level at Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot It /00 Meets alarm & circuit requirements? On adjacent lots +100 Absorption field on lot r/00 On adjacent lots -1/00' Public sewer main i5 1 Public sewer manhole/cleanout + 100 r Sewer /septic service line + 15 ' Holding tank + t 00 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation +'S 1 Property line + S" Absorption field +10 Water main -t 10 Water service line + 10 ' Surface water +100, Wells on adjacent lots +100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line -r to' Building foundation to Water main +lo' Water Service line -rI0 ' Surface water r 100Driveway, parking/vehicle storage to Curtain drain -V5 0 Wells on adjacent lots +/GAO F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and -t 9 review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Cfius-iopi}tp, R- woor-> `'• R Date &3/Oto HAA Fee S LID '[!U Date of Payment 3 D& Receipt Number (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number in. 12-29-05;13:33 M, SCS Ref.® 1058215001 Client Name Eagle RiverEngineerinz Project NsmcM Halverson SD Lot 199 �� , Client SamplerD HalvorsonSDLot�,O Matrix Drinking Water ;907 561 5301 n AU Dateslrimes are Alaska Standard Time 0 2/ 4 Printed DateMme 12/2112005 11:53 Collected Datefrima 12/16/2005 13:10 Received Dattlrlme 12/10005 15:50 Technical Director Stephen C. Ede FVVSrn 0 Sample Remarks: Allowable Prep An Ws Perimeter Results PQL Units Method Container Limits lata Dail ln;t Patera Ruartiaent Nitrate -N Microbiology Laboratory Toi2l Coliform' 3.17 0.100 mg/L EPA 300.0 B (<-10) 12/17/05 DSH 0 coV100mL SM209222B A (o-1) 12/INOS TLF �/� A QRI III of I HEREBY CERTIFY -THAT 1 HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY, AND THAT NO PJCR6kHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED $=I - VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF PENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. SCALE' DATE— j it GRID, FBS o 6 DRAWN, lewv' hbur�b 04 1 /I0/06 BY cltP3.goCryk,R 2-0604,P.6. GE-I03,67- ASBUILT 1 HEREBY CERTIFY .THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPEHTYs THAT NO FN ENTS EXISTINDAS ICATED. T 13 THE RESPPONSIBIILITYCEPT F THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUSDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD OF FENCE LI DATA � R FOBE RE EFOR STABLISHING BOUND_ ARY LINES. DJITE': GRIN /N1ri/Iso FBS ' DRAWN --� ,. y J� CJ T H Dump Mork Seward LS-om