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HomeMy WebLinkAboutCINERAMA TERRACE BLK 3 LT 1Ci'onerama Terrace Block 3 Lot 1 #020-541-07 Municipality of Anchorage Page / of Z DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ��gZ�3' PID Number: �2DD33 Name: Wastewater System: ew Upgrade Addresg G !A-1 ABSORPTION FIELD Phone: No. of Bedrooms: ❑ Deep Trench ><Shallow Trench El Bed ❑Mound El Other LEGAL DESCRIPTION Soil Rating: /Z' Total Depth from original grade: GPD/S . Ft. Lot: Block: j ubdivision:�t I el"Il Pi47Y774 % Depth to pipe bottom from original grade: Gravel depth beneath pipe Z Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: D. 5 Ft. d Ft. WELL: New El Upgrade Gravel width: / Number lines: of IDjstan,7etweenlines: 4 Ft. Ft. Cl if' ation (Private, A,B,C): �j2/ VA) Total Depth: Cased To: Total absorption area: 54Z Pipe material: /o A677-1 Ft. Ft. SQ. Ft. - 7:>a664-Driller: Date Drilled: Static Water Level: Install r: Xwi%%b/Q� Lf Z� Bate installed: 1717 Ft. Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: �Jl� From Tank Field Station Tank Sewer Lines /� Well 125 / kJ -20.1 2S!� Material:�M6 Z__ Number of Compartments: Surface /6a -',� Jit — `— LIFT STATION Water Lot /O �� /D r� Size in gallons: Manufacturer: Line Foundation S�O / 13� _ ^- --- "Pump on" level at: Sump off" level at: High water alarm at: Curtain _ / M � / �v Pump Make odel Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: ,#S IAJ Assumed Elevation: ENGIN�F,��$� r; N ANbrt 2o°op .C9 S & S ENraINE1:RING Inspections performed by: '170;4V Eagle River Loop Road, No. �st e� Fagle River, Alaska 99677 q` •nnnmw ewnawro°� v Nitobert 2nd—SEt `y`�-3 A. Shwa, W% Department of Health and Human Services approval No. 1.457-E _ :y ` r`a..°� C( S �a{0e ' +� �'�' °� Reviewed and approved by: "�� 17-4- Date: .Lsa��n 72-013 (Rev. 9/91) MOA 25 Permit No. SW920399 Page Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: CINERAMA TERRACE SUBD., BLOCK 3, LOT 1 PID No.: 0200331 Col CO2 84.6' FINAL GRADE NEW 79.6' 1250 GAL S.T. 79.4' N.T.S. SCALE i" 40' eC., 3 72-013 A (Rev. 9/91) MOA 25 4 BDRM MT C04 FINAL GRADE ♦ 59.4' NO WATER FOUND I GAL SEPTIC TANK DRAINFIELD A B FCO 13.0 31.0 C01 58.0 62.0 CO2 66.2 69.5 CO3 144.0 152.0 C04 149.5 138.0 MT 140.0 143.0 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:SW920399 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:KNAUFF RANDALL W OWNER ADDRESS:4248 CHARGING CROSS CIR ANCHORAGE, AK 99504 PARCEL ID:02003331 LEGAL DESCRIPTION: CINERAMA TERRACE BLK 3 LT 1 LOT SIZE: 56529 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 6p m to —Ito -q3 DATE ISSUED:11/30/92 EXPIRATION DATE:11/30/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: VERIFY SEPARATION TO WELL ON LOT 16. n RECEIVED BY: �-- u� . DATE: DATE ISSUED BY: �� ,����,r _"z 1 n�tn\ R November 23, 1992 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX 6941211 HEALTH AUTHORITY APPROVALS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, AK 99519-6650 SEWER &WATER MAIN EXTENSIONS REFERENCE: Cinerama Terrace Subdivision, Block 3, Lot 1 SEWER & WATER INSPECTION We request you issue a permit to drill a well and install a septic system to serve the proposed 4 bedroom house on the referenced property. ENGINEERING STUDIES AND REPORTS Two test holes were performed on the property. The approximate location of the test holes are located on the attached site plan. The monitoring tube within the holes have been checked and found to be dry. WELL INSPECTION &FLOW TEST This property has enough area for a future septic upgrade, which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. SITE PLANS If you have any questions, or require additional information for your review, please contact us. ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN incerely, oger J. Sha r, P.E. S/JPW/lsu l . 0 f!fz ! 0 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 r% ® :N� m o co N N Ul • O O J N V Ow J a Z O O Cr) Lq W Qo U W W W J Z w ¢ J O 4— h h � O 3 p �c Q w O' o i � y C C9N k �i O h4 N p c0p n C14 Q W Jj Q DWQO W OD O O p 2 N p Q Q U) O y w J 31VOS a a 05 - „I w a Municipality of Anchorage ®�� sa�ce®a W. ®•sties o DEPARTMENT OF HEALTH & HUMAN SERVICES •®• ®• CU4�. RG .EFa d 1SHAEE;i 825 "L" Street, Anchorage, Alaska 99502-0650 C. « No 215 010%4 " SOILS LOG — PERCOLATION TEST art �e •dea•.•.e•w••`•®^ t I Ilic PERFORMED FOR: ��A&AP Fz DATE PERFORMED: `� G LEGAL DESCRIPTION: CIhJ�(k �faiy cr— Township, Range, Section: SLOPE SITE PLAN DEPTH 1 N 2-- 3 3 4 t Gw// r p 66 AA 5IC�l�h� S�/�) i. 6 U i 7 ,1 8- 9- U 10- 11 0 11 0 12 13- 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? S L / O P E Depth to Water After Monitoring? J4__ Date:r� �Z 20 6� PERCOLATION RATE It+ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN !L FT AND S FT COMMENTS PERFORMED BY: S & S ENGINEERING CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loo Road No. 204 ACCORDANCE WI a_&k�WFA JNyVI�AL GUIDELINES IN EFFECT THIS DATE. DATE: 72-008 (Rev. 4/85) I Depth to I Water �- 20 6� PERCOLATION RATE It+ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN !L FT AND S FT COMMENTS PERFORMED BY: S & S ENGINEERING CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loo Road No. 204 ACCORDANCE WI a_&k�WFA JNyVI�AL GUIDELINES IN EFFECT THIS DATE. DATE: 72-008 (Rev. 4/85) s .e (ENGIa V1 a Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 tt ):,. t t. AFEro+ G SOILS LOG — PERCOLATION TEST eaaaeaa ° PERFORMED FOR: �P1ND�/ �tVAcAPF— DATE PERFORMED:Z- LEGAL DESCRIPTION:0fNEZAMN 1 ERR%e L Township, Range, Section: DEPTHT� SLOPE SITE PLAN E (FEET•) 1 � ��� \�e• t�Oli�� 1 ^— - OIZGRngcS 2 v N 3- 4 V 5 6 U 7 8 ' 9- 10- 11 10 11 12 I,, 0 13 H . 14 15- 16- 17 51617 81920 18- 19- 20 COMMENTS SiCTY 6f&, -S(- 6 fl?wEL WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT L O DEPTH? p E Depth to Water Atter Monitoring? DRY Date: �f PERCOLATION RATEM (minutes/inch�)PERC HOLE DIAMETER !/ TEST RUN BETWEEN SS FT AND �-� FT r PERFORMED BY: S & S ENGINEERING I CERTIFY THATHIS TEST WAS PERFORMED IN 17034 Eagle River Loop Road No. 2E ACCORDANCE WI� 6LFATVWEAJ V&W% L GUIDEL S IN EFFECT ON T IS DATE. DATE: 72-008 (Rev. 4/85) Depth to Water . .. �f PERCOLATION RATEM (minutes/inch�)PERC HOLE DIAMETER !/ TEST RUN BETWEEN SS FT AND �-� FT r PERFORMED BY: S & S ENGINEERING I CERTIFY THATHIS TEST WAS PERFORMED IN 17034 Eagle River Loop Road No. 2E ACCORDANCE WI� 6LFATVWEAJ V&W% L GUIDEL S IN EFFECT ON T IS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage -tel Development Services Department ° Building Safety Division On -Site Water and Wastewater Program I n 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 Parcell.D. /7.2e) -5U1-407 COSA# MY553 Expiration Date: ' -.2 -2 - Q -7 1. GENERAL INFORMATION Complete legal description Lot 1; Bbck 3; Clnerama Terrace Location (site address) 16400 Black Bear Or. Current Property owner(s) Randall KnauR Mailing address Lending agency Mailing address Real Estate Agent Mailing Address PO Box 111953 Anchorage, AK 99511 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well El Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone 345.6376 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: IndividualOn-site✓❑ Individual Holding Tank ❑D Community On-site ❑ Public Sewer ❑ 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 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 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 s & s Engineering Phone 694-2979 Address 15861 S. Birchwood Loop Chugiak, eK 99567 Engineer's Printed Name R rE.Q : C - C'n w j. Date .. s /�S/� 7 'ROBERT G COWM cc� _ 6801 5. DSD SIGNATURE 4/it `•. 1 Approved for bedrooms. 111i��•"iiSS���` Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X_ Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: V Original Certificate Date: (RN, IIM) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water b Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519 -WW www.muni.orgtonsits (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST 1 7C Legal Description: �—�! ', �J WC � G &T_ t7 K}yyl j� 'E cel ID: 02 ©— 5 `t 1-07 A. WELL DATA Well type 1 +eJVFTM If A. B, or C provide PWSID # _ Well Loq0N).� Date completed 4' 1 7/1 3 Sanitary sea(2?�l) ire> Wires properly protecte�Y I)_ Total depth 2*�ft. Cased tol rt ft. Casing height (above ground) in. FROM WELL LOG AT INSPE TION Date of test % $ �% e `7 r r Static water level l ft.� ft. Well production D g.p.m. �. g.p.m. WATER SAMPLE RESULTS: COIHorm _P'colonies/100 mL Nitrate`? r Z G mg/L Other bacteria J9, colonies 100 mL Arsenic: 0 mon Date of sample: We.7 Collected by. s 4 S FJV6 A) erg S. SEPTICIHOLDING TANK DATA Tank Typa/N(#jteial.- >z'(1 G S Date installed 616 Tank size 12�D ga1� 7'• ;' . Number of Compartments .2- Cleanouts6N) Foundation dean ) Depression over tank (Y& A2 High water alarm (Y/to Date of pumping Pumper AJO9itfJ 0Jb isFlub (fewE 461 vier-% C. ABSORPTION FIELD DATA Daft installed �b /t 3Soil rati(g.p.d.m' feibdrm) /, 2 Length 16, ft. Width S• O / ft. System type S140ktp 7 Tlr'kXq Gravel below pipe � ft. Total depth 5_5 ft. Eff absorption area §40 ftz Monitoring tube jt5 Depression over field k)6 Date of adequacy test q D Resul (P ail)) / For bedrooms rr rr Fluid depth in absorption field before test Q in. Water added gal. New depth a in. rl Elapsed Time: hm min. Final fluid depth in. Absorption rate >= 600 f g,p,d, Any rejuvenation treatment (past 12 mo.) (type) ZQV If yes, give date D. LIFT STATION N f A Date installed Size in gallons "Pump on level at _ in. "P p efP t@G4 Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAirt station on lot 12S r Absorption field on lot go? Public sewer main Sewer /septic service line O� f Animal containment areas (Y/N) in. High water alarm level at Meets alarm & circuit requirements? I On adjacent lots ! On adjacent lots Public sewer manhole/cleanout % Holding tank ! Manure/animal excrete storage areas /j�6 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I Building foundation S6 Property line L4 ! Absorption field S >< Water main A)Aq Water service line %Q f Surface water Wells on adjacent lots 106 + in. SEPARATION DISTANCF FROM ABSORPTION FIELD ON LOT TO: IF Property line /40 4 Building foundation Water main A-) is Water Service line 'f' Surface water /?V) f Driveway, parkirg/vehide storage /O f Curtain drain A,'10JtX iclU[MtlA) Wells on adjacent lots 1,46 F. COMMENTS G. ENGINEER'S CERTIFICATION ' 1 certify that I have determined through field inspecdions and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in erred on this date. �, t tr M- cowaw Engineers Printed Name R d Q 4 AT C • GO yAw/ Date '�>1i•.ciT�` .— COSA Fee Date of Payment Receipt Number (Rev. 11/06) waiver Fee S Date of Payment Receipt Number Municipality of Anchorage °• • .w Development Services Department j Building Safety Division " On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 070333 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 3, Lot 1 of Cinerama Terrace subdivision. This inspection revealed a nitrate concentration of 5.26 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Pact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. ALIG-22-2007 10:15 S&S ENGINEERING e ' LOCATION OF Wat.l 907 694 1211 P.01i01 STATE OF ALASKA DEPARtMENT OF NATURAL flt$== oMSION OF WATER WATER WELL RECORD somouON ,aWDlV1Y0N 'LOT a1Ae1! .✓1OLMON Was U7TONNeIe► 11ANa[ eO1Dl�il1 j CIN CIE .CIS OW LOCATON a--FCH. •' . WILL OWNER:. .' DEPTHS MEASURED "im :Cloaa v tap E39myw Kwfwa W41. I" . • . .. •' bATTE OF COMPLETION Dooof fN1K� O_ n Spath or eae4p:— a ;SOREMX DATA: .. .. h ' •.;F�pm:;�;7o.. MateriYT4WbIld.COtor...,,_.. ..5�!_� . OEPTIL TO STATIC WATEII LEVE AAL—ft below ".top of cse4q 0 wmM solace 1&M • .METHOD OF, ORILLEIGI' ;M &F lOtMY . ❑ cable tool CI oaw USE OF WELL. % cic aw c 01pdm :C nw iw . . ` CASNn 8= 40. fL' OW=' •G : >ti toy Nt Casi�q•typK In. to WELL WAVA OPF M TYPE: CI open erd '0 sasa,d 0 patorstee jG1 open hde peptlle ot• to tt SCAM TYPE GRAVEL PACK TYPE: • , . ... ... :-.' ,Votselt apes . .OepW.m .tope: . GROUTZYP� .: Vohene: Depth• tronl n tb h •�... p �g •eEYE1:GPMeET �. - *. Uu. �EP PUM h Seca ' in ptanpk gp ALASKA DMR/DIY OF WATER PUMP MTAEE DETEIk n H=Wwet. WELL DISMtFE0T12f UPON COMPLMON7OQ YES 0 Oy. to i w CONTRACTOR NFORMATM: RENLi1RK$: �, VZ`ter, 1s / M PLEASE MAIL WHITE , COPY OF LOG T0: b DNRANV SOF WATER ' Sure spre save - ate • • PO SOK 772116 EAGLE RIVER AK 99577.2176 TOTAL P.01 i ..vos r..Po Ilm aAr. 1A�> �I YYR BI•aI 2 �'� BLACK BEAR CIRCLE/- SURVEY CERTInCATION '.♦�r.�.��,,' Prepared by .LOT PLAN ♦.•PSE OF .4111 �•, Robert E. Johns, Jr. &Assoc. I L.W awry Dr I M PI✓•rr wnwr ♦ ,( Yrti�...w r�r•rl ♦ \,,. •. �� Professional Land Surveyors r. Ar ..Irrr r r Y w •ww ♦ �; 642 E. 12 AVE. r��YMlr� . w 704 r•w / wW r.r...rL— / {1 AN04CRACC. ALASKA 99501 / I S some; Roo. Lot S.F. RK Plot FFw Na FOUNDATION AS -BMT �•• •• •• ••• ••• 11 1 L A.w E +1.. o...rr r•rY u 1 ... / . r�w•ti+...yw rY r` .,/ Dat• Surv.ysd: Crown Dr Ch•ckW Dtc Itini. w Y w N =� Y J •u mumu ... ter.. r. l•..r .�..� OBERT E. ••• S. t -10-07 Rw JTIK li"� �"' ""' .•i— L Dae. OF9w.1: r. rr.r � P �� o / 1]Id: W.O. FINAL At STRvcnAS-GMT �1': '•. �— :` ,•i 7-23-07 3241 7174 rL r� .w+r IY t •1 �•� �•••..................••• SoA ♦♦ L*" DoPorlpllon: ♦•tilpr°F.F.bnd �0°♦♦♦• lot 1 Block 3 �• r •••••� ����������� Cinerana Terrace LOT SMWY SURVEY TYPE ❑ r000ATCN AE -MALT SYMBOLS ❑ F.ML 9TINCTUIE AP-MIET • SET REBAR .......... DRAINAGE -""""" ASPHALT ❑ PLOT PU ... A9-M1LT ... LOT 1MRItY ... TOPooIIAPNr O FOUND RERAR WOOD FENCE CONCRETE As-EIaT ... N° m t wt ra ASSUMED ELEV. Y X N. u111, ee 1 rT/7 /1 _-__ ___. IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER. PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION. TO VERIFY PROPOSED BUILDING GRADE It SN.L. FENCES. WELLS. SEPTIC CLEANOUTS. SIDEWALKS. DRIVEWAYS. TO FINISHED EXISTENCE GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC.. ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY. SNOW THE [XISTCNCE OF ANY EASEMENTS. COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH 00 NOT APPEAR ON TME CORD O V DIVISION PLAT. . ALL 0N UNDER NO CIRCUMSTANCES SHOULD AN AS-BULT BE USED FOR CONSTRUCTION OR FOR ESTABUSHMa BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS W SCALE. SCS ReEM 1073824001 Client Name S & S Engineering Project Name/N LI D) Cinerama Terrace Client Sample ID L I D7 Cinerama Terrace hi■tris Drinking Water PWSID 0 Sample Remarks: All Dmtes/rimes ore Alaska Standard Time Printed Date/time 08/15/2007 16:22 Collected Date/Time 08/0212007 15:20 Recelved Date/time 08/02/2007 16:17 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results PQL Units Method Container ID Limits Date Date Init Metals by SCP/MS Arsenic PD 5.00 Haters Department Total Nitrate/Nitrite-N 5.26 0.100 Microbiology Laboratory Total Coliform 1 OD, No Coli ug/L EP200.8 C (<10) MSIL SM204500NO3-F D (<10) col/IOOmL SN1209222D A (<I) 08/08/07 08115/07 M11 08/07/07 JDS O8/02/07 SDP