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Home My WebLink AboutGRANITE VIEW BLK 7 LT 10 ! DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME IPHONE ~~,,~ MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS I Well Absorption area Dwelling PERMIT NO. DISTANCE TO: h Z Manufacturer _ . , ~ Material No. of compartments Liq. capacity in gallons IF HOME.DE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NQ. ~_~O z < Manufacturer Material Liquid capacity in gallons ~ ~ DISTANCE TO: J ~J ~'~. S~ Distance b~n ~ ~ Z No. of lines , Length of each lige Total length of I~nes Trench wid~ ~ lines ~ ~ Top of tile to finish grade ~ I Material beneath tile ~ I inches Total eff~octi e ab~tio~rea Length Width Depth PERMIT < ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Clas~;;..AI~ ~¢; [ ~ Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS ~ SOILTEST RATING ~ INSTALLER ~ APPROVED DATE LEGAL 72-0?3 (Rev. 3/78) PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: LOT LOCATION: MAX BEDROOMS: DEPRRTMENT 0 ..... HERLTH RND ENVIRONMENTRL F,~.~TECTION 825 L STREET, ANCHORRGE~ BE 9D50t 264-4720 Cl~-~--5 I TE 84041? 06,/i.'44,...':=:4 MICHBEL O BRRDNER ~0~? SOUTH CIRCLE ANCHORBGE, RK 9950? ~44-2455 SE~4ER F'ER~'-I ][ T =,IJE, DI ,,I=,ION. GRBNITE VIEN LOT:' 10 SECTION: 9 TOWNSHIP: i;;'N RRNGE: =.':W ~ ' '16000 (SQ. FT. OF.'. FtCRES:., 2.':0~:? SOUTH CIRCLE 5 BLOCK: LISTED BELOW BRE THE OPTIONS ~VRILRBLE TO YOU IN DESIGNING YOUR SEPTIC SYSTEM. CHOOSE THE OPTION THAT BEST FITS YOUR SITE. T~E[4CH E:E[) 14. [)E:~I[-~ DEPTH TO PIPE BOTTOM (FT.) 4.0 5.0 4.0 GRRVEL DEPTH (FT.) 5. 0 0.5 ~. 5 TOTAL DEPTH (FT,) 9.0 5.5 7.5 GRBVEL WIDTH (FT.) 2.5 18.0 5.0 GRRVEC LENGTH (FT.) 4~.0 ~6.0 46.0 GRBVEL VOLUME (CU. YDS. ) 2i. 8 .24.0 ~4.0 TRNK SIZE (GALS) ~,500.0 ** t..500.0 ** t, 500.0 ** SOIL RRTING (SQ. FT.?BR) '85 85 85 ** TRNK MUST HRVE RT LERST TWO COMPRRTMENTS CERTIFY THRT: 1. I BM FBMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPBL!TY OF RNCHORAGE (MOA) AND THE STRTE OF ALRSKR. 2. I WILL INSTRLL THE SYSTEM IN RCCORDBNCE WITH RLL MOB CODES RND REGULATIONS, BND IN COMPLIRNCE WITH THE DESIGN CRITERIR OF THIS PERMIT. ~. I WILL RDHERE TO RLL MOB BND STRTE OF RLBSKR REQUIREMENTS FOR THE SET BACK DISTRNCES FROM RNY E~ISTING NELL, WRSTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERRGE SYSTEM ON THIS OR BNY RDJRCENT OR NERRBY LOT. 4. I UNDERSTBND THAT THIS PERMIT IS VRLID FOR R MBXIMUM OF 5 BEDROOMS AND ANY ENLRRGEMENT WILL REQUIRE RN RDDITIONAL PERMIT. IF R LIFT STATION IS INSTALLED IN AN RREA COVERED BY MOB BUILDING CODES, THEN (t) RN ELECTRICRL PERMIT R~[:, INSPECTION MUST BE OBTAINE[:,.~ (2) A_. BUILT_. WILL ['!OT BE AP,F,'F~OV,E_D/~I.~IT~O~"I~ ~fX/ELE'E:TRI,C_.RL IN'"';pE'E:TION REPIZIF.'.T.; ~I['~CI THE ~LECTRICAL b~MLIST~E,E(f:'E¢/~ ?IR L~CENSED ELEOTRICIRN. RPPLICRNT: MICHAEL D BRRDNER DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME 1PHONE [] NEW MAI LING ADDRESS / LEGAL DESCRIPTION Well Absorption area Dwellin~ PERMIT NO. ~ ~ Manufacturer Mat~i~l / No, of compartments ~ ~ Liq. qapacity in gallons Inside length Width Liquid depth ~"~)~ IF HOMEMADE: ~ ~ Well Dwelling PERMIT NO. DISTANCE TQ: ~ Manu,actur, r ~- Material kiquid caOacitg in ,allons Q Well Foundation Nearest lot line PERMIT NO, ~ ~ DISTANCE TO: ~ No. of lines Length of each linez Total length of lines Trench wMth Distance between lines inches ~ Top of t[la to finish ~rado Material beneath tile Total effective absorotion ~ inches ~enoth Width De~th ~MIT ~O. ~ ~ Tgpe of crib Crib diameter . ~ Crib depth Total offectiue absorption ~ ~ell Bui~din~ foundation ~earest lot line ~ DISTA~Gfi TO: ~ Class Dopth ~-- Drillor ~istance to lot line P[~MIT ~O. m Building foun Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS SOIL TEST RATING APPROVED ~ . DATE LEGAL THE [..Ef..(:F!"I--[ f::, '!: i'"IEN~; ]: ON ]:'~i; THE I....[!:h!EiTH ,:::IN FEET::, ':'iF:' "FHE: 'TF;:EN('.:I--. THE [::,EI::'TH ................. "Il:-'.' I:::1 TI:;.':E:I'.,IC:H Ed:~'. [::'ZT :i;::~; THE [', 'f '::;"f'FI[.,! ::: E t-31ETNEEi'N THE: ".:~t:;.':I':)tlN~I'~':, F:!t'.,I[)"1"1.-!!~!: E:O"f'T[3i"I OF' "['F.IEi: E',:.:;I.'.::I::t',/FIT]:I:)f.~ (:'f.,I 'T'HE.:RE '['.~; 1'.,I0 :E;E!:T kt:[[::q"H FOR 'TRENCHE'".:E;. 'T'HE GF~:FI',/E:L~ E:,tEF'"['H ]:'.!~; THE H:[N:[HI.jH E:,!EF'TH !:::iF:' GI:;:FI',/E:L. I:,~':'.[,..!E[.,, "FHIE ql TF:F:II I ,r.::,:fpc FiND THE:: E~i"'rT'TEiH Ed:::' THE F'[;<:F':FI',,,'I:::tT:[EI!'..,I ,:: ]:f.4 :::'~:"l::: 'J: ...E.r,: [ I 1'-' 'r THFIT :J..: .T FII'"i F'F:ff"i:[L. IF:ff;i: I.,.I:[TI~t THE f;:[E~;!I...I]:F;:EI"'!E:f',F[':~; F'OF.: C$,!"-:~;ZTE ~;EI.,.!EF;::E; RH[) I.,.IE:L..L25 F!:5 :~}:ET ~. FIZI[~:'T'H 1~3'¢ THE: f'tLIN :!: C Z I:::'I::IL. :1: T 'r 0{:: t::ff',E:HO[~:FiI;~!~:. ~ ~/ 2: ]: !.,.! :[ I..L. :[ I",!:~;'TFtI...L. 'THE: '}~;'¢:E;TEH ]: f',! I::!C:E:CtR!)RF,ICE I.,.! :[ 'T'H THE E:CE:'E:~;. ~ ,l.~ X:: Z UN[::,E:F~:~FF'FIN[:, 'I"HFFF' THE ON-".:~; ]: TIE '.E;EI.,4E:R '.~;'./:~FI"[EH h'tFl'.,.' I:;:IE~N%i:i:F;'.E EN!_J:::ff;~:GEP1ENT :!:~'~ 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME L/~-'~'\/ ~,/~/¢~'~;*S'/¢T MAILING ADDRESS ~'-'~ - 't LOCATION ')' (J~AL~e:, bfq' fii:,ig~,~ LEGAL CESCRIPTION SEPTIC TANK: DISTANCE· - . FROM Wl~LL,/~'("P~ , MANUFACTURER ~"~5~'/¢',/2.5[9 INSIDE LENGTH ~ INSIDE WIDTH MATERIAL NUMBER OF COMPARTMENTS_ LIQUID DEPTH -~ LIQUID CAPACITY ]~_%~-C' GALLONS. SEEPAGE Pit: / ' , NUMBER OF PITS DIAMETER OR WIDTH j~2, LENGTH ~-~,¢' :" DEPTH ¢~ ¢ L~NING MATERIAL~ ~,~,/~2';~'g CRIB SIZE: DIAMETER ~ DEPTH ~'~¢'~'~>-' DISTANCE FROM: · TOTAL EFFECTIVE , .. BUILDING FOUNDATION ~/f NEAREST LOT LINE ~7/. ABSORPTION AREA (WALL AREA) <~;*- WELL ~'/.~'-; P'~ SQ. FT. ADDITIONAL ABSORPTION _ WELL: TYPE /~'~') ¢) ' BUILDING FOUNDATION -- cEssPOOL. APPROVED CO NSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM SEPTIC SEEPAGE TANK , SYSTEM DISTANCES: INSTALLED BY: 0///,'¢,/4,'~ PIPE MATERIAL: LOT SLOPE: REMARKS: ' Form PW-(~26 DIAGRAM OF SYSTEM DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE. ALASKA 99502 TELEPHOne 279-8686 PERMIT NO. SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT .AMEOPAPPL,CANT Ze"0,y C/iq/rS a MA,L,NGADDRESS Fe, D, INGTALLATION LOCATION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH PHONE TO BE INSTALLED BY . OTHER SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INffiPECTIONz 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYS"I'~M WITHOUT FINAL INSPECTION BY TIlE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO NEAREST LOT LINE. ~/ELL TO SEPTIC TANK WATER HAIN TO SEPTIC TANK DRAIN FIELD · SEEPAGE PiT , DRAIN FIELD / SEEPAGE Pit ALSO CONSIDER AREA WELLS. · SEEPAGE PiT / , DRAIN FIELD CAST IRON INTO AND OUT OF SEPTtC TANK AND INTO CRIB. CROSSING GAP OF EXCAVATION ~ FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEl., BACKFILl. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2S-SS AND THAT THE ABOVE , U JO ~ ROAD 3500 : .... ANCHORAGE, ALASKA 99502 ~.--,,-' ........ ~ '" Date Performed__~O/5,/7? _ Lei~ai Description: Lotj.~$/ock~__Suudivision G~a~e VZew Th~s Form Reports Soils Log D e p t i~ Fee t Soil Characteristics Brown & Gray Sandy, Silty Gravel (GM~) Gray Sandy Gravel (GW) Gray Silt - Sand Mix w/Silty Sand Seams Was Ground Water Encountered? If Yes, At Nhat Depth? No Reading Da te Gross Time Net Time ?erco ~a'~i o~ Rate ?roposed !ns~a~ tarpon: Uep~,, Of fnlet C0, i, F , S · Depth to H20 Net Drop -~rl nute Seepage Pit % Drain Field Dept~ To Bottom Of Pit OP 1.43 sq. ft. o£ ~raimaF~e area is requ±red per bedroom Carlisle O-~~fQ~-d--~y: National Testi ~ Date: John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 NEW PHONE NUMBER 276-4113 SOIL ABSORPTION SYSTEM TEST PERyORMED FOR: · / NO. OF BEDROOMS: RECORDS ON C~IB ~ D~AINFI~LD ~ ~T~ "" T~ST P~FO~ED IN ACGO~DANC~ WITH ~L STANDARD P~OODDU~ AGGEPTED BY MUNICIPALITY OF ANCHO~AG~ D~PT. O~ ~NVI~O~ENTAL qUALITY WITH THE ~LLOWING MODIFICATIONS:" L. ~'. x · TELEPHONE: SURGE CAPACITY: ~ ~./ ~ ,....~, ~x~/~,,'~ ~ '7/'~ SOIL ABSORPT'rON SYST]~4 (SAS) /~ y~/ ~ ~,~p~ ~ ~/Y~, SEPTIC TA~ PLUS SAS ~;~Y ~/'~/~/~m~c ~ ~ c~ ABSO~TION RATE . ~ ,~ ~ ~,~,lp~ ~ I ~',~. ~ STEADY STATE ~ ~' RISE AVERAGE 24 hrs OBSERVATIONS: NOTES: ~ OF ~ I I I John M. Lambe, P.E. 4303 No~i~i Star Street .Anchorage, Alaska, 99503 907-279-8056 DATE T/J//7~ PERFOp~ED BY: ~/~-~ /_~--/~.~ ~ DEPTH BELOW ~ METER READING GALLONS PUMPED -~ TIME REFERENCE c~ ( GALLONS ) ( NET ) JML 'SHE= "2L o~' I ' John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 DEPTH BELOW METER READING GALLONS PUMPED TIME RE~CE ,(, GALLONS ) ( ~ ) 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 10, Block 7, Granite View, T12N R3 W Sec 9 Location' (site'address or directions) 3037 S. Circle,' £azchorage :Property owner Mike:' Bradne~ :.i. Mailing address 3037 S.:.' Circle, Anchorage :~Lendi,g agency Natio[~al Ba~)l¢ of Alaska M~iling address Box. :196127 , Anchot~age, Ali 99579 Agent' Ma~y Jo Pipen . ,Day phone Address Box 196127, Anchorage, AK 99579 Unless otherwise requested, HAA will be held for pickup. Day phone 344-2455 Day phone 267-5770 NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well X Public water NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site ing to the legality and status of system. If community well system, provide written confirmation from State ADEC attest- Public sewer NOTE: If community Wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev. 1/91) Front MOA#21 Se 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 file§ 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 E~vironmental Management, -Inc. Address 907 E. Dowlin~ Rd. i ..Sui~ 21~/ ~ncho~a e, Engineer's signature ~":"' ~"~'~-~ ( DHHS~,. SIGNATURE ~-' Approved for Disapproved. Conditional approval for Phone 562-2580 AK 99518 Date bedrooms. bedrooms, with the following stipulations: Additional Comments ~ ~ Date By: ~ 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 pumhasers 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 p~'ofessional engineer's work. 72-025(Rev, I/91) Back MOA#21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type Private Log present (Y/N) Lot 10, Bl~ck 7, Granite ViewParcel I.D. T12N R3W Sec 9 014-302-23 If A, B, or C, attach ADEC letter. ADEC water system number N Date completed Unknown Driller Alpine Drilling & Ent. Total depth C~re~ter mh~n ] 00~t: Cased to Greater Than 40 ft, Casing height 1 ft. 6 in above G.L. Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y FROM WELL LOG Date of test Unknown Static water level Unknown Well flow Unknown Pump level1 Unknown g.p.m. AT INSPECTION 8/31/93 70 ft from top of casing 6 .g.p.m. Unknown SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line 100 ft. 120 ft. 600+ ft. ; On adjacent lots 100+ ft. ; On adjacent lots 100+ ft-~ Public sewer manhole/cleanout 600+ ft. Petroleum tank None WATER SAMPLE RESULTS: Coliform 0 o~1 i fn~m./1 Off ml. Nitrate Date of sample: 08/31/93 & 9/3/93 0.10 mg/] Collected by: O{her bacteria D. Neog'i None B, SEPTIC/HOLDING TANK DATA Date installed 10/3_0/7 , 500 9'a3- Tank size .[250 tank added 9/6/78 CleanoutS (Y/N) y · - High water alarm (Y/N)' N Dat~ of pumping 9/11/~3 SEPARATION DISTANCES FRoM SEPTIC/HOLDING TANK TO: Well(s) on lot 3-00 f~c~ On adjacent lots 100+ ft To property line 30 f~. Absorption field 18 ft. Sun'ace water/drainage 100+ ft, & 500 gal Compartments 1250 tank - 1 500 tank - 2 Foundation cleanout (Y/N) Y Depression (Y/N) N Alarm tested (Y/N) N Pumper Rotc Rooter Foundation 12 ft. 10 in. Water main/service line 600+ ft. CONTINUED ON BACK PAGE 72-026 (3/93)* Front C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed ]0/10/72 & uFx:fraded. Soil rating (GPD/F¢) 6/4/84 Length 44 f~-. Width 4 fl-, Gravel thickness Total absorption area ~Cleanout present (Y/N) Results (pass/fail) 9 ft. from G.L. N Date of adequacy test 8/31/93 Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Surface water 85 sq 'F~-,/RR S~..stem type Trench SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ] 20 f~-.. On adjacent lots '1 n~+ 'Ft 5 f~-.. Total depth ] ] fl-. Cutbank y Depression over field (Y/N) Pa.~.~ for 5 After test If yes, give date To building foundation 27.5 ft. On adjacent lots 150+ ft. Surface water 100+ ft. Curtain drain N/A E. ENGINEER'S CERTIFICATION N Bedrooms Driveway, parking/vehicle storage area Property line 12 ft. To existing or abandoned system on lot N/A Water main/service line 120 ft 38 600+ ft. Waiver Fee $ Date of Payment Receipt Number HAA Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back INVOICE SEWER AND DRAIN CLEANING SERVICE RO. BOX 112688 PHONE 345-2513 ANCHORAGE, ALASKA 99511-2688 JobAddress DA'rE II ROTO-ROOTERSERVICECALL · HRS. STEAM THAWING HRS. @ TRIPOHARGE HRS. @ OVERTIME CHARGE HRS. @ ADDITIONAL LABOR CHARGE HRS. @ z'~PUM PING SERVICE HYDRO-JETSERVICE HRS. MATERIALS @ qo PLEASE PAY FROM THIS INVOICE TOTAL d'~~'~ TOTAL FOOTAGE CLEANED OR THAWED BLADES U~ED __ LINE CLEANED [] JOB NOTGUARANTEED FOR FOLLOWING REASON. WORK ACCEPTED BY COMMERCIAl-TESTING & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES Chemlab Ref.~ :93.4503-1 Client Sample ID :3037 S. CIRCLE Matrix Client Name :ENVIRONME~AL MGMT INC (EMI) Ordered By :D. NEOGI Project Name : Project~ : PWSID :UA REPORT of ANALYSIS 5633 B STREET ANCHORAGE. AK 99518 TEL: (907) 562-2343 FAX: (907) 561-5301 WORK Order :70359 Report Completed :09/03/93 Collected :08/31/93 @ 16:00 Received :08/31/93 @ 17:15 Technical Director:S~ C. EDE Released By :~~ Sample Remarks: ROUTINE SAMPLE COTLE~ BY: D. NEOGI. hrs. hrs. QC Parameter Results Qual Units Method Allowable Ext. Anal Limits Date Date Init Nitrate-N 0.10 U mg/% EPA 353.2/300.0 10 09/01 LLH ............................................- ..... UA = Unavailable * See Special Instructions Above NA = Not Analyzed ** See Sample Remarks Above U = Undetected, Reported value is the practical quantification limit. LT = Less Than D = Secondary dilution. GT = Greater Than ~ SGS Member O' the SGS Group (Soci~t~ G~n6rale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA. COLORADO. UTAH, ILLINOIS, OHIO. MARYLAND, WEST VIRGINIA. NEW JERSEY. SOUTH CAROLINA Memo for record: Per conversation with David Hcpacrand on site investigation we deterr~ined that the well is cased to below 40' and that the well is greater than 100t deep.