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HomeMy WebLinkAboutMANN BLK 2 LT 5BMann
Lot 5B
Block 2
#020-041-28
Municipality of Anchorage Page
Department of Health and Human Services
Two
DivisioR of Environmental Services
On-Site Services Section 825 "L" Street Room 502 ~'~ch~,
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak.us (907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: 5V~O00 141 PID Number 0~0~0~/
N~e: Wastewater System: ~ New ~Upgrade
Address:
i~ {OO E~/ZA~ETI4 5~, A~ ABSORPTION FIELD
Phone: Number of Bedrooms: ~ Deep Trench ~ Shalrow Trench ~Bed ~ Mound ~ Other
LEGAL DESCRIPTION so. Rating: O, 5 GPD/F¢ ~O~HT°tal Depth ~ ~3~fr°m origi.al,~grade: Ft.
BIo~k ~ Lot: Subdivision: Depth to pipe boEom from original grade: Gravel depth beneath p~pe:
Township; Range; Section: Fill added above original grade: Gravel Length:
Upgr~~ Gravel Width: ~ Fl. Number of Lines:~ Distance~ 5 ~be~een lines:Ft.
Well:
New
Total Depth: Cased to:
Classification (Private, A, B, C): Fetal De,b: ~ fetal absorption area: Pipe Material:
'~M;~P ~t at:: Ft. ] Casing Height Above Ground:Ft. TANK '
SEPARATION DISTANCES ~s~¢c ~ Holding ~S.T.E.P, ~Other:
~ TO: Septic ~ Abso~tio~ Lilt Holding Public/Private i Manufacturer: ~ Capacity:
Material: 3te~lJ Number of Compa.ments
Sudace Ware, ~ ~¢~. k / LI~ STATION
Lot Line ~0 ~0~ ~ Oah
"Pump On" level at: ~t: ~ High water alarm at:
Foundation ~' )~ / ~ A in~ ,n.
Cu.ain Drain ~ '~ "~ ~ / ~ ~ filoctdcal Inspec,ions pedormed h,:
1 Location and Description
J ' ' Engineer's Stamp
Inspections performed by: .5,H~/~ Dates:Dates: lstlSt ~/Z) ~/~ ~/~r:'
"e"a--nt°'"ea""a''"umanSer--s'r°va'
Reviewed and approved by: O~/~2. ~ate: ~-2/-0~ "~:~;~~¢~
72-013 (Rev. 01100)*
IO-FT UTILITY
EASEMENT, TYP
1"=50'
CONSTRUCTION ASBUILT
LOT 5A, BLOCK 2
MANN SUBDIVISION
EXIST.
CONNECTED NEW LINE TO
EXIST LINE INSTALLED
CLEANOUT AT CONNECTION.
LOT 5B~ BLK 2
MANN SUB.
EXIST TRENCH
ABANDONED IN
PLACE GROUND
SURFACE DISINFECTED
WITH BLEACH
-- ORIENTATION OF TRENCH ADJUSTED
TO TAKE ADVANTAGE OF ADDITIONAL
NATURAL GROUND COVER AND TO
REDUCE EXCAVATION IMPACT ON
FOUNDATION OF EXIST. SHED TH-2
FILLED COMPLETELY AND TAMPED
SILTY SOIL ALLOWED GOOD SEAL AGAINST
SHORT CIRCUITING OF EFFLUENT TO GRND
WATER
LOT 4, BLOCK 2
MANN SUBDIVISION
SKLH CONSULTANTS
MANN SUBDIVISION LOT 5B, BLOCK 2
SEPTIC SYSTEM UPGRADE -- PLAN VIEW
JUNE 2000 PREPARED FOR: DARRELL ARNOLD (907) 345-1593 PAGE 1 / 2
CONSTRUCTION
60 FT
ASBUILT
4-IN. SOLID HEADER
(~ ............... -t --,~ ....................... -PJ?-~ ...... -~ .....
1'- 10.5 ~,
~ SINGLE 4-1NCH MT.'~
3' - 9", TYPICAL (~ ......
o- ............... J- ....................................
MIN. 56.25 FT OF 4-IN. PERF. PIPE.
PIPE LAID LEVEL W/PERF.'S DOWN., TYP. OF 4
4_-INC
CLEt
TOW
SEE
NOTE1
NOUT
~RDS TANK
MT. PERFSIN GRAVEL
GRND ELEV.
99.0 FT
FILTER FABRIC
OVER G
BED PLAN
32FT
ELEV. g5.8FT
17INCHES
/
7604
NOTES:
1. TWO ADDITIONAL CLEANOUTS INSTALLED
BY CONTRACTOR. ONE SWEEP TOWARDS
TANK, OTHER TOWARDS FIELD.
2. NO INSULATION INSTALLED. DEPTH OF NA-
TURAL SOIL COVER MINIMUM OF 3 FEET.
MOUNDED FOR SETIELEMENT. FILTER
FABRIC INSTALLED OVER GRAVEL.
ELEV. 4.gFT I~
94.4 FT INLET
<'>f 8~._5 FT
ELEV 1034
OUTLET
ELEV. gS.SF]
ELEV. TANK
INVERT 924 FT
· ED DETAIL
TANK ELEVATION
DRND
ELEV. 1022
SKLH CONSUL TANTS
MANN SUBDIVISION LOT 5B, BLOCK 2
SEPTIC SYSTEM UPGRADE --ABSORPTION BED DETAILS
JUNE 2000 PREPARED FOR: DARRELL ARNOLD (907) 345-1593 PAGE 2 / 2
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Roam 502
P.O. Box 'i96650, Anchorage, AK 995'i9-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 01, 2000
Expiration Date: Jun 01,2001
Permit Number: SW000141
Legal Description: MANN BLK 2 LT 5B
Design Engineer: 0002 SKLH Consultants
Owner Name: Darrell Arnold
OwnerAddrass: 16100 Elizabeth St.
Anchorage, AK 99516-5046
Parcel ID: 020-041-28
Site Address: 016100 ELIZABETH ST
Lot Size: 44943 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
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 Chaptem 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 dudng freezing weather
must be eithei': A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions. THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN COARSE SAND WITH 4% OR LESS PASSING
THE #100 SIEVE AND 2% OR LESS PASSING THE #200 SIEVE. A SIEVE ANALYSIS MUST BE PROVIDED ON
THE SAND USED OR OBTAINED FROM AN APPROVED SOURCE.
Date:
Date:
SKLH Consultants
~400 Rabbit Creek Road
Anchorage, AK
99516
FAX: 987-348-7456
e-mail: shenslee@juno.com
Tuesday, May 30, 2000
Municipality of Anchorage
Dept. of Health and Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref.: Sewer System Upgrade
Mann Subdivision, Lot 5B, Block 2
Gentlemen:
The three bedroom house of the referenced property is served by a private well
and septic system. The septic system is an undocumented failed system. The purpose of
this submittal is to obtain an approval to abandon the existing system and construct a
new system in its place. Details of the proposed design are provided below.
SUBSURFACE CONDITIONS: Attached are soil logs for two test pits excavated
on the property for the purpose of characterizing the subsurface conditions.
Percolation test results are shown on the logs. Ground water was encountered
in both excavations. The water level was measured after being allowed to
stabilize after seven days from the date of the excavation. This final elevation
is also shown on the soil logs.
2. DESIGN SUMMARY:
a. System type: Absorption bed
b. Percolation rate: 5 to 11 minutes per inch.
c. Application rate: 0.5 gpd/sf
d. Design flow: 3 bdrms x 150 gpd/bdrm = 450 gpd
e. Min. absorption area: 450 gpd/0.5 gpd/sf~- 900 sf
f. Width: 15 ft /
g. Length: 60 ft
h. Possible sand filter depth: 12 inches.
3. SURFACE WATER: There are no surface waters within 200 feet of the
proposed septic system.
2004_O01.1Wp
SKLH Consultants / MOA On-Site Services
SAS Upgrade. Mann Subdivision, 5B/2
May 19, 2000
Page 2 of 2
TOPOGRAPHY: The lot is generally comprised of two benches. The single
family house is located on the first and higher bench and the second bench,
approximately 20 lower is where the proposed replacement septic system will
be installed. This area has a shallow slope of less than five percent. A grade
break (<25 % slope) is located just beyond the new drain field. The grade brake
is shown on the attached design drawings.
To the best of my knowledge, the proposed installation does not adversely impact
the development of adjacent lots. If you should have questions, please do not hesitate tO
contact me.
Sincerely
2004_001.1wp
I',I MANN S/D
'~"='~oo' il', " .~. ~.',..t.",r.~.', /~
i' ', CEC 7604
, , ~ ~. .,
I '" ~-" .......
,, , .~C~oF~ss~
L2, B2 ', "
MANN 8/D i:i '~'~'~'~ '
' I LSA, B 2 /' R 100 FI
i , I EXIST, SEPTIC , ,~ / ,/ '~, / -- "'-,
I I SYS, ~ / %' ,
I', ~ / ,,",, R10[ F,¥ I"" R100FT
,,, X,--~ ,, / ,, , ,,
,, ,
MANN S/D [A~_~', ', ', ~ PROPOSED : ~ ',
~'~_---', ~', SEPTIC SYSTEM ~ I
... ,,,/ .. ....... ..- /-..., ~ ,,
, ,,,~ , , t, I
, , , R 100 FT r
'[' ' ' i I
,,,,,
SKLH CONSULTANTS
MANN SUBDIVISION LOT 5B, BLOCK 2
SEPTIC SYSTEM UPGRADE -- SITE PLAN
MAY 2000 PREPARED FOR: DARRELL ARNOLD (907) 345-1593 PAGE 1/3
10-FT UTILITY
EASEMENT, TYP
1"= 50'
LEGEND
DRAINAGE ARROW
LOT 5A, BLOCK 2 . .-"
MANN SUBDIVISION .."
EXIST. SEPTIC TANK
AND DPt, INFIELD TO
BE COMPLETELY
NEW 4-IN LINE
APPROX.
LOT SB, BLK 2
MANN SUB.
RIOOB
EXIST.
'I~STALL SWEEP CLEAN-
OUTS EVERY 40 FT, SWEEP
T~WAROS TAN~-, ONE
NEW 1COO-GAL ' '.
SEPTIC TANK '.
5-ft INLET PIPE. ' '
4-IN. CLEANOUT
ENO OF EACH LINE
LOT 4, BLOCK 2
MANN SUBDIVISION
SKLH CONSUL TANTS
MANN SUBDIVISION LOT 5B, BLOCK 2
SEPTIC SYSTEM UPGRADE -- PLAN VIEW
MAY 2000 PREPARED FOR: DARRELL ARNOLD (907) 345-1593 PAGE 2 / 3
- 60 FT -
4-IN. SOLID HEADER
/~ SINGLE 4-INCH MT.
3' - 9", TYPICAL
~ 4-INCH SWEEP
56.25 FT OF 4-IN. PERF. PIPE. CLE/NOUT
i PIPE LAID LEVEL W/PERF.'S DOWN., TYP. OF 4 TOW NRDS TANK
SEE NOTE 3~ NOTES:
SEENOTE1-- ~ '~ 1. NATIVE SOIL BACKFILL MIN. 24 INCHES
OVER 2qNCH INSULATION. NO INSULA-
TION REQUIRED IF BACKFILL 3 FT OR
~-- THICKER. FILTER FABRIC REQUIRED IF
iNSULATION NOT INSTALLED. MOUND
2-INCHES BACKFILL FOR DRAINAGE & SETTLEMENT.
APPROVED 2. FOUR-INCH PERFERATED PIPE WiTH 2
INSULATION INCHES GRAVEL COVER AND 9
--~"- INCHES BELOW THE PIPE. TOTAL
ooK~o°~ .... . .oo o 15 INCHES GRAVEL THICKNESS OF 15 INCHES.
°~ ' ~ -- ~f- MOA APPROVED SEPTIC ROCK ONLY.
CENTERED IN BED. PERFORATED IN
~ E 2 GRAVEL SECTION, SOLID ABOVE GRAVEL.
4. SEE ATTACHEMENT FOR SOIL LOGS
~ ELEV. 4.25FT AND PERCOLATION TEST RESULTS.
3~'~ 93.78' SEE PAGE 2 OF 3 FOR LOCATION OF
,. /% >6FT TEST HOLES.
5. ALL WATER ELEVATIONS SHOWN
! ARE AS OF 5/13/00.
~ © ! 89.48' 6. BOTTOM OF BED TO BE CONSTRUCTED
~- WITHIN 2 INCHES OF LEVEL OVER ENTIRE
SURFACE.
r
NO IMPERMEABLE LAYERS FOUND
WITHIN 6 FEET OF THE BOTTOM OF
THE PROPOSED SEEPAGE BED
SKLH CONSULTANTS
MANN SUBDIVISION LOT 5B, BLOCK 2
SEPTIC SYSTEM UPGRADE --ABSORPTION BED DETAILS
MAY 2000 PREPARED FOR: DARRELL ARNOLD (907) 345-1593 PAGE 3 / 3
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERPORMED POR: D,/~R/4OLD
OATEPERFORMED:
0 F. GA k~C~/~OOT
1
2
3
4
7
.5.&MDy .SILT FO
OF 150LILOF:_.~-~ '4-
9
87, Z"
10-
11
13- T"OI° OF
.
15-
~7-
18-
20 --
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
I-
N
S
IF YES, AT WHAT ! OL
DEPTH? .....~ p
E
Depth le Water ADer "
Menitoring? '7',, / Oale:
Gross Net Dept h.~o' op~ Net
Reading Date
Time Time Water Drop
I ._rtl 20: 17 0~/~/ /, z~' ¥
Z ,,,~/ 20 '. 47 I als '¢ '7~"
.3 ~'Y/ ZI : /7 -.~ I Vz 4 '/z"
4 Y 21~47 / lYz 4Vz"
PERCOLATION RATE ~, ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN '~' FT AND '-~ FT
I /~',~¢/¢~/ , CERTIFY THAT THIS TEST WAS PERFORMED IN
PERFORMED
BY:
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT/ ON THIS DATE. DATE: .~/~/~ O
72-008 {Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PER~ORMEO ~OR: D. ARHOLD
10-
11
13-
14-
15-
16-
17
18
19
2O
COMMENTS
DATE PERFORMED:
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
< ©
S
OEPTH? /0 P
Oeplh l0 Water A~er o,,
Monitorino? ~ ,ate: ~/~
Reading Date Gross Net Depth ..t~'~:Net
Time Time Water Drop
, . i~,°/ z/:~ ,~..;../ z~+" .~,/+,,
2 ~F~ 2/: ~ 4 ~" / ~/~."
J ZZ;o~ ~ J ~/4 . 2~/4.~,
PERCOLATION RATE /~)~7 (minutes/inch) PERC HOLE DIAMETER
TEST RUN ~ETW.EN ,5 ;"~ ~T AND g '/~ FT
PERFORMED BY: ~-~'J~_~P,,V'd~_./~/f'PJT'J'~/'L'~'~' I z' , CERTIFY THAT THIS TE:ST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EF~FECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
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
www. ci.ancho rage.ak, us
(907) 343-4744
Parcel I.D. (C3.,.~) -- (~.'.'.~/ /
1. GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Expiration Date:
Location (site address or directions)
Current Properly owner(s)
Mailing address ~ ~V~
Lending agency .~ ~¢
Day phone
Mailing address
Real Estate Agent ..-/¢¢r ¢ ~_ <¢¢~ //~ '- O~: ~,¢,/¢/'/~ /"¢'¢/~, Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
[] Individual Holding Tank
[] Community On-site
[] Public Sewer
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of
Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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) on properties served by a single family on-site
wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners.
Certificates of Health Authority 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 sample results less than 30 days old. Certificates
are valid for one year for propedies 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.
72-025 fRev 01/001'
5. STATEMENT OF INSPECTION BY ENGINEER
4
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 the Health Authority Approval
application show 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm ,~/-¢~,,/-/
Engineer's Printed Name
DHHS SIGNATURE
Approved for __
Disapproved.
bedrooms.
Date
~ / ENGINEER'S
¢¢.%
bedrooms, with the following stipulations.
Conditional approval for
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Expiration Date:
Original Certificate Date:
Reissue Date:
72 025 iRev 01,00 '
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
www.ci.anchorage.ak.us
(907) 343-4744
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: //~_,7" ,J~'~ /~/_J~'2 /4~/tJ'/LJ ~'/-/J~/~'~,
Parcel I.D.:
A. WELL DATA
Well type
Date completed
Total depth /4~,E' ft Cased to
FROM WELL LOG
Date of test
Static water level /~/~j' fCCord¢~ ft
Well production
WATER SAMPLE RESULTS:
Coliform O colonies/100 mi
Date of sample:
lB. SEPTIC/HOLDING TANK DATA
Tank Type/Material ~ ~'.~_~ /
If A, B, or C provide PWSID fi, __
Sanitary seal
,~/ ft
Bedrock
g.p.m
Well Log
Wires properly protected
Casing height (above ground) /~-
AT INSPECTION
ZZ
2,,5" g.p.m
Other bacteria
Nitrate /,~ mg/I
Collected by: ,~,/L/¢/2,.5'/C C_,
Date installed ~ - ~/--O~:~: - Tank size /~ gal Number of Compartments
Cleanouts ,2 Foundation Cleanout ~ Depression over tank
Date of pumpi,ni~.'_'.E(,U: ~:~)?,~. Pumper
C. ABsoRPTiON FIE~Lp~D.~A -' /V/EMJ ~'(.,J.5-/L~fY)
Date installed' ~ '~ c~ ~C~O Soil rating O/ft2 or ft2/bdrm) ~,~<' System type
Length ~ i~ ft Width ,/C'~ ft Gravel below pipe /~. ~ ft
Total depth .,~ ff GEffect,ve abs0rpt,on area,~ fF Monitoring tube
Date of adequacy test ./V.(/~J. Results (Pass/Fail) /tJ/~
colonies/100 mi
Z
High water alarm
Fluid depth in absorption field before test (~) in Water added__
Elapsed Time: /(/~ rain Final fluid depth /(//~ in
Any rejuvenation treatment (past 12 mo.) (Y/N & type). /(~/
· Depression over field
For' ~ bedrooms
0 gal. New depth. (~ in.
Absorption rate >= /[/~ g.p.d.
If yes, give date --
72-026 (Rev. 01/00)*
LIFT STATION
Date installed
Size in gallons __
Manhole/Access
"Pump on" level at
in "Pump off" level at __
~n High water alarm level at · in
Datum Cycles tested.
Meets alarm & circuit requirements
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on let
Absorption field on lot / 7',~, '
Public sewer main
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer rnanhole/cleanout
Holding tank .//,4
SEPARATION DISTANCES FROM SEPTiC/HOLDING TANK ON LOTTO:
Building foundation
Water main _
Drainage j.) I/~ ~'
Property line 4¢~ ' Absorption field
Water service line ~/~.,..4- Surface water
Wells on adjacent lots ~F~F~_~/
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line ,/('/"
Water Service line
Curtain drain
Building foundation /2-.5- ' Water main /¢-~2"
Surface water/~l/d'/' /0~I/_ Driveway, parking/vehicle storage
Wells on adjacent lots O//d/"/04 /
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 ,~-/L~V(~/~
Date
HAAFee $ ~Z~(~).~(.~
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 01/00)*
D~te Drilledl
Static Water Level
fee t
Gallons Per Minute
Draw Down ~/'~ feet
Total Feet of ~&sing
Type Material Drilleds
0 ~eet
to
to
to
to
to
to
Hefty Drilling
S.R.A. Box 1553 H
Anchorage,Alaska
99507
Certified' Well
/ /'%= , '~
Depth of well .................. ' .~.....~.... ......................
Size of casing...~: ....... ~.. ..............................................................................................
Distance to water.....~....,~,.. .............................................................................. = .........
Distance to water while pumping .............................................................. at rate .,i
of ........ .~...,~.... ...................... gnllom per hOur
Description of Formation - from to
·" ! ceftin/the aI~)~'~e a~
~Jnller .......................
SWafford Drilling.
3401 5penard Road
sP~nard, Alaska
We advise you to attach this certificate to your deed.
~t~mm~ CT&E Environmental Services Inc,
CT&E Ref.# 1002978001
Client Name Darrell Arnold
Project Name/# Lot 5B, Blk 2
Client Sample ID Lot 5B, Blk 2
Matrix Drinking Water
Ordered By
PWSID 0
Sample Remarks:
Client PO~
Printed Date/Time
Collected Datefl'ime
Received Date/Time
Technical Director
06/19/2000 8:32
06/14/2000 20:33
06/15/2000 10:40
Stephen C. Ede
Released B~
Unitm
ALLowabLe Prep AnaLysis
Method Limits Date Date
Init
WATERS DEPT
Nitrate-M
1.69
0.500
EPA 300.0 lO max
06/15/00
SCL
MICRO LAB
TotaL CoL(form
cok/1OOmL SM18 9222B
06/15/00
KAP