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ROLLING HILLS ESTATES BLK C LT 3
Rolling Hills Estates Block C Lot 3 #011 �072�O ® ;1lit yi.( Mayor Mark Begich MunicipaUty of Anchorage P(). Nm 1W. )50 • Anchnragc, Alaska Y9119.6(N) • Telq,hone 0M)7) 313-3.'X)1 • Fax (!X)7) 313.&M 47(X) Brupw Street • Anchorage, Alaska!MM7 tn\WAnal.org Iluilding Safety Diis4sion September 27, 2006 Steve Pannone Pannone Engineering P.O. Box 102954 Anchorage, AK 99510 Subject: Waiver Request for Rolling II ills Estates Block C Lot 3 Waiver Request WR#: 060057 Parcel ID # 011-072-09 SW050364 Dear Steve Pannone: Your request for a waiver of the required 100 feet horizontal separation from the public sewer cleanout to the private well has been approved. The approved separation distance is a 74 foot horizontal separation from well to proposed sewer clean-out on Bailey Drive. This waiver approval applies to the proposed sewer to private well separation only. Any future upgrades to the sewer system or changes in proposal will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Qctoodall Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department tr Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907)343-7904 Waiver Review Worksheet WR#:060057 PID#: 0 11-072-09 HA/Permit# SW050364 Date Received: September 27, 2006 Legal Description: Rolling dills Estates Block C Lot 3 Engineer. Steve Pannone Pannone Engineering P.O. Box 102954 Anchorage, AK 99510 Applicant: Steve Pannone r s•�rrr Waiver Requested: 74 FOOT HORIZONTAL SEPARATION FROM WELL TO PROPOSED SEWER CLEAN-OUT ON BAILEY DRIVE. Criteria: Geology Points: A. Water Table 7.01 B. Soil Sorption 1.25 C. Permeability 1.01 D. Water Table Gradient 4.50 E. Horizontal Separation 1.96 Total: I_ _ 15.7221 i 1.......69969969969...699669969.....6699669............................. am Waiver is Granted: X List Conditions or Reasons for above: Waiver is not Granted: Date: 9127106 By: Joe Goodall Name of Reviewer ........................................................8669.............. Rec#: 86608 Amount: $1150 Date Paid: 9/27/2006 State of Alaska: Separation Distance Waiver Guidelines for S.C.R.O. (State of Alaska Memorandum to District Office Engineers dated January 3,1985) Waiver Request for: Rolling llills Estates Block C Lot 3 Parcel I D#: 011-072-09 Waiver Request Number WR#: 060057 Waiver Requested: 74 FOOT HORIZONTAL SEPARATION FROM WELL TO PROPOSED SEWER CLEAN-OUT ON BAILEY DRIVE. Engineer Steve Pannone SWO50364 Sewer Clean -Out Any and all sewer main or Clean -Outs located within 100 feet of the lot 3 well radius will have pipe joints positively connected by field lock gaskets. And all pipe connections and joints will be wrapped with water tight seal. A water tight seal will consist of a layer of polyethylene encasement material 8 mils thick and conform to ANSI/AWWA C105 A21.5 Well Data Unfortunately there is no well log on record for this well. However there are enough well logs for the area to give a good idea of the soil strata. Steve Pannone provided a number of soil logs for the waiver submittal. Most of the well logs seamed to have more or less the same soil strata. For the purposes of calculating the points according to the D.E.C. guideline, Rolling Hills Estates Block C Lot 2 well log was chosen. The proposed sewer line is going to be 6 feet deep. The soils from the bottom of the sewer line for 61 feet is Gravelly Silt, then 18 feet of Silty Gravel, thn 11 feet of Sandy Silt, then 7 feet Silty Gravel, and then 4 feet of water Sand and Gravel. Water samples were taken and showed the well currently has no nitrates detectable. Please see permit SW050364. This permit was issued on September 22, 2005 for a well on Rolling Hills Estates Block C Lot 5. The well was issued by Dan Roth On-site Program Manager with a special construction technique as a provision. This provision was added to the permit because these encroachments were anticipated for multiple lots because of a sewer extension plan west 73r1 up Bailey Dr. State of Alaska: Separation Distance Waiver Guidelines for S.C.R.O. (State of Alaska Memorandum to District Office Engineers dated January 3,1985) Waiver Request for. Rolling Hills Estates Block C Lot 3 l Parcel ID#: 011-072-09 " \'! V:04," Waiver Request Number WR#: 060057 Waiver Requested: 74 FOOT HORIZONTAL SEPARATION FROM WELL TO PROPOSED SEWER CLEAN-OUT ON BAILEY DRIVE. Engineer Steve Pannone SWO50364 Water Table Points ,.n Depth of well: 107 7.01 Depth of septic system: 6 101 Distance from the bottom Point of the system to the highest Value water table in feet 1 0 0 8 1 17 2 24 3 30 4 40 5 85 6 100 7 290 8 1000 9 10 • Straight line Interpolation Is permitted between any two values Soil Sorbtion Points an 1.25 Soil Type Point Value Clean Gravel 0 Fractured Rock 1 Course Clean Sand 1.5 Sand w/ Small Amt of Clay 2.5 Silt 3.5 Clay and Sand Equal 4.5 Clay 6 011, 1 +( 01,1.5 + 1101 2.5 + 1101 1.5 + 1 101, 0 + r 101, 0 + `101, 0 + (101, 0 0.6 + 0.3 + 0.3 + 0.1 0 + 0 + 0 + 0 *Use the predominant soil type but values can be averaged for a mixture Permeability Soil Type Polnt Value Clay(will channel) 0 Silt and Sandy Clay 2 Clayey Sand 3 Fine Sand 1.5 Sandy Gravel 1 Fractured Rock 0.9 Course Sand (30 grit) 0.4 Clean Gravel 0 Points 1.01 *Use the predominant soil type but values can be averaged for a mixture Gradient 4.5 % Slope 9 + 18 +( 11 0.3 -20% 0.7 -10% l 011, -5% ,.4 101 0% 101,3 +[101,.4 5% 4.5 10% 6 +r 1 +r 1 +1101, 1 +(101, 1 101, 10.54 101, + 0.07 + 0.33 + 0.03 0.04 + 0.00 + 0.00 + 0.00 *Use the predominant soil type but values can be averaged for a mixture Gradient 4.5 % Slope Points Value -60% 0 -30% 0.3 -20% 0.7 -10% 1.2 -5% 2 0% 2.93- 5% 4.5 10% 6 60% 7 slopes toward well Oat slopes away from well *If the gradient is unknown, assume the worst case Horizontal Horizontal Separation in Feet Point Value 0 0 25 0.7 50 1 75 2 100 3 150 5 200 6 300 7 Points ..n 4.50 Points 1.96 *Linear Interpolation between two point value Is acceptable. Horizontally means straight line distance to the well not the contaminate travel distance to water table which may be greater. Conclusion: Grant Waiver Total Points:1 75.722 .. .f ny, ♦. T �4Yn T 4' S� Mc, i st 7Y, �' i �r li, s f � A +1 ����wl.� J �1��1'l��}1 •'Fll�!- 7r f.� ��. �'. t•~�' �.I for {sy!"•Ip��aii j f T �44 '���'�� �� �� t'ia 7s�T• 'It '{� S/A,1, ff. 11..., f• a,�'�. SIR• yyyy � � A ►tt aV.a.. ";.� 4 . 1E{ V i /ice C �. � � rJ Y� �'T . '••T r y' J 7+ rt ,C,+^r.°. �y4Ri11�.tia• "-J -l^� ♦V .ip(�.. / FT ' .4 �+ S.y n (7 �`, • . >^ Y<, iT (L of Je. i S. / •J'T .�•1•( .�' ✓f ♦. r/�[ [y ��4 -.- !. ,yifi .• }r r `` } t i •F1. f A 'q'S r f J•tJ r•5� .:' .. i f •,c 7.•r ,J . y. J1R) 1 ir� at`,Iy t a•. r�� !r � �`i�/„}' ,,yNP� I �-: /r • Fr � 1' 1 �•A � a T . Y. , iC ` 4 p � .a/ SY, w a L7 I"aas s JL J ,.,'.� •" r r r �!aS"' rG t r. f 1".1 T 4�. T � +' .,} F• .,� rl. 1 l.0 +•'��•`• .:e� 'S; FF ' 1 iL h♦ '[/!` r�"anl Nl•Y> tY;i�l L.y ti.a�Jl 2J J f T.r. ...� ' ;. r a, i.9 � `w tu.. '.tfi "al•• t'rr r I "T is P t ! ''l (- w r t t L ..� ♦,.. r. c J k r'S f t; - Jr�ri} t.yH -.5 '.T1'..TF -1 yr�•I �Y•li' (f;�Sf�t:.J \i�y * ! rT• �, L' waC. `" rF -i i✓Z�Nrf w - t�.ry .yG >+ f r r C ..1� s -0' ♦` rw •a�^, 't �. �..... r7~ �� i �a'It . 4 �+a, J__zz..hdI v ,�• r • Ya LI•T. '.` .Tt.�,. J y..i y.._(..` t: 11Y � t T . r • i �' ' � � r2 . � - � �' '4—.... —� -� ti {AT •`fit • ' 1^ • • • � -...�% 7. is J: h� r ..j ��;• :�"• ;L,.b .r 17. R Pannone Engineering Consulting Engineers (9071272-8218 September 15, 2006 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Services, LLC Subject: Lot 3, Block C Rolling Hills Estate Well to Sewer Main Cleanout Waiver Request Ladies and Gentlemen: P.O. Box 102954 ige, Alaska, 99510 307)272-8218 Fax kDR ot.'o05a I am writing to request that a waiver be issued for the construction of a new sewer main in Bailey Street. This request is for a waiver of the separation distances between a new extension of the sewer line to the existing well on Lot 3, Block C Rolling Hills S/D. 1. Soils. Typically the soils in this area are poorly graded sands to silty sands. The well on Lot 4 does not have a log. I have included in this request available well logs from surrounding lots. 2. Waiver Request: The proposed sewer main will connect to an existing manhole in Bailey Street. It will run north up Bailey Street approximately 100 feet and terminate in a main line clean out. The pipe joints will be positively connected by the use field lock gaskets. Further, each pipe connection will be wrapped to provide a watertight seal using material specified in AWWU Design Criteria Manual. The existing manhole currently has all mechanical joints inside the manhole and is watertight. The proposed clean-out will be watertight with a locking lid. See the attached plan set. These plans have been submitted to AW WU (on 8/8/06) for review and comments. I request the following additional waivers: Well to main line clean out — 74 feet 3. Topography: The average topography in the area of the proposed sewer main is approximately two to three percent sloping to the southeast. 4. Water Analysis: I have performed a water analysis of the well water on this and surrounding lots. The water results are attached. The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Since teven R. Pannone, P.E. Civil Engineer WAIVER FEE: -31 It 50___4J15__ - 5.. lay ot� PAYMENT DATE: q ' e 48 TM . 1 B is �b g �.._..._.��:�' RECEIPT #: . t G. Scott Crowther 'F - -- - �1 No. CE 6491 Attachments: WAIVER DRAWING SEWER TRUNK LINE TO WELL LOT 3 BLOCK C ROLLING HILLS ESTATE SID, Block B I Block C \� NE S Rolling Hills SID WER I SID MAIN_ INET Rolling Hills CLE AN OLIT 2 EXIST'G EXIST'G PRIVATE PRIVATE WELL 107.1 6LJ I WELL 5 EXIST'G 5 I NEW 8" DIP PRIVATE 44.3 SEWER MAIN WELL EXTENSION I NEW SEWER r— 4,5 —may 2 SERVICE �Jfl I 8,4.9 �_ S 25.. � LINE ^ "�•JC v N � Sg cO EXIST'G f0 8 SEPTIC 111.9 N I TANK v EXIST'G o I EXIST'G TYPE B 83. I o PRIVATE ID MANHOLE I WELL �• 43.6��EXISTING WELL —EXIST'G 8"DIP A SEWER MAIN Z < F F r ..*� Slkss,,, �444♦ NOTES: 3) Pipe joints shall be wrapped with 1) Sewer trunk line shall be a heat -shrink membrane to provide a •.�pC ............... " constructed in accordance with redundant water light seal • ♦ � �••• ♦♦ ♦j AWWUDCM&MASS 4) Manholes and clean -outs shall 49 1"° 2) Field Lock Gasketts shall be used have a water -fight locking lid. �.... �`• .�.../.�.......... on all pipe joints. 0 .................*.* t� • G. Scott Crowther PREPARED FOR: PANNONE ENG. SVC, LLC P. O. BOX 102954 ♦ i • Mike Kowalewski ♦j♦U CE 6491 ♦♦ 7241 Bailey Drive ANCHORAGE, ALASKA 99510 .• #440- �.•• Anchorage, AK 99502 243-1865 227-3522 P, 272-8218 Fax DATE: 9-1506 ssssssz�** PLAN SCALE: 1•=40• SCS Reta 1065417003 Client Name Pannone Eng. Srv. Project Name/M L5 D13 Rocking Ilills Client Sample ID L3 DC Rolling Hills Matrix Drinking Water PR'SID Sample Remarks: All Dates/fimes an Alaska Standard Time Printed Date rime 09/182006 8:09 Collected Date/rime 09/12/2006 11:00 Received Dale fime 09/122006 11:30 Technical Director Stephen C. Ede -- Allowable Prep Analysis Parameter Results PQL Units Method Container ID Limits Date Date Init Waters Department Nitrate -N ND 0.100 mg/l, GPA 3532 A (<10) 09/12/06 ALR STATE OF ALASKA 7 - DEPARTMENT DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD LOCATION OF WELL aoeouaN susavwloN LOT NOCK SECTION WAS SECTION TOWP W FANee sluaouN ' ON ❑E I I I 3 C ❑S ❑w LOCATION/SKETCH: WELL OWNER: DEPTHS MEASURED FROM 1Qcasing top ❑ground surface WELL DEPTH- DATE OF COMPLETION Depth of hole %-- It „N Depth of easi BOREHOLE DATA: Depth Material Type and Color From To __�,(—h � ' ► � DEPTH 10 STATIC WATER IEVEU ft below &,top of casing 13 ground surface Date:—L/�/1[L . 1,10►y "0 �� ( METHOD OF DRILLING: .air rotary ❑ cable tool ❑ other USE OF WELL- �ffdomestic ❑ Irrigation ❑ monitor ❑ public supply (3 other CASING STI C -UP ft Diam: in. to[[zft Casing type- kl. to WELL INTAKE OPENING TYPE open and ❑ screened ❑ perforated ❑ open hole Depths of openings: to h SCREEN TYPE: Diam: In. Slot/Mesh Size: Length: h GRAVEL PACK TYPE: Volume used: Depth to top: GROUT TYPE: Volume: Depth: from ft t0 it DEVELOPMENT METHOD: Duration: PU PW0 LEVEL AND YIELD: ��/� It after _�_ Ms pumpirq_L' SL_opm PUMP INTAKE DEPTH: it Horsepower, WELL DISINFECTED UPON COMPLETION? YES ❑ NO CONTRACTOR LIFORMA N. ^ REMARKS: Re i d ur4ness ame t7— tJ� PLEASE MAIL WHITE COPY OF LOG TO: Signature o u raze s reser ve atm a DNR/DrVISION OF MINING & WATER MGMT g D 3601 C St. Suits 800 ANCHORAGE AK 99503.5935 Phone (907)762.2538,Fax 1907)562-1384 Lo IU W I MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L' Street, anchorage, HIaSKa aabl I elepnone zov-wiz ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES WJlI tam f . Romei Address SEPTIC ABSORPTION WELL 2509 G ►oh .S- Sur%" I/ ANC 3 FROM TO TANK FIELD Phone(s) Permit No. No. of Betlrooms WELL i /,071 277-2667 6.0tSo S LEGAL DESCRIPTION LOT LINE 6f3 ? (,3 r / �( Lot Block Subdivision 3 1C Rollin hft/U FOUNDATION7 l7' 37 J H6 Township, Range, Section J�/ AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, Se c 7-12 Nj ` �' �' driveway, water bodies, etc) TANKS REMARKS: jU rver sSue•� B/ allows 87' Sli Ill h efweel) welt i-ank441 LE an ll. jo' curt titasn y e /W l 'hrcn ch and SCC 1'-f<tfP (f _CJ On al/f-/$f (rya�r bear Clwt &-r Scale: IN ^S^0� ENGINEER'S SEAL ' 1n :J01 ht h CCAMI-tr" leric* J 64l Inspections Performed by: 8 I SeWef r el CJ (lC/ {6 oil GlrJf r CS, SOF � P r i' r-'r�/f� (r'r1 �ti�/s�<sI� ��� �,� A � `'��P�1 A 21, Vale- `oui-1 (Axcdolwl? o+uG< A& lank Date: C 6 1 - r� roi of � �� �,. •:...... ,., �- r4 Se 3.s' (36t . FTarn nek- j•w cfs i- crt«lrr� 8�/r ��i a , •' '' Coli (J'n irvfal(ecl ll en &r um ev f J/rid( w • a �- /�j �•• •e...sea••.s�.•..•e ` _e�aC � /(V-0.1� certify that this inspection was perlorcred according to all pl THEODORE F. 'MOORE f I : Municipal and State guidelines in elfect on this date: �3//J'-/8 to � rw.,•• CE - 3589 /'- ' _ �r �yydt�yy •• a ryd ,�9 Health Department Approval Date: �a ��tCifE'Sc;`3i1a�w 146, 9 Manufacturer CapacitySEPTIC gallonsii—■■a■■■■■■■�■� Material No. of Compartments TYPE OF SYSTEM [9 TRENCH F1 BED W. DRAIN El OTHER Depth to pipe bottom from uriginal grade Total —depth toF,--orgnaI grade rMM �`:�� t :��i���■�■1 INTotal KIM©����X�■■■NMI ■VIA ■WIN Mail MEN NMI Till added—above original grade FT Gravel depth beneath pipe FT l i absorption area Distance between lines Number of lines — IM�; ; Pipe material ' '• r _. - InstallerMEA InstalledIff" Date _■■■■\``�■NMI MON ■■■■■l■�" ON ON N PRIVATE■ � , . ... p �■■■l9■■■\no M1M ME Installer I Date Installed: REMARKS: jU rver sSue•� B/ allows 87' Sli Ill h efweel) welt i-ank441 LE an ll. jo' curt titasn y e /W l 'hrcn ch and SCC 1'-f<tfP (f _CJ On al/f-/$f (rya�r bear Clwt &-r Scale: IN ^S^0� ENGINEER'S SEAL ' 1n :J01 ht h CCAMI-tr" leric* J 64l Inspections Performed by: 8 I SeWef r el CJ (lC/ {6 oil GlrJf r CS, SOF � P r i' r-'r�/f� (r'r1 �ti�/s�<sI� ��� �,� A � `'��P�1 A 21, Vale- `oui-1 (Axcdolwl? o+uG< A& lank Date: C 6 1 - r� roi of � �� �,. •:...... ,., �- r4 Se 3.s' (36t . FTarn nek- j•w cfs i- crt«lrr� 8�/r ��i a , •' '' Coli (J'n irvfal(ecl ll en &r um ev f J/rid( w • a �- /�j �•• •e...sea••.s�.•..•e ` _e�aC � /(V-0.1� certify that this inspection was perlorcred according to all pl THEODORE F. 'MOORE f I : Municipal and State guidelines in elfect on this date: �3//J'-/8 to � rw.,•• CE - 3589 /'- ' _ �r �yydt�yy •• a ryd ,�9 Health Department Approval Date: �a ��tCifE'Sc;`3i1a�w ' MUNICIPALITY OF ANCHORAGE * ^'^ Department c Health & Human Servi.es 825 St.reeat, Anchorage, Alaska 995O1 343�4720 OITE SEWER PERMIT ��L8-�,� Per(nit. Number: 89015O Upgrade M Date Issued: 08/03/89 Engineer Designed Owner Name: WILLIAM H" ROMPA Owner Address: 2509 EIDE STREET, SUITE 1 ANCHORAGE, AK 995O3 Day Phone: 277-2667 Parc�l Id: 011~072 09 Lot Legal: RQ -LING HILLS MST° Lot: 3 Bloc.:k� C Section: 3 Township: 124 Qnge: 4W Lot Size 23166 (sq^ft. or acres) Max Bedrooms: This Permit: 5 Total Capacity: 5 SEPT%C TANK: Minimum total septic tank capacity: 1,500 gallons. Each septic tank must have at least 2 compartments, Depth to tank(s) feet requires insulation over, tank(s). INFORM D.H,H"S, PRIOR TO INSPECTIONS BY ENGINEER, IF AFTER OFFICE HOURS, CALL 343-46B1 AND LEAVE A MESAGE. CONSTRUCT PER ENGINEERS ATTACHED APPROVED DESIGN" THIS PERMIT EXPIRES 12/31/89 AND VALID FOR A SINGLE FAMILY HOME, I CERTIFY THAT: 1. I am faiii i1iar with the requirement;5 for on --site sewer�n and wells as set forth by the Municipality of Anchorage (MOA) and the State oA, Alaska" 2. I will instal1 the system in accordance with alI MOA codes and regulations; r and in compliance with the design criteria this permit" 3" I will adhere to all MOA and State of' Alaska requirements for the set back distancrom any existing we1l, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot" 4, I undersLand that this pew is valid (or a maximum o� 5 bedrooms" I also understand that the capacity Of the total system is 5 bedrooms and any enlargement will require an additional permit" Signed: DATE: .... ..... ..... .. ..... .... ..... ..... ..... ... ^^^~`... ..... ..... -..... `^^~^~-^^~^^~^~'-~~^~~~~- (Owner) WILLIAM H" ROMPA � Issued By: DATE: � .... ... �_^~�_�-'._~�- -��_��~-����__�~ / }/\ l] w8`99CO3 5 Municipality of Anchorage C*'J Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 3, 1989 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 3 Estates Subdivision, PID Waiver Request #WR890033, Dear Mr. Moore: Block C Rolling Hills #011-072-09 Permit #890150 Your request for waiver of -the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 86 feet. The request for waivers for the absorption field to apparent line of high water - 80 feet; and for the absorption field to historical high water line on an adjacent pond - 65 feet have also been approved. These waiver approvals apply to the existing septic system to well and adjacent pond. Any future upgrade to either will require all separation distances be met or another approval from this Department. Sincerely, &��(;4'7-� Daniel J. Roth Civil Engineer On-site Services DJR/ljw CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 July 6, 1989 M.O.A. Dept. of Health and Human Services A.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 By means of this letter I am requesting waivers applicable to Lot 3, Block C, Rolling Hills Estates, allowing the septic tank to be 86 feet from the well and the soil absorption trench to be 80 feet from the apparent line of high water and/or 65 feet from the historical high water line on an adjacent pond. Copies of a site plan and recently conducted soils tests, as well as the driller's log of a nearby well are enclosed to assist you in your review. I have also prepared an analysis of point allocation using the D.E.C. waiver analysis guidelines. No records of the existing system are on file in your office, (the only record for an adjoining lot is the seepage pit "as -built" for Lot 2). According to the owner, the well and septic system were installed for a 5 bedroom residence in the late 1960's, before Borough inspections were required. The well is reported to be 95 feet deep, and the particulars can be expected to correspond closely with those reported on the enclosed well log for Lot 4, Block B, Rolling Hills. The existing wastewater disposal system appears to consist of a septic tank of unknown construction, followed by two seepage pits. On June 22, 1989 1 measured the fluid depth in the septic tank to be 65", with the surface 54" below ground level. The first seepage pit had a fluid depth of 69" with the surface 47" below ground level, and the second seepage pit had a fluid depth of 112", with the surface 50" below ground level. The owner and the buyer agreed that they would prefer to entirely replace this existing septic system, rather than attempt to further test it in the hopes of obtaining Health Authority Approval. As is evident from the site plan, there are a number of constraints on the lot, which impact the ability to install a new soil absorption system fully in compliance with all Municipal and State regulations. The biggest constraint is the presence of a small pond, located immediately to the east of the property. This pond is in a depression approximately 10 feet lower than the generally level terrain of the adjacent lots. The standpipes of present seepage pits are located 85 feet from the apparent mean high water level of the pond, but the vegetation indicates that the historical high water line came within 75 feet of the standpipes. The homeowner reports that the size of the pond has been diminishing in recent years, since the installation of storm sewers to serve Sportsman's Point S/D, encompassing the east side of the pond. I dug two test holes to assess the potential for contamination of the pond from a soil absorption system on this lot (see enclosed logs). The subsurface soils consist primarily of a tan colored sandy silt, with a measured percolation rate of 12 minutes per inch between 6.5 and 7 feet in depth. Test hole #I was dug to a total depth of 17 feet, which is approximately 7 feet lower than the present pond surface. No sign of groundwater was encountered during excavation, nor did any show up in the monitor tube during the ensuing week. Based on this soil test it appears evident that the pond is not a result of a local high water table, but rather is simply a result of surface runoff into a low depression, which through siltation has formed a relatively impermeable bottom containing the water. Thus, there appears to be no mechanism for effluent from a properly functioning soil absorption system to find it's way into the pond. In designing the replacement system I used a 1.5 safety factor on the measured perc rate to arrive at an adjusted soil rate of 220 square feet per bedroom. 69 lineal feet of soil absorption trench with the gravel beneath the perforated pipe extending from 5 feet to 13 feet in depth will provide the necessary sidewall area. The design provides for 75 feet of trench to compensate for the angles in the trench, and possible sidewall interference with one of the existing seepage pits. The configuration is designed to avoid impacting the 100 foot radii from any of the wells on the adjoining lots. The trenches will extend to within 80 feet of the apparent present high water line and 65 feet of the historical high water line as determined by the vegetative transition from trees to grasses. Also, in order to maximize this separation from surface water, it was necessary to position the near end of the septic tank 86 feet from the well on this lot. The alternative of relocating the well to the rear of the lot and installing the septic in the front is not feasible in this case. The house has a daylight basement with a poured concrete floor, rendering replumbing cost prohibitive, in addition to the cost of a new well. Also the unknown underground configuration of the neighboring septic systems would make it difficult to guarantee that the 100 foot separation from the new well could be maintained. In support of the waivers, it should be noted that the subsurface soils are ideal for slow permeability and good soil treatment. From the enclosed well log it appears that the tan silt stratum extends to 67 feet, and that the static water level is at 72 feet, once the confining strata are pierced. We will plan to verify the total depth and static water level of the well on the subject lot, in addition to the well yield and water quality tests needed for Health Authority Approval, once the concept of the waivers and replacement system design are approved. Please give me a call if you have any questions in your review of this waiver request. Sincerely, Ted Moore, P.E. a`�Q,� .OF� A�q 4' `* 4gTH THEODORE F. MOORE CE - 3589 •.' w� O Lot 3, Block C. Rolling Hills Estates 7217 Bailey Drive Septic System Replacement Specifications 1. All construction practices and material specifications shall conform with M.O.A. regulations. 2. The existing septic tank and seepage pits shall be pumped and properly abandoned by backfilling with clean soil 3. The configuration of the replacement septic system shall be as shown on the plans, except that minor modifications may be allowed or required by the engineer conducting the inspections, If contaminated soil is encountered in excavating for the trenches, the length shall be increased appropriately. 4. Special care shall be taken to maintain the required 100 foot separation from the wells on the adjoining lots. The septic tank shall be no closer than 86 feet from the well on this lot, and the ends of the trenches no closer than 65 feet from the edge of the trees surrounding the pond. 5. A 1500 gallon, two compartment,steel septic tank shall be installed, with watertight manhole covers and Calder couplings on all pipe connections. 6. The trench shall be excavated to a depth of 13 feet below ground level, then filled with sewer gravel to a depth of 5 feet below ground level before placement of the perforated distribution pipe. An additional 6 inches of gravel shall then be placed around the pipe before installation of the filter fabric and backfill. Cleanouts and monitor tubes shall be installed as shown on the plans. 7. Three inspections shall be required during construction: (1) initial stakeout, (2) after the trench is excavated, but before placement of any gravel, and (3) after the gravel is placed, the septic tank is set, and all pipes are laid and connected, but before final backfill. W 71 Sr AVE WE" Wd Rlc� m we '� s- a pnm (cn' Hous E is-:MSTlei � SG'PRts PRO rose* ,�'' ccs` 1,OT S6PTrCT71+vh pa' "SCEPi9bi? Fir Ris;SRf 0 WC -1.4 Hous E aco �•49r��1 A ® THEODORE E. MOOR[ c••,• CE - 3589kk IL w� �► S'EPT«- .S7?!No pt 001! 30 Pfloposoo sols. Agro RP Tien p`. # 2 rRrr At C Ir v Cjv 0 4 0 a. 0 4 L.o7- 5ern C- / STArtar�Po 1e1/ RolI,IN6: Hlag r=STATF-S S 17-E PI -AN SCAt.F : Noro., rou a Ivor A DftT� : 7/89 Cc -*0 PL.Ar A1.G DwN. 6K: TF/7 NOcAr roW ARa APPRcxI t7Are Co of TI?C-N CH M.r q" DIA, P61Tr= ptPe+ (gf-Ago ti�vca� ISoo Gh>,I,aN SEPTIC TANK "A" POUNPANPAt C.O.o S , H" A. APMOVED Ptom-PC^RP PtPt+ (2s1.0Pc) ItoN1ToR PLAN i/lEW 30 I1' = 10' 4.� C.O. oalroit Tu6lg ANC p$Sjj=j °P Flan MIFT'4, PERF. P1Pe SECTION IIt=,SI'Oft rRouNo Su R FAGS-' fral- Pri FASRK PERF. mmr10N OF noN,mR ruaG- A _A•, �►+v��� a F aitr,�Of .. A• • �+ `9s�r°od *�. 49T" * 6 ......................�.•.Q I THEODORE F. MOORE D �c�, •.• CE - 3589 '•��4r Q r V 4P 0 �N '`•......•. C, H l 1.6S EST sEPric S YSTENI PLAN X -SECTION SCAI-E: As s#twnr DA -TC- ' 7/99 OWN BY.' TFrl Flattop Technical Services 14530 Echo Street ;C�t I 16R'8 • S++ Anchorage, Alaska 99516 ,Ar r�'••'f • +e Municipality of Anchorage / �: 49TH DEPARTMENT OF HEALTH 8, HUMAN SERVICES -64 PF. "'•••••. t 825 "L" Street, Anchorage, Alaska 99502-06500. ..... ...... :........ SOILS LOG , — PERCOLATION TEST y��•T14EODORE F. MOORS �` u�y ••.� CE • 3589 : • PIAN PERFORMED FOR:_. J31%?Omof?cot�t4Aprotonlmz\;& DATE PERFORMED: �1kVA"-6• dl,0,01 LEGAL DESCRIPTI a'y DePT'." Pt• Depth to Water (FEET) sn 11 r'Z 1•S ASN 2 23 �/83:q7 Sn 2.S 3 4 ReddosA Sane( 1~aan, Redo(,rA SanGl Ac'CtA7 5 M f^ Tan Sandy ri tf' 6 Dr y, CrNm Sfj, 7 Ell N Township, Range, Section; SLOPE 10 WAS GROUND WATER_ ENCOUNTERED? N 11 S IF YFS, AT WHAT L 12 DEPTH? 0 E 6 13 Strer.fam of 14 Deme fy eo w,*Pdr d M I- 8dweerr 15 13't Iy' IN 17 Q, ff 81920 18- 19- 20 Depth to Water Atter M.T. Monitoring? —�r'` _ Date: 6/?,9 T ?: A #2 I PERCOLATION RATE 1 2 (minutes/inch) PERC HOLE DIAMETER %N #I TEST RUN BETWEEN _61 FT AND —LEFT COMMENTS 'TCS IF %lofe JI2 bX A/ Smr.f /' R��ero mend S/srnr t uS {tm eo! on C9�+I.t /rack 209 0'16ar47 or 22o cr ladrm ig4d :lfrot' for- fPW'IiS belw"'* 37014413.0' in cl fly PERFORMED BY: tot1t 7—ecAA1 Ca l Sac' I ')N,�.,c_ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _ %/S 9 72-008 (Rev. 4/85) Time Net Time (Hin) Depth to Water Net Drop 0.0 WReadingDateGross 3: 083:3 / 23 �/83:q7 02 p: 02 Is el '/B 1' s t 8s0 1:22 23 #'' tHs0 H: 37 36 i Z z '/B 2y1/s IS 23 PERCOLATION RATE 1 2 (minutes/inch) PERC HOLE DIAMETER %N #I TEST RUN BETWEEN _61 FT AND —LEFT COMMENTS 'TCS IF %lofe JI2 bX A/ Smr.f /' R��ero mend S/srnr t uS {tm eo! on C9�+I.t /rack 209 0'16ar47 or 22o cr ladrm ig4d :lfrot' for- fPW'IiS belw"'* 37014413.0' in cl fly PERFORMED BY: tot1t 7—ecAA1 Ca l Sac' I ')N,�.,c_ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _ %/S 9 72-008 (Rev. 4/85) Flattop Technical Services 14530 Echo Street �•.. Anchorage, Alaska 99518 . c.� ; • ' • Municipality of Anchorage i 4 9TH DEPARTMENT OF HEALTH & HUMAN SERVICES A ........ t 825 "L" Street, Anchorage, Alaska 99502-0650 1p• IWAK F. MOORE SOILS LOG — PERCOLATION TEST ' -;*HocCE-3 � � •' . CE - 89 5 PERFORMED FOR: Q111 Rot" �b\protenj nage DATE PERFORMED: ImAk LEGAL DESCRIPTION:_. 3{ ROTownship, Range, Section: (2N �C _ DEPTH r" SLOPF- SI l' LAN - 1 2 Sl7 R��wh stlnoc�. /P�� N 2Su E pis i 3- 4 Ff 5 / 1 -ret A'0 Spnofy Si/f 7 6 Similar {o T.N. #2 r el rrc Of an 7 8 N2' ' se PA 9 r 10 WAS GROUND WATER ENCOUNTERED? etoo 11 S IF YF:S, AT WI IAT L10 I 12 DEPTH? P 13 E DCRtI !j cowtjztC1rW Depth to Water After a f Monitoring? Date: 14 15 16 17 18- 19- 20- I 81920 r Reading Date Gross Time Net Time Net Drop jDEeptho PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER 7' N' TEST RUN BETWEEN FT AND FT COMMENTS _ NO rh0A*k,t Y4Ab a Ps• E 1h /gyp /L b6 le a7 �i caw Aem v Con f�Aµf'AX of Softr tn(0144 1-cre-e in Ts, h���! 1" PERFORMED BY: Fl vb* Tep,bnfca! Svfr I %eo( 9he e.•4.— CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7 is lc99 72-008 (Rev. 4/85) Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 G.c�f 61/rC, Roll;n y #d(f j6:r1o.Fv Warvu' analyse urs y DAG 6:44r:Welst c,- _ Pyrinf h((bC«{to's .Lftm INdFcr *Able (72' Soil _ S'or b hon (Muter Table dim ( FYuf) f%'drrz !StparotA!600 86 6s' 3": Y -T.. S 2.d 2.Y rOr. 2 Pti 7/3189 S- y 3.,5" Zcr 2.9 p�•samr i .off aF At oo e� •9TH- g'*4if 0. 0 : THEODORE F. MOORE CE - 3589 a'4i a C1VII, & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 August 1, 1989 John Smith M.O.A. Dept. of Health and Human Services P.O. Box 19-6650 Anchorage, AK 99519 Dear Mr. Smith: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION 'AM 11989 RECEIVED In response to our discussions regarding the waiver I requested on ,July 6 allowing construction of a soil absorption trench on Lot 3, Block C of Rolling Hills S/D within 80 feet of a small runoff pond, I conducted a profile survey from the location of the proposed trench out into the deepest part of the pond on July 31, with the assistance of Dan Roth from your office. I am enclosing a copy of my original site plan with the approximate location of the profile marked on it, and a new drawing showing the profile along this cross-section. Based on this survey information, I have been able to calculate that the maximum gradient from the proposed horizontal distribution pipe to the bottom of the loose muck under the pond is downwards at 6.4%, while the gradient from the bottom of the proposed trench is upwards at 1 %. Given the fact that the soil in the vicinity of the proposed trench does perc, I see no possibility of effluent from the trench migrating almost horizontally through the soil to contaminate the pond. On the date of this survey I also rechecked the monitor tube in test hole #1, and found that, despite the recent rainy spell, it is still dry to a total depth of 17 feet, which is approximately 5 feet lower than the bottom of the pond. This is further evidence to me that the pond is simply a cachement basin for surface runoff from the surrounding lots with a relatively impermeable bottom, and is not indicative of a localized high groundwater level. I trust this will alleviate your concerns, and allow you to issue the requested waivers without requiring the installation of an expensive bentonite dam barrier between the trench and the pond. Please feel free to give me a call if you have further questions. Sincerely, Ted Moore cc: Bill Rompa W. 71-'t A V E W C-" . KA R = too140 US F_ 1-07-2 SEPrtc- .$TANP PIPir v PRO POSBO W O IStio "ik / I S6PTICTMVIr �-msrtNb INST iy7 3 sc-t5p 30, Ir RrSE nn t'RaPoS46 P�o� 1.ti."Wo Sora AQraRP` 4 /7c" #1'2 TIPCrNt:/r F h 4 tO4 o(� -6:01 a e OF. At e 11 THEODORE F. MOORE �• 0 �j&%. CE - 3589 %"A r Ar 44Q� ''PrcfssssJn�\- NousF 4 St.4�tDPtP� Rtk Cj 19 NG HAGS EsTATiE� c �-J= PLAN NorE: Too is Ivor A OArp : 7499 SuRVL YEA PL.RT. Ati� DWX 6r: TFn AOCArtoNS .4R6 APPRcxtriAr.,L MUNICIPALITY OF ANCHORAGE} • Department of Health & Human Services p t DIVISION OF ENVIRONMENTAL SERVICES M� 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # C)I I --L`1'q - c9 - HAA # 0 ('�S9()�'�-'Q 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) f3 Bloc% c �arr,� Fkrl1 Gs,�f�r Location (address or directions) 72/7 Scrifey DI t4, macho O5 (b) Property owner Wfllra�n /30!V'r Telephone: (home) 2y3 -37O9 Business 277-2667 Mailing Address 2509 Grate S� f calte -f i 17rho�' AL'C 99S'o.? (c) Lending Institution N1,4 Telephone Mailing Address (d) Real Estate Company and Agent 172"/A Ce�fe� — SFri /Y!n d'e Address eyoo /74 /xr z.e(/ ffnc/to�czq! Ak 99so7 Telephone 311y_ 015-01 (e) Mail the HAA to the following address: (or check here ®, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family 3. WATER SUPPLY Tec( /`iao'-e ( 3vs- - sk/ e yTlncee/ 39'9/ -wSor) Number of bedrooms .5 - Individual Well 56 Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site 01 Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm F/a f% T cti ^ r� Seer `� Telephone Address 1 yS347 i cCAa S7<. 1+'iC170/agC_ f}k Date /<� /9&9 •OF, A4 >,� s'L.Q;•'' ' �'/r-fie ,��: q.gT�+r, s•••••••••••••••••...... *. ngineer's Seal :•THEODORE F. MOORE ;* /7 d � CE - 3589¢,� s P,� A�•►w • 4+�a® 6. DHHS APPROVAL Approved for bedrooms by �� dl��� / /t /sem' Date Approved Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible forerrors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 t OF ANONORA MUNICIPALITY OF ANCHORAGE (MOA) G* k Health Authority Approval (HAA) M)�IO�M�NTFGSEOEs� CHECKLIST -FEBRUARY 1984 91 343-4744 6 Legal Description: .�f 3 (3�ac%' C j X4,1 �9� t (�ollinrn fhlG �t/�fr A. WELL TA Well Classification Prrva k_ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) N—Date Completed 196C7 Yield 5.^� per owncr- Total Depth 95" Cased. to x 9S, Depth of Grouting N4. Static Water Level 74' Pump Set At ^ 13 Casing Height Above Ground 16" Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 07 1 ; On Adjoining Lots > too I To Nearest Edge of Absorption Field on Lot 107 ..—;On Adjoining lots > (00 To Nearest Public Sewer Line NIA. To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Nr 4. Water Sample Collected by F(etkAV Tech S'ucS ; Date 613/69 Water Sample Test Results Sat zc�0 co1.Fo'__ /too e a l mel e NIfrnk-H Comments Dur Af well ,y e e(ve Aeyf' on 8/,7199 5 ax 00?ur .V .11g of rrrarc uvn o«f of of 5. 2 7 r+ .i+'r' over ,$i>O u/fcsnr Cawed wCi�er /tue/ 40 62 efrceeun o(oev1,7 fro.•» 76' /e 93' but /to J«rf*tr: B. SEPTIC/HOLDING TANK DATA Date Installed S/ 1. 189 Size1� No. of Compartments 2 Standpipes (Y/N) }' Air -tight Caps (Y/N) i Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) (Y Date Last Pumped Pumping/Maintenance Contact on File (Y/N) N. A• ; for Holding Tank High -Water Alarm (Y/N) N. A Temporary Holding Tank Permit (Y/N) N'�• SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well Bi To Building Foundation /71 To Property Line To Water Main'/Service Line To Disposal Field 1o' To Stream, Pond, Lake or,Major Drainage Course ' Oo ' Comments welt - Sc9fic minIr seOcrruko,@ ory/anre tcraive,^ exxt4eel Gy D tfNS oo7 8 / 3 / 72-026 (Rev. 7/88) Front Page 1 of. 2.. C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 2 20 A 1/80i1'ln Type of System Design Date Installed B/Is- /99 Length of Field Width of Field _ Depth of Field Gravel Bed Thickness 13 1 7"reoc A Square Feet of Absortion Area l 2 `16 Starndpipes Present (Y/N) Y Depression over Field (Y/N) N Date of Last Adequacy Test N,A- lYcw ConrAj Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well /07 To Property Line To Building Foundation 371 Lot /0F yo cxban dune eAr ; On Adjoining Lots To Existing or Abandoned System on To Water Main/Service Line > 2r, To Cutback (if present) N,A. To Stream, Pond, Lake, or Major Drainage Course 70' fo 411!e of po.*.w 8/"S-/89 V To Driveway, Parking Area, or Vehicle Storage Area 74 Comments A bsor'e Aro I) Are/1 ch - �ur4tce cc e+fer S Ceara Jho o%r/ Ae-e cuo,&t�r a.r u, eon D. LIFT STATION /tlr4 Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for _ Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) **Check Permitted Bedroom Rating Against HAA Request** "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guide es in effect on the date of this inspection. A w Signed ��lue o�a.C- %!t L Q� •�,...... <gs�10 o� .•' '•.°�' 0 CompanyF(er/y Te�in(Ca/ SCrvec�OF , 6//61'89 �...:.........be,......... Engineer's Seal Date MOA No. 89 `�s2 0.:� 0. ..... ... .......%'� . THEODORE F. MOORE '•. CE -3589 Ar / _ rr,,21 ,4P�v•''•.......•'' •Com Receipt No. ` `5 7 C7 6J Receipt No. \Proleissloto •` Date of Payment �6 Amount: $ Z7LI. e Q Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 -- HEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 89518 TELEPHONE (907) 562.2343 FEDERAL TAX ID #f 92.0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 15603 Date Report Printed: AUG 7 89 @ 18:57 Client Sample ID:L3 BC ROLLING HILLS PWSID :UA Collected AUG 3 89 @ 16:00 hrs. Received AUG 3 B9 @ 18:00 hxs. Preserved with :A$ REQUIRED Client Name FLATTOP TECHNICAL SRV Client Acct FLATTOT P.0.# NONE REC D Req # Ordered By : TED MOORE Analysis Completed :AUG 4 89 Send Reports to: Laboratory Suporvi or, :STEPHEN C EDE I)FLATTOP TECHNICAL SRV Released By :.� ' ( 2) .,,..................................................................... ............................... ...,........... .. m... Special instruct: Chemlab Ref #: 6798 Lab Smpl ID: 1 Parameter Tested NITRATE -N Sample ROUTINE SAMPLE Remarks: SAMPLE COLLECTED BY T.M. Matrix: WATER Result/Units Method ND(0.10) w4il EPA 353,2 mmnm s6Hc`•.=......A6 '.'R 1 Tests Performed See Special�Ynstructions Above UA -Unavailable NP,- Nona Detected See Sample Remarks Above NAA Not Analyzed LT -Less Than, GT -Greater Than Allowable Limits 10