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HomeMy WebLinkAboutKENO HILLS #6 BLK 2 LT 10 Municipality of Anchorage Page 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: Chlq$O~l~' PID Number: Name: D~o~.~h~ /'2. F~c~ WastewaterSystem: ~New ~ Upgrade Address: ~o. ~x ~/~09 ABSORPTION FIELD I No. of Bedrooms: ~Deep Trench ~ Shallow Trench D Bed D Mound ~ Other L~GAL DESCRIPTION so,, Rating: Total Depth from original grade~, Lot: Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe WELL: ~ New D Upgrade Gravel width: Number of lines: Distance~eenlines: Classification (Private. A.B.C): Total Depth: Cased T0: Total absorption area: Pipe material: ~/~ Driller: Date Drilled: Static Water Level: .Installer:  Set at: Casing Height Above Ground: SEPARATION DISTANCES ~Septic Q Holding ~ S.T.E.P. To Septic Absorption Lift Holding Public/Privat Manufacturer: Capacityin gallons: Number of Compa~ments: I ~ ~ Material: ~ Sudace wat~ /~o ~ /~ '+ ~ LIFT STATION = Foundation ~, ~, I--- "Pump on" 'evel at~f" level at: ~ High water alarm at: Curtain Drain ~ --~O&'E ~O~ ~1 J Electrical Inspect,ohs pedormed by: Remarks: BENCH MARK Location and Description: J Assumed Elevation:/~, ~ ~r, ~~~AL Jfispections performed by; Eagle River. Alaska ~5~ Dates: 1 st/~- ~ -~Y .~~ ............ ~ ........ Department of Healt~and Human SerVices approval ~', ~",~ .,, . Reviewed and approved by: Date,/-/p .Z~ -~~ 72-013 (Rev. 9/91 ) MOA 25 Permit No.SW950317 Page 2 of 2 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 Descriptio~ENO HILLS SUBD., BLOCK 2, LOT 10 PIDNo.: 02017140 CO/ CO2 N.T.S. ~ ~LL ~ 98.3' /--97.6'i ! MTi --~ /CO3 /~FINAL GP~DE C04 INSULATION ~--95.0' C03& C04 ............................................................................................................................................................ i .................... 88,.o.~ ........................................... i ......................................... ~ MT1 : · 82.0' NO WATER FOUND / 7 A B CO1 21.3 52,8 C02 32.3 60.1 C04 86.1 101.~ MT1 54[0 69.0 5 BDRM I .......................................ii ............ ~ ~""k~(fl-IO~dSE'"'"':"r ~ ,A! ................................................................................................................................................... \ ~ ~-NEW 1500 'GAL. SEPTIC TANK \ SCALE f' = 40' / APPROX, LOCATION 0f FCO _._/ FCO LOCATED INSIDE GARAGE ~CESS THROUGH REMOVABLE PLYWOOD COVER IN GARAGE WALL, C04 ~AL ROBERT C. COWAN ~ ,~ ~ 72-013 A ¢1/93) * 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:SW930317 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:FANCHER DEBORAH R OWNER ADDRESS:PO BOX 91600 ANCHORAGE, AK 99509-1160 DATE ISSUED: 8/23/93 EXPIRATION DATE: 8/23/94 PARCEL ID:02017140 LEGAL DESCRIPTION: KENO HILLS #6 BLK 2 LT 10 LOT SIZE: 140685 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~- ISSUED BY: I~ HEALTHAUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS 'SEWER & WATER INSPECTION ENGINEERINGSTUDIES ANDREPORTS WELLINSPECTION & FLOWTEST SITE PLANS ROAD DESIGN SOII~ TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT SHAFER, P.E, ROGER SHAFER, P.E. August 13, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 SERVICES REFERENCE: Keno Hills Subdivision, Block 2, Lot 10 Request you re-issue permit %SW910357 to install a septic system. ~ new permit to drill a well and install a septic system to <serve the Proposed five bedroom house on the referenced property is re~uested~ 'Attached is the new well and septic site plan. Three test holes were excavated and percolation tests performed by Arctic Slope Consulting Group, Inc., on October 4, 1991. The approximate locations of the test holes are located on the attached site plan. The monitoring tubes within the holes were checked and found to be dry. This property has enough area for a 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. If you have any questions, or require additional information for your review, please contact us. h aler, P.E. AS/JPW/LSU/lsu 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 ~ z ~ o ~z~ ~0~ ~ ~z ~0 I ~o ~ NY-Id Ills ,09 = ,,1- . ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Keno Hills Subdivision ~, Block 2, Lot 10 GENEi%AL: 1. The scope of this project includes the installation of a 1500 gallon septic tank and a leachfield trench to serve the proposed five bedroom residence on the referenced property. Construction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. Page Two Keno Hills Subdivision #6, Block 2, Lot 10 August 10, 1993 o A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched ruffed- up) before gravel (sewer rock) placement. o Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Keno Hills Subdivision #6, Block 2, Lot 10 August 10, 1993 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. o The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: T~pe of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. o Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. o When sand is being used as a filter material, it's gradation specifications must conform to AMC 15.65.060D. Page Four Keno Hills Subdivision #6, Block 2, Lot 10 August 10, 1993 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second ~nspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. o The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre- construction meeting will take place on-site. Tom Fink, Mayor unicip lity of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 November 9, 1992 Richard W. Kornbrath 17900 Spain Drive Anchorage, Alaska 99516 Subject: Lot 10 Block 2 Keno Hills Subdivision 96 Permit ~SW910357, PID ~020-171-40 The subject permit, issued November 6, 1991 by this office for a single family well and/or on-site wastewater system, has expired as of November 6, 1992. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, J~n Smit~, P. E. ~rogr am Ma~. ager On-site Services enc: Copy of Permit MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910357 DESIGN ENGINEER:ARCTIC SLOPE CONSULTING GROUP OWNER NAME:KORNBRATH RICHARD W ~ OWNER ADDRESS:17900 SPAIN DR ANCHORAGE, ALASKA 99516 DATE ISSUED:il/06/91 EXPIRATION DATE:il/06/92 PARCEL ID:02017140 LEGAL DESCRIPTION: LOT SIZE: 140685 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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: ARCTIC SLOPE CONSULTING GROUP, INC. Engineers . Architects · Scientists · Surveyors November 1, 1991 Mr. Dan Rotb Municipality of Anchorage 825 L Street Anchorage, Alaska 99501 Re: Septic System Approval Keno Hills//6, Lot 10, Block 2 Dear Mr. Roth: Attached is the revised (per your comments) permit application for the approval of an on-site septic system for the above referenced lot. Very truly yours, Senior Engineer CM: MLT: 1110-0026 301 Danner Avenue, Suite 200 · Anchorage, AK 99518-3035 · (907) 349-5148 · FAX (907) 349-4213 A subsidiary of Arctic Slope Regional Corporation ~j E g' e · Architects · Scientists . Surveyors October 15, 1991 Mr. Dan Roth Municipality of Anchorage Dept. of Health and Human Services 825 L Street Anchorage, Alaska 99501 Re: Septic System Approval Keno Hills//6, Lot 10, Block 2 Dear Mr. Roth: Attached is the permit application for the approval of an on-site septic system on the above referenced lot. Below is a narrative description of probable impacts to adjacent properties: Wells - There are no existing wells within 100 feet of the proposed septic system. Adjacent lots within the subdivision have not been developed. Lots to the south are served by off-site sewer and water improvements. Wastewater Systems ~ No existing on-site wastewater systems are located within 100 feet of this lot. Reserved Space - Additional percolation tests were completed on the site to evaluate the subsurface conditions relative to future absorption field installations. The lot is relatively large and there is room for several future systems downhill of the proposed absorption field. Drainage - This lot is relatively steep (10-20%). Positive drainage away from the field will be maintained. No concentrated surface water will be directed toward the field and no existing streams or roadside ditches are within 100 feet of the proposed field. The installation of this system will have no probable impacts to adjacent well or septic Systems. Very truly yours, Sr. Civ[I.~ngine~r cSM:MLT: 1110-0026 301 Danner Avenue, Suite 200 · Anchorage, AK 99518-3035 · (907) 349-5148 · FAX (907) 349-4213 A subsidiary oratorio $1opo Rogionol Corporation Permit No. 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: {Z.~"'~IO {--{tt, l,,¢ L ID ~ ~ PID No.: tOO FEET OF SEAL 72-013 A (2/91) MOA25 Permit No. Page ' of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVlOES 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 Descri ,tion: I,/__~-NO ~lQ.¢ ~ LIO t~'2. PID,NO.: I0 I i I I . I SCALE I"= lO0" SEAL 72-013 A (~J91} MOA 25 Io/,d,~ls~.: ! oF/ DATB: PREPARED BY: ~ SUBJECT: ~'~..~ ARCTIC=_ SLOPE CONSULTING GROUP, INC. ~ __=- __~_~____= ~__--- _--~__ LJ Engineers * Architects · Scientists * SurveYors 301 Danner Avenue · Anchorage, AK 99518-3035 · PHONE (907) 349-5148 * FAX (907) 349-4213 A subsidiary ora rctic Slope Regional Corporation T~l,*~hot,~: (gO7) 54g-5148 FQX: (907) 54g-4253 SOl-IS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DEPTH LOT lO I~o ~N ~{LT 5AN P Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? II~ YES, AT V~rHAT DEPTH? Depth to Water After Monitoring? ~ {)lq ~ Date TI; Id., t~ 3'..0., SrrE PL. AJ~ N cOMMENTS Gross Net Depth to Net Reading Date Time Time Water Drop SoT, oF PERCOLATION RATE ~.0 IY~liq !~ (minutes/inch) PERC HOLE.DIAMETER ~-'~ TEST RUN BETWEEN ~ {/2," FT AND _ % FI' ~01.~ ggg:.~oAktg00eF AN~) O~ FoP. ~ HOURS PERPORMEDBY: ~ 5, m~J~'/~ [ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT Obi THIS DATE. DATE: J © - |[ ' q[ PERFORIdED FOR: LEGAL DHSCRiI~TION: DEPTH SILT SOILS LOG - PERCOLATION TEST Acr aa4 10T 10, ~L.~ 2, SLOPE SITE PLAN N S WAS GROUND WATER L ENCOUNTERED? ~ O ElF YF~, AT WHAT DEPTH? P Depth to Water After Mo~to~ng? HoNE Date 10-11-91 E COMIviENTS ~YI', oF Ho~ I Gross Net Depth to · Net Reading Date , Time Time Water Drop ~: ~ ~ ~ ' ' ' ~ 'lza Z ~1/~ PERCOLATION RATE ~ If~l~"l ' l~ (mlnutes/in¢} PERC HOLE DIAMETER TEST RUN BETWEEN ~ ~ AND ~) ~ PERFORMED BY: ~g~ '~' I~~'ll~'' I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORJ)ANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: {~) - ~ ~ - e~ 1 SOILS LOG - PERCOLATION TEST C~S~DESCmpTXON: Z3~r40 ~ILL5 LOT I0 5LKZ. DEPTH Townshlp~ Range, Section: SLOPE f N S WAS aROUnD W^T~ Iq 0 ~. ENCOUNTERED? ~ O IF YES, AT WHAT DEPTH? P Depth to Water After Monitoring? N0~ Date J 0 -Il 'gJ E 5OTTOr~ oF HOL~' :, COMMENTS GrOss Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ° 6 ~1~/}81 (minutes/inch) PERC HOLE DIAMETER TEST RUN BErWEEN 5 X.. ~ mD ~ ~_ ~ PERFORMED BY: c~y l'i\~X,~l~'~. , CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ 0 ' J ~ ' ~ J " HEFT DRILLING g,/Jll Woter - I<~ n~tur~?" ~etlcrl '" '~TELF..P HONE; 3,540 AKULA DBtVE (gO"/j ~345-O503 Will & Debbie F~ncher Static Wate~.,T~vel_ 20_.~.__-~ Feet .. Draw Down--~-- ~ Gallon~ per Minute ..~ 20 3 Overburden -- ~---~---- ft. to '19 ft. Gravel & clay __ ~o HF..FI'Y DRILLING' 3540 Al(I/LA DP, NE At40IIORAGE, AK 6~516 (!~07) S45,.0593. ~6, 8'[ ~)CIU OF H~L~ & HUMAN SERVICES On-Site Sew~ces Section ..... = Anchorage, Alaska-9 Lot~.~-'0; B~ock ~;~*K~no H~ -.' ::~':'~:'V ':'*'~:= ...... :",V: ........ ~t:t~.,>.--Z~l I. ,S~m/. C~ A~o~ct AK 99502 - -= ................ :. :: .. .'~., .t~ ,~--,Mailina aaaress - ~ : -?:::: "-n~=n-~u,v agency ...... '" ' - - Day phone : :' :' - ." Iress Will be held for Municipality of Anchorage Departme?t of Health and Human Services AO~J;IORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type ~/VP~T'~- Log present ~N) ~'~'$ Total depth 2 ~L/i/.4.S ~~ ~z. oclc Z,, L-oT-/0Parcel I.D. (2zo/-7/40 If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~-/O - ~,~ Driller /-/e-~:~,, Cased to 20 ' Casing height Sanitary seal (~N) 'Y'E~ Wires properly protected (~N) ¥/~J' FROM WELL LOG Date of test Static water level Well flow ~ .~ g.p.m. level1 Pump AT INSPECTION /~ ~/'~ g.p.m. ~_1 c:)~ ; On adjacent lots /rid ~ ~ ; On adjacent lots /~0 '~ Public sewer manhole/cleanout too '~ Petroleum tank . ~/~ SEPARATION DISTANCES FROM WELL TO: Septic/~cldlng tank on lot ! o o /"/- Absorption field on lot Public sewer main ?~' Sewer service line 2 WATER SAMPLE RESULTS: Coliform ~ ~'oJo,~i~ J/~ ,'../, Nitrate Date of sample: Collected by: Other bacteria B. SEPTIC/H~L=INN~i TANK DATA Date installed Cleanouts (~N) High water alarm (Y~ Date of pumping Tank size Foundation cleanout (~N) Compartments Depression (Y(~ Alarm tested (Y~ Pumper A J//'4. SEPARATION DISTANCES FROM SEPTIC/~ TANK TO: ,/(JO Well(s) on lot I o0 To property line /¢ '-/' Surface water/drainage On adjacent lots /~ '-h Absorption field ~' '.t-- Foundation ~" -/- Water main/service line /O ~ 72-026 (3/93)* Front CONTINUED ON BACK PAGE CT&ERe~,# Sample ~D Commercial Testing & Engineering Co. Environmental Laboratory Servioe$ 94. 612~-3 LABORATORY ANALYSIS REPORT K~NO ~:LLS ~IUBD. B2, 1,10' client ~ame S & S ~NGIN~RTNG WORK order 11400 ordered B¥ JACK Prin=ed Date 12/~9/94 ~ 12:4~ h~. ~ro~e¢~ Na~e Collected Date 12/~/~4 9roJeo~ Received D&~e 12/i~/94 ~ 1S~lS hrs. ~W~ID UA Tech]lieal Director STEPHEN C. EDE ~amDle Remarke~ ~AMPhE COLLECTED BY: S~.~ E~GZNEEEI~G WITNESSED BY JACK. *TAKEN OUTS/D~ HOSE BIB. Qc Allowable Ex~. Anal Pa,&me,er R¢~ulE~ Q~al Uni=s M=~od Limits Dale Da~e Init Ni~ra~e-N 0.10 U t~/L EPA 353,2 10. 12/~6/94 CMR * See Special I~t#t~m4c:ione Above ~'A - t.tn&vallable IU = Undetected, R~p0r=ed value is ~Ae p~&O~ical quanciflca~iot~ limit- LT = Lees Than ~D - Secondary d~lu~i~n. ~T - Greater Than 5833 B Street, Anchorage, AK 99515-1.~00 -- Tel: (907) 662.2343 Fax: (907) ~61-5301 ENVIRONMENTAL FACIUTIES IN AtASKA. COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY. OHIO, UTAH. WEST VIRGINIA ~Od ~6E'ON ~TE~P69A06 ~ ~NIAS~± ~UlO~l[,l~O3 ~O:AI ~6/6~/E~ \ \