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Home My WebLink AboutBEAR PARK LT 16Bear Park Lot 16 #051-042-92 Municipality of Anchorage Page I of. 3 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:. SW000292 PID Numbec 051--042--92 NOme:RANDY ROLOFF W/ PERFERRED HOMES Wastewater System: · New I-1 Upgrade Address: C/0 BROOK STILTNER W/ REMAX 16600 CENTERFIELD DR. EAGLE RNER, AK 99577 ABSORPTION FIELD Ph°r~:(907) 264-1184/357-5544 No. of Sodr~rn,: ~ · Deep Trench 13 Shatlow Trench 13 Bed n Mound n Other LEGAL DESCRIPTION '~ ~ o.8 ,~/~ ctl '~ ~'~ ~ "~ 11.5-12.0 ct 16 - BEAR PARK 5.87-6.37 ct 5.63 - - - 1.0-1.9 ct 50 I WELLI · New [] Upgrade 2.5 ct 1 ct PRIVATE 121 ct 121 ct 563 s~.ct ASTM D-3034/F-810 WHEATON WATER WELLS 8/10/00 53 ct CALKINS CONSTRUCTION 10/10-25/00 c~,J UNKNOWN ~ ~ ~ ~ ct 2 ct TANK 50 SEPARATION DISTANCES , s, pu. a,o,d;.g n S.T.r..P. .'mm Tank Field Station Tank S,.,, U~, GREER 1000 Well 100'+ 100'+ -- -- 25'+ STEEL 2 Surfac, 100'+ 100'+ - - - LIFT STATION ~..~ Water Une 5'+ 10'+ -- -- - Foundation 5'+ 10'+ -- -- -- Drain NONE KNOW · I I Remarks: BENCH MARK BOl-rOM OF SIDING AT POINT "B" 100.00 Inspections performed by: AWWC, INC. Dates: 1st ,o/,o/2ooo ~,c~.'.' '.z~.~.' [~.. ...... ~ "ll'J,T' t ..... ~'" 2nd 10/23/2000 /, J/,J'~ / J .... ~- ;,,/. * .,O~. ~, ............. .,:~ 3rd 10/23/2000 ,~-~ Y~tre)J A. a~.q~ss/ Department of Health and J-luman Services approval ~'~'l~;,.,,. "'"1 ............. clJ-795-~'_....:~/~. R~viewed and approved by~ Dote: ~ oD. -%[~',-o~,,,~o,,o_~-=-~ ,,,.,,,,,. ,,,,,B.: AS-BUILT DRAWING ,.,,,,¢,~. ,,, ,u,,,,. SW000292 051-042-92 I SI1 35.4 47.3 812 39.0 47.7 DBL1 40.6 DBL2, 43.0 49.5 ~ CO1 46.4 63.3 ,,.-" ' ' ~ ~ "'"" -~. ,MT1 47.8 64.3 / ~ C02 76.2 73.6 / ~ MT2 75.2 72.1 / \\ / / \ ~' Z m II ~= ~ / /~.: mxm't' .~ ....... ~'~' ']' COl I I i* / , .~,~.,,,,,,~o,_...~/.,,-,,/ ~,~ L. %--- ....... --~--~ ....... \- -V ...... 12/27/2000 ~.¢ . J.LM. AlaSKA WATER & WASTEWATER ~.~ f~;.' , t "-:.~' PR[PARED FOR: RANDY ROLOFF pi. tONE NUMB[R: PA~£ NUMBER: c/o BROOKE STILTNER w/ REMAX OF E.R. 694-4200 2 OF 5 ~ %1 ~lfr,#/ A. Gomess.' ~. o~m,o.= ~o;Li.J I~[-**-....",,.~ BEAR PARK SUBDIVISION; LOT 16 ~h!d -..~. .... ,,'~ AS-BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM AS-BUILT DRAWING SW000292 051-042-92 12/27/2000 c.~.o. ~%' II/, ~ '.~ ~S~ WATER & ~STE~TER ~ , CONSULTANTS, INC ............. ~REP~ED FOR: RANDY ROLOFF PHONE HUUBER: P~[ nu,e~: ~ =.~FI.. ~..--:'.-':"'~ c/o BROOKE STILTNER w/ REMAX OF E.R. 694-4200 $ O~ ~ ~ u~c,,,,on: ~ ....~ C}~7953 .....'~,¢ BEAR PARK SUBDIVISION; LOT 16. PROFIL[ AS-BUILT DRAWING OF NEW SEPTIC SYSTEM '~A~%~ Sent By: RE/UA~X OF EAGLE RZVER, INC.; 9076960214; Aug-26-O0 IO:OOAU; Page 1/2 Rug :~5 O0 01~t4p Sand~a Bear Pad( Bio 121' Billed To Prefe~ed Custom Homes PO Box 875910 Waailla,AK 99687 From To l:Pox'meL~io 0 7 silt, gravel ~r3 13 gravel, sand t5 silt, gravel 15 18 cobbles 18 21 fine silt 21 72 silt, gravel 72 86 damp silt, gravel 86 98 damp gravel 98 1 t 4 damp gravel, iron 114 115 damp bmvm silt, gravel 115 121 water, gravel, cobbles Bernie S~,.~erville' MUNICIPALITY OF ANCHORAGE Department of Health and Human Sen/ices On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 3434744 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Aug 11, 2000 Expiration Date: Aug 11, 2001 Permit Number: SW000292 Legal Description: Bear Park, Lot 16 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Cathy Laux Owner Address: PO Box 771091 Total Bedrooms: 3 Eagle River, AK 99577- Pamel ID: 051-042-92 Site Address: 1776 Forest Park Dr. Lot Size: 40000 SQ. FT. 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. Ail 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: ALASI(A'WATER & W STEWATER CONSULTANTS, INC. " July 24, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Proposed Well and Septic System Design for Lot 16, Bear Park Subdivision To whom it may concem: The proposed 3 bedroom house will be served by a private well and septic system. Two test holes were excavated on the property where the proposed septic system will be located. The primary septic system and the alternate site will be designed around the 30 foot radii of the test holes. We are proposing that a 1000 gallon septic tank and a deep trench type drainfield be installed for the primary site. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are the logs which shows the soil classifications, groundwater monitoring, and the percolation test results. In both test holes, the soils below the organic layers are a SM /ML material with clay to a depth of 6.5 feet; and then transitions to a SM/ML material with SP lenses to a depth of 18 feet in TH#1 and 17 feet in TH#2 (bottom oftest holes). No groundwater was encountered during the excavation of the test holes. A percolation test was performed for TH#1 between the depth ofT.0 feet to 7.5 feet which had a percolation rate of 1.9 minute/inch. A percolation test was performed for TH#1 between the depth of 5.0 feet to 5.5 feet which had a percolation rate of 8.6 minute/inch. It is our opinion that due to the overall appearance of the soils, a application rate of 0.8 gallons/day/112 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 1.9 & 8.6 minutes/inch b. Allowable Application Rate: 0.8 gallons/day/ft2 c. NumberofBedrooms: 3 d. Des!gn Flow: 450 gallons per day e. Mimmum Absorption Area: 563 It2 f. Total Depth: 11 feet (max.) g. Effective Depth: 7 feet h. Width: 2.5 feet i. Minimum Length: 45 feet long j. Effective absorption area = 630 ft2 6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246 3. SURFACE WATERS: There are no surface waters within I00 feet of the proposed upgrade. 4. TOPOGRAPIIY: As can be seen on the attached design, the a proposed trench is to be installed on a slope that runs from approximately west to east at a 5 to 10 percent grade; in short, there are no slope concerns. The trench is to be installed parallel to slope contours. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. j~ ~Sincerel, P.E., M.S. Pre~iOnt ~ NOTE: Attached is a site plan drawing, a design drawing, two soils log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246 / / ~ / I /~,,/' -' ,/ / "-."---~/ ~,, /2'/' ' / "~ ~ ~ I/ I I ~/ - ~ ., ~, ~-/[ I I I I .~ ,~ ~/~ ., ~-, / I .~- .- ~. I ~-- .~-/ / /~ , / I "~"~ ~/" ~-I ' ~" -' ' ~~/ ~ ~ I~ ~ w~ ~ ~ /~l ~ In / ~/ ' w~ ~ ',!, / ,. ~ ~lli~ ~,, "- , Y ~,' ~ s~ 2__./ / ~ Xll~ I I .... ........................... ~7-~--~--~ ..... v?/~" _ .............. ~--- , X ,' ~e ,' ATAS~ WATER & ~5~STE~TER ~'~"' co~surzA~zs, mc. ~ = , ~ ........ ~..?. ~ ........ , CATHY ~UX 264-11u4/~/-~44 I I uP Z .c,. ~,.K sumws~o,: LOT ~e ~~ ..... '~ SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM. ~IOTE: THE CONTRACTOR SHALL HAVE THE EAST PROPERTf UNE ND THE PROPOSED WELL LOCATION R.AI;CED BY A REGISTERED AND SURVEYOR PRIOR TO ANY CONSTRUCTION. ' ,l~ ~0/,~;~ ~ ~% PROPOSED 1000 GN..LON I ./ I~g II ~ r [,, ~ . : /,, ' 'i/ , o /I I I I I I N.TT~NRTE sn~~'/ ~ I .× / / ~'// II / PROPOSED I)RNNFIELD. EXCAVATE / A TRENCH IHAT IS 11 F[ET DEEP I /I .,~-' % ',; ,~b~,o%Z%o~ ~:~ og /~ ' / .---- ~ '"~:LEN, I. WASHED SEWER DENNROCK. ~ ALL SLOPE: CONTOURS~ ~__ _ ~ ARMAS DRIVE ALASKA WATER & WASTEWATER ~J.L.U. co.~.T^,~.,,c. CATHY LAUX 264-1184/557-5544 2 OF 2 ~[ca~. OESCRIP~ON:,~,(~'P,~J .... C i 7795.3 .... ~I'.~~._ BEAR PARK SUBDIVISION; LOT 16 '~l~q?e:... [ ....... -,~,~,~,~' ~ or WORK: '%[~,~,g,..,~o~:~ DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM ALASKA WATER & WASTEWA CONSULTANTS, INC. 6901 DE~R R~. SO~ 2B * ~CHO~E, ~. g9~4 PHONE (907) 337-6179 * F~ (907) 3~-3246 [SOIL LOG - PERCO~TION TEST[ ~' PERFORMED FOR: ~ UUX .. ........ 3 ~ ~GW ==:=: ORG J '=100' ~ 4 W/ SOME ~ GM CL / GC OL ' ' . ., SW MH ' 5 I SP CH SH ~ OH DEPTH TO DATE 3ROUNDWATER D~ 4/25/00 s~ : D~ 5/2/00 ...... ~RM~ DR~ ~ 10 11 DATE RE'lNG CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINGES) RE'lNG (INCHES) 12 S~/ML 4/25/00 1 2:10 - - - W/ SP 2 2:20 10 O' 6' TH ~ 4 2:~0 10 O' 5 2:30 - - - 6 2:40 10 O" 6' 7 2:40 - - - 9 2:50 10 1/2' 5 1/2" 10 2:50 - - - 11 5:00 10 5/4" 5 I/4' 12 5:00 - - - 1~ 3:10 10 5/4" 5 1/4" PERCO~TION ~TE 1.9 (HIN./INCH) PERC. HOLE DIA. 6 ~(INCHES) 20~ TEST R~ BETWEEN 7.0 FT. ~D 7.5 COHHENTS: PERC. HO~ W~ PROOFED 4+ HOURS PRIOR TO ~NG. DUE TO O~R ~ ~P~CE OF ~E SOI~. RECOMMEND USING A 0.8 ~PU~ON ~. PERFORMED BY A~ WATER A W~ATER. I, JE~R~ A. GARNESS, CERTI~ ~T THIS W~ PERFORMED IN ACCORD~CE WEH ~ ~ATE ~D MUNIClP~ GUIDEUNES IN EF~CT ON DATE: ~f~l~ DEPTH TO DATE ;ROUNDWATER DRY 4/25/00 DRY 5/2/00 ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~'~TaF ~ J SOIL LOG - PERCO~TION TESTI ~ LEGAL DESCRIPTION: B~ P~K SUBD~SION: LOT 16, "" PERFORMEB FOR: ~ ~UX ~'~'~es~ ....................... 2 t I A GM ~ CL C~Y SW MH ~ ' i SP CH SH OH GROUNDWATER JJ ~ 10 11 DATE RE. lNG CLOCK NET TINE WATER LEVEL NET DROP TINE (HINGES) RE. lNG (INCHES) 12 ~ SM/ML 4/25/00 - PERC. HO~ W~ PRESO~ED 4+ HOURS PRIOR TO 13 ~a~] LENSES 2 2:41 3o 2 1/2" 3 1/2' THROUGHO~ 3 2:41 - 6' _ 15 1 19- PERCO~TION ~TE 8.6 (~IN,/INCH) PERC. HO~ DIA. 6 (INCHES) 20-- TEST R~ BETWEEN 5.0 FT. ~D 5.5 COHNENTS: CONnR~ON PERCO~ONS. ~OR~ O~ PROPOSED SEPIC ~iga WI~ BE IN LOWER SEE ~1 FOR PERCO~ON ~TE, PERFORMEB BY A~ WATER A W~ATER. I, JE~R~ A. GARNESS, CERTI~ ~T W~ PERFORMED IN ACCORD~CE WEH ~ ~ATE ~D MUNIClP~ GUIDEUNES IN EF~CT ON DEPTH TO DATE GROUNDWATER DRY 4/25/00 DRY 5/2/00 89'55°58"£ 160.00° ARMA~ ~v~ · , ......-. MUNIC!I~ALI3Y OF ANCHORAGE ,:. ~. ~. ~ ...... DEPARTMENT OF HEALTH & HUMAN SEP,, VICES :.' ' .;.. ;... · - ' - D~ofEnWo'.,,?~!S~,~'..,':'-:'.' ' -.'.'.. ~. ~.,~,' · "On-Site Se~c~ Section ' :' ' ' ' ' · · '" . ": P,O. Bok 196650 jA~h~age,'AJaska 99519-6650, ' ;"-' ~'-" '" ~-:'~(907) 343-4744' %,... '- ,'. -. ~ .'.',;: ..... .. ' ~. '.' ... :' 'CERTIF CATE OF.HEA~.;I:H AUTHORI'i~'. .,' ' ' ' ' ' APPROVAE'FORASINGLE FAMILLY~DWELLING;'""'/' ': ~ ~ :- - , · ~, .'.~,-.. - . .;.' :,.'~.. ~'.. 1.' GENERAL INFORMATION '. ' ' · q~mp ete I.~gal d?scrtption =''BEA~ .P.^RK, SUgDWSlON:' [~ 6.: .' ' "'- ' '- " L0~ti0n (site address'or'directiohs) .,ARMAS DRIVE CHU(~AK: AK:99567 ' ' ' {. Property owner R~NDY.ROLOFT .... .... · .... : .... Dayphone '(907) ~94-4200. ,Ma ~ngaddress ~.c/o BROC~'I~"~I'I~-TNER~'w,):'I~EMAX'O~'?EAG'[I~'~'~''''' ' ''? ' ; '":' ' '"" ~ .,~ ,..~ ~ .. .................. ~. - ,.-.. , .... .. :- ~ . . Lendngagency" - ~:. '- ~.'- '"; · .... Day phone.. · Maihngaddress. . . _ . .~ "'- A{;e L~r ypho '.. ' nt= BRO~'E'STI NER W/ REMAX OF I~.R. "'. Da n~'"(907) 694-~4200' ' ' Address 16600 CENTERFqELD DRIVe' EA~LE.RIVER. AK 99,577 ' ' Unless otherwise requested, HAA will be held for plckup; ' ' - ~"' 2.' NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well - xxx ,-~-~' '~'~''~''. Community well Public water ,¥ NOTE: If community we/I system, provide written confin'naEon from State ADEC attest- .' ,--' lng to the legality and status of system. ' ' ' ~' 4,- TYPE OF WASTEWATER DISPOSAL; ' Individual on-site xxx Holding Tank Community on-site Public sewer NOTE: "' ' ' If community wastewater system, provide w#~ten confirmaCon from State ADEC lng to the legality and status of system. 72-025 (Rev. 1/91) Fro~t MOA #21 C~mputer Version Note:Alaska. Water, and Wastewate. r Consu. ltants, Inc. shall be pald $1Ol O. OO at, or prior to, Closing for the engineenng senecas pro~fded. :. 5. STATEMENT OF INSPECTION BY ENGINEER ... .... ' : '~ As certified by my seal affixed hereto a~d as of the v~li~lation date shown below, I verify thM 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 Ingp~c~n, th~ On;site Water supply and/or wastewatar disposal system Is In compliance with all on the date ~f thjs InsPection.. ...~ ~. Nameot~ ~irm' ^LA§KA_ WA~'& ~ Address 6901 C)EBARR ROAD. ISLIIT~ Engineer's Sighaturo ' ~ ~' system In accordance w~th ADEC and MOA DHh Municll~iI'~jand ~tate codes' °;rdinances' and regulati°ns In effect STI~/ATI~R'CO~ISU[.f~,N~'s. IN'C,' Phone .' (907) 337-6179 i~I~NO~iORAGE. ALASKA 'g9504 /- / )al'to'de a ~gh; 'COnS~.i~'Eo~s engineering anal,sis of the Guidelines ~ R~gulatiens...The r~ported res'ults deSCribed the pedormance of the system under the conditions encountered at the tim~ of the tes~, and separation dis~nces . measured to readily identifiable' features. The oparational life of all wells and septic systems depend -- on the local soils condition, ground water levels that may fluctuate durfng the year, and the water uSage of the family being sen, ed by the system~ These conditiohs'ere'outslde the control of the evaluator of the system. Satisfacto/y test results do not guarahtee futtire'pedorn~ance . - of the system, nor do they guarantee that there are no hidden defects or encroachments: AWWC, Inc. can therefore not provide any wan'andy for fut~ 'estir~ate'of heY/long the' :":; system ~11 continue to meet the operational requirements of the ADEC or MOA DHHS. .. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or parly is not author/zed, nor wfll It confer any legal fight whatsoever. 6. DHHS SIGNATURE I/' App~ved for .3' Disapproved Conditional approval for bedrooms bedrooms, with the follc~wing 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 AJaska. The DHHS does this as a coudesy to purchasers of homes and their lending institutions In order to satisfy certain federal and state requirements. Employees of DHHS do not conduct Inspe~ons or analyze data before a certificate Is Issued. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's wo~. 72..025 (Rev. 1/91) nac~ gtOA #21 Computer Version Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental ~en4cos Division 825 'L' Street, Rm 502 Anchorage, AJaska 99501 (907) 3434744 Legal Description: A. WELL DATA Well Type PRNATE Health Authority Approval Checklist BEAR PARK SUBDNISION; LOT 16r Pan=eli.D.: Log present (Y/N) YES Date completed Total depth 121' Cased to 1Z 1' Sanitary seal (Y/N) 051-042-92 If A, B, or C, attach ADEC letter. ADEC water system number N/A B/ 0/oo Casing height (above gtoond) 24'+ Wlms property protected (Y/N) YES FROMWELLLOG Dateoftest 8/10/00 Stet]cwaterlevel Wellpmduclion 50 ATINSPEC~ON g.p.m. WATER SAMPLE RESULTS: / /,/~. / ~ Coliform .----.~-~'~ Nllmte~Other becteda~ Date of sample: t/~e~o~' (~v,~,~2 Collected by: A.W.W.C., INC. B. SEPTIC/HOLDING TANK DATA Date Installed 10/10-25/00 Tank eize FoundaUon deanout (Y/N) Date of Pumping NEW C..aBSORPTION FIELD DATA 1000 Number of Comparlmente ;~ Cteaonuts (Y/N). YES YES Depression (Y/N) NO High water alarm (Y/N) N/A Pumper - Date Installed I_~ Soil rating (i~:~or fl2/txtrm) 0.8 Length 50' Width 2.5' Gravel thickness below pipe Effective ab~3~,~fion ama 56~ Sq. FT. Monitoring Tube present (Y/N) YES Depression owr field (Y/N) Date of adequacy test NEW P~u~ (Pass/Fall) - For. *BELOW FINAL GRADE ~-~/i~m type TRENCH 5.65' Total depth ,15.15'-15.59' Fluid depth in absorption field before test (in.);- Immediately alter - Fluid depth - (ins) Minutes later. - Absorplton rote = Peroxide treatment (past 12 months) (Y/N) - If yes, give date Bedrooms gal. water added (In.): - NO D. UFT STATIOH Date Installed Manhole/Access (Y~) High water alarm level 81z. e In gallons ol? level Sept]c/hoMing tank on lot Absorption field on lot Public sewer maln sewer/septic service line E, 8EPa, RATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: lOO'+ lOO'+ ./A 25'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Water maln/sewlce line 10'+ Surface waterldralnage 100'+ SEPARATION OISTANCE$ FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundatlon 10'+ Surface water 100'+ Curtain drain NONE KNOWN On adjacent lots lOO'+ On adjacent lots 100% Public sewer manhole/ctsanout N/A Bit statlon 100'+ Abeorpfion field 5'+ Wells on adjacent lots 100'+ of Munlclpal n/cord.~ tf/~ ~e /~ppv~ systems are/n conformance wl~h MOA ~ gu~fj~on fhls dete. Slgnetum~__ Engineer's Name.~L.~. JEFFREY A. C, ARNESS · Water maln/sewlce line, 10'+ Driveway, paddng/vehlcie storage area 50'+ Wells on adjacent lots, 100'+ Date of Pay~eM ~ Waiver Fee $. Date of Payment Receipt Number 01ol6-01 11:4,4 FI~IA-CTE ENVIROflWNTkL ~1~ CTIE Environmental Services Inc. 5615301 T-176 P.OZ/O2 F-175 CT&E Eel.# Client Name Project Namem Client Sample ID Matrix Ordered By PWSID Remarks: 1010258001 AIC Water & Wastewater Cortsultant~ Inc. Bear Park S/D Lot 16 Bear Park S/D LI6 Outside Bib Drinking Water Client PO# Printed Date/Time 01/16/2001 8:46 Collected Date/Time 01/10/2001 14:06 Received Date/~me 01/11/2001 10:45 Technlenl Director Stephen C. Ede PQL Units Wa~ers Depar~men~ NiiTat~N Allowable hep A~ly~s Mel~xl Limits Dale Dale Init 0.500 U 0.$00 mg/L EPA 300.0 10 max 0Ill I/0l GCP Microbiology Laboratory Total Coliform 65 OB. No Coil col/l OOmL SMI8 9222rt 0l/ll/01 SKW 01-26-01 08:21 FRO~-CTE ENVIRONk[NTAL 5615:161 T-407 P.0$/0I F-ST2 CT&E Environmental Services Inc. 200 W. Pm~er Drive Drinking Wate~ Analysis Report for Total Coliform Bac?lia Tel: (gOT) 662 23~1 j~ INSTIZUCTION$ ON ~,~I'T_P~ez~ e--m~ ,~£FOII. E COI, LECTZNG S,4 MPL/-'. MUS~ BE COMPL~O .v w^~ SU.L,E. · J~__ pR. IVATI~ WATER ~Y~rJM TO BE COMPL~i Eu BY LABORATORY shows this.Water SAMPLE Sa6sfa~o~/ U~s~sfuctop/ SAMPLE DATE: blem'~ Day Year SAMPLE TYPE: . ~ Routine O Tmmi 13 Repetl Staple (for rouffne i.mpb ~.. Un~remd wJlh41b reP. Io. ~) o Sl~l~l l~r~o~e Tim SAMPLE LOCATION Ceilectmi By BACTERIOLOGICAL WATER ANALYSlS RI:CORD Veriflc~oe: LTB ~.. BGB ,COLIIIIRM. · _j_ .___j . (_..) _ Coliform/leO mi Final MendJmne t ~' ami ' Com.-nfs: I ' ENlaIqONMENTAL FACIUTTES ~ AU~4, CALIFORNIA. FLORiOA. ILUNOI8, MAflY1.A~O, MtCN~/~, f~SSO~, NEW ,~qsEY. OHIO. WEST