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Home My WebLink AboutPETERS GATE BLK 1 LT 6Peters Gate Block 1 Lot 6 #051-541-11 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On -Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number:y t'y qq cDq O PID Number: O5I - 5tl - Name: ,M ,r s. L�y 1/ I i� Wastewater System: ew E] Upgrade a-[� Address: 1 Q 'n/-, 1 V .J ABSORPTION FIELD Phone: I[I ,0 _ NumbJercf�etlrooms: VU Deep Trench I] Shallow Trench 0 Bed ❑ Mound ❑ Other: LEGAL DESCRIPTION it Rating: a Total Dep from original grade: D , GPD/Ftz Ft. Block: Lot: Su ��insion�:-�--p (� I 1p l l� Oub Depth to pipe bottom from original grade: , D Ft. Gravel depth beneath pipe: . O Ft. Township: Range: Section: -- �— Fill added above original grade: I.5 Gravel Length: 3,,Ft. Ft. Well: New ❑ Upgrad Gravel width: Number if lines: Dista ce between lines: iii Pr Ft, Ft. Classitiwlion Private, A, B, II/ `V( ): Total Beplh: r) CasQQ - �XFt Total absorpti rea' Fl? rI Pip _ ferial: o -3t :J_1 Dollar. Imn DateO�)tllle Slat1c Water LeyeV' t nstaller. �� '� Dale Installe :I� �qV 5 Yeld GPM Pump Set L `I Casln eight Above Ground: � VY jLJFI. Ft. TANK SEPARATION DISTANCE Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift HO in - blic/Privat a uracturer y Capacity: nco From Tank Field Statio((n�� Ta Sewer Line { l Gal. Material: �� Number of Compartments : Well lDilU4 `—l1 1 I D7 1 Il 1 4 LIFT STATION Surface Water , size: anufacturec Lot Line l l Gal. 10/4 I f t' "Pump on"level at: "Pump off level High wateralaim at: Foundation in, in. in. Pump Make 6 M Electrical Inspections pedcrmed by: curtain Drain Remarke: BENCH MARK Location and Descri" n: Assumed Elevation: "I, 100 Ft. Engineers Stamp -son rit -4 Al/� j �y ®li oS` SJ 6��p (�( Inspections performed by: l�� , 7!e Im Dates: 1s` �� m ®moo°' orr yy-� �®eos o°ooeoa000pe a`e:e u, ® / 2nd I I 1 Department of Health and Human Services approval e m a at AA. D ®� e �^ l� 1-0-0e CE 7776 �z•^" Reviewed and approved by:Date: /7G K A -C=17,1' B -C=40.6' A -D=19.5' B -D=39.2' A -E=54.7' B -E=54.2' A -F=71.7' B -F=81.5' AS -BUILT SYSTEM DETAILS/SITE PLAN Permit SW990078 PETERS GATE S/D, LOT 6, BLOCK I PID4051-541-11 I I� 3 SFD A FCD l000 S.T.D PRIMARY SYSTEMry 0 w N O u u x f 0 A 1000 GAL SEPTIC TANK WELL --,R-100- MONITOR TUBE uu U 96 70 FINSIHED GRADE m EILTER ERBRIC\ SEWER ROCK 33' OF AL��.-....".....'.."".....�� 1 PREPARED FOR: AP� �,� - JAMES & TARA HESTER 1 MALCOLM DR. Jol* ; 9 TH * CHUGIAK, AK 99567 .. .................."......... .. ............................. (907)696-3384 FIELD BOOKS COMPUTED: KENNETH CE— W� eoue°ARr: LANG °RA �"M. FUS S` KMD l .' �A# STAKING: LANG CHECKED: KMD p ................` LAgr AsamLT: LANG DATE: 12/9/9 PROFESSIOT�= DM. Pae GRID: NW056 ACAD HLE:JOB No 98023.DWG , 98025 SCALE NTS 11 = VARIES 0.Y T 74.74 Box J 6\, Al LU-) ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (ZJX ZbU I VyX4 0' 1 .5' CAOT I I I I I � I I Lot 6 53,915 s.f. �— 10' TELECOM/8i ELECT. EASEMENTS N 69057'45`W ?35.00' 4.5Y,&,0 VoiuH 'c- 109.0' s, t. ay v; 6•u k.2i•'i �.. - Go,aG. QeD w S•ori2a •u' as�we . SEPTIC CLEAN -OUTS IS 89057'45'E 209.92' — MALCOLM DROVE 9 PLOT PLAN _ ASBUILT SCALE -IL' `' ao' GRID NW 1262 Project No. _ Kenneth G. Lang 11500 Dzi-�,1Avenue, Anchorage, Alaska 99515 (907) 522-6476 Phone o00 M 8 F0 co N coo N Q W a L-39.35' R-25.00' I 98-189 Registered Land Surveyor 907 522--4625 Fax �`"` 0 A(°44 I hereby certify that I have surveyed the following dvoc abed property: Lot 6, Block 1, PETERS GATE SUBDIVISION �i`Q •' �Oj Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not sno,oach onto the property :' 49L adjacent thereto, that no Improvements on the propsrh, lying adjacent thereto ."""""' " ' ...... encroach on the surveyed promises and that there are no roadways, transmissionurt lines or other visible easements on sold property except; as Indicated hereon. in '.KENNETH L N r �� Dated this the Day ofnb�M��n __ , �� `_, at Anchorage, Alaska Q04cs •, LS -5202...- A It Is the easements, scovenbalnt*�orthe owner restrictionso which one the not apptur on the reof corded 44�DDFp ........... AND SVS subdivision plat. dOppp J I l_vl .1 N 89eb7'45"W 235.00' - I I N 12aiX 2$J pucK i,Pnao'cn-'r - 4l'y 9PJ'oo- co Y ti 20 4.8Wvo Pontes 77.1' I I 1 •s`crNT a sti e LDML. Qep m ' Arwa I8 N I q e Lot 5 I F4 o �E Lot 6 53,915 s.f. I—waw 10' TELECOM.S ELECT. EASEMENTS SEPTIC CLEAN -OUTS IS BV57'WE 209.92' -- MALCOL M -- DRIVE s PLOT PLAN _ ASBUILT SCALE !"-- 42' GRID NW 1262 Project No. _ Kenneth G. Lang 11500 Daryl. Avenue, Anchorage, Alaska 99515 (907) 522•-6476 Phone o00 z 8 O a• N J CK ui` a, L -39.35' R•25.00' I 98-189 Registered Land Surveyor 907 522-4625 Fax I hereby certify that I have surveyed the following deeorlbed property: ��`.• """' qs�o Lot 6, Block 1, PETERS GATE SUBDIVISION ��P•'' .� OI Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property * 49 9 adjacent thereto, that no Improvements on the prcl>eriy lying adjacent thereto """"""""" """"" encroach on the surveyed promises and that there ars no roadways, transmission lines or other visible easements on sold property except;as Indicated hereon. Q Dated this the QO�� ';KENNETH G. A �_ Day of T�b'CbMiS�M1 i�°J9, at Anchorage, Alaska Q4cs'., LS -5202 •.,�� easements, It Is the responsibility covenants, bl torire owner o ne the existence of estrictionswhich not appoor on the rc recorded 44�D�F0 LANG 9J v subdivision plat. a4pOpo� JAN -13-00 THU 11:35 AM SULLIVAN WATER WELLS 688 2759444444444444 P.01 Prilling by o0c co. b. SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 688.2759 OWNER OF LAND I/91$R �EibR.� a� r Jro BORE HOLE DATA ADDRESS /� LEGAL DESCRIPTION P' `°r Q,47- ,2. ✓ 1 kD PERMIT NUMBER q1 ad Date of Issue--- q9 TAX INDENTIFICATION NUMBER D!FL I - 54 -11 Is well located at approved permit location? 0 Yes 0 No Method of Drilling: air rotary 0 cable tool Depth of well: Wo Zi Casing Type, FaL Wall Thickness . e�?50r_inches Diameter 6 to inches, depth 79 feet Liner Type: M0,499 Casing Stickup Above Ground tl ' feet Static Water Level (from ground level): /i 4 feet Pumping level:feet after hrs. pumping gpm Recover Rate: A O C' P a Method of Testing: ,4 1,9 Well Intake Opening Type: p Open End 0 Open Hole Q Screened; Start feet Stopped feet 0 Perforations Start (a u �e't Stopped 6_feet Grout Type: Aj;7nw ioodr%t 0" Volume amilp Depth: from_ ,-,feet, to feet Pump Intake Depth; feet Pump Size hp Brand Name ____..... Well Disinfected Upon Completion? r'(es 0 No n Method of Disinfection: CNt+R nJ2 S t) rr/YL Comms! ls'r= Drillers Name &Y C1 c•Jd� -- ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation, n0j,t A-6 J� 4 AL)ta6'rJ SO �Jrp�t d 6Qa4��L C 49Y D ST 40CLE IRF-t.c_ ' 6 G /ft i C •Q'� J� t✓ SR00 &O'ga G Drillers Name &Y C1 c•Jd� -- ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation, 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 ONSITE WATER SUPPLY PERMIT Initial Date Issued: Mar 05, 1999 Expiration Date: Mar 04, 2000 Permit Number: SW990025 Parcel ID: 051-541-11 Legal Description: PETERS GATE BLK 1 LT 6 Design Engineer: 0070 KND Engineering Site Address: Owner Name: Tara M Thornton Lot Size: 54014 SQ. FT. Owner Address: PO Box 243183 Total Bedrooms: 0 Permit Bedrooms: 0 Anchorage , AK 99524 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ 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. 5. The following special provisions. This permit is for an exploratory well. Once it has been determined that the well produces enough water, it shall be temporarily abandoned in accordance with 15.55.060 subsection J. 1. If it is determined the well does not produce enough, the well driller shall permanently decommission the well in accordance with 15.55.060 subsection J. 2. If another well is drilled under this permit the property owner and well driller shall inform this office first. Received By: `M �=,"/tev P //—�7 Date: &"S ( m Issued By: Date: 3 �! K N D ENGIN} EKING 20441 PTAMGAN BIND. EAGLE BIVE�t AK 99577-8736 February 25,1999 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section I+, p. Box 196650 Anchorage, Alaska 99519-6650 Subject: Peters Gate Blk.1 Lot 6 — Exploratory Welt Permit Gentlemen: Following a request from the owner, on April 18, 1998 a meeting was held on site to discuss development of the lot. The owner and I determined best areas for the septic, well and house locations. It is my understanding the owner wishes to develop the well site prior to committing to full development of the lot. I feel confident with my knowledge of the area soils and the layout of the identified areas that adequate area is available for both a primary and reserve area for an on-site septic system. Mr. Hester and I discussed the need to provide an approved septic system for the lot before the well can be put into service. If you have any questions, please contact me at 696-61111FAK 696-8111. submitted, [1) enneth uffus, P.E. WELL SYSTEM DETAILS/SITE PLAN PETERS GATE S/D, LOT 6, BLOCK 1 ----------------------- ------------------ ----------------- -------------------- -------------- ----- le' Utll Esnt ------ -- --------------- _____ _____________________ -------------------- __ ______________ -------------------------------------------------- ________________ _____ 33- 33• Sec Llne Esnt __________. 'Alp '. SEPTIC VIaCANr N J 3 4 EXPLORATORY WELL NOTES 1. EXISTING WELLS AND SEPTICS ARE BASED ON RECORD DRAWINGS FROM DHHS. 2. CONTRACTOR WILL NEED TO VERIFY SEPERATION DISTNACES PRIOR TO DRILLING WELL. 3. ALL WORK TO MEET MINIMUM STANDARDS AS DEFINED IN AMC 15.55. ►ft -7,10k\ OF A44 *4 TH*�� 4I✓1._ KENNETH M. DU F / ` •P CE -7116 Wa ��$A ph'OFESSIOPEl. � PREPARED FOR: JAMES & TARA HESTER MALCOLM DR. CHUGIAK, AK 99567 (907)696-3384 FIELD BOOKS BOUNDARY: STAKING: — ASBUILT: _ DWG. FILE: ACRD FILE: 980255 COMPUTED: DRAM: KMD CHECKED: K M D DATE: 2/23 / GRID: NW126 Joe No.: 98025 Scale: 1'= 100' SHEET 1/1 L(LJ1V LU-) ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 111 V✓ C �CLgD Permit Number: SW990078 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 AL -11 l �__&�n - L- Pm ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Legal Description: PETERS GATE BLK 1 LT 6 Design Engineer: 0070 KND Engineering Owner Name: Tara M Thornton Owner Address: PO Box 243183 Anchorage , AK 99524- Date Issued: May 03, 1999 Expiration Date: May 02, 2000 ParcelID: 051-541-11 Site Address: Lot Size: 54014 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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: 37-3 — 77 KND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 1/FAX (907)696-8111 April 23, 1999 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: New On-site Sewer — Peters Gate S/D, Block 1, Lot 6 Gentlemen: RECEIVEu APR 26 1999 The owner has requested we proceed forward to obtain a septic permit for a new system. A previous exploratory well permit was issued and a well was drilled under that permit as identified on the drawings. Two testholes were dug and percolation tests conducted on March 7, 1999. The results of these tests are attached. The general slope of this lot is from north to south although the proposed house sits on a small knoll, which directs at a maximum grade of approximately 10-15%. We have designed our system utilizing the percolation rate of 1.2 min./inch for the three- bedroom house, which is proposed for this lot. We propose to install a 2' wide deep trench. The soils consistently percolate at 1.2 min./inch and the material appears to be uniform per the logs. Water was not encountered during the excavation or monitoring. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact meat 696-6111/FAX 696-8111. Respectfully submitted, Engineering e M. Duffus, P.E. attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WASTEWATER & WELL SYSTEM DETAILS/SITE PLAN PETERS GATE S/D, LOT G, BUCK 1 --------------- ---------------------- ------------- ---- - ----------- ----- l0' Utll Esnt ------ -- _____________________ ,WELL ___________________ _____________________ 33' See Llne Esnt SEPTIC ': LOT 2 P E L❑T 3 LOT 4 LOT NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. OFA4,4�11 * 9TH �I I KENNETH M. D S CE 7116 rya pROFESSIOPt' 'I DESIGN DETAILS 3 BDRM X 150 GPD = 450 GPD 450 GPD/1.2 GPD PER SO, FT.(1.2 rain/in) = 375 SQ. FT (375/(6' (D) X 2) ) (6.0' GRAVEL) = 31.25 FT. TRENCH USE 1 TRENCH 32'(L) X 2'(W) X 6'(D) Total depth of system is 9.0' from original grade, Total depth of gravel below distribution pipe Is 6.0' NOTES: I. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.. 2. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK. 3. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 4. INSULATE TANK IF <4' COVER. PREPARED FORT JAMES & TARA HESTER MALCOLM DR. Scale: 1'= 100' CHUGIAK, AK 99567 (907)696-3384 SHEET 1/1 FIELD BOOKS BOUNDARY: LANG STAKING: LANG ASBUILT: LANG DWG. FILE ACAD FILE: 980.25 COMPUTED: GRAVID: KMD CHECKED: KMD GATE 4/23/ GRID: NW126 JOB NO, 98025 LLLAI J>J ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 WASTEWATER DISP❑SAL SYSTEM DETAILS GREATLAND ESTATES S/D, LOT 13, BLOCK 3 L— U I U � KN° TH c❑ ❑POSED PRIMARY SY TEM M, Proposed 1000 gal. SIT. 0 FCO � COn C❑ MT PR❑F 410 SED PREPARED FOR+ JAMES & TARA HESTER MALCOLM DR. _* 49 TH �* �I CHUGIAK, AK 99567 v (9071696-3384 IF KENNETH M FUS FIELD BOOKS COMPUTED: CE 711 rya / BOUNDARY: LANG DRAM: KMD STAKING:LANG CHECKS°: KMD \ P ASemLT: LANG DATE: 4/23/ 4'OF'ESSIOl3P1' / Dmc. FILE: GRID: NW126 ACAO FILE: 98025.DWG JOB NO, 98025 7s0 T H Scale; 1'= 20' r��SHEET 2/2 n ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 6111/FAX (907)696-8111 .lam 151 !J ENGINEERING 20441 PTARMIGAN BLVD.""" EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST 14 J11 M. CE 71 Performed for: James Hester Date Performed: 3/18/99 Depth to Water Net Drop Project: Lot 6 Blk 1 Peters Gate TEST HOLE 99-1 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- H- 12- 13 14- 15- 16- 17- 18- 19- 20- Org & SM - Rootmat Loose reddish brown GP/GW- loose cobbles to 12" GP/SP- loose, slight silt B.O.H. SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO What depth? NA Depth to water after monitoring? N/A Date? 4/6/99 Reading Date Gross Time Net Time Depth to Water Net Drop 1 3/18/99 3:05 7" - 2 3:07 2min 61/8" 7/8- 3 * 3:08 7" - 4 3:10 2min 61/8" 7/8" 5 3:12 7" - 6 3:14 2 min 6" 1" 7 * 3:16 7" - 8 3:18 2 min 5 7/8" 1 1/8" 9 3:20 7" - 10 3:22 2min 5 7/8" 1 1/8- 11 3:24 7" - 12 3:26 2min 5 7/8" 1 1/8" * Water Added Percolation Rate 1.8 (min/ in) Perc Hole Diameter 6" Test Run Between 6.5 feet and 7.5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. KNL J ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 OF ! *i' 49Rf M. SOILS PERCOLATION TEST ♦♦�♦ 'rD .............�'' • ♦♦,o . Performed for: James Hester Date Performed: 3/18/99 Project: Lot/ BIk/ Peters Gate TEST HOLE 9 99-2 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- Org & SM - Rootmat Loose reddish brown GP/GW- loose, sloughing cobbles to 24" GP/SP- loose, slight silt B.O.H. SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Groundwaterencountered? NO Whatdepth? NA Depth to water after monitoring? N/A Date? 4/6/99 Reading Date Gross Time Net Time Depth to Water Net Drop 1 3/18/99 2:05 7" - 2 2:07 2min 6 1/8" 7/8" 3 2:08 7" - 4 2:10 2 min 6" 1" 5 2:12 7" - 6 2:14 2min 5 7/8" 1 1/8- 7 2:16 7" - 8 2:18 2min 5 7/8" 1 1/8- 9 2:20 7' - 10 2:22 2 min 6" 1" 11 2:24 7" - 12 2:26 2 min 6" 1" Water Added Percolation Rate 2 (min/ in) Perc Hole Diameter 6" Test Run Between 5 feet and 6 feet t, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. ®`ar 1KND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 Kenneth A D CE 7176 SOILS PERCOLATION TEST Performed for: James Hester Date Performed: 05/17/99 Project: Lot 6 Block 1 Peters Gate TEST HOLE # 99-3 Depth (Feet) SEE ATTACHED SITE PLAN 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- Org/SM — Rootmat Loose reddish brown GP/GW — Loose Cobbles to 18" GP/SP - Loose, slight silt B.O.H. Hole presoaked prior to test FOR HOLE LOCATION Was Ground water encountered? NO What depth? N/A Depth to water after monitoring? N/A Date? 05/24/99 Reading Date Gross Time Net Time Depth to Water Net Drop 1 5/17/99 10:05 7" - 2 10:07 2 min 61/8" 7/8" 3 * 10:09 7" - 4 10:11 2 min 61/8" 7/8- 5 * 10:13 7" - 6 10:15 2 min 5 7/8" 11/81, 7 10:17 7" - 8 10:19 2 min 6" 1" 9 * 10:21 7" 10 10:23 2 min 6" 1" 11 10:25 7" 12 10:27 2 min 6" 1" * Water Added Percolation Rate 2 (min/in) Perc Hole Diameter 6" Test Run Between 5 feet and 6 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Parcel I.D. 051-541-11 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Apr�E_ LUi l0 U l Icate o n -Sete Systems Approval APR 17 2014,,/ Expiration Date: 7—'�. I T 1. GENERAL INFORMATION Complete legal description Peters Gate, Block 1, Lot 6 Location (site address) 24901 Malcolm Drive Chugiak, AK 99567 Current Property owner(s) Alfred & Katherine Alteneder Day phone Mailing address P.O. Box 671452 Chugiak, AK 99567 Real Estate Agent Day phone 2._ TYPE OF DWELLING:- - 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Three 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request Received by:' - t Date. COSA to be releaged to the engineer, unless otherMse requested by the engineer. COSA Fee $ J6-ro`ZL � Date of Payment e, yj/2-/1 Lt Receipt Number�04 COSA # os7 t� Waiver Fee $ Date of Payment Receipt Number Waiver # 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, 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. 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 4/15/2014 �r � h 6. DSD SIGNATURE System #1 Approved for bedrooms 4E � _Leff� -3— -�T �� _ System #2 Approved for bedrooms dE Disapproved= Conditional approval for bedrooms, with the following stipulatiotse-` By: / w ' / �t� c� t Original Certificate Date: The Municipality of Aneh rage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible foremors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist . X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesheet C - ..i o If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Peters Gate, Block 1, Lot 6 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Date completed 3/5/99 Sanitary seal (Y/N) Y Total depth 2O0 ft. Cased to 78 ft. FROM WELL LOG Date of test 3/5/99 Static water level 64 ft, Well production .67 g,p.m; — - WATER SAMPLE -RESULTS: — -----— ---- Coliform 0 colonies/100 mL Nitrate 3.08 mg/L Arsenic N/D ug/L Date of sample: 4/9/14 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic Tank size 1,000 gal. Number of Compartments 2 Cleanouts (Y/N) Parcel ID: 051-541-11 Well Log (Y/N) Y Wires properly protected (YIN) Y Casing height (above ground) >18 in. AT INSPECTION 4/13/14 59 1.0 ft. 14020 Collected by: Anderson Engrg. Date installed 5/7/99 Foundation cleanout (Y/N) Y Date of pumping 5/18/13 Depression over tank (YIN) N High water alarm (Y/N) _ Pumper Sanitary Pumpers Y Y C. ABSORPTION FIELD DATA Date installed 5/7/99 Soil rating (g.p.d./ft2 or fe/bdrm) 1.2 GPD/SF System type Deep Trench Length 32 ft. Width 2 ft. Gravel below pipe 6 ft. Total depth 10-11 ft. Eff. absorption area 384 fly Monitoring tube Y Depression over Feld �N Date of adequacy test 4/10/14 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 550 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum _ Size in gallons Manhole/Access (Y/N) in. "Pump off' level at in. High water alarm level at _ Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on tot > 100' On adjacent lots >1 00' Absorption field on lot >100' On adjacent lots >100' Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line >25' Holding tank N/A Animal containment areas >50' Manure/animal excrete storage areas >100, SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5 Property line >51 >1 0,>1 OL Water main Water service line Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water Service line >10' Surface water > 100 Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS G. ENGINEER'S CERTIFICATION 1 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 Printed Name Michael E. Anderson, P.E. Date 4/17/14 COSA brown sheet_10.10-12.doc Absorption field >5' — ----->100' - — Surface water Water main N/A Driveway, parking/vehicle storage > 0 C,gS��E 50 MICHAEL E. 1.'! -I` F CE -4381 <o �r y� /7 me Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 051-I- II HAA# 65 IU� Expiration Date: 4 6- 1. GENERAL INFORMATION Complete legal description /7E76ZS 6'AT.= s/L) aLOGk I L oT C Location (site address or directions) Ztlfgal 14,4L00c.11 f ee- F'J• 0_r— f Current Propertyowner(s) _Day phone' 44/0-2/12 Mailing address . ' Z11401 /yt,+GC&_A4 P•ETE/LJ Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well J4 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site ,® Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a priva(e or Class C well and may be reissued with new water sample results. (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 systetn. 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 Health Authority 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. 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Address Firm A16rT1j9u_*j Enc . Phone C 9- 7dQ700 /70,77 5c44 A.> Geci-t Engineer's Printed Name �Tw E Enf 6 Date clyo S S. DSD SIGNATURE Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Attachments: NAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: �GC�79, .,/ �i�, r C Original Certificate Date: Co — 3 " 05' ellxr 0007 (Rev 0IM2) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST' Legal Description: Y576 -;e ' o,*7e- wo 3—/ . L- G Parcel ID: 0-6— /— S1�%_ // A. WELL DATA Well type P Date completed"? Total depth Zoo ft. If A, B, or C provide PWSID # Sanitary seal (YIN) Cased to ft. FROM WELL LOG Date of test/�T 9 Static water level ft. Well production 0 g.p.A WATER SAMPLE RESULTS: Well Log (YIN) Wires properly protected (YIN) Casing height (above ground) 2c{ in. AT INSPECTION sa as 63.5 ft. 6.7s 9— p.m- Coliform colonies/100 ml. Nitrate OP -S mg./I.GMD� Other bacteria 0 colonies/100 ml. Arsenic: mg./I. Date of sample: 3/ oS Collected by: 6r g,141 E�9. B. SEPTICIHOLDING TANK DATA a Tank Type/Material/{n/CffnkACC. T.fnik / STEEL Date installed .51/ 7./ 9 Tank size ZD03 gal. Number of Compartments Z Cleanouts (YIN) %4 Foundation cleanout (YIN) Depression over tank (YIN) High water alarm (YIN)_ Date of pumping SYQ 0 S Pumper SS+J/Ti994 PuM A52,1 C. ABSORPTION FIELD DATA Date installed 5* // -719 Length 32 ft. Soil rating (g.p.d./ft2 or fe/bdrm) L? Width Z ft. System type% i?c�N[+ Ff Gravel below pipe Ic ft. Total depth /Z ft. Eff. absorption area 3L5fe Monitoring tube _�_ Depression over field Al Date of adequacy test a 0S Results (Pass/Fail) 14 s l For _ bedrooms Fluid depth in absorption field before test O in. Water added gal. New depth Z in. Elapsed Time: e0 min. Final fluid depth O in. Absorption rate >= as O -r g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) (/n If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum E. SEPARATION DISTANCES Size in gallons Manhole/Access (YIN) "Pump off" level at in. High water alarm level in. Cycles tested Meets alarm 8 circuit quiremenls7 SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot /da" r Absorption field on lot &0/,` Public sewer main 64 /4 Sewer /septic service line 100'-e On adjacent lots /00 �t On adjacent lots Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation _16 �'/ Property line -Lo-�f Absorption field /0,4- Water 0ifWater main M.(+# Water service line /0�r Surface water / 0o F Wells on adjacent lots /00 v1" SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / t7 v f Building foundation / D ' t Water main Ail* Water Service line /ySurface water /0a ''r Driveway, parking/vehicle storage 6 -,4 - Curtain ,fCurtain drain Al If Wells on adjacent lots X00 ""- F. COMMENTS G. ENGINEER'S CERTIFICATION i certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Date 61710S S�Ev'E F f6 HAA Fee $ Y4. OV Date of Payment 6' n ,05 ll Receipt Number 6t"f (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number e H;.tc:T:a p a 1r I , 7.5 �r',Ju�,S• PE 6455 \ Municipality of Anchorage 1 • �' Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Nater Well Advisory Health Authority Approval # 050248 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block 1, Lot 6 of Peters Gate subdivision, the well's productivity was determined to be 0.75 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 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 Health Authority Approval. Mat -9U Test Lab 9077463012 06/21:06 C7t04pm P. 001 Mat.Su Test Lab of Alasj Mlle 3.7 Palmar Wasilla Hwy Nldtown Community Business Pane P.O. Boa 1749 Palmer. Alaska 99645 Phone: 7/6-1006 rax: 716.3010 Drinking Water Analysis Report Total Coliform Bacteria This Section to be completed by Sampler Legal Description of Property: G G' Sample Site Location: F=- %JcG_.� Delivered to Lab By: 4%yr (I r:.: kltrren atnk, aa11 00m sink. ou akfe t05e bb) Time Sampled: p'?30 Date Sampled: a -(Sampled by: Sample Type: Routine Treated:❑ Untreated:❑ Repeat Sample #: This Section to Be Completed by Lab Analvsis Results: Satisfactory ❑Unsatisfactory ❑Sample too long in transit (greater than 30 hrs.) •Rogta t rasamtJn Co�ySent toState: Yes: No : s Chromoaenle/Fluorogenic Mothod Results: A Total Coliform Present (P)/Absent (A) Lab I.D. A E. Coli Present (P)/Absent (A) Date Received: #000 Time Received: W o'D Received by: ! d� Date Test Begun: 3//On_ Time Test Begun: /G x,30 Analyst: %h• ySJn Date Completed: e-11 Timo Completed: _ &in Analyst: - Rarer to Back Side for Instructions Mat -Su Toat Lab 93774S30L0 06!:7/06 03r4Epm P. 002 Mat -Su Test Lab of Alaska Water Quality Testing - MIN 3.2 Palma-Wa4ma, Hwy. P.O. Boa 2749 Midtoear Cemmunity Bualneaa Park Palmer, AL 99649 Phone (907) 7453006 Email: Lnat4ut*$UMb9exo9enhaa Com Fax: (907) 746-3010 Client. North Rim Engineering Dere Arrived: 6-331X5 17237 Bear Paw Code Report Date.! 6I1M Eagle River, Air. W577 Sample Date: tiy31105 Alin., Sample Time: 0630 Client ID: Lot 6 Block 1 Peters Gate Est. Collected By: SE PM, ID 9: Sounr M.S.T.L.R. 51379 Semple Matrix: Comments* 11 Method Parameter Units Results MDL Dote Prepared Data Maymd MCL v SM 4500-NO3-E Nitmte-N WA <MOL 0.50 611105 Legend. MRL a hkdhod Report Leve: MCLa6krx Coniaminmelevet B a Pmaeni in Method Stank E a E-Matated Value H a Above MCL D a Loat to Oikition Re tl By Jon Paul Campbell Lab Supervisor 611105 10.0 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING /� Parcel I.D. # DIN -5q I - I I HAA # N CIMO Z v 1. GENERAL INFORMATION Complete legal description Location (site address or directions) M (O rn D O NQ� Property owner Mailing address Mailing address Agent Address Lending agency Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 1E 3. TYPE OF WATER SUPPLY: �( Individual well " Community well Public water Day phone H 19 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: 1 , Individual on-site x 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. 1191) FrOM MOA #21 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 Address Engineer's signature 6. DHHS SIGNATURE I Approved for 2 bedrooms. Disapproved. Conditional approval for Additional Comments lWJ 4UTION Phone l0 h" 10I�___ Date [� OF 4k'kta oYfi . bedrooms, with the following stipulations: Date L /7— 6`0 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 courtesyto purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work, 7M5(Ray. 1/91) Beck MOA n1 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division a 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: pek D (� (6 (2 L�o Parcel I.D.: A. WELL DATA Well type rI If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N), Date completed Total depth (:LnCased to Casing height (above ground) Sanitary seal (Y/N) PFROM Wires properly protected (Y/N) WELL LOG AT INSPECTION Date of test Static water level Well production g-p•m• 5 �g-p.m. WATER SAMPLE RESULTS: Coliform 1�1 Nitrate � . Ts Other bacteria Date of sample: 00 Collected by:l� YIQR B. SEPTIC/HOLDING TANK(DADATA J p e Date installed l q 99Tank Tank size Number of Compartments Cleanouts Foundation cleanout,(Y/N) Depression (Y/N) QV High water alarm (Y/N) Date of Pumping I" ft Pumper Iv C. ABSORPTION FIELD DATA �1 1 Date installed I Soil rating (g.p.d./ft or ftz/bdrm) (• of System type 1 Length 3a Width Gravel thickness below pipe Total depth ri Al Effective absorption area � -J Monitoring Tube present (Y/N)Depression over field (Y/N) I V Date of a test Results (Pass/Fail) For S Fluid depth in absorption field be o Immediatel gal. water added (in.): Fluid depth (ins) Minutes later: n rate = g.p.d. Peroxide treatment (past 1 nths) (Y/N) If yes, give date 72-026 (Rev. 3/96)' D. LIFT STATION Date a ed- Manhole/Access (Y/N) High water alarm level at*� Cycles tes E. SEPARATION DISTANCES `Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallo Pump off' level at' +11C) DO r+ Septic/holding tank on lot �o� On adjacent lots 6 — Absorption field on lot IM /+ On adjacent lots I no / + //-� 1 Public sewer main I �JO Public sewer manhole/cleanout tC)0 J Sewer /septic service line � Do + Lift station A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: �a I � 1 4- Foundation Property line �. � / Absorption field � l J Water main/service line + Surface water/drainage�J� Q } Wells on adjacent lots ------ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: D Property line � l Building foundation Water main/service line _ i Surface water I ` X J Driveway, parking/vehicle storage area 0 1-4- Curtain drain �� I Wells on adjacent lots 1 V C / + F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal in conformance with YOA HAA guidelines in effect on this date. Engineer's Name _�A Date HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)' Waiver Fee $ Date of Payment Receipt Number �d�,thADPhaehoo42l4g stems are �gRp�e e e......�... s,� a ltr�.'�eeeeA80 coe v aaaeeeene• ee Y.w I e �, MUNICIPALITY OF ANCHORAGE M E M O R A N D U M WATER WELL ADVISORY HEALTH AUTHORITY APPROVAL NO. QQ0 O During a recent Health Authority Approval on-site ir_saection and test of t:,e potable water supply well on Lot 6 Block i of _ Pp, IF, y5 Subdivision, the well's productivity was determined to be Q,(o(, gallons per minute. The minimum well productivity required by this Department (PMC 15.55) for a 3 bedroom residence is 0,3/ gallons per min-_te. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the we11 may fluctuate. Restriction of ncn-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attaches to all copies of the subject Heaith uthority Apprc-:al. 01-09-00 16:35 FROXTE ENVIRONVENTAL 5615301 T-033 P.01/01 F-430 CT&E Environmental Services Inc. Laboraao+V DiulWm )rinking Water AnalysiS REAP INSTRUCTIONS ON f PUBLIC wATER SYSTEM I.P. a PRIVATE WAT9RSYSTEM a se"Imps %e 100 w. pow or" for Total Coliform Bacteria To" 490715. AK gull -160111 Tel:19071 Saal•Y3e3 DE BEFORE COLLECTING SAMPLE Fox; Ila 561-6301 C-7 SAMPLE DATE:KOWA p vow SAMPLE TYPE: x Routlae ly"E- f..4z raa�M C3 with flab rVC no. �) C3 Spetad Pdrpou SAMPLE LOCATION Comments: a Treaw Water a QapasadWow Tqa CdlMead Colm od By yns SMWI this Water SAMPLE to 60: SadsWory o UNMWWUNY Cl �� ovcr r30 bo= old, resula mar 13 SuM400 tidal �► hwsir: mm is should nos to over d8 613 old at exa mnadoa vww dolivery mail. d I9sos VANOW L—* i�p Thmas"hid /L{.35 Aadrae Baw b 6 } 5"/ Aaaly" M.&* p MMmbnmmmcl-muor • NumWOf001400 100ML RORW Aaaryst _0 Fba Jdd ❑ Fazed p� Tuck CBs" rAdgm of oasodfrasiP radia: now gMw.0 raved❑ om —. � TUW OLMCAL WATER ANALYSIS RECORD MMOMI161 "ToolGBWKM &cr caaaawua.I MembrawIsm BlsersCN" - VeriBatMa: I.TB BGB -------- Fad Coffers Coe#rmmm Fldd _ calhr�taat[ TIM �-rwn►...� r. a.d os -~#e M��pt, M� WRL NEW JERSEv, ONIO, WEST VAGINA_. __ �..... ...er. rA1 �s[fY1M< iI.ORIWt NJJNOt6. *• q SAMPLE DATE:KOWA p vow SAMPLE TYPE: x Routlae ly"E- f..4z raa�M C3 with flab rVC no. �) C3 Spetad Pdrpou SAMPLE LOCATION Comments: a Treaw Water a QapasadWow Tqa CdlMead Colm od By yns SMWI this Water SAMPLE to 60: SadsWory o UNMWWUNY Cl �� ovcr r30 bo= old, resula mar 13 SuM400 tidal �► hwsir: mm is should nos to over d8 613 old at exa mnadoa vww dolivery mail. d I9sos VANOW L—* i�p Thmas"hid /L{.35 Aadrae Baw b 6 } 5"/ Aaaly" M.&* p MMmbnmmmcl-muor • NumWOf001400 100ML RORW Aaaryst _0 Fba Jdd ❑ Fazed p� Tuck CBs" rAdgm of oasodfrasiP radia: now gMw.0 raved❑ om —. � TUW OLMCAL WATER ANALYSIS RECORD MMOMI161 "ToolGBWKM &cr caaaawua.I MembrawIsm BlsersCN" - VeriBatMa: I.TB BGB -------- Fad Coffers Coe#rmmm Fldd _ calhr�taat[ TIM �-rwn►...� r. a.d os -~#e M��pt, M� WRL NEW JERSEv, ONIO, WEST VAGINA_. __ �..... ...er. rA1 �s[fY1M< iI.ORIWt NJJNOt6. *• 12-23-89 07:58 FRDM-CTE ENVIRONIENTAI 5618201 T-747 P.09/05 F-048 CT&E Environmental Servbe. Ing. AINSI6I CTSE Refs 996698002 Client PUN Client Name Dm Eaglneenus Printed Date/Time 12/22/1999 14,14 Project Name/S N/A Collecw Ilatomme 12114/1999 11:00 Client Sample 1D L6, Bl Paters Cate Received DateMme 12/14/1999 16:35 Matrix Drinking Waver TechAleal Director Stephen Ede Ordered BY PWSID 0 Sample Remarks: Allpraple Prop Analyais Parapatar Reqults PQl Unite method LIMtS pate pate Inic WATERS DEPT xrtrate•r 2.. .. 0,500 r14A EPA 300.0 (<10) 12/14/199912/14/1999 SCS MICRO UB Togl Cutiturm 22 pa w,.- cot/ CQML Sn18 92228 12/14/1999 40T Coli/700mi ele 96ed •`Wd0S:9 00 -FL -Uel `•[l m69L06 °DNIN33NION3 CNH :49 TUGS