HomeMy WebLinkAboutTIMBER RIDGE #1 BLK 3 LT 9Timber Ridge #1
Lot 9
Block 3
#050-321-39
Municipality of Anchorage Page 1 of 3
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: SW980464 PID Number: 050-321 -39
Michael & Suzanne Kelley Wastewater System: [] New [] Upgrade
Address:
~.0. Box 91091 Anch., AK 99509 ABSORPTION FIELD
Phone: [ NO. of Bedrooms:
272-2911 Four ( 4 ) [3 DeepTrench ~] Shallow Trench [] Bed [] Mound [] Other
Total Depth from original grade:
LEGAL DESCRIPTION Soil Rating: . 6' GPD/Sq. Ft. 6.5
Subdi ~sion: Depth to pipe bottom from cfi inal grade: Gravel depth beneath pipe
Lot: 9 Bl°ck:3 Timber Ridge No. I 2. ~ Ft. Ft.
Township: I Range: I Section: Fill added above original grade: Gravel length:
I
I
.5 - I Ft. 100 Ft.
Number of lines: I Dist~ncelt)e2~een I~n es:
WELL: ~Y--New [] Upgrade Gravel width: 5 Ft. 2 Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Private 400 Ft. 240.4~t. 1 ,000:; SO. Ft ASTM D3034 PVC
.r...r: %aF~')d~ 9 ;,atic Water Level:Installer: Da~e/~t~ll;d~ 4 / 9 9
M-W Drilling 234 Ft. Bailey' s Backhoe
Y,e,d: 1.8 GPM IP"mps''t: Ft. Ic~s."gHei~5^~'eer°~od:Ft. ,TANK
SEPARATION DISTANCES x~Septic [] Holding [] S.T.E.P.
To Septic Absorption Lift Holding ~bllc/Prlvate Manufacturer: Capacity in gallons:
From Tank Fiel~ Station Tartk SewerLines Anchorage Tank I , 250
Well- ~!100 ' > 100 ' N/A N/A ~.25 I Material: Number of Compartments:
Steel Two
su~ce >100' >100' N/A N/A N/A LIFT STATION - ~/n
Water
Lot Size in gallons: [ Manufacture~
Line >5~ >10' N/A N/A N/A
1
>5' >10' N/A N/A N/A 'Pump on" level at: [ "Pump of P level at: I High water alarm ~t:
Foundation
CurtainDrain None [oted ~n Lot >umpMake&Mode[ [ Electdcallnspecti(~nsperformed by:
Remarks: 2" Insulation Over Entire BENCH MARK
Location and Description:
Drainage Trench Area. Concrete Footing For
Northernmost Deck Support In Back.
[Assumed Eiev~t~)°n': 0 ' Fi,
MEA Dates:l st 9/23/99
Inspections
performed
by:
2nd. 9/24/99
DePartment of Health and Human Services approval ¢~. 4~..41 /~"'%' '
Reviewed and approved by: te:~
72~313 (Rev. 9/91) MOA 25
Municipality of Anchorage Page 2 of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, AK 99519-6650 343-4744
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number SW980464
PID No. 050-321-39
Four
Bedroom.
House
PLAN AS,
SCALE 1" = 50'
Municipality of Anchorage Page 3 of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, AK 99519-6650 343-4744
On-Site Wastewater Disposal System or Well Inspection Report
Permit .Number SW980464
PID No. 050-321-39
¢/
I 2'1 7,,,5' I , - ' '
r3 ~ 91 .7 ~
2" Direct Bury ~nsulation
84.8
76.5
7 50'
2" Direct Bury Insulation
..... ," ~ ........ ~ ...... r ........ :~ z...
Drain fie ld Rock ~~1~
50' 4~7',;
PRO.FILE AS-BUILT
HORIZONTAL SCALE 1" = 10'
NO VERTICAL SCALE
Jan-24-O0 10:49A THE THOMAS CO. INC. 694-5202
M-W DRILLING, Inc.
?'" P.O, Box 110378 · 10330 Old Seward H~§hway
(907) 34~1-e$35
ANCHORAGE, ALASKA 99511
P.02
DRILLI L'qCI,
OwRer ,.MIKE AND/OR SUZANNE KELLY UseofWe]] DOMESTIC
Location (address of: Township, Range, Section, if known; or distance main road
LOT 9, BLOCK 3, TIMBER RIDGE S/D #1
EAGLE RIVER, ALASKA
Size of casinf 6~'
Static water level 2 3 4
Scz~en ( );
Depth of Hole 490' leer Casedto 240.48 feet .
ft. (s~q~ (b~low) land surfaco. Finish of well (check one)
Perforated ( ).
open end ( X );
De.crlbe screen or l:~erforation · I' NA
Well Pumping test at 1 . 8 ga]~on~ /)er ~ (minute) for ] .~ 5
of drawdown from static hvel.
Date of eompletion 17. MARC}{ 1999
hours with., 166
~ft.
Depth in feet from
~round surface
0 _TO 2
2 __TO 92
92 ~TO. 108
108 TO. 220
269 ,,TO 326
.TO.
326 .TO 400
TO
TO_
TO _
TO.
TO
WELL LOC)
Giv~ detaih of formations penetrated, size of n'~aterlal, color and hardness
CASING STICK UP
GRAVEL: BROWN, SILTY, COBBLY
CLAY: GRAVELLY, SILTY
GRAVEL: BROWN, COBBLY, SILTY
BEDROCK: SILTSTONE ARGILLiTE
AS ABOVE; FRACTURE ZONE, WET
~EDROCK; SILTSTONE ARGILLITE WITH SMALL WATER
IN SPORADIC FRACTURES
AS ABOVe: DARKER GREY
SEAPS
Received Time hn.24. I]:02AM ~-cusro~m
MUNICIPALITY OF ANCHORAGE
Deparfment 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 ! WATER SUPPLY PERMIT
Initial
Date Issued: Dec 10, 1998
Expiration Date: Dec 10, 1999
Permit Number: SW980464
Legal Description: TIMBER RIDGE #1 BLK 3 LT 9
Design Engineer: 0014 Anderson Engineering
Owner Name: MICHAEL & SUZANNE KELLEY
Owner Address: P.O. BOX 91091
ANCHORAGE , AK 99509-
Parcel ID: 050-321-39
Site Address:
Lot Size: 89420 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
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
(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 B.y~ _ ,~ ~--~_.:~
issued By: ~~'
Date:/2 - lO- ?6'
November 23, 1998
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
Lot 9, Block 3, Timber Ridge Subdivision No. 1
Septic System Design
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 9, Block 3, Timber Ridge Subdivision No. I intends to
construct a four bedroom home on the lot. We are therefore requesting a
permit to construct a well and septic system to serve the home. The
location of the new system and the well are shown on the attached Site
Plan. Design information and documentation is also provided for your
review.
The testholes placed on the property revealed silty sands and gravels
which percolated at a rate between 24 and 30 minutes per inch. No
groundwater was noted during the testhole excavation nor was any found
during the following monitoring period. We have therefore designed the
primary and alternate systems to be a 5' wide shallow trench with 4' of
gravel beneath the distribution pipe. The trench will be a total of 100' in
length with two laterals. A flow splitter valve will be installed to assure
equal flow to each trench. The total depth of the trenches will be 6' to 7'.
The lot slopes gradually from Canyon View Drive in the area of the
proposed systems for nearly 50'. It then drops off at a rate between 10 to
15%. The trenches will be placed across the slope. The slope from east to
west in the area of the trenches is between 2% and 5%. The house will be
constructed on the knoll just off the road and the septic system below
near the southerly midsection of the lot.
Lot 9, Block 3, Timber Ridge No. 1
November 23, 1998
Page Two
If the system is constructed as designed the following statements apply:
The system, if constructed as designed, will have no adverse impact
on the wells in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact
on existing septic systems in the area or those to be constructed in
the future.
The system, if constructed as designed, will have no adverse
impact on reserved space, either surface or subsurface, on any lots
located in the area.
The system, if constructed as designed, will have no adverse impact
on drainage patterns in the area. The current drainage pattern will
be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
58'$0'T
50.00
/8
/4
THIS PROJECT-
AREA MAP
NOTE:
systems in the.area~
130.35
Well
Power
Pole
~? 1,250~G~
SepticN Tank
Overhead Power Line
20'
utility Easement
SITE PLAN
scALE 1"= 50'
LOT 9, BLOCK 3, TIMBER RIDGE NO. I
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
Four Bedroom Home
Perc. Rate: 30 Min./Inch
Application Rate: .6 GPD/SF
5' Wide Trench System
1,250 Gallon Septic Tank
4' Drainfield Rock
4 Bedrooms X 150 GPD / .6 GPD/SF = 1,000 SF of Absorption Area
1,000 SF/5 LF (Width) X .5 (Red. Factor) = 100 LF Trench Length
Therefore: Construct a 5' Wide Absorption Trench System With Two
Laterals Each 50' in Length with 4' of Drainfield Rock Beneath the
Lateral. Distribution Pipe in Trench Placed at 2' Below Original Ground
Surface. Flow Splitter Valve Required at Location Shown. Mound Over
Trenches to Provide 3' of Cover or Provide 2" of Direct Bury Insulation.
Natural Backfill
6II
~4" PVC (Holes Down)
-Drainfield Rock
NOTE:
TYPICAL WIDE TRENCH SECTION
(NO SCALE)
Grade Area Over Trench to Drain Away.
Minimum 3' of Cover over Septic System.
Minimum 10' Separation From Lot Line.
Minimum 4' Separation From Groundwater.
PERFORMED FOR;
LEGA
1
2
::.':'.'i 8-_.
10-
11
12
13
16
17-
18-
19-
20
COMMENTS
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Michael & Su'zanne Kelley
DESCRIPTION: Lot 9 ~
Block 3,
Timber Ridge No.
Township, Range, Section:
1 SLOPE roTS PLAN
WAS GROUND WATER
ENCOUNTERED? , NO
PERCOLATION RATE ~ ~ (m,nuteshnch) PERC HOLE DIAMETER
PERFORMED BY: A F[~ ~m ] a I '~V~.~,~. ~,~.d~J~RTiF~Y
ACCORDANCE WITH ALL STATE AND MUNiCiPAL GUiDELiNES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
WAS PERFORMED IN
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
.825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED ~OR: Michael & Suzanne Kelley
LE6A[ DESCRI~ION: Lot 9 r Block 3t
Timber Ridge No. 1
DATE PER:
Township, Range, Section:
SLOPE SITE PLAN
2-
3
4-
10
11
12-
13-
14
15
16
17
18-
19-
20-
COMMENTS
WAS GROUND WATER
ENCOUNTERED? NO
IF YES, AT WHAT
DEPTH?
~ 0rr-o ~4 O ~
Hone n..~l~ 11/23/9~ i I i
PERCOLATION RATE ~ tm,nutes/mcn) PERC HOLE DIAMETER
TEST RUN 8ETWEEN ~" FT AND ~ FT
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 9, BLOCK 3, TIMBER RIDGE SUBDIVISION NO. 1
GENERAL:
The scope of this project includes the construction of 2 new
50' long X 5' wide X 4' effective depth absorption trenches
at the location shown on the site plan. A flow splitter
valve will be required to assure equal flow to each trench.
The project also includes the procurement and placement of
a new 1,250 gallon septic tank. Total depth of the trenches
shall be 6' beneath the existing ground surface. Mounding
will be required over the trenches to provide a minimum of
3' of protective cover.
Construction shall be in accordance with the approved site
plan, 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 all
underground utility locates and for the layout of the septic
system and verification of the location of all lot lines.
Unless specifically agreed otherwise, the contractor shall
be responsible for final grading areas subsequently
depressed from soil settling. Property owner shall be
responsible for revegetation of affected areas unless
specifically agreed otherwise.
Contractors installing wastewater disposal systems must
be certified by the Municipal Department of Health and
Human Services for system installations. Owners installing
their own systems must receive prior approval from D.H.H.S.
before beginning system installation.
SEPTIC TANK INSTALLATION
A new 1,250 gallon septic tank must be procured from an
approved source and installed at the location shown on the
Site Plan.
Lot 9, Block 3, Timber Ridge No. 1
November 23, 1998
Page Two
A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts
for pumping access.
3. The septic tank shall be sufficiently bedded to prevent
settling or shifting of the tank.
4. All standpipes on the septic tank shall extend a minimum of
12 inches above final grade.
5. Tanks installed without 4' of cover shall have a minimum of
2" of direct burial insulation.
A foundation cleanout shall be installed one to four feet
from the building foundation. Two cleanouts are required
between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive
slope exists away from the septic tank.
DRAINFIELD CONSTRUCTION:
The drainfield shall be constructed to the dimensions shown
on the design. The bottom of the trench shall be within 2"
of level.
Distribution piping must be placed level with perforations
down atop a level bed of drainfield rock. Rock should then
be placed over the pipe to provide a minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between
the drainfield rock and the natural soil backfill.
Monitor tubes must be 4" in diameter and installed at the
locations shown on the design. The portion below ground
must be perforated.
Lot 9, Block 3, Timber Ridge No. 1
November 23, 1998
Page Three
Contractor shall verify the septic tank and drainfield are a
minimum 100' away from any private water wells in the
area, 150' from a Class "C" Well or 200' from any community
well.
Direct bury insulation must be placed over the distribution
system if less than 3' of backfill depth is available. Finish
grade over the trench must be mounded to prevent
settlement or depressions.
7. Grade area surrounding the absorption trenches to drain
away.
A minimum 2' of accepting soil is required below the
drainfield rock for a 5' wide trench. Contractor shall verify
this condition prior to placement of the rock. All pockets of
unacceptable materials must be removed and replaced.
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a Municipally approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic
system installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C.
(perforated and solid), ASTM F810 or H.D.P.E. (perforated,
but not solid) and ASTM D2662 or A.B.S. (perforated and
solid).
3. Insuiation shall be at least 2" thick extruded direct burial
polystyrene (Dow Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
Lot 9, Block 3, Timber Ridge No. 1
November 23, 1998
Page Four
5. A permeable geotextile fabric (Typar, Mirafi or equal) must
be installed between the final drain rock layer and the
native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than
3% passing the #200 sieve.
INSPECTIONS:
A minimum of two inspections are required by Municipal
Ordinance. These inspections must be conducted under the
supervision of a professional engineer registered in the State
of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation
of any gravel. A septic tank may be set in place, but may not
be backfilled.
The second inspection must be conducted after the placement
of the geotextile fabric, gravel, distribution piping,
standpipes, cleanouts and insulation. No backfill should be in
place at the time of inspection.
Contractor shall provide a copy of all field survey layout and
construction notes for use in preparing the certified as-built
of the completed system.
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
Lot 9, Block 3r Timber Ridge No. 1
Location (site address or directions) Canyon View Drive & Golden Ea~le Drive
Property owner Michael & Suzanne Kelley Day phone 272-291 1
Mailing address P.O. Box 91091 Anchorage, AK 99509
. Lending agency
Mailin. g address
Day phone
' Day phone
Agent
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: Four (4)
TYPE OF WATER SUPPLY:
Individual well XXX
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
XXX
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. l/91) Front MOA#21
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 Anderson Engineering Phone 522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineeffssignature ~ ~'~¢'~'"'""~ Date 1./PR/f~(~
DHHS SIGNATURE
Approved for /_gL.
Disapproved.
Conditional approval for
bedrooms.
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 pu rchssers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS do not
conduct inspe~:tions or analyze data before s certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Legal Description: Lot
A.' WELL DATA
Well type Private
Log present (Y/N)
Total depth 400 '
Sanitary seal (Y/N)
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 0
Date o[ sample: 1/25/00
B. SEPTIC/HOLDING TANK DATA
Date installed 9/23/99
Foundation cteanout (Y/N)
Date of Pumping New
C. ABSORPTION FIELD DATA
Date installed 9 / 24 / 99
Length 100 ' Width
Health Authority Approval Checklist
9, Block 3, Timber Ridge PamelI.D.:
Number 1
050-321-39
if A, B, or C, attach ADEC letter. ADEC water system number
Y Date completed 3 / 1 7 / 99
Cased to 240 o 48 '
Y
FROM WELL LOG
3/17/99
234'
1.8
g.p.m.
Casing height (above ground)
Wires properly protected (Y/N)
AT INSPECTION
>2'
Y
g.p.m.
Nitrate Y-~ ~ 6/ ~//_ Other bacteria 0
Colle~edby: MEA
Tank size 1 , 250 Number of Compartments 2 Cleanouts (Y/N)__
Y Depression (Y/N) N High water alarm (Y/N) N
Pumper Construction
Y
Soil rating (g.p.d./fF orfF/bdrm) .6 System type 5 ' Wide Trench
5 ' Gravel thickness below pipe 4 ' Total depth 8 '
Effective absorption area 1 , 000 SFMonitoringTube present (Y/N) Y
Date of adequacy test New Cons t o Results (Pass/Fail)
Fluid depth in absorption field before test (in.);
Fluid depth (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)*
N
Immediately after
Absorption rate --
If yes, give date
Depression overfield (y/N) N
For .bedrooms
gal. water added (in.):
g.p.d.
D. LIFT STATION - None on Lot
Date installed
Size in gallons
Manhole/Access (Y/N)
"Pump on" level at*
"Pump off" level at*
High water alarm level at*
*Datum
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot > 100 '
>100'
Absorption field on 1ct
Public sewer main N/A
Sewer/septic service line > 2 5 '
On adjacent lots > 100 '
On adjacent lots > 100 '
Public sewer manhole/cleanout N / A
Lift station N/A
>5'
Wells on adjacent lots
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation > 5 ' Property line > 5 ' Absorption field
Water main/service line > 1 0 ' Surface water/drainage >_kl/l.0 '
>100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line __ > 10 '
Surface water > 100 '
Curtain drain N~na
Building foundation > 10 ' Water main/service tine > 1 ~)
Driveway, parldng/vehicle storage area ~ 5 (] '
,~n T.~- Wells on ar]jacent lots ~ 1 00 '
F. ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and review of Municipal r
in conformance with MOA HAA guidelin/e,~ in effect on this date.
Signature ~ ~ ~
Engineer's Name Mi mhm~l R. At~r]~'-~nn,
Date 1 /28/00
Date of Payment
Receipt Number
Waiver Fee $
Data of Payment
Receipt Number
72-026 (Rev. 3/96)*
Laboratory Analysis Report
CT&£ RtL#
Client Nume
Projec!
Client Sample
Ordered By
PWS~
S. amplc Rcmerks
1000310001
Anderson Engi~c~ffng
Lot 9 ~lock.3 Tm~bet Rid§~
Lot 9 Block 3 Timber Kidge
Drinking Water
Clien! PO#
Printed Datefl'imc 02/01/2000 8:$g
Collected Date/Time 01f25/2000 13:B0
Rccelved DatefTime 01/25/2000 15:35
Technical Director S~ephen C. £dc
Released By~
iii
.0
01/25/00 It~p
Received Time Feb. 9:0gAB
O~-Ol-O0 08:04 FROB-CTE ENViRO~NTAL 5615301 T-5~6 P,0z/oZ ~-IU~
CT&E Environmental Services Inc.
Drinking Water Analysis Report'for Total Colifomx Bacteria ^,cho~,so. ^~ eas, a.~eos
Tel: (~7) 562-23~3
~ ~$TRUCTION$ ON ~E~E $IDE ~EFO~ COLLEClING SAMP~ lax [~71651-5~1
MuST BE COMPLET~ ~Y WAlK 9UPPLIER TO BE COMPL~ l ~u BY L&BO~TORY
PUBLIC WATER SYS.TEM LD. ~
PRAVAT£ WATER SYSTEM
SAMPLE DA'I'E:
SAMPLE TYPE:
Q Reptaz Sample (fur ruutl~e ~amplo
· wi~h lab re~ ~o. )
Q Speci~ Pu~ose
Year ·
SAMPLE LOCATION
· . ---?~</, ,,.','~ ~.¢~'~
= Treate~ Water
ysls shows This Warm' SAMPLE to be:
Surfs fa~or/
Unsafisf~
S~le ovm 30 hou~ ~ld,
S~]c ~ I~g m ~m; ~le should
nor ~ OV~
A,~aiyti~d Met~ ~mlm~e filtrr
~a MMO-MUG
Rcs~Jt'
1000310
.n [~k~ Jun
Dam: .......
12
D~:
Com~en~;
BACTIiRIOLOGICAL WATER ANALYSIS RECORD
F. Col{
~ Coloal~','l 0~ mi
-- 'BOB COLIFIRM.
Colffor1~/lO0 fnJ
Receive4 Ti~e Feb. I. 9:O~Ag