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HomeMy WebLinkAboutBUNNY SLOPES LT 2Bunny Slopes Lot 2 #017-092-29 �,pi�f W/ 0.r C a 1cL -(R- Municipality of Anchorage Page f 7.— 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 w Permit Number: �W `ct( D( 7- PID Number: 013� - C)%2- — Zcf Name` + Wastewater System: w Upgrade c�% 2a C -A 'r V- Address fcE 2 ABSORPTION FIELD 0 ott „� Phone: No. of Bedrooms: Deep Trench ❑Shallow Trench ❑ Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: n I Z_ Total Depth iro� original grade: GPD/S . Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe ,Q (&A 4 n - S ( 0 0 Cl- Z, FL 45t Z. Ft. Township: Range: Section: Fill added above original grade: Gravel length: Ft. / Ft. WELL: --G-Gewr ❑Upgrade Gravel width: Number of lines: Distance between lines: Ft. Ft. Classific ion (Private. A.B,C): Total Depth: Cased To: Total absorption area/:' � Pipe material: r7 �J(7 Ft. //0 Ft. r lD SQ. FL 7 Driller: DP�tlt Date Dril ed: Static Water Level: 1 Installer: � Dale ins fled .? 3�3 7o ros FL MaC_ 60 Yield:Pu /i p Set at: Casing Het ht Abovei Ground: /g �+• TANK GPM Ft. /rp Ft. SEPARATION DISTANCES 50eptic ❑ Holding S.T.E.P. To Septic Absorption Litt Homing Public/Private Man factu er: Capacity in gallons: From Tank Field Station Tank Sewer Lines 7Vile � r 2.95-0 WelFMaterial: l'oo 4 /Pa �/f X /Ocp� � Number of Compartments: '2- /A ct ZSurface Surface Water (00+- loot. /60'� LIFT STATION Lot Line Ir So+ K3 SO4 Size in gallons i Manufacturer: Foundation /_ tf t q / r /Q "Pump on" level at: "Pu level at: High water alarm at: Curtain�YKa/,t 44 K N Pump Make el Electrical Inspections performed by: Drain Remarks: s Gc P cL,=— rq 4 i s st a BENCH MARK ( 1 �p � �tlr•IO Location and Description: �QYQ ✓' m�I Sr N 5�4,/ 1 Il ,�(I` wo S CJ. J" �- a t- p (c Z, 1 1 r e t� WG clY Ytt^ t^ Lrea`trpn Assumed Elevation: ��(�.©OFt r f /-� (( ♦ / �\cRV S6 C�t'tltM'r" Mp'Y�� ENGINEER'S SEAL 'a.'C�@h`.`fa�C.i1 4�Y✓�µ\ W4 �.�.., OF A Wt fl-- we-(( W %e n4 If %r trr ov6C J. �;'h,•�>�a>° ° s�.rCl ��_-s'°••t.�81d �t `%%V�✓//' 3 6 aq �..j� Inspections performed by: — Dates: is >... 2nd ��o a ,' °, MICHAII, N.. Department of Health and Human Services approval e� ;. CE -94 9 y Reviewed and approved by: Date: �IiIi ILI® 72-013 (Rev. 9/91) MOA 25 917-d IVIO d 9£9-1 99117Z220£i+ 360 A1103400-0): W9i Location tot 2. Bunny Slooes Date comp tet ed... ~..~.Q.!~ ....~.~. ~ .....1..~.~ .0.. ...................................................................... Depth of well llO Feet D~tance to wat~ wMle pumping ........... .a..~.:.<. ...................................... at rate of.~ .......~X.,.....$.~.~. .................. ~Hona ~er.. ho~. I certify the above true and correct. Driller FOSS DItI~L1NG 1336 INGRA PPL 279:2849 .~C.~Ot~G~ ~S~ 99501 We advise you to attach thi~ certificate to your deed. Municipality of Anchorage Page 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: `5 c.v V1 9 O0 L PID Number: U13- - Oct ?- - Z`\ Name: !31r , -4- L�rA k I� e l(=r Wastewater System: ❑ New Upgrade Address: %00O Eas'h /�2ncl,, ABSORPTION FIELD Phone: No. of Bedrooms: W Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: Total Dept from original grade: �I7 GPD/Sq. Ft. Lot: Block: Subdivision(: Depth to pipe bottom from original grade: Gravel depth beneath pipe 2 S l V 2 Ft. S 2- Ft. Township: Range: Section: Fill added above original grade: Gravel length: Ft. /S Ft. WELL:❑ Upgrade Gravel width: Number of lines: Distance v een lines: Ft. Ft. Classification (Private, A,B,C): Total DepptJth: Cased To: Total absorption area: Pipe material: rt 114 {— --Z"20+ Ft. � t,.0YCPLW'l Ft. /Sl9 SO. Ft. I �So l if Driller: IAh 0ov.7 Date Drilled: (!✓)('LnJw Static Water Level: G Ft. Installer: II � M(W rt e Date�+installed/: M a Y GvI. iQ I t`f Yield: Pump Set at: Casing Height Above Ground: TANK �/� GPM q t(60f Ft. /i-�;_ Ft. SEPARATION DISTANCES Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lin Holding Public/Private Manufacturer:// Capacity in gallons: From Tank Field station Tank Sewer Lines .4111 art l/r— i'ZSO Well- /oo % 1004 N/,¢ I- Material: Number of Compartments: foo f /o o + K //{. /oo + LIFT STATION Water Water Lot 5.0 { -V 3' K/A'50 Size in gallons: Manufacturer: Line Foundation I 6 � ( "Pump on" level at: " Pu " level at: High water alarm at: Curtain A vh Pump Make el Pum Electrical Inspections performed by: Drain l Remarks: Scc «sem ,+ L'5 BENCH MARK 'LTf �J aYNVw+ ar l,(, �'tn (C �J op O,lW ✓✓l Location and Description: r. QrCt p 1'V-•N c�'1 we.S 'a@aL eoL, 'h9 Mg{'L Ptci+wm5 `"Pcc a eJ l,,.rr df �+urrn C� ri -V Assumed Elevation: /00.0 Ft I� { ci4i c/�}S G�ewv sar7cl icl�'ni Ma%crt EWt4EAIKkSEAL lee ���.%3�i�� , : 91— � Inspections performed by: Dates: 1s 4 2ndQ r ..,... � •e MICHAEL N. ANDC250tJ Department of Heap and Human Services approval 9�r� . CE(/946 9 •• ;has Ito®o�aFEss�o Date: 2-28- `j Reviewed and approved by: 72-013 (Rev. 9/91) MOA 25 Permit No. SW990017 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 Description: LOT 2, BUNNY SLOPES SUBDIVISION PID No.: 017-092-29 0 0 TO I 0 0 0 z \ / N RQ'SFi3Fi W 71i7 d7' / \ \SELPAGE PIT i THi C04 15'\ CO3 i' 20 MT 30' TH i' O /c RADIUS\/ A 2� TH2—/\\ /� CO2 \ /I NEW 1,250 � — ' � GALLON TANK I C01 I B 1 \ TWO STORY \ FRAME HOUSE /00' WELL RADIUS N 89'56'51" W 252.47' ASBUILT SCALE: I"=60' PIT C.O. NEW IREN CX MT2 .0.4 SOL PflCFlLE I q -d ML EXIST WG rPAGE PIT SP XISTING WELL 1 1 � I I � I I I / i i MARK A B GRND. ELEV. PIPE ELEV. C.0.1 21.0' 4.5' 99.9 96.3 0.0.2 64.0' 68.4' 97.14 92.7 TC.0.1 66.5' 72.3' 96.3 TC.0.2 68.4' 78.0' 95.2 C.0.3 74.0' 84.0' 94.3 88.3 PIT C.O. 77.1' 88.7' 92.6 C.0.4 91.6' 101.0' 91.5 87.3 MT 90.0' 99.0' 91.5 q� OF A(�X@Q �?� r A9 L ........... .... • . . ! v e MICHAEL N. ANDERSON ."I CE -94694) Rorrssffik MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Permit Number: SW990017 Legal Description: BUNNY SLOPES LT 2 Design Engineer: 0088 Anderson Construction & Eng'g Owner Name: Jim & Leah Keller Owner Address: 6000 East 142nd Anchorage , AK 99516-4319 Upgrade Date Issued: Feb 19, 1999 Expiration Date: Feb 19, 2000 Parcel ID: 017-092-29 Site Address: 006000 142ND AVE E Lot Size: 76500 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 1 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 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 (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: 9.19-99 February 15, 1999 Michael Anderson, P. E. 14250 Golden View Drive Anchorage, AK 99516 (907) 345-3377 home (907) 345-1391 fax Department of Health and Human Services P. O. Box 6650 Anchorage, AK 99519-6650 (907) 343-4744 Office (907)343-4786 Fax Re: Lot 2 Bunny Slopes Subd. To Whom it may concern: FEB 16 1999 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION This is a request for an upgrade of the on-site septic system. Alaska Water and Wastewaster tested the system and it passed (see attached letter) for a three bedroom, but the house has 4 bedroom and has been sold as a 4 bedroom. Therefore we are asking for a permit for a one bedroom expansion of the existing seepage pit. Two test holes were excavated, one for the new bedroom addition and another for reserve area. Both test holes consisted of the same material and perced at 1.5 minutes per inch. The effective soils consisted of a loose sand (sp) from 3 feet to a depth of 16 feet. No ground water was encountered during the excavation or after the 7 days of monitoring. The septic design consists of a single trench 2 feet wide and 13 feet long with an effective depth of 5 feet. The maximum depth from grade will be 9 feet. The tank will also be replaced with a new 1250 gallon tank. The new trench will be constructed perpendicular to the slope of the hill as the plan indicates. There is no surface water on the property as the plot plan indicates for the proposed system. The existing systems on the surrounding lots appear to be performing adequately and the new upgrade will not impact these surrounding lots. The neighboring well on the north side is close but not a problem with 20 feet of margin. The topography of the lot is sloping to the south and west away from the house and septic system. Also the lot is large (two acres plus) with excellent soils. Please feel free to call me at any time to discuss this system at 345-3377. Sincerely, Michael N. Anderson, P.E. ADJACENT WELL RADIUS- _ -------- --- a TH#I - \` - - --- 10' UTILITY EASEMENT EXIST WEII RADIUS EXISTING 12' X 12' \\ \ ` \ CRIB (3 BEDROOM)— Ln EDROOM) /ADJACENT WELL RADIUS i it w ADJACENT WELL RADIUS QOM I w LOT 3 /LOT 2 LOT 1 N ADJACENT WELL RADIUS I i _MOUND qVER \ i GRADE \ � o _1OR o FILTER FABgIC DESIGN CRITERIA: _3. ML 1 BDRM = 150 GPD SOILS = 1.2 GPD/SQ. FT. o 150/1.2 = 125 SQ. FT. REQ'D c o TRENCH: SP 8.0' DEEP 5' EFFECTIVE DRAIN ROCK 2.0 WIDE 2.0' 13' LONG -16 SEPTIC DESIGN PREPARED FOR d� ®F A`(�``S� JIM AND LEAH KELLER ��gi40 LO,f BUNNY SLOPES SUBDIVISION 00 h,.• �% PREPARED BY %" •.•••.... X.... MICHAEL N. ANDERSON, P.E. / MICHAEL N. ANDERSON*. 14250 N. GOLDENVIEW DRIVE / A , (907) 345-3377 / FAX (907) 345-1391 P� �� 0-9469 •:mss SCALE _ 1 "=80, FEBRUARY 15, 1999 (`�00 R rE=S1D`o�� 'r PRIMARY MONITORI IG UBE ADJ CENT WELL RADIUS SYSTEM — -- -- -----"i/ /__-- ------ --- ---- EXISTING 2' X 12' ` CRIB (3 B DR OM),-- , NEW 14' TRENCHM EXISTIN E. .' \ TH#1 r, DOUBLE .0. / `\ C.O. ; RESERVE,/§ITE: —� C.O. 42' TREVCH W/ \ 6' EFFECTIVENEW 1,250 GALLD SEPTIC TANK HOUSE/ TH#2 i SECONDARY SYSTEM �F(� ROUBLE C.O. �9 i ------------ Lo - _ ---------- BLOCK BLOCK 8 LOT 2 SEPTIC DESIGN PREPARED FOR JIM AND LEAH KELLER LOT 2 BUNNY SLOPES SUBDIVISION PREPARED BY MICHAEL N. ANDERSON, P.E. 14250 N. GOLDENVIEW DRIVE (907) 345-3377 / FAX (907) 345-1391 SCALE: 1"=30 FEBRUARY 15, 1999 .► F of 49TH* •;st y MICHAEL N. ANDERSON : Q� 69 tlyolROFESS101A�= Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMEDFOR: —zl + t2c tt-Pr DATE PER LEGAL DESCRIPTION: La h Z" 6uv7ns2 Sept S Township, Range, Section: DEPTH 1 S a (0 SLOPE 2 g 4 5 6 C( lO' e, ! //f,8 1-00 4 G. 9 10 11 12 13 14 15 . 1 s g• {,fin ,I 17 18 19 20 :OMMENTS j\."I T IF YES, AT WHAT DEPTH? Oeplh to Water Alter Monitwing? /Von gag: h.st .......... ... ... ya % MICHAEL N. ANDERSON ; oe �'' CE -9469 ED: 6�H,Ana r,9rQh. �` w ■■■■■■■■■■ Reading Date Gross Time Net Time Depth to Water Net Drop (vnIn , I PERCOLATION PATE (minutevincn) PERC HOLE DIAMETER �2_ n rEST RUN BETWEEN FT AND % FT Vp'C r N 6, ia. j ,/ ✓j PERFORMED BY: I"4I r k n'r ^e 'I-- r S a, I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _7/R� iDI/49 72 -DOB (Rev. 4185) a Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: \ w.-. 'i- �-<g ('1 c e r DATE LEGAL DESCRIPTION: 2 eAAv ,,. SI. ar- Township, Range, Section: rf• evrwl Suh, SLOPE (FEET) 1 V Uol 4„ t % 5 2 T P % Wd(e, 4 �{� 5 �S Pry �� rT 6 7 PK e�e4n Sp��, ri f 8 9 10 11 12 13 14 15 W. 17 18 19 (: , aD//,,,/g a r 114 (c-- IF YES, AT WHAT DEPTH? Depth to Water Inter Monitermg? I�IoDILL ••--•aa.•s ::n a:... 10 MICHAEL N. ANDERSON, •. CE - 9469 w w SITE PLAN ENNEMEMEN MENEEMENE Reading Date Gross Time Net Time Depth to Water : 49Twrf Net Drop / 99 ••--•aa.•s ::n a:... 10 MICHAEL N. ANDERSON, •. CE - 9469 w w SITE PLAN ENNEMEMEN MENEEMENE Reading Date Gross Time Net Time Depth to Water Net Drop / 99 F`,%/ Cie � 75 n 20 I / le PERCOLATION RATE - Iminutevincnl PERC HOLE DIAMETER 6 /r TEST RUN BETWEEN b(17- FT AND % I/Z' FT -OMMENTS C' `-cq rT C LYI,tk ,s. r? ) -4t 2z ?`rl 4- PERFORMED BY: MI e k o � ( 4„ I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72 -DOB (Rev. 4/85) It b the responsibility o-f the owner c~' builder, prior to constru~ion, to verify propo~d building ~e reletl~ lo finished grade and uflli~ con- ~ions and to dotermlne the existence of any ~~nants, or r~trlmions wh~ ~ ~ ~ ~ the ~ ~N~ ~. ,4/.D - ZS' u/z_ 7- ~,- /~- 7'c5' LOT SURVEY CERTIFICATION LOT ~ BLOCK .. ,4D ,., ~,,,. ~, ..5'/- oP,~-s SUBDIVISION ,,,~,,,'c,,/o~x;~E RECORDING DISTRICT~ ALASKA I~REP~'NEO IY~ J NE$10~'NCE OF: DeComp-Brown ~ L. ond Surveying P.O. BOX ll20, WASILLA~ALASKA 99687 J PH:745-49~2 (0~) $44-804~ (OR) ~45-4~56 ~ IY= CHECKED IV: REVISIONS jDRAWING NO. TOWN~'IIP & RANG~ FIELD BOOK NO. GRID NO. ,.-?o ~ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAKING WEU GALLONS. ,~ SEEPAGE' SYSTEM: SEEPAGE PIT: :~ NUMBF. ROF. P~TS, il, , / OUTSIDE D~AMETEP. ~UNIN(~MATERIAi i ~i ~ FI~D:~ INSIDE LFNGTH DISTAt4CE FROM WEU TOTAL EFFECTIVE ABSORPTION AREA (WAU. NEAREST LOT UNL OF EACH DEPTH OFFKTERMATE~AL 8ENEA~IlltE WATER NEAREST SEWER tINE SEPTIC TANK SEEPAGE SYSTEM DIAGRAM OF SYSTEM ~AOORE~~~LO~TION OF INSTAL~TION ~¢ - F RESULTS ANTICIPATED DATE OF COMe. ION , SELOW TO BE FILLED OUT BY HEA~TH DEPAR~ - ~'-'* ," ,"?'; ~ D~SCRIBED BELOW. ~IZE OF UNIT TO BE SEHVED ~ ~ I0I ,.,,~r...,~ I r.,,,~, AJ4~IiORAG~ AREA ~ROUGH ~.. '~' SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Ordinance No. 28-68 and that . Im familiar with the requ;remcnls of Greafcr Ancho *ia~;;-,- ,~-~--~,-:,*, , ~ . . ' . rage A rea ~:' ~,G~ ~ Is m accordance w~th ~mid code. . · Municipality of Anchorage g<o • '� Development Services Department Building Safety Division s E r On -Site Water& Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite !" T (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 017-092-29 COSA# o) 1. GENERAL INFORMATION Expiration Date: ? Complete legal description BUNNY SLOPES S/D; LOT 2 Location (site address) 6000 E. 142ND AVE * ANCHORAGE. AK * 99516 Current Property owner(s) Mailing address Lending.agency Mailing address Real Estate Agent. BEN & NATASHA SUMMIT Day phone C/O AGENT Day phone ELIZABETH HOOPER W/ PRUDENTIAL Day phone 808-633-4539 907-227-6794 r `) AWIlfi&a ddress 3801 CENTERPOINT DRIVE. #200 * ANCHORAGE, AK * 99,503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER;OFBEDROOMS: 4 3.. TYPE.OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The. Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal 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. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for / bedrooms. 337-6179 Date Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: / COSA Checklist L/ Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ON-SITE WATER AND ; s WASTEWATLR PROGRAM By: Z Original Certificate Date:����Z (Rev. 11105) Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: BUNNY SLOPES S/D; LOT 2 Parcel ID: 017-092-29 A. WELL DATA *ASSUMED BASED UPON SURROUNDING WELL LOGS. SEE ATTACHED. Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 3/13/1970 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 110 ft. Cased to *40+ ft. FROM WELL LOG Date of test 3/13/1970 Static water level 107 ft. Well production 2 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 7.95 mg./L. Casing height (above ground) 12+ in. AT INSPECTION 3/8/2012 0.65+ g,p,rn, Collected by: GEG, Ltd. Arsenic: 34.6 ug./L. Date of sample: 3/8/2012 I B. SEPTIC/HOLDING TANK DATA t�ov bl C I tang s 6e fae-e, Tank Type/Material SEPTIC/STEEL Tank size 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) �� Depression over tank (Y/N) N 0 Date installed 3/6/1999 Cleanouts (Y/N) YES High water alarm (YIN) N/A Date of pumping oZ ' Pumper ONE STOP SERVICES C. ABSORPTION FIELD DATA BELOW EXISTING GRAD19 E 969 CRIB 99 TRENCH 10/30 1969 100 CRIB Date installed 3 6 1999 Soil rating (g.p.d./feor ft2/bdrm) 1.2 System type TRENCH 12 12 6 Length 15 ft. Width 2 ft. Gravel below pipe 5.2 ft. Total depth **9.6 ft. Eff. absorption area 18s ftZ Monitoring tube YES Depression over field NO Date of adequacy test **3/9/2012 Results (Pass/Fail) PASS For 4 bedrooms 14.5 Fluid depth in absorption field before test 0/1 in. Water added 600 gal. New depth 16_5 in. 10 Elapsed Time: 120 min. Final fluid depth 12 in. Absorption rate >= 600+ Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date — **HOUSE WAS VACANT AT TIME OF TEST. DRAINFIELD LOG CRIB WAS PRE—SOAKED ON 3/8/2012 WITH 1798 GALLONS OF WATER. PRE—SOAK AMOUNT VERBALLY APPROVED BY JEFF POET, 3/8/2012. INTRODUCED WATER INTO LOG CRIB. D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump ofr Manhole/Access water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lot: Absorption field on lot 100'+ On adjacent lots Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout 100'+ 100'+ Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 1001+ Driveway, parking/vehicle storage 5'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printedf Name JEFFREY A. GARNESS Date 1 12 COSA Fee $ U ' % Waiver Fee $ Date of Payment y I 1C,I a r Date of Payment Receipt Number CAOACA Receipt Number (Rev. 11/05) Municipality of Anchorage Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 121105 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 2 of Bunny Slopes subdivision. This inspection revealed a nitrate concentration of 7.95 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 Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage p, E Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci. anchorage. ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # 121105 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot 2 of Bunny Slopes subdivision, the well's productivity was determined to be 0.65 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.41 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 121105 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 2 of Bunny Slopes Subdivision. This inspection revealed an arsenic concentration of 34.6 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/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. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. EAST _ 142ND AVENUE N. 89 56'51" W. 252.47 SUR 'Ey JIPCEIPEO BYTHEWFORMATIONP£1-11FORTHEUS CILENII-IN—TU-0O SYELIFCGLLVTOSHOWANY EL LA/J<''HH00J R0 /OR EAETS AND IS WEEN E5TIN5 STRUCRE5 AN0 PLATTED LOT 11.1 AND SEM Cp FLIXTG RSTMNTE NOT iO BE USED FORPO52TZONTNGADDtTTONAI STRVCNRES,tM%tOVEMENTS, di fENtELtNES .RUDEN7UL.P.%/ESTATE o y< EASEMENTS OF Re,GPO, OTHER THAN THOSE APPEARING MTHE RESGPU PLAT, ARE NOT SHOWN I --- — NOTE', F WELINES THATMAY APPEMON TITS DRAW WARE NOT TO BE USED TO DETERANE 10 9 AP 55 � pN pWELL t] ]0B N O O O Z 0 o�op4 A4�sQ�O p THP, oOan ` SHANE A. HOLT L"914 2 G e I.— I � A 10' UTILITY EASEMENT N. 89 56'51" W. 252.47 SUR 'Ey JIPCEIPEO BYTHEWFORMATIONP£1-11FORTHEUS CILENII-IN—TU-0O SYELIFCGLLVTOSHOWANY EL LA/J<''HH00J R0 /OR EAETS AND IS WEEN E5TIN5 STRUCRE5 AN0 PLATTED LOT 11.1 AND SEM Cp FLIXTG RSTMNTE NOT iO BE USED FORPO52TZONTNGADDtTTONAI STRVCNRES,tM%tOVEMENTS, di fENtELtNES .RUDEN7UL.P.%/ESTATE EASEMENTS OF Re,GPO, OTHER THAN THOSE APPEARING MTHE RESGPU PLAT, ARE NOT SHOWN I HEREON(UNLESSINDIATED) NOTE', F WELINES THATMAY APPEMON TITS DRAW WARE NOT TO BE USED TO DETERANE FRWERry LtNEG OR POSITION ADDITIONALIMPROYEMENTS. ANYPAVINS SLONN HFAEON MAY BE APPRO#MATE WE TOEXCESSIW SNOWAND/OR ICE. AS-BOILT SURVEY P=40' NO CORNERS SET THIS DATE n I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 2, BUNNY SLOPES SUR. ANCHON GE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,AfASNA THIS 15TH_ DAY OF MARCH , 2012. _ 7454, FB 80.16. 149-74,150.9 111 -IN, 4EpK 9ni5 SGS SGS Ref.# 1120734001 Client Name Garness Engineering Group, Ltd Pro.icet Name/# Bunny Slope Lot 2 Client Sample ID Bunny Slope Lot 2 Matrix Drinking Water Printed Date/Time 03/16/2012 15:29 Collected Date/Time 03/08/2012 15:45 Received Date/Time 03/08/2012 16:15 Technical Director Stephen C. Ede Sample Remarks: 450ONO3-F - Nitrate/Nitrite - MS recovery is outside of QC criteria. Refer to LCS for accuracy requirements. Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date ]nit Metals by ICP/MS Arsenic 34.6 * 5.00 ug/L EP200.8 C (<10) 03/12/12 03/13/12 NRB Waters Department Total Nitrate/Nitrite-N 7.95 0.100 mg/L SM20450ONO3-F B (<10) 03/12/12 AYC Microbiology Laboratory E. Coli Negative 1 100mL SM21 9223B A 03/09/12 DLC Total Coliform Negative 1 100mL SM21 9223B A 03/09/12 DLC 2of4 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 furtherverify 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 11 k t AA d cv F On P• (=—. Phone 3`I E7% Address `& 4o 5�vs4 Engineer's signature 6. DHHS SIGNATURE Approved for 4 bedrooms. Disapproved. Conditional approval for Additional Comments Date SAF • MICHAEL N. ANDiRSCN . 4 CE 9469q Al v V. bedrooms, with the following stipulations: Date/2-129'/ 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. 72-025 (Rev. 1/91) Back MOA 621 RECEIVED Municipality of Anchorage DEC 01 "9 DEPARTMENT OF HEALTH & HUMAN SERVICE&HiclPAI-In OF ANC:ii Environmental Services Division ENVIROPIMEWALSERVICES 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: Lo + 2- 6u,q s(o a L Parcel I.D.: O « - oR ?- - 2-9 A. WELL DATA Well type Pn J �-C— If A, B, or C, attach ADEC letter. ADEC water system number Log present (YIN) /`( Date completed u n 1 -c. -n ow n Total depth*nom 2 Za ✓ Cased to oQ9 u tt Casing height (above ground) ! Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level rJ L y v t' (o V' Well production �` 9•P•m• WATER SAMPLE RESULTS: Coliform �l Nitrate 0 Wires properly protected (Y/N) Y�5 AT INSPECTION (94S fo 9 C z C'-� Other bacteria z Date of sample: rl/2t ( a 4 Collected by: 5u s. n oSwg t? B. SEPTIC/H3�L<NG TANK DATA g.p.m. Date installed (' 4 Tank size (25-0 Number of Compartments 'z- Cleanouts (Y/N) X Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N) r414. Date of Pumping Nem Pumper _1.(, C. ABSORPTION FIELD DATA 3 Date installed a+-A'r 4 9 Soil rating (g.p.d./ft2 orft2/bdrm) ( 2— System type p—o f'Mn, Length 1 S ` Width 1Z Gravel thickness below pipe S.2 Total depth 9 Effective absorption area 115(o Monitoring Tube present (Y/N)__�6 Depression over field (Y/N) I� Date of adequacy test M <w Results (Pass/Fail) (h sS For—bedrooms Fluid depth in absorption field before test (in.); 0 Immediately after Zgal. water added (in.): L Fluid depth /-'— (ins) Minutes later:_ Absorption rate = %CI0 'F g•p-d• Peroxide treatment (past 12 months) (Y/N) 7E If yes, give date 72-026 (Rev. 3/96)` D. LIFT STATION Date installed Manhole/Access (Y/N) Highwater alar el at* Cyc ested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: "Pump off" level at* Septic/holding tank on lot /00+ - —On adjacent lots _ IRO i^,_ _ Absorption field on lot (00 -�- On adjacent lots 10 0 f Public sewer main (�CIA • Public sewer manhole/cleanout t /�• Sewer /septic service line loo{- Lift station r-49 SEPARATION DISTANCES FROM SEPTIC/Hqk!51�413 TANK ON LOTTO: Foundation e Property line S0 4- Absorption field /o v f Water main/service line roe t Surface. water/drainage iv o f Wells on adjacent lots /00+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line `'/', Building foundation i 1 Water main/service line ioo f Surface water Curtain drain K, F. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots zaI- I certify that I have determined thru field inspections and review of Municipal records.hr®a�iasystems are in conformance with MOA /fHAA guidelines in effect on this date. �� .....q' . 9 Signature��,M /J y e e Engineer's Name Mi =�La c(p 1,1dusorl Date HAA Fee $ 3` " q Date of Payment y / t Receipt Number 1,--393 r n 3SFS 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MICHAEL N. ANDERSON CE - �469 �® .•_rte/ac .•.+�o�.� 11-29-99 14:42 FROPKTE ENVIRONMENTA; 3015301 i-150 P.03103 1-223 ME Environmental Services Inc, AINk - Laboratory Phriaion ),inking Water Aual.Ysis RE.tLi INSTRUCTIONS ON 1 C3 PUBLIC WATER SYSTEM LD, 4 t< PRii'ATE WATER SYSTEM El Send a Seal inwics 200 W. Potter Drive for Total Coliform Bacteria Aaehorag6• AK 98513.1605 Tec i907i 562.2343 pit 2EFORECOLLI:CTINGSAMPLI° Fax :t907i5&1-5301 Comments: Angiysis shows this Water SAWLE to be: Satisfactory q Unsatisfaclory q 6a le ver 30 hours old, results may q Sample too Cuts U=Sir sampic should not w over 48 pouts old at ettam111=013 to indieaw reliable results. Pieax send news MID via special delivery mail. Doe Rewired—rte—� ABalyriR$eKatt�' Analygcal method; cintim{7 MMO-AfIIaG • NUM&T of coluniesllu0 ml - Lag llef pjp. Konh" Analyst He391 1 Ea -qo fir, $tai to A-0-F.C. Asea Fbitt 4140 Faxes para Tiu1a: L'llinr na5ifled of unsawfuliary results. PFxwed ❑ Spam with Fatto Awe: T+mc: VAt"TERIOLOGICAL WATER ANALYSIS RECORD N Mia.MUawwow Tow cauferat _ —y ` •• xviabrmePROW.. DIM" Conic _ Ctstjo �1 GaloalWloimt Valnrattoat LTS ., AGB COLTPIRM� rias coutortet Cbnfirmada4 �� - c_, CoR[armliG6 itl Final Membrane Furey Amita (� / 1'7,71`T Tltne %..d� bra Reported BY P.YTC� ea �xaervu Te Cc+n+ 06-64meaw>li �r,�.y...,.,..,.,.�_.__-..._..._. _ .. __. _..-,-,.. �. ,.e,n. ,,,,canis rxAaYiANP. MICKlGAff, AM950Ulif. XEW �EPSEY. OylO. W[S$T VIRGIhl4 M %E E5 SAMPLE RATE: Mouth Year SAMPLE TYPH: Rouidne S} Treated Water ;7 Rt it Sample (for r4agnara4UAiU ) �% uRtreien4 Waatr wird Iib ref. no. q special Purpose Time Collea" .i-! LE LOCATION By &La ��rr�n�rGp�e1- - eras Tma Comments: Angiysis shows this Water SAWLE to be: Satisfactory q Unsatisfaclory q 6a le ver 30 hours old, results may q Sample too Cuts U=Sir sampic should not w over 48 pouts old at ettam111=013 to indieaw reliable results. Pieax send news MID via special delivery mail. Doe Rewired—rte—� ABalyriR$eKatt�' Analygcal method; cintim{7 MMO-AfIIaG • NUM&T of coluniesllu0 ml - Lag llef pjp. Konh" Analyst He391 1 Ea -qo fir, $tai to A-0-F.C. Asea Fbitt 4140 Faxes para Tiu1a: L'llinr na5ifled of unsawfuliary results. PFxwed ❑ Spam with Fatto Awe: T+mc: VAt"TERIOLOGICAL WATER ANALYSIS RECORD N Mia.MUawwow Tow cauferat _ —y ` •• xviabrmePROW.. DIM" Conic _ Ctstjo �1 GaloalWloimt Valnrattoat LTS ., AGB COLTPIRM� rias coutortet Cbnfirmada4 �� - c_, CoR[armliG6 itl Final Membrane Furey Amita (� / 1'7,71`T Tltne %..d� bra Reported BY P.YTC� ea �xaervu Te Cc+n+ 06-64meaw>li �r,�.y...,.,..,.,.�_.__-..._..._. _ .. __. _..-,-,.. �. ,.e,n. ,,,,canis rxAaYiANP. MICKlGAff, AM950Ulif. XEW �EPSEY. OylO. W[S$T VIRGIhl4 11-29-99 14:42 FR011-LTE ENVIRONMENTAL 5615,01 i -i60 P.02103 F-223 CT&E Environmental Satvicas Inc. Cf&F Re%.Y 996391001 Client POY Client Name Mike N. Anderson, P.P. Printed Date%Time 11/24199 16:35 "ect Namem E 142nd Lt 2 Bunny Slopes Collected Rate/fitne 11/21/99 14:00 Client Sample rD E 142nd Lt 2 Bunny Slopes Rmeivrd Datr/Time 11/22/99 10:35 Matrix Drinking Water - Tmhldual D' Swpppe.. Fde Ordered By CO IYfC l PWSU xelrased Sample RemaT" Ailow56tc Prep Anatysis Purawter Resmirs PQL Units Method Limine pare Oats. :nit Tarat Coliform, 2 061100 Ht, xo Coli Sn18 92226 11!22;09 KAP Hirrare-a 0.500 u 0.500 m0/K APA 300.0 10 max 1122199 1122/99 SCt AlaskA- Water & Wastewater Consultants, Inc. 691OD¢OarrRoad-AnehoraW--A1aeka99504 Phone (907) 3576174 - Fax (967) 538-3246 December 1, 1998 Leah Keller C/O Jack White heal Estate Attn: Tamed Taylor 3200 " C" Street, Suite 200 Anchorage, AK 99503 Lot 2; Bunny Slope Subdivision Dear Ms. Keller, Per your request we performed a well and septic test at the referenced property on November 16, 1998. Our findings are summarized as follows: A. WELL- On the day of our test (11/I6198) the static water level in the well was measured at 69 ft. feet below the top of the casing (BTC). A teeter was connected to the water system and the now turned on full. Based upon our data, it was concluded that the well production is I.18 gallons per minute (over a four hour period). The well flow production exceeds Municipality of Anchorage (MOA) minimm flow requirements for a three bedroom dwelling, which is 0.33 gallons per minute. It should W noted that seasonal fluctuations in the well production) can occur, and that future performanne is not guaranteed. B. WATER QUALITY: Water samples were taken and analyzed for nitrates and bacteria. Both parameters were found to be in compliance with MOA standards. C. SEPTIC SYSTEM: A septic adequacy test was performed on 11/16/98. On the day of our inspection the monitoring tube was measured to be 10.7 feet deep with 13 inches of liquid prior to the septic test. We added a total of 622 gallons of water to the system while liquid level measurements were taken from the crib clean out. From this test it was determined the septic system meets the MOA absorption rate for a three bedroom residence. The tank was pumped prior to the test by A+ Home Services. Td Wd90:20 666T ST 'qd2 9t77-28 £L06 : 'CH 311OHd a31UM iSUN X 631HM UASH1H : WOb9 Page Two Lot 2; Bunny Slope Subdivision The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water Infiltration, groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biological additives) c0nXtions of drainpipe and pipe joints (which can be damaged by seismic activity and deteriorate with age), type of substances deposited in septic system (cigarette butts, sanitary napkins, mist, objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid far the specific day of the test. Furthermore, because of the limtted nature of this investigation, it is possible that there are hidden defects which may not have been detected No warrantee is made regarding the future performance of this well or septic system If you have any questions please contact me at 337-6179. T $ P. Williams, P.E. r Engineer JPW/gk Ed WdL0:£0 666T ST 'gad 9thz£6££L06 : 'ON 3NOHd d19iuf Eisun 7 d3iUM UASH-lH : WO? -'d Nou—.14-'i"e iC n Alk67&8 Hnrir9nmentai Services Inc. CME Rd.# 986758001 ClImA Name AK Water & WRelaw4tvr CousAtaela L10. Ptgfed hipme./# L 2,B 1. Hamtuu Slope Client Sample W L 2,8 1, Bonny Slope Matrix Prlakle& WMr omered By- PVV SID 0 Client Ptai Plieted DIDtu1IM4 11/20198 16:31 ColieetcdDatwThno 11/16!9819:35 Received DsteiTime 11/17/9814-10 Techeieat Director. Stephan C. Ede Releesad By allaabblo Prop Malysio Paraemt,r Rawles PQL Mfts Method i1m1Le east orate Intl Intal C00fom 0 Col/mora $Pne 9@776 11/17/98 KM eitretrM 0.206 0.100 W6 EP4 300,0 10 max 11/17199 17/17/96 SCI £d 14d8O:£0 666T ST 'gad 9VZ£E££L06 : 'ON 3NOHd 63iuM315t1P1 8 631UN UYI5N-ltl : W106i , NOU-20-1996 1802 ME E5! HN<.NL,RH= GT&E Envl►anmen"I Seryic®s Inc, inkiug Water PUBLIC WATER SYS'CEM LO*O PIUVA'rC WA'IERSYSTEM— fox 'Total Golifoxm Bactma p-swdU"w D S.W mnaas �.. . SAMPLE DATE' 'M 00 Year cpMpLEivPS: p Trpsawwaer __. i3- ,tc_e_"_tlPa Mat a�le OK- Uwe tai Water 0 tif n — wit Iab tt ® gpe1alPurpou Time Collected Collected By LAI IJ � gO C�ommente: W. Potter 606 ---Water SAMPLE '° be' AnelYtis ahowa this Sadehctorr p Uncana4adory ullsn,sy p Samplaaver3bhvursold,r� to Should 5mPPia too longg id trold camp not be ova 48 haute old At exam(nsend to indicate ret(abia modal p1 d new adt. v!e DeteRaaie'ed ntueR:*d JeP AVA17 loaf Methedt " Mo Filter p MM6-MUS • Nnmt�'n9awr- esulSI N '��' Lp ^.sur- mfep-' 1roW sen PO Dote' _ Time; CllentPadBedetuneatb +rYreau" spoke P© YhaWd Dim m� Tine; SACPStit( tWICAL WATER ATIAL"ta mm"' $ con ��— mrrtaMvc Reaaltt rata cellOrm Culeala 109 ell rAombrue FtYtn viral Venal COLuiRM—.� Verifleatteot LTO"�-- ieeai Codrann caoflrta■aga dpge lor tlalu Final �,.�.��^ Time Rewtod B9 rM[+Trc nunp�+re "w' as •owr&~ Mwaberddn{tis Gra+P (SaGftbHe a�aww�,••.._..__.. Wi?Br w-AOIMIA ueavl am MIWIG -MIST°Um• MAW JEas[r' oHIOTAL P-03 bd Nd80 :£0 666T ST "TaS 9hz£6££L06 : 'CN 3NOHd dalUM31SUM 2 d31UM ONSU-iU : WOdd