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HomeMy WebLinkAboutHUNDRED HILLS BLK 1 LT 7Hundred Hills Block 1 Lot 7 #078-181-1i (Icy'[ t o/z6/►a Municipality of Anchorage • • _ . ,( Development Services Department tS_ Building Safety Division _ Wastewater Program, 4700 Bragaw St. �I Si On -Site Water & -'1_' P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number SW080121 PID Number: 078-181-1 1 , of 3 Name: LOU REED Wastewater System: ■ New ■ Upgrade Address: PO BOX 770526 * EAGLE RIVER, AK ABSORPTION FIELD Phone: No. of Bedrooms: (907) 786-8698 2 ❑ Deep Trench ■ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: 1.0 GPD/Sq. Ft. Total Depth from original grade: 7.5 MAX Ft. Block: Lot: Subdivision: 1 7 HUNDRED HILLS Depth to pipe bottom from original grade: 3.5 MAX Ft. Gravel depth beneath pipe: 4.0 Ft. Township:..... Section: — — Fill added above original grade: SEE DWG. Ft. Grovel length: 40 Ft. WELL: • New ■ Upgrade Gravel width: 5 Ft. Number of lines: 1 Distance between lines: — Ft. Classification (Private, A,B,C): PRIVATE Total Depth: 200Ft Cased To:(BEDROcK) 44 Ft Total absorption area: 400 so. Ft. Pipe material: D 3034/ F-810 Driller. SULLIVAN WATER WELLS Dote Drilled: 9/2/2008 Static Water Level: 60 Ft Installer: GEG, LtD. Dote installed: 8/19/2008 Yield: 15 GPM Pump r— Set ,�,t: /� _ &)L. Ft. Casing Height Above Ground: 2 Ft TANK SEPARATION DISTANCES 0 Septic 0 Holding 0 S.T.E.P. 0 Other* To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Lines Manufacturer. GREEK Capacity in gallons: 1000 Well 100°+ 100°+ — — 25°+ Material: STEEL Number of comportments: 2 Surface Water 100°+ 100°+ — — — LIFT STATION Lot Line 5°+ 10°+. — — — Size in gallons: Manufacturer. Foundation 5°+ 10'+ — — — 'Pump on" level at: "Pump off" - - ot: High water alarm ot: Curtain Drain Pump Make el: Electrical Inspections perfo med by: NONE KNOWN Remarks: BENCH MARK A��11 1 1111- �G ?e/;�/I ( Location and Description: BOTTOM OF TANK IN ST1 ,l Assumed Elevation: 100.00 Et Inspections performed by: GEG, Ltd. Dates: 1st 8/19/2008 ,••==',�. o ` p - / • -• .13 J O c� ( �V sd, v,.eo� o ENGINEER'S SEAL/ 4o600p, OF AL % -i--/- ..°°-.--1)0 6A " i ••'� 00 fr A. am ss ° E-795 .• �, • f r, /7,‘ t D •• se., � rofessio� oo �40000Q� 2nd — 3rd — Development Services Department Approval Conditional approval: Date: ; i Reviewed and approved • : !2"''4 7' /kV g' Date:._ / / (Rev. 4/06) � { PERMIT NUMBER: SW080121 AS -BUILT DRAWING PARCEL ID NUMBER: 078-181-11 ST1 ST2 DBL1 DBL2 001 MT1 CO2 MT2 A 343.94 342.16 341.70 341.17 309.35 310.74 332.80 333.95 B 287.80 281.28 279.65 277.83 278.69 274.23 252.52 254.37 72.49 76.28 77.26 78.34 56.19 61.24 94.57 93.65 D 42.51 48.60 50.13 51.83 51.49 54.71 75.60 73.97 F.. 4..1 ii'•:. Y • *•••;:;..i.,,, I t I V.: ; . • :..: • t• ••• • :::. \f•.?...i:?....\:, \ %....c •: 0 VI.,....!°..;too' WELL RADIUS ,,:::. .:,. ..,:'"!•::?:::,..s, t .,., ,, ,s • ': • 1 r• • :..',.. -•.".. \ NEW t• x r, :.....„ ;•.. \:',... • •A 1 rk,....(, \ \•• *:f*: A \\Ss, \ If • $ v....i...,::, .".A \ N \;' •.'.' '....•.1 ‘:''. 7'5 ALTERNATE SITE \\s)<\K. / t • :•t \ ...• i, `--t •..i.x `....i.*•%' - , s'T V.,,.:1••:.`, MT ‘ \ \TH#2<kk. e \::,.•:.'.:.1::,11, \ \ \ ) EXISTING GRAVEL ROAD '•, A \ \ •A, BL 1&2 NEW 1000 GALLON SEPTIC TANK DASHED SECTION S A WALK TRAIL TRAIL IS NOT FOR VEHICLES, NEW DRAINF1ELD \ s \TH# '140- \ \ \ \ AREA THAT WAS FILLED TO BE LESS THAN 25% SLOPE 10/26/2010 EVISED TO SHOW SWING TIES TO HOUSE AND SEPTIC PIPES. 3 SCALE: 60 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 • WEBSRE rorw.gornessengineering.corn PREPARED FOR: LOU REED PHONE NUMBER: 786-8698 LEGAL DESCRIPTION: HUNDRED HILLS, BLOCK 1, LOT 7 TYPE OF WORK: AS -BUILT DRAWING (Pm, mins) PAGE NUMBER: 2 OF 3 DRAWN BY: PNB DATE: 10/25/2010 E-79 • • • c0C54=g p nO\ rofess10.- PERMIT NUMBER: SW080121 AS -BUILT DRAWING PARCEL ID NUMBER: 078-181-11 TOP OF TANK AT INLET = 104.84 INVERT OF BUNG AT INLET = 104.45 ST1 INSULATION FINAL GRADE = 109.01-109.18 11/- ST2 AT TOP OF TANK OUTLET = 104.84 INVERT OF BUNG AT OUTLET = 104.13 TH#2 FILTER FABRIC INSULATION MT COFINAL GRADE = /- 106.62-107.87 ORIGINAL GRADE HIGHEST POINT = 107.12 5' —e -RELATIVE ELEVATION OF BOTTOM OF TEST HOLE = 93.12 (NO H20) INVERT OF PIPE = 103.62 BOTTOM OF TRENCH = 99.62 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 I. PHONE (907)337-6179 • FAX (907)338-3246 • WEBSITE: www.gameeeengIneerIng.00m PREPARED FOR: LOU REED PHONE NUMBER: 786-8698 PAGE NUMBER: 3 OF 3 LEGAL DESCRIPTION: HUNDRED HILLS, BLOCK 1, LOT 7 DRAWN BY: K.D.M. TYPE OF WORK: AS—BUILT PROFILE DATE: 9/17/2008 J ff ey Gar' ess: 9'QE-79 3 11.0.1.14Wc$W ,A 4ero f es ston�o ���OOo�oo (Rev. 01/05) Certifieb rttItng Log by DOC CO. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 •TELEPHONE 688-2759 OWNER OF LAND: (4-4J /S ,4f=, ,( ADDRESS' 1/1.44)6141:i/0 ff LEGAL DESCRIPTION: Rt44)61 e 4 4445 /34k.. I. DATE: c7/2/0 C� PERMIT NUMBER: O'' Date of Issue 1 JO -©, ` TAX IDENTIFICATION NUMBER:6.) 7? - /?f l a Is well located at approved permit location? es D No Method of Drilling: kfalli<tary U cable tool Depth of well. 'RC() Casing Type , Te . - Wall Thickness Diameter inches, depth Liner Type: Ai ? f Casing Stickup Above Ground' inches feet Static Water Level: _ 60 Recover Rate: / gpm Method of Testing: /4/1 Well Intake Opening Type: ❑ open end open hole ❑ Screened; Start ❑ Perforations Start Grout Type: 4.16-04 T a feet feet feet Stopped feet ,c_AeS. ;Stopped feet Volume Depth: from 0 feet, to Well Disinfected Upon Completion? is Yes ❑ No Method of Disinfection: 144 ciA r- : ) feet Comments: BORE HOLE DATA DEPTH From To 0 0701, s- (" ---)t.."4. ave .0 edzi,e4c.,‹, 6,4 4e -44,,c /4,4 25e,444 YF NA./ /..36 tag t)Got_. 6474 I ye? yip ho di= t I&:K../c. Yr ---,e c. 3 J 136. ,! e G k.. irk41.c7 " ic 44..e t,C j,q A'y 00447s — ),#+-r4/4 9r o 6/44 Driller's Name C:_'C 4.4 rc{, 44J4,, i ATTENTION: It is the responsibility of the property owner to submit a copy rity. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environ enttalhe i Conserva on.prper oMatSu Borough: Department of Environmental Conservation. Well Drilling Permit Number: Parcel Identification Number: ARCTIC PUMP & WELL INC. Jim Sullivan PO Box 770197 Eagle River; AK 99577 (907) 688-2510 (907) 258-25I0 (907) 745-2510 apw.ggcinet Pump Installation Log SW080121 078-181-11 Date Of Issue: 7/10/2008 Legal Description Hundred Hills B1 L7 Lot: Block: 7 1 Property Owner Name Address: CMM PO BX 774042 Eagle River AK 99577 Pump Installaion Date: 9/28/2010 Pump Intake Depth Below Top of Well Casin 188 Feet Pump Manufacturer's Name Pump Model: Pump Size: Pitless Adapter Burial Depth: Pitless Adapter Manufacturer's Name Pitless Adapter Installer: Well Disinfected Upon Completion? Method of Disinfection: Comments: Franklin 10JS07S4-2W230 3/4 10 B-10 cmm Yes Chlorine PumpinstallerName: Arctic Pump & Well, Inc. Friday, February 04, 2011 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Renewal Permit Number: SW080121 Legal Description: HUNDRED HILLS BLOCK 1 LOT 7 Design Engineer: 0855 GARNESS ENGINEERING GROUF Owner Name: LOU REED Owner Address: PO BOX 770526 EAGLE RIVER , AK 99577 - Date Issued: Jul 10, 2008 Expiration Date: Jul 10, 2009 Parcel ID: 078-181-11 Site Address: NHN HILAND ROAD Lot Size: 187439 SO. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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. -MAY NEED FILL AND GRADE PERMIT FOR ENGINEERED AREA DOWN HILL FROM PROPOSED DRAINFIELD. Received By Issued By: (A) Date• 7/Il f o cj ..- Date: /ODS' Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING on- /$ J- 1/ Property owner(s) • 2-?) 7 /A CE- IDay phone ��-86' 8 Mailing address Po ,&)� 7059 E)n Zip Code7`%n 67-7 Site address /V/ f t1� iii I n li) 7-21) Zip Code Legal description (Sub'd, Block & Lot) 40dl/)/2b1) t"t f fi/s 73/ L (- Legal description (Township, Section & Range) ,Ia Lot Size �D p 7 31. Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR (Ea that apply): THIS APPLICATION IS AN: Absorption Field f) Initial Septic Tank Upgrade Holding Tank 0 Renewal Privy 0 Private Well UO Water Storage 0 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 1/5 — Waiver Fees: Date of Payment: /7/CS Date of Payment: Receipt Number. 1 UV 1 lel Receipt Number: (Rev. 11/05) MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW070184 Legal Description: HUNDRED HILLS BLOCK 1 LOT 7 Design Engineer: 0855 GARNESS ENGINEERING GROUF Owner Name: LOU REED Owner Address: PO BOX 770526 EAGLE RIVER , AK 99577 - Date Issued: Aug 01, 2007 Expiration Date: Jul 31, 2008 Parcel ID: 078-181-11 Site Address: NHN HILAND ROAD Lot Size: 187439 SO. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: ❑✓ Disposal Field ❑.r Septic Tank ❑ Holding Tank ❑ Privy ❑✓ 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 ). g, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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. -MAY NEED FILL AND GRADE PERMIT FOR ENGINEERED AREA DOWN HILL FROM PROPOSED DRAINFIELD. Received By: $ /d dThice) Date• CYl9 /Q 7 Issued By: Date: s(t (0l Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING tag- )21- 11 Property owner(s) LOU REED Day phone 786-8698 Mailing address P.O. BOX 770526 a EAGLE RIVER Site address IJNtJ Lkit.srroc I DI\Q E'R Zip Code 99577 Legal description (Sub'd, Block & Lot) HUNDRED HILLS SUBDIVISION. LOT 7. BLOCK 1 Legal description (Township, Section & Range) N/A Lot Size IAR 1 y39 Sq.Ft. Number of Bedrooms 2 THIS APPLICATION IS FOR ( Nall that apply): THIS APPLICATION IS AN: Absorption Field 0 Initial N Septic Tank 0 Upgrade 0 Holding Tank 0 Renewal 0 Privy 0 Private Well al Water Storage 0 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees: 17 5 t✓" e(I Waiver Fees 175. 0° Date of Payment: 1/ 2 (-/ o 7 Date of Payment: 7/ -cc/ C7 Receipt Number. YU �D6 Receipt Number: (Pi 7 .(rb (Rev. 11/05) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS :: :> July 25, 2007 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Well and Septic System for Ilundred hills Subdivision; Lot 7, Block 1, To whom it may concern: The proposed 2 bedroom house is to be served by a private well and septic system. We are proposing to install a 1000 gallon septic tank and a 5 -wide trench type drainfield. Two test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of test hole 2. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the drainfield is a 27- 40 percent slope running approximately northeast to southwest. We are proposing to fill grade to less than a 25 percent slope to a distance 35 feet downhill from the drainfield. Given the porosity of the the soil, there should be rapid downward migration and minimal lateral migration of the effluent. We believe there is minimal risk associated with the grating of this waiver. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have a ' questions, please contact us at 337-6179. Thank you for your assistance. ely, effr Presldb t , P.E., M.S. NU E: is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Wcbsitc: www.garnesscngineering.com HUNDRED HILLS. LOT 6, BLOCK 1 (VACANT) CHUGACH STATE PARK JPRQPOSEO 100' WELL RADIUS / PROPOSED 2 BEDROOM HOUSE PROPOSED SEPTIC SYSTEM HUNDRED HILLS. LOT 1, BLOCK 2 (NO CONCERN) HUNDRED HILLS, LOT 2, BLOCK 2 (NO CONCERN) 1.1 GARNESS ENGINEERING GROUP, Ltd. •���� �-+ ----+CONSULTANTS & GENERAL CONTRACTORS �+>•.� .. +_........� rot L ARCO IWO. SUR 101 . MIbIM,1q. MI 40507 • AUK (01)517-4179 a FAX (102)154-0240 1RBSIIF eaa.pn,w.pinwYy.are PREPARED FOR: LOU REED PHONE NUMBER: PAGE NUMBER: 786-8698 1 OF 3 LEGAL DESCRIPTION: HUNDRED HILLS, LOT 7, BLOCK 1 TYPE OF WORK: PROPOSED SEPTIC SYSTEM DESIGN (Rev_ 01/05) HUNDRED HILLS, LOT 6, BLOCK 1 (VACANT) SCALE: 1e w 100' DESIGN CRITERIA: NUMBER OF BEDROOMS:2 GALLONS PER DAY (OPD): 300 PERCOLATION RATE/S: <1 MIN./INCH PROPOSED APPLICATION RATE: 1.0 MINIMUM DRAINFIELD SO.FT.: 300 DRAINFIELD DESIGN; MAXIMUM DEPTH:7.5 FEET WIDTH: 5 FEET LENGTH:40 FEET M.OA APPROVED SAND FILTER: N/A FEET EFFECTIVE:4 FEET REDUCTION FACTOR: 0.50 ACTUAL SO.FT.: 320 SCALE: 1.- 60' GEC, Ltd. HAS A 7 PACE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEC. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER. WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTUNED. PROPOSED 100' WELL RADIUS 1 INSTALL FOUNDATION CLEANOUTS PROPOSED 1000 GALLON SEPTIC TANK INSTALL DOUBLE CLEANOUTS INSULATE WITH t BLUE BOARD, 4' WIDE TH#2 ROPOSED DRAJNFIELD TH{j 1 AREA TO BE FILLED AND GRADED TO LESS THAI 2511 60 FEET 00wIPP . OF PROPOSED DRNNFIEWD GARNESS ENGINEERING GROUP, Ltd. ^W- u•--• CONSULTANTS & GENERALe.^'IW.����CONTRACTORS C MOM 9011 IGD. aunt tot • ANCRORMT. AA 19507 • /•1040107/137-4171 • FA[ (007)13e-3207 • Mart ".40"i•„pghearbn " PREPARED FOR: PHONE NUMBER: LOU REED 786-8698 LEGAL DESCRIPTION: HUNDRED HILLS. LOT 7, BLOCK 1 TYPE OF WORK: PROPOSED SEPTIC SYSTEM DESIGN (Rev. 01105) PAGE NUMBER: 2 OF 3 1 DRAWN BY: K.D.M. DATE: 7/25/2007 27 PERCENT / GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS R GENERAL CONTRACTORS ..• -- ]1o1 E. Imre Ono Suet 1101 • AMpe5Rcc Ne 19507 • 11111104e(M115), 4179 • FAX (4g7)5b-57.e • WC , TT, .+a.«__ •••••y arwwnNm..w c•.• PREPARED FOR: PAGE NUMBER: LOU REED PHONE NUMBER: 786-8698 3OF3 LEGAL DESCRIPTION: HUNDRED HILLS. LOT 7, BLOCK 1 TYPE OF WORK: PROPOSED SEPTIC SYSTEM DESIGN SCALE: 1 10 . S a1 jr O.. = f e Drnessi DRAWN BY: Oo, C 79 3 :G K.D.M. ��� e 7 2.6 .07 �•/t DATE: 44�OpO000I�,, 7/25/2007 (Rev. 01/05) stehi'lea2PSHer 411 GARNESS ENGINEERING GROUP, Ltd. ^ w-^^-•-• •�- - CONSULTANTS & GENERAL CONTRACTORS 3701 L TUDOR ROAD. SURE 101 • ANCHORAGE. MC. 09507 RNONL (907)337-4179 • FAL (907)36-3340 • •EBLML p,..rep,..byoom jSOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: PERFORMED FOR: DEPTH .. (feet) ;;;; 1 -ti- 2— 3- 4- 8- 10 — 11 — 12 — 13 — 14 • • • 15- 5- 16- 16- 17- 17- 18 18 — 19 — B.O.H. HUNDRED HILLS: LOT 7, BLOCK 1 LOU REED DATE: 6/12/2007 ORGANICS LOAM (SM) GM FRACTURED ROCK w/ SILT & SAND. LARGE COBBLES & BOULDERS ENCOUNTERED 20 SOILS LOGGED BY: COMMENTS' TEST HOLE #1 SOIL CLASSIFICATIONS GW GP GM GC SW SP SM SC tat 'Hill ORG ML CL OL MH CH 011 DEPTH TO GROUNDWATER DATE DRY 6/12/2007 DRY 6/21/2007 060 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 6/14/2007 1 11:00 — 6" — 2 11:01 1 0" 6" 3 11:01 — 6" — 4 11:02 1 0" 6- 5 11:02 — 6" — 6 11:03 1 0" 6" 7 11:03 — 6" — 8 11:04 1 0" 6" 9 11:04 — 6" — 10 11:05 1 0" 6" 11 11:05 — 6" — 12 11:06 1 0" 6" PERCOLATION RATE <1 (MIN./INCH) TEST RUN BETWEEN 4.0 FT. AND A FOUR HOUR PRESOAK WAS PERFORMED: PERC. HOLE DIA. 6 (INCHES) 4.5 FT. 0 YES M NO JODY MAUS PERCOLATION TEST PERFORMED BY: BENNY MAUS PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAA$$ PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: "7122107 t GARNESS ENGINEERING GROUP °-a�w• CONSULTANTS & GENERAL CONTRACTORS Ltd. )01 L T CC4 MaO, SLATE 101 • ANCHORACC. NC. 49307 . i,CM(: SO) 1-4I79 • FAX. 907 .may • yE&LIL SOIL LOG - PERCOLATI"' 4414 4 " LEGAL DESCRIPTION: HUNDRED HILLS; LOT 7, BLOCK 1 PERFORMED FOR: LOU REED DEPT (feet) ORGANICS 1 TEST HOI GM FRACTURED ROCK w/ SILT & SAND. LARGE COBBLES & BOULDERS ENCOUNTERED SOILS LOGGED BY:_ COMMENTS: PERFORMED BY CEG, WITH ALL STATE AND u JIN (INCH) PERC. HOLE DIA. 6 TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. A FOUR HOUR PRESOAK WAS PERFORMED: JODY MAUS IN 0 NO PERCOLATION TEST PERFORMED BY: BENNY MAUS Ltd. I, JEFFREY A. CARNESS, CERTIFY THAT THIS WAS PERF RMED IN ACCORDANCE MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7/Z10 0 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 078-181-11 Expiration Date: a - f 2 144 1. GENERAL INFORMATION Complete legal description Hundred Hills, Block 1, Lot 7 Location (site address) 835 Hiland Rd. Current Property owner(s) Benjamin & Carin Stephens Day phone Mailing address 835 Hiland Rd. Real Estate Agent Day phone 2. TYPE OF DWELLING: M Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 2 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual 0 Individual Water Storage 0 Holding Tank 0 Community Class Well 0 Community 0 Public Water System 0 Public Sewer 0 WaiverNariance request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: % COSA Fee $ Lh 0 Waiver Fee $ Date of Payment t 11 1\ 3 d Date of Payment o Receipt Number (2C(/ 1 gnReceipt Number COSA# DSc -13151G 1 Waiver# 6. 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 Certificate of On -Site Systems 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 Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for By: Date 10/18/13 r pc•°F skt, *:49 t}even IR: 'Pannone:"fre CE 8149 •1 Tla bedrooms, with the following stipulations: .-drCI9O;moi ON-SITE 70,' WATER AND -v WASTEWATER oZ pnnaRAM �� Original Certificate Date: / f - -/ 3 The M ideality f A4aeKorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the repre eons given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA blue sheer r '. c Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Hundred Hills, Block 1, Lot 7 A. WELL DATA Well type Private Date completed 9/2/08 Total depth 200 ft. If A, B, or C provide PWSID # Sanitary seal (Y/N) Cased to 44 ft. Date of test Static water level Well production FROM WELL LOG 9/2/08 60 15 WATER SAMPLE RESULTS: Coliform f\ -)ea colonies/100 mL Arsenic N D ug/L Date of sample: (0/1..1.1t3 ft. g.p.m. Nitrate 0. (0c I mg/L B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Date of pumping /0// et / 13 C. ABSORPTION FIELD DATA Parcel ID: 078-181-11 Well Log (Y/N) Y Wires properly protected (Y/N) Casing height (aboveground) 24 in. AT INSPECTION 10/17/13 55 6.1+ g.p.m. ft. Collected by: P e -s Date installed 8/19/08 Cleanouts (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Pumper zits' PCA, 1MOe e Date installed 8/19/08 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.0 GPD/BR Length 40 ft. Width 5 Total depth 7.5 ft. Eff. absorption area 400 ft2 Date of adequacy test 10/17/13 Fluid depth in absorption field before test 0 in. Elapsed Time: 60 min. Final fluid depth 0 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No System type Shallow Trench ft. Gravel below pipe 4 ft. Monitoring tube Y Depression over field N Results (Pass/Fail) Pass For 2 bedrooms Water added 356 gal. New depth 0 in. Absorption rate >= 450+ If yes, give date g.p.d. D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off level at Datum Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer/septic service line 25+ Animal containment areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (Y/N) in. High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ 100+ Public sewer manhole/cleanout Holding tank 100+ Manure/animal excrete storage areas 100+ Building foundation 5+ Property line 5+ Absorption field 5+ Water service line 10+ Surface water 100+ Water main 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 1°1- Water 0+Water Service line 10+ Curtain drain 50+ F. COMMENTS Building foundation 10+ Water main 10+ Surface water 100+ Wells on adjacent lots 100+ Driveway, parking/vehicle storage 10+ G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems ate in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date 10/18/13 COSA brown sheet 10-10-12.doc Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 SkAn-rz L � CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 078-181-11 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent Expiration Date: HUNDRED HILL BLOCK 1, LOT 7 835 HILAND ROAD *EAGLE RIVER, AK 99577 ESTATE OF LEWIS 0. REED Day phone C/O AGENT 835 HILAND ROAD *EAGLE RIVER, AK 99577 SUSAN BICKMAN W/ DYNAMIC 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ 2 Day phone 632-0573 TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer Received by' tttt-A COSA to be released to the engineer, unless otherwise requested by the engineer. Date. /'c'��%� COSA Fee $ Date of Payment Receipt Number COSA # O S C ,/1 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. 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 Certificate of On -Site Systems 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. l 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 J Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date / / Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all welts and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the: year, and -the water usage of -the family being served by the system_ These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE 1Z System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. Conditional approval for L� Y tOF Ar1/4r ON-SiTE- WATER AND WASTEWATER PROGRAMti O bedrooms, with the following stipulations: ?d`O The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other (Rev. 11/05) Original Certificate Date: ./0 2 -l.)- If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: HUNDRED HILLS; BLOCLK 1, LOT 7 Parcel ID: 078-181-11 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES Date completed 9/2/2008 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 200 ftCased to 44 ft Casing height (above ground) 18+ in FROM WELL LOG AT INSPECTION Date of test 9/2/2008 1/31/11 Static water level 60 ft. 75 ft. Well production 15 g.p.m. 3.71 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 0.79 mg /L Collected by: GEG. Ltd. Arsenic: ND ug./L. Date of sample: 9/6/12 & 9/26/12 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/19/2008 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping ** Pumper — C. ABSORPTION FIELD DATA *BELOW FINAL GRADE Date installed 8/19/2008 Soil rating (g.p.d.Ift'orbdrm 1.0 System type SHALLOW TRENCH Length 40 ft. Width 5 ft Gravel below pipe 4.0 ft. Total depth *8.25 ft. Eff. absorption area 400 ft2 Monitoring tube YES Depression over field NO Date of adequacy test ** Results (Pass/Fail) PASS For 2 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 300+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — **PER THE REAL ESTATE AGENT, SUSAN BICKMAN, THE SEPTIC SYSTEM HAS BEEN IN USE FOR ONLY 5 MONTHS SINCE INSTALLATION IN 2008. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump offs level - ' . High water alarm level at in. Datu Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 1001+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 1 00'+ Driveway, parking/vehicle storage *0' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *DRAINFIELD IS IMMEDIATELY ADJACENT TO DRIVEWAY. G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems am in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS /v/� 2 Date (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 078-181-11 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address COSA# 050,1 k1 0q5. - Expiration Date: / 13— If HUNDRED HILL; BLOCK 1, LOT 7 835 HILAND ROAD *EAGLE RIVER, AK 99577 LOU REED Day phone 786-8698 835 HILAND ROAD *EAGLE RIVER, AK 99577 Day phone Day phone Unless otherwise. requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 2 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 11 Individual On-site III Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer C The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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 samples. (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 afi ed hereto and as of the validation date shown below, l verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the wafer usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Date * O(7 mess: E— v0 G G. Zj t .It��ocwO Qdp�ofessio�oo�' ��O000�a YOF4,, ✓ Approved for - bedrooms.*ON-SITE • Isr Disapproved.• WATER AND •• ▪ CT'`= WASTEWATER Conditional approval for bedrooms, with the following stipulations: : PROGRAM • NT c E-\i`c By: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: e2 1 g — Municipality of Anchorage. Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: HUNDRED HILLS; BLOCK 1, LOT 7 Parcel ID: 078-181-11 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 9/2/2008 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 200 ft. Cased to 44 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 9/2/2008 1/31/11 Static water level 60 ft. 75 ft. Well production 15 g.p.m. 3.71 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. NitrateO.283 mg./L. Other bacteria 0 colonies/100 ml. Arsenic: ug./L. Date of sample: 1/26/11 Collected by: GEG,Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/19/2008 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping ** C. ABSORPTION FIELD DATA Date installed 8/19/20os Length 40 ft. Pumper *BELOW FINAL GRADE Soil rating (g.p.d./ft2 Width Total depth *8.25 ft. Eff. absorption area 400 /bdrrr 1.0 System type SHALLOW TRENCH 5 ft. Gravel below pipe 4.0 ft. ft2 Monitoring tube YES Depression over field NO Date of adequacy test ** Results (Pass/Fail) PASS Fluid depth in absorption field before test — in. For 2 bedrooms Water added — gal. New depth — in Elapsed Time: — min. Final fluid depth — in. Absorption rate >= 300+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date **SEPTIC SYSTEM HAS BEEN UNUSED. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level - High water alarm level at in. Datu Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 1001+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage *0' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *DRAINFIELD IS IMMEDIATELY ADJACENT TO DRIVEWAY. G. ENGINEER'S CERTIFICATION I certify that 1 have determined through tied inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date c��0p .757*O0 A. .--'mess: Qa'°rofessi0'% ' �40ood'�" COSA Fee $ (.05 — N .741s ""-e- Waiver Fee $ Date of Payment •; / 1 L ii 1 Date of Payment Receipt Number 091 (eq(0 Receipt Number (Rev. 11/05) SGS SGS Ref.# Client Name Project Name/# Client Sample ID Matrix 1110294001 Gayness Engineering Group, Ltd Hundred Hills Blk 1,Lot 7 Hundred Hills Blk 1,Lot 7 Drinking Water Printed Date/Time Collected Date/Time Received Date/Time Technical Director 02/08/2011 11:32 01/26/2011 8:45 01/26/2011 16:22 Stephen C. Ede Sample Remarks: Parameter Results LOQ Units Method Allowable Prep Analysis Container ID Limits Date Date 'nit Metals by ICP/MS Arsenic Waters Department ND Total Nitrate/Nitrite-N 0.287 Microbiology Laboratory E. Coli Total Coliform Negative Negative 5.00 ug/L EP200.8 C (<10) 01/27/11 02/01/11 NRB 0.100 mg/L SM20 4500NO3-F B (<I0) 1 1 100mL SM20 9223B A 02/03/11 AYC 01/26/11 SH 100mL SM20 9223B A 01/26/11 SH 13 r1> O0 m 7JJmm m=z z0� oZO 0 Z m = m Z p mm0 C) 7 xO m p = D Z -£6 6d '9 -LO 83 14.25 <si = 9.0 m 5-31 N rn 6.75 .o 14.0 .001, G : ' OS O� ‘,4Lw o� -Z0�''' / / 8317L // I 99I -817Z -L06) mm 3J co. m 3 m D N 0.—I Z f� m o 0 (•) m st 0m y aata) 3 ,— mv0.0 �c g (D j j 0 < 0 N r. (D (J1 > CCD W .". 0 3 co g 3 o m m o CD m in m 0 CD CD CA 0 E a m o 0 0 0 0 m D cn o aco v m E o m a m n Sa)CD -0- o .0mo3 000�� m 0 CSD 0 v > `Z3v3=m N co 0m _ -.7c 0 o 3 `�v ?� 0 co 0 "CD 0c-0 v c () 0 5-O St WQ CD _ — 7 `< Q 0 ( 060Z' ?=190.1.00 17/ / /1 / // i cn c 1 DINO SIHl 13S S2i3N21O0 ON 2.,6£.99068N )1 1Vd 21`d1S HOV9f1HO