HomeMy WebLinkAboutGREAT LAND ESTATES #3 BLK 5 LT 5#3
Lot §
Block
#051-133-06
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~'~ '/I~- C['-e*~'
?
LOCATION
MAILING ADDRESS
LEGAL DESCRIPTION LoT ~- ~)lOr-IC ~
PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
MANUFACTURER ~-J[l~l~, I_l"OU MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE LENGTH_
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY /0¢~ GALLONS.
SEEPAGE Pit:
NUMBER OF PITS ~ DIAMETER /.~1
LINING MATERIAL ~"~4¢~.~P~. CRIB SIZE:
BUILDING FOUNDATION
OR WIDTH I'Z' LENGTH J~'J, DEPTH 12'
DIAMETER DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ':~ ~ li~
BUILDING
FOUNDATION __
CONSTRUCTION (~7~ tJ OA ~ D
NEAREST NEAREST
LOT LINE SEWER LINE
DEPTH
SEPTIC
TANK
DISTANCE FROM:
SEEPAGE
SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
DIAGRAM OF SYSTEM
LOT SLOPE:
Form No.
!
P £
APPROVE~/~L.~ ~
I.// G.A.A.B.
GREATER ANCHORAGE ArEa BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C' STREET ANCHORAGE, ALASKA 99503
TELEPHONE 27/[-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAME OF APPLICANT '"? /
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK
SIZE OF FACILITY TO BE SERVED
TYPe
AND
F~NANCED THROUGH
MAILING ADDRESS
SEEPAGE PIT ~-~ , DRAIN FIELD .
PHONE
., OTHER
SOIL TEST RESULTS
NOTE: THIS PERMIT lb NOT VALID WITHOUT BOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCEB, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT -~ ~/~ DRAIN FIELD
SEPT,C TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~
TO NEAREST LOT LINE.
WELL TO SEPT,C TAHK /~J
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FielD
, SEEPAGE PIT ~ . DRAIN FIELD
.SEEPAGE PIT /~
ALSO CONSIDER AREA WELLS.
. SEEPAGE PiT.
SEPT,° TANK..//)Z)' ; SEEPAGE p,T/, DRA, N P, ELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER ~AST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
SEEPAGE AREA SIZE TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THaT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE APPLICANTS SIGNATURE
~ ' [] SO~LS LOG
~.-,= ~ MUNICIPALITY-=~J~ ANCHORAGE ~ ..
MUNICIPALITY OF ANCHORA(~t~PT. OF HEALTH &
DEPARTMENT OF HEALTH AND ENVIRONML:~I~/~i~IFoNIt[J?C~8~cTION~
PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720~
,JUN 2 g 1981
SOILS LOG- PERCOLATION TEST
3
s /60
7
/
10
11
12
13
14
15
16
17
18
19
20-
COMMENTS
WAS GROUND WATER j~0 SL
ENCOUNTERED? O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date
Time Time Water Drop
/
PERCOLATION RATE / ~ (minutes/inch)
TEST RUN BETWEEN FT AND __ FT
PERFORMED BY:
72-00g (6/79)
cERTIFIED B~~
MUNICIPALITY (SF ANCHORAGE
by
RECEIVED A & L D [LLING COMPANY
BOX g~, EAGLE RIVER, ALASKAB9577 · TELEPHONE~4-2588
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION-
DATE- Started ]/
PEI~MIT NUMBER ~
(~[:~i,:...4 1 &;4,. .... DRAW DOWN FT.
Ended z'i//:9-<}/'F,~ GALS. PER HR
KIND OF CASING
STATIC LEVEL OF WATER FT.
KIND OF FORMATION:
Frmn ~') Ft. to ':-'~ Ft /)~ ,~.'--,~ z~/<)/::'d:,~;"; From Ft. to- Ft
From :X Ft. to~ O Ft._ ~3r''~''4~ t~, (Sq,-',~z From Ft. to_~Ft.
'- ~A' ' ~-'~ Z<57,,eS: =,./.)<:~, From Ft. to_ Ft.
From~O _Ft. to .f, W rt.?
From-~]O Ft. to_') t ,Y Ft. i
From _Ft. to Ft.;'*'/ (5:)t''r'~'~ Z~c,i','dX '"'From
From_<O -5'~Ft. to .~77) d G Ft.
From_- Ft. to.~Ft. From
From _Ft. to Ft._ From~
From ~_Ft. to_~Ft. From_
Froln~Ft. to ~Ft. From
From ~Ft. to_ Ft. From_~_
From_ Ft. to ~_Ft From_~
Ft. to_ _Ft=
Ft. to__Ft
Ft. to__ Ft.
Ft. to Ft.
Ft. to_ Ft.
Ft. to_ Ft._
Ft, to__Ft
Ft. to Ft
Ft. to__Ft.
Ft. to__Ft.
__.Ft. to__Ft._
Ft. to_ Ft.
Ft. to_ Ft.
Ft. to__.Ft.
MISCL. INFORMATION:
I I(-) '5 Il ~.~ .~- .. ,.
/¢ '7
DRILLER'S NAME
PERMIT NO.
[:,EPRRTMENT . HERL.'TH RND EN'¢IRONMENTRL~ OTEC'I"ION
'-"= ' '~ -,- r (..I[:,C~R 9 z? d ~_:'l ?'
,.¢.. ... i. ;=, E. F.:[:,.., FINCHORRF'iE., Fff::.:.
276-221.-::±
I~,~ E=.F. IL.. L_ F" E F-: tt"'"~ % ]'-
( 76;7:."1.':7 )
RPPL I CRNT .'.~E !;.'HERF.:"r'
LOCR'I" I ON - HRRDROCI< DR I VE
LEGRL L5 B5 GRER'T LRND ESTRTES
BO:,..',' :.1. 05
CHUG IRK
LO]" SIZE
688-2388
8080~ S~URRE FEET
MINIMI_IM DIS'TRNCE BETWEEN R ~4E[..L AND RNY ON-SITE SE~,.IRGE DISF'OSRL. S'.r'S"FEM IS
· 'IEIE-~ FEET FOR R F'RI',,,'RTE 14ELL OR 20E'~ FEET FOR R PLIBLIC WELL
WELL LOGS RRE RE6!UIRED RND MUST BE RETURNED TO THE DEPRR]"MENT 14ITHIN ]i:E~ DR'-r'S
OF THE WELL COMPLET]:GN.
SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE R',.,'RIL. RBLE TO INSURE PROPER
I NSTRL. LRT 10[4.
F' E F..: ~',,'l Z 'T' '%-" R L_ ][. [:,, F= ,]ii tr-~: ii], l"-.1E.: "'-r" E ~-'-4 F=: F' F4:,3 P,-~ T S .?.;, LJ
I CERTIFY 'T'HRT
· 1.: I RM FRMILIRR WITFI THE REQUIREMENTS FOR ON-SITE SENERS RND WELLS RS SET
FORTH B'"r' THE I"'IL.INICIPRLIT'¢ OF RNCHORRGE.
2: I WILL INSTRLL THE S"r'STE:M IN RCC:OR[:'RNCE 1.4ITH THE CODES.
S I GNE[:': ............................ . .
HF F'L I L~e~NT K~CLE CHERR"r'
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. cLanchorage.ak.us
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-133-06
GENERAL INFORM'ATION
Complete legal description Lot 5,
Location (site address or directions)
Expiration Date:
Block 5, Greatland Estates #3
19657 Creek Way Road
Current Property owner(s) Rh°nda & Joe ,"lanson Day phone
Mailing address 19567 Creek Way Road, Chugiak, AK 99567
688-2909
Lending agency
Mailing address
Day phone
Real Estate Agent Remax/Sharon Minsch
Day phone 694-4200
Mailing Address 16600 Centerfield Dr., Ste 201, Eagle River, AK 99577
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:~_~/Z ~
NUMBER OF BEDROOMS: 3 ~1/,~ 3'/~o
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Well
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site
[] Individual Holding Tank
[] Community On-site
Public Water System
[] 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 properties 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 (Rev. Oh00F
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 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.
S & S ENGINEERING
Name of Firm 17034 Eagle River Loop Road No. 204 Phone
Address Eagle River, Alaska 99577
Engineer's Printed Name Robert: C. Cowan
Date c'l / ~-
bedrooms, with the following stipulations.
DHHS SIGNATURE
Y Approved for '~ bedrooms.
Disapproved.
Conditional approval for
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Expiration Date: / 52. - / 'Z ~ o O
Original Certificate Date: _ c~_ / ~ ~ O o
Reissue Date:
72.025 fRev 01,00F
..... Municipality of Anchorage SEP 0
. L~bI-'AHTMENT OF HEALTH & HUMAN SERVICE,S. ..~t~
Environmental Services D v s on ~!.~,IICIPAI.ITY OF
825 · ·
L Street, Room 502 Anchorage, Alaska 99501 (F:~_~
Health Authority Approval Checklist
Legal Description: Z~.~'~.,4-' ~__~,~/¢~ ~¢-.'~ 3 Parcel I.D.:
A. WELL DATA
Well type
Log present ¢~YN)
Total depth
Sanitary seal ~J)'
Date completed
Cased to I~?~/O
FROM WELL LOG
If A, B, or C, attach ADEC letter. ADEC water system number
Casing height (above ground)
y Wires properly protected~/N) y
AT INSPECTION
Date of test ~*-~-- ~ ' 7/~ ~ ,'~ ~ ~3 ~
Static water level ) I~ ~ /1~'
Well production Z~,O g.p.m.
=2. ¢ g.p.m.
WATER SAMPLE RESULTS:
Coliform
Date of sample:
Nitrate
/. ~ G Other bacteria
Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed '~ 7 ~/ Tank size
Foundaton ceanout~/N) y
Date,of~Pumping ~,,
C. ABSoRpTION FIELD DATA::":
Date i,nst~lled ?"7/5/
Length /,,~ '
· ~ Width
Effective abSorption area
Date of adequacy test c/
/OOo Number of Compartments _/ Cleanouts~/N)_/~__
Depression (Y~l) ~) High water alarm (Y/N)
Pumper
Soil rating (g.p.d./fF ~
/,,~ Gravel thickness below pipe
Monitoring Tube present~'N) ~'
Result,~C~/Fail)
~' System type
~' ~ Total depth
Depression over field
For ~ bedrooms
Fluid depth in absorption field before test (in.); ,..25" Immediately after.,~',~ ~ gal. water added (in.):
Fluid depth -,25"~ (ins) Minutes later: ,~ ~"J, Absorption rate
= _g.p.d.
Peroxide treatment (past 12 months) (Ye /Jo,.)E, /,<,J~¢ ~4),J If yes, give d at e
72-026 (Rev. 3/96)*
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Size in gallons
"Pump on" level at* _ P~_¢~~
E. SEPARATION DISTANCES
Absorption field on lot
Public sewer main
Sewer/septic service line
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot /'~,~%- !
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LC)T TO:
Foundation ~¢ / Property line ,.¢.'.5- ~ ¢- Absorption field ~
Water main/service line /0, ~4-- Surface water/drainage /~'¢__/~ Wells on adjacent lots /~,~
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line /~, I ¢'- Building foundation _2"/' i Water main/service kine /~ /4--
Surface water /'~ I ¢' Driveway, parking/vehicle storage area /¢ t~v.---
Curtain drain ___ ¢'~2,.~ Wells on adjacent lots
F. ENGINEER'S CERTIFICATION
I certify that lhave determined thru field inspections and review of Municipal records.~.~..~C.,~bo~'.~_.~, are
in conformance with MOA HAA guidelines in effect on this date. '~ ,~2
Signature ~/~ /~ ~,
S ..... ' CJ ~,~ ROBERT C. COWAN
HAA Fee $.
Date of Payment
Receipt Number
Waiver Fee $
Date cf Payment
Receipt Number
72-026 (Rev. 3/96)*
90? 694 1211 P.03/03
Sample
POL U~
Client PO~
Prlnte~l DatefTime 0~/01/2000 1~:07
Colle~tefl Date~Tlme 08/29/2000 1~:00
]~'elved D~te/Tin'~ 08130/2000 8:40
Te~nl~l Birder Stephen C, Ede
Rele~ed By ~~
Ni~atc-N l.a6 0.500 mg/L EPA 300.0
Da~ Datc
o~/~0~0o SCL
Total C~lif~m
I OB, No Coli
col/100mL 5MI 8 9222B
08/30/00 YAP
,.. , ,-,,,,,,. ............ TOTAL P,03
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services _,
On-Site Services Section Or
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # O~'t -I] 3~(2(~'
1..,-GENERAL INFORMATION
Complete legal description
NOV ] 9 1997
HAA#
Lot 5; Block 5; Greatland Estates ¢3
Locat!on (site address or directions)
,.:" Property owner
"Mailing 'address
Kyte Cherry_
P.o. Box 670105
]965~ Creek Way Rd.
Chugiak, AK
Day phone
Chugiak, AK 99567
688-3341
k Le..nding agency
'Mai!i'ng address
Day phone
Agbnt '
Day phone
Address
Unless ~therwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: .3
TYPE OF WATER SUPPLY:
Individual well ×x×
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
XXX
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
STATEMENT OF INSPECTION BY ENGINEER ~
As certified by my sea] 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.
$ & $ ENGINEERING
Name of Firm !7_n~4 Eagle Pl,,,~r I nnp ~,.~r! ~n. ~r~ Phone ~'~ Y - ;~ r4 7 ~
Address
Engineer's signature
Eagle River, Alaska 99577
Date J///,,i/O ?
DHHS SIGNATURE
¢/'/ Approved for /1~-' bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
By: '~,//~¢;~/,-c4..-ud.~~,. C. /'~.4¢¢~ Date (~' Z' ¢ 7
'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 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 engineeCs work.
72-025 (Rev. 1/91) Back MOA #21
Legal Description:
A. WELL DATA
Well type CP''
Log present ~N)
Total depth
Sanitary seal ((~/N)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVlCES~V/~o~mA
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907)
Health Authority Approval Checklist
If A, B, or C, attach ADEC letter. ADEC water system number "-"
.Date completed ~ / ''~ ¢//7 G
¢
Cased to I,~ ~' Casing height (above ground) '~ '
Wires properly protected ~,N)
FROM WELL LOG
Date of test
Static water level
Well production ~ g.p.m.
AT INSPECTION
g.p.m.
WATER SAMPLE RESULTS:
Coliform Nitrate
Date of sample: il /¢ o /
'7
B, SEPTIC/HOLDING TANK DATA
Date installed q~/~l / ~¥ Tanksize /0 oo
Foundation cleanout (~/N) ¥'~ ~ Depression (Y/,.~}
Date of Pumping Io [ 3-"~/'~ ? Pumper 3'- /~
Collected by:
Other bacteria O
$ & S ENGINEERING
17034 Ea~jle River Loo~ Road No. 204
Eagle River, Alaska 9~577
Number of Compartments / Cleanouts~..~/N) ~/¢5
~ 0 High water alarm (Y~) /" <~
C. ABSORPTION FIELD DATA
Date installed (-'J /'~ / '/¢ Soil rating (g.p.d./fF o~ff~il~i~I ¢) (~ System type (,2 ~,
Length i 3- Width I ~ Gravel thickness below pipe (~ f Total depth
Effective absorption area ;)' ~g ~¢r-~t. Monitoring Tube present C/N) V~' Depression over field (Y/~-~
Date of adequacy test 11/'0 if'el 7' Results~'~Fail) /)'¢$J For
Fluid depth in absorption field before test (in.);. O Immediately afterz/~'~- gal. water added (in.):
Fluid depth 0" (ins) Minutes later: /'//~) Absorption rate = ~:~"-0 -/ g.p.d.
Peroxide treatment (past 12 months) (Y/N) /v ~/, { Y-,-"c ~ ~ If yes, give date
bedrooms
72-026 (Rev. 3/96)*
D. LIFT STATION
Date installed
Manhole/Access (Y/N) "Pump on" level at*
High water alarm level at* ~
CycLes tested ~
Size in gallons
~vel at*
E. SEPARATION DISTANCES
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
SEPARATION DISTANCES FROM WELL ON LOT TO:
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
/
Foundation ~0 / Property line ,.C -p- Absorption field
r ~'~
Water main/service line lO -/- Sudacewater/drainage
SEPARATION DISTANC~'~ROM ABSORPTION FIELD ON LOTTO:
/
Propertyii'n'e J ~ / '/- Building foundation "3 0,
Surface water
Curtain drain ~vo.,,, 4. ~ ,,,'o ~J ~'
Wells on adjacent lotS
Water main/service line
Dnveway, parking/vehicle storage area
Wells on adjacent lots
/O
ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and review of Municipal
in conformance with MOA H~A guid~nes in effect on this date.
Signature 'O '
Engineer's Name ¢~ ~
/
/
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
~tK CT&E Environmental Services Inc.
CT&E Ref.#
Client Name
Project Name///
Client Sample ID
Matrix
Ordered By
PWSID
Sample Remarks:
976991001
S & S Engineering
Lot 5, Bk 5 Greatland Est No 5
Lot 5, Bk 5 Greatland Est No
Drinking Water
Client PO#
Printed Date/Time 11/19/97 10:00
Collected Date/Time 11/10/97 16:00
Received Date/Time 11/11/97 16:30
Technical Director: Stephen C. Ede
Relcased B3~ ,~ ffff/_ ~
Results PQL Units Method
Allowable Prep Analysis
Limits Date Date Init
Nitrate-N
Total CoLiform
1.40
0.00
0.100 mg/L EPA 300.0
col/lOOmL SM18 9222B
10 max
11/12/97 RMV
11/11/97 TMW