HomeMy WebLinkAboutT14N, R1W, Section 17 (6) Municipality of Anchorage Pace
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: :~/ C7(~(-)~,!~ '~ PID Number:
Name:~:/~[¢¢-~(~¢(;(E ~(O~-(¢%, /¢q C, Wastewater System: X~,New D Upgrade
Address: ,i:)O ~:'X ~) ~[-~] ABSORPTION FIELD
I No. of Be~ooms:
Phone: ~¢~,_( .- ~ ~,2¢ [~ ~ DeepTre~ch ~ShallowTrench ~ Bed ~ Mo.nd B Other
.~ Total Depth from o~iginal grade:
UI~.~,~ ;> LEGAL DESCRIPTION so""~"~,: / a¢.~sq.[,.
, Depth to pipe b ttom from original grade: G ave deph benea h p pe
Lot: Block: ~ Subdiv~ion:
Seotion: Fill added above original grade: Gravel length: ¢/ ..
WELL: ~Now ~ Upgrade Oravelwidth: ¢ Ft. Number~flines:
Clas~ficati°n~ ~ ¢/~(Private' A,.,C): Total Depth:~¢ Ft. Cased T°:~ Ft. M¢,*¢ , o¢ SQ. Fl.
Date Drille~ Static Water Level; Instager:
Driller: Datein all d:
Yield:
I Pump Set at: Casing Height Above Ground: TAN K
~0 GPM Ft. Ft.
SEPARATION DISTANCES ~s~pti~ ~ Ho~ang ~ S.T.E.~.
TO Septic Absorption h ~ gif~. Holding )ubHc/Priva~e Manufacturer: Capacity in gallons:
Fro~ Tank Field ~,at ~ Tank Sewer Lines ~4 ti;¢ ~CA ~(~C ~
/ Material: Number of C¢~padments:
Lot
Line ~"}.(~ JSgg'¢ ~.~ ~¢.'.'2~ ~iz, ingallons: Manufacturer:
.)_ ~ Zli~.O ~ 'Pump on" leve] at:I *l "Pump °ff" leve[ at: IHighwateralarmat'
Foundation .~. ~ ,0 ~t, ~
Remarks? ~" ~"F~ O~F~ T~H~ / BENCH MARK
ENGINEER'S SEAL
Inspections performed by: '~:-~ ~FI'~C/- Dates: 1st } Z-/~/~~' ~ ~ ~:~ '~ ~' ~'~
Hea~ and Mu~an Services approval
Department of
Reviewed
and
72-013 (Rev, 9/91) MOA 25
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
Box 196650 * Anchorage, Alaska 99519-6650 · Telephone= 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
uesorlptlon:NL: I1't ~F~'I,~ htcd~l,I Tl't~i Fzi,v ~:c / 7 PID No.:
WELL
~P~C
2" INSULATION
DISCHARGE PiPE
UNIT 3
PRIMARY
5' X
E
SYSTEM PROFILE
(NOT TO SCALE) 660
B.M. - S HOUSE CORNER, FINISH FLOOR ELEVATION
- (ELEV. :
DISTANCES
A - C 27.0
A - D 43.9
A - E 92.0
B - C 76.6
B - O 91.5
02/02/~99 09:02 9077~.~072.
ARCHIBALD DRILLING
PAGE 04
Municipality of Anchorage
I:~f~nment of Hellth end Humln ~endo~l
P',O, ~ox IlM~O Anol~m~, ~ MllMMO
T14N R1W SEC 17 ,' MASTERPIECE HOMES, INC.
' PO BOX 77~471
NE4 $E4 NW4 i EAG]]E RIVER, AK 99577-~471
UN IT-3
G~nvel &O ~
Orave~Wate~ 60 an 0 ~; ~ ..... ~ ~~
Municipality o1 Anonora~ e ~ . ~WT~T,~ ~TT,T,TM~
AtliMIon: Tt~e well driller ifilll provide · well log to Mi property owner within ~0 days of oom~41on,
Y olo$$io#olo##roo##iool$o ioo
#155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (907) 561-6237 fax: (907) 563-38~$
Jauuary 21, 1999
Daniel Roth, Civil Engineer
On-Site Services Section
Health & Human Services
825 L Street, Suite 502
Anchorage, AK 99501
Re:
White Stone Estates Condominiums
NE ¼ SE ¼ NVv' ¼ T14N R1W SEC. 17
Unit 3- Inspection Report Transmittal
Permit # SW980253
Dear Mr. Roth:
Transmitted with this letter is a completed On-Site Wastewater Disposal System and/or Well
Inspection Report for Unit 3 of Whitestone Estates. If you have any questions, please call me at
561-6266.
Sincerely,
Professional and Technical Services, Inc.
Dean A. Karcz, PE~
Vice president
DAK:dak
Attachments
RECEIVED
dAN 22 1999
Mumol )ahty 01
O~,,pt. bloalth & i- uman 8orr cos
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 995~9-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Jul 22, 1998
Expiration Date: Jul 22, 1999
Permit Number: SW980253
Legal Description: T14N R1W SEC 17 NE4SE4NW4
Design Engineer: PTS, INC. - Dean Karcz. P.E.
Owner Name: MASTERPIECE HOMES. INC.
OwnerAddress: PO BOX 773471
EAGLE RIVER , AK 99577-3471
Parcel ID: 050-362-06
Site Address:
Lot Size: 435600 SQ. FT,
Total Bedrooms: 4 Permit Bedrooms: 4
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 ( 1 §AACS0 ).
3. The engineer must notify DHHS at least 2 hours pdor 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 ISSUED FOR THE CONSTRUCTION OF AN ALLTERNATIVE WASTEWATER DISPOSAL
SYSTEM. THE ATTACHED PROPERTY OWNER AGREEMENT IS PART OF THIS PERMIT PACKAGE.
Received
Issued By:
Date:
Date:
4155 Tudor Centre D#ve, Suite 103, Anchorage Alaska 99508 (907) 561-6237 fax: (907) 563-3813
September 15, 1998
Daniel Roth, Civil Engineer
On-Site Services Section
Health & Human Services
825 L Street, Suite 502
Anchorage, AK 99501
Re:
White Stone Estates Condominiums
Unit 3-Permit SW980253
Dear Mr. Roth:
PTS, Inc., on behalf of the builder, is requesting the permit for Unit 3 of White Stone Estates
Condominiums be modified to allow for a 5-bedroom house. The septic disposal field has been
sized to account for a 5-bedroom house, and a septic tank has been installed in front of the
Bicoycle. Modifications will be made to the Biocycle to allow for a 5-bedroom configuration. A
revised site plan and detail sheet is transmitted with this letter.
Calculations for the disposal field are provided in the table below:
UNIT MAX. PERCOLATION APPLICATION ABSORPTION 5{)% RED, LENGTH GRAVEL RF FOR REVISED
FLOW RATE RATE AR EA OF AREA OF 5' WIDE eEPTH GRAVEL LENGTH
BENEATH
FOR BIOCYCLE TRENCH PERF. PIPE eEPTH OF E' WIDE
(GPD) (MIN/IN.) (GPD/SF) (SE) (SF) (FT) (FT) (ET)
3 750 1.47 1.2 625 312.5 62.5 4 .5 32
ALASKA PROPERTY DEVELOPMENT SPECIALISTS
Unit 3- Additional information
Page 2
If you have any questions, please call me at 561-6266.
Sincerely,
Professional & Technical Services, Inc.
Dean A. Karcz, P.ED
Vice President
Enclosures
ALASKA PROPER~ Y DEVELOPMENT SPECIALISTS
I
I
/
/
1000
SEPTIC TANK
4" INSULA T/ON
DISCHARGE PIPE
CROSSING DRI
UNIT ,5
RESERVE
5'X 32'
~NCH --
)
%
-- 4" PVO
BIOCYCLE MODEL
6000
UN/T J
TRENCH
5' x J2'
TH
0 TEST PiT BY O'I~IERS
· TEST PiT BY PTS
m:~ CLEANOUT
· .... MONITORING TUBE
SITE PLAN
UNIT 3
WHITE STONE ESTATES
~,~u.~ ~lsc^.~ ,"=~o' I ./,w.~
4" DIA.
$-- 2~
MANHOLE COVER;
i ,~" INSULATION ON
INSULA TED 1" I LID
DIA., S = 1~
/
·
SEPTIC TANKPVC,~
BIOCYCLE
MODEL 6000
-- PVC FROM
BIOCYCLE
MOUND SURFACE
~uOBN~TM_ / ?OR DRAINAGE
~ / NATIVE SO',
BACI,~FILL
'"' '"'"' '"'111.. ~.. ~?~'""~'"'" '""
· . ~i.: .i:.'~
.5'
NOTES
I.
2.
,.1
_~,~ t>3 i;; ............. ~'</~,.~
,¢%*"
GROUNDWATER DEPTH 16.,5,' BELOW GROUND SURFACE.
BEDROCK GREATER THAN 17' BELOW GROUND SURFACE.
LENGTH OF PIT = 52'.
SEO~ONS
UNIT 3
WHITE STONE ESTATES
4155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (907) 561-6237 fax: (907) 563-3813
July i6, 1998
Daniel Roth, Civil Engineer
On-Site Services Section
Health & Human Services
825 L Street, Suite 502
Anchorage, AK 99501
Re:
White Stone Estates Condominiums
Unit 3-Additional information
Dear Mr. Roth:
This letter provides the additional nan'ative for the subject project, per our telephone
conversation earlier today. The proposed disposal field for Unit 3 is not anticipated to have
negative impacts on adjacent properties. The drain field is located greater than four hundred feet
(400') from the nearest well; which is located on Lot 5 of Ptarmigan Subdivision. Surface
drainage from the area around Unit 3 drains to the south of the tract.
Thank you for your prompt review of the application information. If you have any questions,
please call me at 561-6266.
Sincerely,
Professional & Technical Services, Inc.
Vice President
Enclosures
ALASKA PROPERTY DEVELOPMENT SPECIALISTS
4155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (gOD 56'1-6237 fax: (907) 563-3813
July 15, 1998
Daniel Rotb, Civil Engineer
On-Site Services Section
Health & Human Services
825 L Street, Suite 502
Anchorage, AK 99501
Re:
White Stone Estates Condominiums
Unit 3-Additional information
Dear Mt'. Roth:
Enclosed please find a revised site plan and sections sheet for Unit 3 of White Stone Estates
Condominiums. The septic disposal field has been relocated from the previous submittal to the
location of Test Pit 1, excavated by Eagle River Engineering Services. A percolation test was
performed at this location and a percolation rate of 1.47 minutes per inch was measured. The
original soil log was previously submitted to the Health Department. A copy of the soil log and
percolation test is included with this letter. Eighteen feet (18') of sandy gravel was encountered
in Test Pit 1; groundwater was encountered at sixteen point five feet (16,5') below ground
surface. Based on this information, a five-foot (5') wide trench is proposed for the disposal field.
Calculations for the disposal field are provided in the table below:
UNIT MAX. PERCOLATION APPLICATION ADSORPTION 50% REO, LENGTH GRAVEL RF FOR REVISED
FLOW RATE RATE AREA OF AREA OF 5' WIDE DEPTH GRAVEL LENGTH
BENEATH
FOR BIOBYCLE TRENCH PERF. PiPE DEPTH OF 5' WIDE
(GPD) (MIN/IN.) (GPD/SF) (SF) (SF) (FT) (FT) (FT)
3 750 1.47 1.2 625 312.5 62.5 4 .5 32
ALASKA PROPERTY DEVELOPMENT SPECIALISTS
White Stone Estates Condominiums
Unit 3- Additional informatioa
07/15/98
Page 2
If you have any questions, please call me at 561-6266.
Sincerely,
Professional & Technical Services, Inc.
Dean A. Karcz, P~.
Vice President
Enclosures
ALASKA PROPERTY DEVELOPMENT SPECIALISTS
/
/
4" INSULATION
DISCHARGE PIPE
CROSSING DRIV
UNIT 3
RESERVE TR
5'X32'
TH
-- 4" PVC
BIOCYCLE MODEL.. '~'
6000
UNIT ,3
TRENCH
5'X J2'
/
64.-0 -~'
0 TEST PIT BY OTHERS
· TEST PIT BY PTS
CLEANOUT
MONITORING TUBE
SITE PLAN
UNIT 3
WHITE STONE ESTATES
r~Gu.~ 21 sc^LE ~'=~o' [ 7/~/08
MANHOLE COVER;
I ,~" INSULATION ON
S= 2~
BIOCYCLE
MODEL 6000
1- 1/4" DIA.
PVC FROM
BIOCYCLE
MOUND SURFACE
MONITORING__ / FOR DRAINAGE
TUBE ~/ NATIVESOIL
~ 4" PERF. PIPE
I 5, I
GROUNDWATER DEPTH 16,5' BELOW GROUND SURFACE.
BEDROCK GREATER THAN 17' BELOW GROUND SURFACE.
LENGTH OF PiT =
SECTIONS
UNIT ,3
WHITE STONE ESTATES
.~U.E ~1 SC~,LE r=~O' I ~/~/~
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: L.. ~.~7-'~-./'"
LEGAL DESCRIPTION: ~'
DATE PERFORMED:
Township, Range, Section: 5'~c /'~ '7"/~/,/~
77/1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16-
17-
18
19-
20-
SLOPE
WAS GROUND WATER
ENCOUNTERED? ye~ ,~
IF YES, AT WHAT ! ~'
DEPTH? /6 1~'~ pO
E
Depth to Water Aller / ,~ ' Oata 2,"~'~ "~ 7
MonilarinD?
SITE PLAN
COMMENTS
Reading I Date Gross Net Depth to Net
Time Time Water Drop
I i~-/~-~/? ~: 'z~ ~' ? ~" E1" ~"
~ I ~; ~ ~'~" ~/" ~"
~b ~: ~ ~' ~?" Fl" d"
PERCOLATION RATE ~' ~ ~ (mmuLes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND ~ FT
PERFORMED BY: ~/"~/'~ ~ 5 I ~"'~'~- CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~2~- ~ ..~ - .~ ~-
72-008 (Rev. 4/85)
PROPERTY OWNER AGREEMENT
FOR ~ MAINTENANCE OF AN
ON-SITE WASTEWATER DISPOSAL
SYSTEM
cnorage Department of Health and Human Services (DHHS) and the property
owner(s) of: White Stone Esta%es Condominiums Unit 3 located a6:
East 1/2 of the Southeast 1/4 of the Northwest 1/4 of S~ction 17,
Township 14 North, Range 1 West, Seward Meridian.
This agreement is made for the purpose of malnminin§ an on-site wastewater disposal
system on the subject property.
The property owners agree to th, e following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection and
operation statement from a registered professional engineer. This inspection and _
operation statement shall verify that the engineer has inspected all effluent and air
pumps, timers, and alarms, and that any deficiencies have been repaired and that the
system is functio ' g as de~
(Signature) (Signature)
(Printed Name) (Printed Name)
................................ Notarize Here ......................................
Sta , on this ,
.)~ who is personally known to me
~ whose identity I proved on the basis of
. whose identity I proved on the bath/affirmation of
, a credible witness
to be the signer
and he/she ~d that h~signed it.
MY commission expires
PROPERTY OWNER AGREEMENT
FOR THY~ MAINTENANCE OF AN
ON-SITE WASTEWATER DISPOSAL
SYSTEM
This agreement, dated( Jb( [~,p, 1990~., is made between the Municipality of
Anchorage Department o~f H&al~th and Human. Services (DHHS) and. the property
owner(s) of:
This agreement is made for the purpose of maintaining an on-site wastewater disposal
system on the subject property. ' .
The property owners agree to ~e following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection and
operation statement from a registered professional engineer. This inspection and .
operation statement shall verify that the engineer l~s inspected all effluent and air
pumps, timers, and alarms, and that any deficiencies have been repaired and that the
system is functioning as designed.
(Si~ature)
(Signature)
(Printed Name) (Printed Name)
................................ Notarize Here _--__-_%-_ .............................. 2__
State of ~l~ [d~ On this ,~¢4, day of ,~/~ ,
~ '~f~¢~J~' personally appeared before me,
~ who is personally ~o~ to me
~ whose identity I ,roved on the basis of
whose identity [.¢~ on the bath/affimation of
,~ ~o .... o:f~/ , a credible witness
to be the signer of the aboyp~ " "~ '~
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'legaldescription NE¼ SE¼ NW¼, TI/.N R1W Sec. 17
Location (site address or directions) Unit 3, Whitestone Estates
Propertyowner Mg¢i-,~?i~.a~ ~,ome~ Dayphone
Mailing address ?0 Bo× ?73471
Lending agency Day phone
Mailin. g address
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
NOTE:
Individual well X
Community well
Public water
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
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. ~i91) Front MOA#21
o
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.
NameofFirm P?S, Tnn. Phone ~61-6737
Address 4155 Tudor Centre Dr., Suite 103
Engineer's signature
DHHS SIGNATURE
)/ Approved for ~ / ~/'~'
bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DH HS 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.
Biocycle
Date installed 12/8/98
Manhole/Access (Y/N)
Y
Size in gallons
"Pump on" level at*
1500
"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 f~/-A' ¢2 ll.(~ On adjacent lots + 1 1 0
Absorption field on lot ;~97,8 ~ On adjacent lots _ + 1 1 0
Public sewer main N/,~ Public sewer manhole/cleanout
~ Biocycle
Sewer/septic service line 21 4,1 L!ft stat!ch 2 59 '
Biocycle
SEPARATION DISTANCES FROM ............. N ........ ON LOTTO:
Foundation 43 · 9 ~ Property line 87,7 t Absorption field /+6,
Water main/service line
Surface water/drainage
Wells on adjacent lots + 300
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 62.6
Sudace water
Curtain drain
Building foundation 8 7.6 ' Water main/service line N/A
Driveway, parking/vehicle storage area 1 5.8
Wells on adjacent lots + 3 00 '
F. ENGINEER'S CERTIFICATION
I certify that I have determined thru
in conformance with MOA HAA guidelines in effect on this date.
\'
Signature ~)[!).,t~ k]'--(41,,~¢( ,..
Engineer's Name h(a,d
Date of Payment
Receipt Number
72-026 (Rev, 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES ,ILIN 0 7 l0c)c)
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 ·
:NVlRONMENIAL SERVICES DIVISION
Health Authority Approval Checklist
Legal Description:NE~
Unit 3
A. WELL DATA
ml/~N RIW ~ee_!?, ParcelI,D.:
Well type Private
Log present (Y/N) Y
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed 8
Total depth 80 '
Sanitary seal (Y/N) 7'
Cased to 8 O '
Casing height (above ground)
Wires properly protected (Y/N) 7'
FROM WELL LOG
AT INSPECTION
Date of test 8 / 24. / 98
6O
Static water level
20
Well production
g.p.m, g.p.m.
WATER SAMPLE RESULTS:
0
Coliform
Date of sample: 5 / 1 9 / 99,
6/2/99
Nitrate 3.69 Other bacteria 0
Dean Karcz
Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed N?a~ i~'/~'i~TTanksize
Foundation cleanout (Y/N)
Number of Compadments o<. Cleanouts (Y/N). k./ '
Depression (Y/N) /~ {~'b~¢High water alarm (Y/N) ~
Date of Pumping Pumper
C. ABSORPTION FIELD DATA
Date installed 12/9/98
Length 3 2 ' Width
Soil rating (g.p.d./fForft~/bdrm). 1 . System type Shallow Trench
5 ' Gravel thickness below pipe 4.1 ' Total depth 1 0.4 '
Effective absorption area 422. 4 Monitoring Tube present (Y/N) Y Depression over field (Y/N) N
Date of adequacy test N/A Results (Pass/Fail) N/A For N/A
bedrooms
Fluid depth in absorption field before test (in.);
Immediately after gal. water added (in.):
Fluid depth (ins) Minutes ater: Absorption rate = g.p.d.
Peroxide treatment (past 12 months) (Y/N)
If yes, give date
72-026 (Rev. 3/96)*
SUN 0~ '~ O~:~OPM MTL AMCHORA~ P.l×l
NORTHERN TESTING LABORATORIES, INC.
3330 INDUSTRIAL AVENU~ FAtRSANKS, ALASKA ~9701 1907] 4S~3116 * FAX 4S6-3125
DRINKING WATER ANALYSIS REPORT FOR TOTAL COUFORM BAGTERIA
Masterpiece Homes, [no.
c/o PT$, Incorporated
4155 Tudor Centre Drive Ste #103
Anchorage, AK 99508
Phone Number. ( )561-6266
Fax Numben ( )563-3813
Collected by: DAK
Sample Type: Private water Systems
Method of Analysis: Membrane Filtration (SM 9222
Comments:
Sample Sample Total* Fecal Other'
Date 'Time Coliform Coliform Bacteda
6/2/99 10:30 0 ND 0
Date Received:
Date Analyzed:
Date Repotted:
Next Sample Due:
Comments
S =
U
ND =
TNTC =
CG =
HSM
SA =
Old =
611199 Time Received: 12:20
6/2/99 Time Analyzed: 13:45
813/99 Time Reported: 14:32
Satisfactory
Unsstisl'aoto~/
Positive Test Result
None Detected
Too Numerous To Count (>200 Colonies)
Confluent Growth
Heavy Sediment Masking, Results May Not Be Reliable
Sample Age >30 Hours But <48 HourS, Results May
Not Be Reliable
Sample Age >48 Hours. Too Old For Analysis
R = Resempte Required
NT = NO Test
* # Colooies/100 mi '* # Colonies/mi
HPC**
R~ult Lat~ ., .L.o.~tion
NT AC11777 UNIT3
Comments
Sheni L. Tr'~ Envf~onmefltal Atta~y~t
Nel'ffiern T~.~b~J Labes'ateries, In~ ,4~'~o~age, AK
NORTHERN
3330 INDUSTRIAL AVENUE
8006 SCHOON STREET
POUCH 346043
TESTING LABORATORIES, INC.
FAIRaANK$, ALASKA 99701 (907) 466-3116 · FAX 456-3125
ANCHORAGE, ALASKA 99618 (907) 349-1600 · FAX 349-1016
PRUDHOE 8AY, ALASKA 99734 (907) 669-2146 · FAX 659-2146
Masterpiece Homes
4155 Tudor Centre Dr. Ste. 103
Anchorage, AK 99518
Arm: Dean Karcz
Client ID: Unit 3
Client Project #:
Source:
NTL Lab#:
Sample Matrix:
Comments:
Method Parameter
Whitestone Estates
A160989
Water
Report Date: 5/28/99
Date Arrived: 5/19/99
Sample Date: 5/19/99
Sample Time: 10:30
Collected By'. Dean Karcz
** Legend **
MRL = Method Report Level
MCL =Max. ContammantLeval
B = Present ha Method Blank
= Estimated Value
M = Matrix Latefference
= Above MCL
D = Lost To Dilution
Date Date
Units Result MILL Prepared Analyzed
SM 4500 NO3 E
Nitrate-N
mg/L 3.69 1.25 5126/99
Reported By: Stephame K. Cowling
Chemistry Supervisor
NORTHERN TESTING LABORATORIES, INC,
3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 ·FAX 456~3125
8005 SCHOON STREET ANCHORAGE, ALASKA 99518 1907) 349-1000 · FAX 349-1016
POUCH 340043 PRUDHOE BAY, ALASKA 99734 (907) 659-2145 · FAX 659-2146
DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA
Masterpiece Homes, Inc.
c/o PB, incorporated
4155 Tudor Centre Drive Ste#103
Anchorage, AK 99508
Date Received: 5/19/99 Time Received: 17:00
Date Analyzed: 5~20~99 Time Analyzed: 16:00
Date Reported: 5/24/99 Time Reported: 09:28
Next Sample Due:
Comments
Phone Number: S =
Fax Number: U =
POS =
Collected by: DAK ND =
TNTC =
Sample Type: Private water Systems CG =
Method of Analysis: Membrane Filtration (SM 9222 HSM =
8) SA =
Comments:
Satisfactory
Unsatisfactory
Positive Test Result
None Detected
Too Numerous To Count (>200 Colonies)
Confluent Growth
Heavy Sediment Masking, Results May Not Be Reliable
Sample Age >30 Hours But <48 Hours, Results May
Not Be Reliable
Sample Age >48 Hours, Too Old For Analysis
Resample Required
Old =
R =
NT = No Test
* # Coloniesll00 mi ** # Colonies/mi
Sample Sample Total* Fecal Other* HPC**
Date Time Coliform Coliform Bacteria Result Lab~ Location Comments
5/19/99 0 ND 133 NT AC11832 UNIT 3, MASTERPIECE U, CHLORINATE
Sherd L Trask Environmental Analyst
Nod:hem Testing Laboratories, Inc Anchorage, AK
5/24/99