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HomeMy WebLinkAboutSTUCKAGAIN MANOR BLK 2 LT 6 ~ Municipality of Anchorage Page I __ of 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:~//Jc~/O 132 PIDNumber: 60 ~L/_ ~','~7 Name: .JEFF F'O-~TE R Address: 25'3 TuRPiN R.b. '~-3 ,~NC~ ~EoZJ¢- 333 r 8~oqI ~.lNo. of.~_drooms: LEGAL DESCRIPTION Lot: Block: Subdivision: 2 5TUC~/~6/i~N MANo~ T°wnshipi ~ N WELL: Range: ~ t~' JSection:~ ~' New [] Upgrade Classification (Private, A,B,C): PR Total Depth: Cased To: I ~2 Ft. I~. Ft. lO8 Driller: ?~j Date Orille : 5UCLt¢t~N ~^TgR V/,'::LLS f,:' I Yield: Pump Set at: Casing Height Above Ground: Wastewater System: ~ New [] Upgrade ABSORPTION FIELD [] Deep Trench [] Shallow Trench ~ Bed Mound E3 Other Soil Bating: C) °"7 GPD/S(I. FI )eplh lo pipe bottom from odginal grade: ~" O.~' Ft. Fill added above original grade: 3 ~t, Gravel depth: Total absorption area: ~,~'& SO. FL $i~ ~bT C oN$'r. Total Depth from original grade; Gravel depth beneath pipe Gravellengt~j. 2¢ l~' . rF Pipe material: z~" No~!-PeRF TANK SEPARATION DISTANCES '~ Septic 115'/(~8 ' Station Tank Sewer Li Well Material: Surface I J -- ~,5'/ J Water ~/OO I "~/oo~ ~ ~ ~/~o ' Line ~ ~: Size in gallons: Manufacturer: o nd ,'onl ' I "Pump on" level at: Curtain Pump Make & Model Drain Remarks: ~'y~m i~l[¢~ ~30 ~vLv Anchorage~ Alaska 9951( [] Holding I~ S.T.E.P. 12.¢o LIFT STATION BENCH MARK Locabon and Description: ,L/~t~6E ~o~T ~JEST OF ~BS. BED Inspections performed by: ~'(¢4f-./~? 1-~¢.~ ._~_¢.._~ ...... Dates: 1st 7/,~/? / 2nd_D / 8/9 / Department of Health and Human Services approval Revie/~d and. a. pproved by: ~ ~_~ Date: Assumed Elevation: Ioo.o FI, ENGINEER'S SEAL Permit NO. (:] [ O / :~ ~ Page 2. of '-~ 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: L~), g2 STucKJJ6/IIN H/~NOR PlD No.: FAR ~'oiNT' 72~13 A (2/91) MOA 25 ~E. LL / [ST (:.0. W£/.L WELL LOT G LoT ~ I~ IZSt) ENGINEER'S SEAL ABSoRPTto~ BED LOT ~o BLK 2~ ~.l_att6~5 Technical ser¢ices 14S30 Echo street Anchorage, Alaska ~BS. 8~b ~L~ ON LpT ~ PermitNo. ~)~ ~/~' Page ~ of '~ 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: G I~ou Id, b ELE, V/iTION ABovE ABs. B~D 9~.~~ oF po.s~r E:I..EV -- I0O,O V'ERTIC/~L ECALE ~ 1"= ~' Flattop Technical Service~ 14530 Echoi Street AnChorage, .;~ldska 99516 ~2.¥' ( erltfie rillt g SULLIVAN WATER WELLS P.O. BOX 670212, CHUGIAK, ALASKA g9567 * TELEPHONE 888-2?59 oWN£RoFLAND ~.JE F F F~,YT"~,~ DEI'THOFWELL ADDRESS ~ ~J~ '~ ~ ~9~ STATIC LEVEL OF WATER FT. LEaALDEScRI~IONd ~: ~ ~JCK~IM ~)RAW DOWN FT. DATE- Started Endea ' ~/ C;A~S. PER HR /~O PE~iT NUMBER · KIND OF CASING 6 KIND OF FORMATION: From O. Fi. to Q Ft. C,~.~zaJ¢ ~FTIC. ZOP From _.. j~t. J~VO0 ,~ ~0~ From~ From Frmn_ From Ft. From Ft. to From Ft. lo Ft. Ft61n , Ft. tO Fi.. From ~t, to Ft MISCL INFORMATION:. · FI. to Fl Ft. to Ft. Ft. to Ft. __Ft. io Fi, Ft. lo Ft. Et. to__.FI. FI. to FI. __FI. lo, Ft. Fi. to Ft. Ft. to Ft. Ft. to Ft . [[..to , , .Ft From Ft. t o.___m~Ft. FrOm__Ft. to .~.t,~ £ 2 1991 From -',,mi ~er~c PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910132 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:FOSTER JEFFERY L & OWNER ADDRESS:1040 O'MALLEY RD. ANCHORAGE, AK. 99515 PARCEL ID:04102307 LEGAL DESCRIPTION: STUCKAGAIN MANOR BLK 6 2 LT DATE ISSUED: 6/05/91 EXPIRATION DATE: 6/05/92 LOT SIZE: 65031 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ENGINEER MUST NOTIFY DHHS AT LEAST TWO HOURS PRIOR TO EACH INSPECTION. ENGINEER MUST PROVIDE SAMPLE AND SIEVE ANALYSIS OF SAND FILTER MATERIAL. RECEIVED BY: X ~4.~, ~.~"62~ DATE: ISSUED BY: ~O~ ---~1~ DATE: '~ ~I~l ~ & ~O~ ~ · ~¥ ~0~$~¥~'~0~ & ~A~¥S~ THEODORE F. MOORE, P.E. May 23, 1991 14530 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative to accompany our application for on-site well and sewer permits to serve the planned 3 bedroom residence on Lot 6, Block 2, Stuckagain Manor S/D, located on Far Point Drive. Soils logs, a site plan, design drawings and specifications are enclosed. The soil absorption bed design is determined by the fact that the measure,d perc rate of the gravelly. sand stratum is faster than 1 minute per inch, requiring the installation of a 2 thick layer of filter sand. The wastewater ordinance specifies that filter sand used in beds is to be rated at 0.7 gp~sq., ft. Thus,.this 3 bedroom residence will require (3 x 150)/0.7 = 643 square feet of absorption area which ~s accomplished by a bed having dimensions of 15' by 43' as designed. The suitability of the soils applicable to the proposed replacement site designated on the site plan are reflected on the log for test hole 4/2. The topography in the vicinity of the proposed construction site slopes generally down to the south at 10%. Due to the shallow natm'e of the best receiving sia'atum, coupled with the requh'ement for a sand filter, the cover material over the soil absorption bed will have to be mounded above the original bn'ound surface. The site plan indicates the locations of existing wells and septic systems within 200 feet of the proposed system. The proposed well site will impact the options for future septic system placement on Lot 7, but there should be ample additional room remaining on that lot. The proposed absorption bed and reserve areas will have virtually no impact on any adjoining lots. There will be no other known impacts on reserved space/surface and subsurface, or on drainage patterns. Sincerely, Ted Moore, P.E. "FAR POINT DRIVE' '~t~ LL Hous£ LOT 5' LoT "7 iooo G. SE'~'r~¢ ~.?RoPOSEb I~"xq3' hgSol~'l~-r'~oN BED t0 q. LOT (o BLK 2- Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99512 v',4 CA N T B2) 5TUCKAGAIN MANOR SEPT lC S'/5TE~ -SITE PLAN ScALe'. I"= 5'o' DATE ' £/ql NOTE: k 1ooo SEpTic 'I'A I~,p PLAN VIEW s~^~: ~"' ~o T ~lattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 L/o, B2 STUcI<A6Ai~ MANOR ABSORPTION BEb PLAN ¢ CRoS~ <~ECTION Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Lot 6, Block 2, Stuckagain Manor S/D Far Point Drive, Anchorage Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project includes installation of a 1000 gallon septic tank and a 15' wide by 43 ' long soil absorption bed incorporating a two foot thick sand filter. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. 1.3 Ali separation distances shall be in conformance with Municipal requirements, unless specifically waived. 2.0 Septic Tank: 2.1 The I000 gal/on septic tank shall be Municipally approved with a minimum of two compartments, and shall be set level on Undisturbed soil. Each compartment shal/be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with 'waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. The waste line shall have a minimum burial depth of 2', if properly insulated, or 4' without insulation. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by stripping the peat and reddish sandy loam material off the 15' x 43' soil absorption bed site to expose the top of a clean gravelly sand stratum. Once this stripping is complete, a level bed bottom shall be created in the underlying gravelly sand at a depth of 2.5 feet below the original ground level in the northeast comer of the bed. In areas of the bed where the top of the native gravelly sand stratum is lower than the desired finish elevation, the bottom surface may be built up with excess native material from other portions of the bed, or with imported filter sand. Once this surface is created, an additional 2 feet of imported filter sand shall be placed on top creating a second level surface. Sand for leveling or serving as filter material shall comply with Municipal specifications. 3.2 Since the filter sand will extend above the original ground level, it will be necessary to create an earth barrier around the proposed absorption bed site prior to the start of excavation. 3.3 A total of 12 inches of sewer gravel shall be placed on top of the filter sand layer. Sewer ga'avel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 The perforated and non-perforated distribution pipes shall be buried in the sewer gravel as shown on the design drawings, such that the bottom of the pipes is no less than 6 inches higher than the top of the filter sand layer. 3.5 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the 'sewer gravel shall be perforated. 3.6 Approved filter fabric and 2 inches of rigid, burial type insulation shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the insulation. Fill slopes shall be no steeper than 3:1. 4.0 Inspections: 4.1 A total of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sand leveling and/or filter material has been placed, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of.insulation or filter fabric, and (5) after final backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. PERFORMED FOR: LEGAL DESCRIPTION: L ~ ~22 ~TUCKA~I~ ./~ '~ownship, Range, Section: O.~ pt SLOPE Flattop Technical Services 14530 Echo Stz'eet Anchozc~ge, F×las!za 99~e Municipality o! Anchorage DEPARTMENT OF HEALTH g HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502~0650 SOILS LOG -- PERCOLATION TEST F F FO '~TE R DATE PERFORMED: E'ED~iSH SAND~ LOA~ 5P/Gp ~LEAN GRAVJ~LL"/ pURE SAND ¢ ToP GRAVEL L"/' DAMP 5 8 7 8 10- 11 13- i5 16 17 18 19 20- COMMENTS H~-~' ,~' ¢ ¢',/? ~, ~-' SILT"/ £A Nb"/ C~RAV[:L WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT OL DEPTH? ~X~.~I. p Deplh to Waler Aller Monlloring? ~ P-"I_ Date: ~ N, PLAN ~ Oo Time Time 2:50 2t~l 2o 2:~2; 3o 2:53:30 27 3/~ 2: 55;q~ PERCOLATION RATE ~ I__ (minules/inch) PERC HOLE DIAMETER -- TEST RUN BETWEEN ~2. ~' FT AND ~,C) FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) CER'IIF¥ 'triAl '~HIS TEST WAS PERFORMED IN DATE: 'J~-/~-3 /9/ Flcdtop Techniccrl Services 14530 Echo Slreef ~inchorc~ge, tilcskcr 99518 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG'-- PERCOLATION TEST T. N. ¢:2 JEFF' FOSTER PERPO,MEDPOR: DATEPE.PO.MEO MANe LEGAL OESCmPTION; L ~. ~2/ ~Tg¢,K ~N ~ ~ownship. Range, Section: 5~C ~ ~12 ~ ~ 3 ~ pT SLOPE ~, PLAN 5M r E l~t:) isH SILT'( 2 LOAM, .SOME ~E~VEL 5~ND SILT GCAV~.L, I~AN"I COBBL£$ 5 6 7 8 9 10 11 12 13 14 20 CLEAN ~RAV~LL'"/ '~ANb ~/IA ~'~ CO~B g .~-~S GROUND WATE ENCOUNTERED? IF YES, AT WHAT DEPTH7 ~.A. I0'~~' B, r~, L, Depth to Water Aller Monilerin0? ~___ Dale: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch} PERC HOLE DIAMETER TEST RUNI3ETWEEN __ FTAND . COMMENTS ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner ;:T¢ .¢'¢: Fos/-~' "',. Day phone Lending agency ~r.r~ N~'/ ~ o~ ~c~. Day phone ~7~ Mailing address P.O. ~ox IOo 7 8~ ~ ~or~¢ ~ Agent M, ~. Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91) Front MOA#2~ 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 of this Health Authority Approval application 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 Address Engineer's signature DHHS SIGNATURE ~..' ~:~ ".'~_~, ~ THEODORE F MOORE Approved for ~ ~) bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates 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 order to 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 for errors or omissions in the professional engineer's work. 72~)25 (Rev. 1/91) Back MOA #21 Legal Description: A. WELL DATA Municipality of Anchorage ~, Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST J-eT (o~ ~2, :¢T(.'¢/CA6~4 ParcelI.D. Well type F'I~It/.ZVrE' Log present (Y/N) 7 Total depth J ~ 2 Sanitary seal (Y/N) ~/ If A, B, or C, attach ADEC letter. Date completed __Cased to I ~2 ADEC water system number Driller Casing height Wires properly protected (Y/N) Date of test Static water level FROM WELL LOG AT INSPECTION Well flow Pump level g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot I Absorption field on lot Public sewer main Sewer service line /~' ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Ho~JE WATER SAMPLE RESULTS: Coliform ,¢ c,=[ Date of sample: Nitrate Collected by: Other bacteria FL AcTTOP 'T'E(' B. SEPTIC/HOLDING TANK DATA Date installed 7[2.cl [(~1 : · Tank size Cleanouts (Y/N) ' ~' """ Focn:dation cleanout (Y/N) High water alarm (Y/N) ~,/~ .,' ,, , Alarm tested (Y/N) Date of pump ng N,/~. L.E.$S Tt//I/~ I ¥¢~ O/-b Pumper N./~, SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I i3 On adjacent lots > Ioo ~ Foundation To property line ~' $ ~ Absorption field Surface water/drainage ~/0o ' Compartments ~-- Depression (Y/N) N ( .Water main/serviceline ~ 6o ' 72-026 (Rev. 7/91)Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjaeent lots Surface water D. ABSORPTION FIELD DATA Date installed 7/'llrll - 71271/c11 Soil rating O.'7 GPb/D' Length ~J Width I (~ Gravel thickness__ J Total absorption area ~'/o D ~ Cleanouts present (Y/N) Depression over field (Y/N) ~ Date of adequacy test Results (pass/fail) t4. ,4-. for --~ Peroxide treatment (past 12 months) (Y/N) f'l System type_ FJ,~b Total depth ~0 ' ~ F'£,~AC* E'L-- Y If yes. give date N.A. bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot To building foundation On adjacent lots Surface water ~' leo Curtain drain On adjacent lots ~ /00 t Property line To existing or abandoned system on lot Cutbank N./~, Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature ~"~ ¢ '~ Engineer's Name /'"-~ ~,~ ~:,~'o ,.',¢ /='-. /'-'/o,~ ,,-~ Date ~'/// I~/ /¢ 8 HAA Fee $ / 7~''~ Date of Payment ~/5'--~ ~z_ Receipt Number ,2. ~ ~, / ~./~ 72-028 (Rev. 3/91 ) Back MOA 21 ............. {,'~%,. C~-3589 Waiver Fee: $ Date of Payment Receipt Number CHEMICAL &,.GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO, 5633 B STREET ANCHORAGE. ALASKA 99518 TELEPHONE (9071 562-2343 FAX: (907) 561-5301 ANALYSIS RESULTS for INVO[CE ~ 52572 Chemlab 5efts 92.1398 Sample ~ 1 Matrzx: WATER Client Sample RD : L6 B2 STUCNAUAIN ~NOR PWSID UA Collected : APR ? 92 ~ 13:00 hz~. Received : APR ? 92 P~ese~ved with : AS REQUIRED Clien~ Name :FLATTOP TECHNICAL sgv Client Acer :FLATTOT BPO$ : PO~ :NONE RECEIVED Heq~ Oxdexod By Analysis Completed : APR 8 92 Laboratory Superwsor : STEPHEN C. EDE 1)FLATTOP TECHNICAL EEV 2) Parametez Results~ ~Hnite ~[ethod Allowable Limits ........ ~ii2i~; ...................................... -/-o~C)'---~i; ......... ~;~-;;;~ .............. ~; ........................... C' Sample ROUTINE SA!~LE COLLECTEE BY: C.A. NO TAG FOR THIS SM4PLE. Remarks: I Tests Pexfozmed See Special Ins~zuc~ons Above UA~Un~vailable ND* Nons Detected "See Sample Remarke Above NA. Not Analyzed LT=Less Than GT~Gzeater .Than ~S~S Member of the SGS Group (Soci~to G~rale de Surveillance)