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HomeMy WebLinkAboutCONTOUR ACRES #2 LT 1Contour Acres #2 Lot i #017-451-27 Oevetapm•>-;nt services department O e Euilding �rt,=_ty �ivisian : _ te! pr + `til—��lie *eC-rl" 'C Wastewater aG('GiTi �� ?'00 3ragew 51 met i g ?.0 8a:. 199550 > 4rcharcg�, ?.I: 995!9-9550 •Yfar?t 8eoicn . iYlayor - .n.o muni.arnrnnsisz Pump installation Lag all Drillin= Permit 4CTumber: SW reel Identification Number:_ gal Description � o /I'/ T Z `{ mp 7sstallation Date: Date of Issue: _ Property Owner Name & Address: Jfiy mp Intske Depth Below Top of Well Casing: /& feet ;mp Ntanufacturer's Name: ��pfn�/� onp model: a,0 -761(54 ¢mp Size * hp Hess Adapter Burial Depth: feet Hess Adapter Manufacturer's liame: . _!ess �dn?=er�nstaller•. o minens: imp InstsIles'! tame: �fgD� f1 ttenti-o n• The pump installer shall provide a pump instzllatioa log to the DSD within 3p dads of plump installatiorz. 72-013 (Rev. 3178) MUNICIPALITY OF ANCHORAGE 0 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 PHONE ❑ NEW 2-M—�30 ..UPGRADE MAILING A R SS LEGAL DESCRIPTION LOCATION �,,,�®® '� NO. OF BEDROOMS Lf � DISTANCE TO: Well! Absorptionarea Dwelling 2- 7' PERI,IIIT(NJO. ��Z V Y F- ZManufactu r Material +�� No. of compartments W� c r61,2 e,en ti Liq, capa 'ty iya Mons (J IFOMEMADE: Inside length Width Liquid depth 0 Y DISTANCE TO: Well Dwelling PERMIT NO. J � Z 0ZF Manufacturer Material Liquid capacity in gallons D DISTANCE TO: Well®� , 4- Foundation L / Nearest lot line PE IT NO 9` w= � J u. ZLyth No. of lines Le gth Pf each line Total length of li f Trepch width Distance between lines P Z W Z 64- �j inches _41- R H Top tile to finish MaterialPeneath tile / Total ff ti 'on of grade (� rl �� absor area � O a inches Length Width Depth PERMIT NO. W 0 Q F as W Type of crib Crib diameter Crib depth Total effective absorption area Uj y DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER � PIPE MATERIALS 70 vc� SOI EST RAT lG INSTAL ER REM RKS o l ,1 III T 3Ali/ Tre as i,03-�. z L'11vide 6" no e L -f L1+ e APPROVED DATE LEGAL n 72-013 (Rev. 3178) tvl U N 10. 1 F 1L I -r ke 0F= F4 r-4 � HC -Z F4 C3 DEPARTMENT OF HEALTH AND ENVIRONMENTAL Pi%jTECTION 825 'L' STREET, ANCHORAGE, AK 99501 264-4720 . ........ 0 N -_S; I TE e W e FR F= EF try I T PERMIT NO. ( 820921 APPLICANT C.A. CHAMPION SRA BOX 1609C 99507 276-4302 LOCATION LEGAL Liir,,;ONTOUR ACRES LOT SIZE 999999 SQUARE FEET �Ra a K TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR)= 233 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ME= C711 U I FR e C), _<E; I -E F=* -r I C TION _'S 1 2M a :1_� ni la 0 n t- t- o 1" 3 PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- -rWC:) < -2' > I F=I* FE r_- -r 101 N S; F-1 FR FE F;Z e � U I FR E: E> BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F=" e F?. M I -r e X F:I" I F;?_ e '-S 0-6 e C e M E3 a FZ -33 , -1 , 1L I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. /7C) S I GNED:---------------------- APPLICANT C. A. CHAMPION C ISSUED BY-_ ---- - -------- .1 -DATE---_Y r 2 V4. 0 L -L-- #h) i 7t c-Kal 4 �i� I ��� �� ,_ _ _ _ _ __ _.__-- 4. � .�< .� _ � `� -- ., `� e �, %� fJ �;� ...P�.<.� �� -cam � � .� �� ��� � � �` .����� ,� �, GAAB-HD-I GR. 'ER ANCHORAGE AREA BOROU O:rHRTMENT OF ENVIRONMENTAL O.UALI`. 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME �U/�/y��'c� MAILING GL�Ti� ADDRESS S/�'/�- ���'��®Z"4,4rl PHONE '— LOCATION _���'/��.��/�-f-�.E'� LEGAL DESCRIPTION�i SEPTIC TANK: NUMBER OF DISTANCE FROM WELL J MATERIAL .S%`hZ- COMPARTMENTS / LIQUID CAPACITY l -)_GALLONS. INSIDE LENGTH J INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS L OUTSIDE DIAMETER OR WIDTH LENGTH 3 DEPTH x, LINING MATERIAL �� ���� DISTANCE FROM WELL �Q / BUILDING FOUNDATION -2-2-4 NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: /i/�� TOTAL LENGTH DISTANCE FROM WELL NEAREST LOT LINE OF LINES NUMBER OF LI DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSO �IONAREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE W ELL: 4wsil6 �i'i.�«� ��Jr ✓ DISTANCE FROM / WATER TYPE DEPTH ��� BUILDING FOUNDATION. Zk2 SAMPLE NEAREST g " -NEAREST /.� SEPTIC SEEPAGE OTHER,`/�� LOT LINE 7 , SEWER LINE, TANK S� SYSTEM__ CESSPOOL, SOURCF,S&�v/a'�/ DISTANCES: A; -,o Gr /doo DIAGRAM OF SYSTEM L c DATE x�" APPROVED—.!cZ- Z - G.A.A.B. GARB-1b£._2i ,GREATEI %NCHORAGE AREA ' ')ROUGH Case No. 11E l i HEALTH DEPARTMENT -y 327 Eagle St. Anchorage, Alaska 99501 279-2511 rg SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT (�-12A/LUMAILING ADDRESS' P PHONE NO. RESIDENCE ADDRESS LOCATION OF INS ALLATIO "Peal ,P LEGAL DESCRIPTION /'_�� �/� O -M4 APPLICATION TO INSTALL: SEPTIC TANK ✓y , SEEPAGE PIT , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY 3 -Rnun to u S .� FINANCED THROUGH se TO BE INSTALLED BY vel I PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION THIS IS TO SERVE AS BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TOE SERVED 3 SEPTIC TANK SIZE TYPE S SEEPAGE AREA -33 0' �"'t"`'TYPE 40& -- DIAGRAM OF SYSTEM DISTANCES: 1 l� / J / (/"/� fir+ �,•--t.,k,.-. � � - E r. I t EALTH AUTHORITY OR CENSED DESIGNER ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■Ili■■■■■■■■■■■ ■■■■■//■■//iii■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ I certify that I am familiar with the requirements of Greater Anchorage Area Borough Or ance No. 28-68 and that the above described system i in accordance with said code. DATE (,.L ° DATE APPLICANTS SIGNATURE��� / E. nREATER ANCHORAGl: AREA BOROUGH HEALTH DEPAh1104T 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE. N • Performed For Sham n Re����' 1 Date Performed q -2-70 Legal Description: ot��c�lock� Subdivision 2�A. /II J FIQ-11 C"r e,;, a AcreS This Form Reports a: Soils Log �.� eercolati.on 'Gest Depth rest Soil Characteristics Location Sketch 0r9c%v-,'Vc rnct'� € a � !Lj Dense 51e"c.16 1 C 0 rx S I 0-1--i c� R F � r a u e- F Date Gross Time Net'Time Depth To 820 Net Drop 4 Was ,Ground Water Encountered? % t If Yes, At What DepthL—T= Reading Date Gross Time Net'Time Depth To 820 Net Drop ercoi.a ion Rare 77 llin—utp Froposed Installatio' n: Seepage Pit Drain Field Depth Of Inlet Depth To Bottom Of Pit•Or 'french COMMENTS: Twit Parfortilud t►y r- %�- Lc'C'e AZ.._����A:St'L 7 A� Y S Data Certified By" i� Date:a '7(;""' 17REATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT CASE # 327 EAGLE STREET ANCHORAGE, ALASKA 99501 Performed For Gunnar Rooth Date Performed. 8/28/70 _ Legal Description: of 1 Block S evasion r s - y5, -1.c' z This form Reports a: Soi s Log_; .y Percolation Test.."�'....."`� Depth Feet Soil Characteristics Location Sketch brown clayey silt (ML) E T. gray silty sand with fine ! gravel (GM) `j gray sand and silt (ML) } - X14. J +fr 1 ,n Was Ground Ylatex :-r countered? n,3 If Yes, I,+ ."at :,"e th Read i t; a, i :. "e i Gras, ; i me Net Time I Depth To H2O ( Net Drop erco '3-'..��.r: .:. � inu a .�.....r....._. P^c:p�v,ed Seepage Pit Drain Field Dept, Of Inlet Depthh'To Bottom 0f it Or 'French COMMENTS: Snt'tiare fact dr^iis necessary Per bedroom Test Performed BY: R. E. Carlisle These recommendations are computed from visual observation and based on the uni- Data Certified B fied classification system. Y� National Testing Service, Inc. Date: 4 Net Time I Depth To H2O ( Net Drop erco '3-'..��.r: .:. � inu a .�.....r....._. P^c:p�v,ed Seepage Pit Drain Field Dept, Of Inlet Depthh'To Bottom 0f it Or 'French COMMENTS: Snt'tiare fact dr^iis necessary Per bedroom Test Performed BY: R. E. Carlisle These recommendations are computed from visual observation and based on the uni- Data Certified B fied classification system. Y� National Testing Service, Inc. Date: 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING Parcell.D. 017-451-27 HAA#_D / OG 0 / Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 1, Contour Acres 02 Subdivision Location (site address or directions) 5700 Penny Circle Current Propertyowner(s) Bill Wright Dayphone 250-0460 Mailingaddress 5700 Penny Circle, Anchorage AK 99516 Lending agency Day phone Mailing address Real Estate Agent Remax/Becky Powell Dayphone 244-5881 Mailing Address 2600 Cordova Street Suite 100 Anchora a AK 99503 Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked upby:=_ 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well © Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ 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. :2025 (Rev. 01.100)' 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 G C/ y. 3 g 7 C, Name of Firm T7034 -Eagle -River-- p-Road-Nor20d Phone Address Eagle River, Alaska 99577 Engineer's Printed Name Robert Cowan Date i a. a7 jjv0 ECOWAN 6. DHHS SIGNATURE y++��+, M1CE sof Approved for r bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations. Additional Comments Attachments: HAA Checklist Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By %%1�"eji /�� 0 — is/ / Original Certificate Date: Expiration Date: 44' 3 O —0 1 Reissue Date: 72025 (Rev. 07:00)' Municipallty 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: tOT I Co,-To✓R 0 -c -Q4 -f #-2- SAD Parcel I.D.: o/7-Ms/-a7 A. WELL DATA Well type R,-4* t If A, B, or C provide PWSID # — Well Log N O Date completed %4q 71 Sanitary seal Yfs S Wires properly protected yh Total depth ao O It Cased to 4b 'i It Casing height (above ground) I;L4 in. C MOA F•&*" FRO11 WELL LOG AT INSPECTION Date of test I xb'a /o o Static water level J it /35-ff Well production g.p.m G • S r g.p.m WATER SAMPLE RESULTS: Coliform _Q—colonies/100 ml Nitrate 3.1Y mgll Other bacteria O colonies/100 ml Date of sample: ) a/a o /o Collected by: S ti S ENGINEERING B. SEPTIC/HOLDING TANK DATA 1/.34 Eagle River loop Rad N16.?44 I Rhnr Alaska 99577 leap • , Tank Type/Material SEPT .srt E i- g/"7s i Date installed ei/34/R2 Tank size iv o gal Number of Compartments a. NO Cleanouts YtJ Foundation cleanouKA- ­fG Depression over tank N 0 High water alarm "N suR Date of pumping 19. / 24/00 Pumper 09 o r0 R ocrt "C C. ABSORPTION �9 LD DATA 1-71 a 33 CA 4 Dateinstalled ql> y/ga- Soilrating (g.p.d./ft2 o ft2/bdrm 3 ao 6 System type TA*t cN Length4jZap ft Width 3 /3 It Gravel below pipe o.rft 9_E/ G36 Total depth '/ "x it Effective absorption area439 It' Monitoring tube Ysl Depression over field N 0 Date of adequacy test I }b>O/Oe Results�WFail) PkJS For .S bedrooms Fluid depth in absorption field before test I ,S " in Water added (01(l gal. New depth I "G YN in. Elapsed Time: ) 9 min Final fluid depth I'S"' in Absorption rate >= SO g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) 00N4 Koje w If yes, give date= 72-025 (Rev. 01100(' D. LIFT STATION Date installed Size in gallons "Pump on" level at in "Pump off" leve in High water alarm level at in Datum yc es tested Meets alarm & circuit requirements E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: rS'FM,ofw► s4bo Septic tank/lift station on lot 60 (Wk °I fowt1 On adjacent lots I 0 o f Ahsorntion field on lot / 0 6 On adjacent lots Public sewer main tj Sewer /septic service line a, S �-+ Public sewer manhole/cleanout 0/,t Holding tank Af 1.4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10 t Property line SO 't' Absorption field Water main N Water service line o ,t- Surface water - Drainage N 1A Wells on adjacent lots 10 0 a /0 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 11 1 Property line ) 0 Building foundation 3 0 + Water main P 14 Water Service line 10 � Surface water /040 '* Driveway, parking/vehicle storage 7S t I Curtain drain N a d4- k.lo"',u Wells on adjacent lots -Lo—al- 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. p Engineer's Printed Name I� 0 &AT C. 64sa" Date f a /a7/ G 0 HAA Fee $ " i Date of Payment V� Receipt Number 6--�7? 72-025 JRev. 01/001' Waiver Fee $ Date of Payment Receipt Number *.T ................ ROBW C. COWAN�tR CE - 8801 t� DEC -29-200 09:24 S&S Et1G1tFER1t1G A&.ME Environmental Services Inc. CME Refs 1007819001 Clkat Name S & S Engineering Project Names Lot 1 Cow= Acres i2 Client Sample 1D Lot 1 C=Tour Acres r2 Matrix Drmkmg Wya Ordered By MID 0 Sample Rsmarkc 907 694 1211 P.02iO3 (.9itot PON Printed DaWrime 1228/2000 9:53 Collected Datditme 12/202000 11:00 RecelvWDatelrime 1220200011:00 Tecaolcu Otrecto St Rao t. Ede, Released 8y PaMWAW Resat; PQL Uuiu Wood eta M p r� lair Waters D"arttaont Nitme.W 3.14 0.500 tag/L EPA300.0 leiec:obiolow ,Laboratory Total Coliform 0 coV100mL SM18 92228 Y 4 10 Max 1220100 SCL 1220/00 KAP .f "W # . # %4 Walk 10 r f ly • • rr �Y.t IL td - jaw Orr .;s :. -iST l( iCTi �iTii 1t�1;1u9,�t''���,l je: t.t'. .E.�IC��1 1)1:31i7,IG If- _g •�"".- •U.1'l1�rw'.YAI.=./'•x�. M 9 a-wl 1. r :K _`I ��Y 'ter • i : A�T-.7.:UF.�•1�'iliAw`� - i • Int �l i 1`V i • Ib 1T_'+.'1'.1 �M�ilyy•l �•Sl 1' •ry �• S 'J�;�i:ir �-?�A°�ly�j� • III�Tj i1, 1 • 11 )�U'_ i 'Gi=•Ii1T�C1{}. llF:irr� f :r� � + - I '• i !Y.. 1.�-T..�.,u-i: ''.�7�/�rii �l��.•.TlilY: i. l'y 1�:'��"'Y1.'.E s - wr *� �.u%.T..�'3ILII:•..A�'''..'.:3'i1.7C�1�ijli'-..':J.I:.AY •IC:))1..'�I�.. "_:%CJ�IIi�F7�1�•1F��'•'-�il�I1��iG'.'1;�LT•t(d!ri . :.. i • j,.l i cr dy.:Tl•.:i - 1 •.14 t�l'lla►11."t167 TIT IS ! �:�i•,•,;.xi:;•��rCJ=Jl1w.•�.•,I:C`17::'�i�3•I1:F Rl'Il�l: i.IM. 1. 1_•t='i' jr ^f :1 low- Af i ALG�• 41- +. 40 1 F '�. � �Jh�'�`i,j. �:i%•!1 •at .)'A;: ..;r' ';:�`.� /'.i2'i5 ,� "n,•.� ••`iI.•.j) trl %'A�F�i'f�.3,, T,:- :�:1;7Y rf,��it ��� l404h _tc,��i.:^ •1M ii•+I �+.^,r Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES /.._ 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST a_ PERFORMED FOR: 1'J� ILL %V R I (rN / DATE PERFORMED 111 LEGAL DESCRIPTION:L�T I Cori Ov4 4CR4j #'Z Township, Range, Section: (FEET) �RGA."1G S 1 ( N-) k 2 J? a-9 3- 4- 5- 6- 7- 8- 9 4 5678 9 10 12 13 14 •4/ 15 16- 6 17- 18- 19- 20— 17181920 COMMENTS COMMENTS SLOPE G.114,14 L J, .S A.- 0 o^ S4L.T WAS GROUND WATER N l7 ENCOUNTERED? IF YES, AT WHAT .. DEPTH? Depth to Water Met , Monitoring? i 0' gate d 1i ITE 7-- ........ ...... ROBERT C. COWAN CE•8801 Reading Date Gross Time Net Time Depth to Water Net Drop - D 30 O S" 60 5s/yw PERCOLATION RATE S 3. 3 (minutes/inch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN FT AND S FT a a a uvvuvccrtmv i -- PERFORMED BY: 1 ,ap ee • 4t,�� gqgqq�T777 1 :� - In n� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE VA"W fXTf �&N URIGIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) n /.C6E( • rK jt� iI1TkR..tirC S�rC' � SOR z >,N, �Po tr 7fL CIO ��_• 6.1-nr Lw,�y�- �, .err •�ifi•4v U a \ .may.\\. :,1�...y 0: i rq� I '' •r .7 t.r. � �gaL . s �,•c% I fro �. •mel. t O11 I , CD 8. 0 S Pkrr3sj.Fil KL r T � ease_rants shown on, t! li As-3it1t a e AS-mBUILT ihown on the recorded plat ana Are sv:r- .�plimente-1 with any easements• before ev t-�� Of 44 tis after the plat ddte bs delInPated )rithifl 1�P """••.•4 4 Title Search No.r/rp9a7 Bysh-._!'�y dtd•e'.cl,r.7a �r�j••' % 1 2. Under no circumstances Oou13"af•q"c1a'ta hrreon *' g bt Uted for construction or for estahlishin %"x'4.9' •'• •••�• *• boundary ofr fence lines. 9 i/�s::f•i/!r,,s�� 3J The surveyor tate, responsibility for the Jams, r -el a.,W.4 1411 initial trAnsactlon only. L tI A.,•• res •. •'r LOT 1 - �Ecrrro �����'fts:Mvii�.` �.Cu I7-, rJ�" ��. v •, �'/. ti, ,, SAA11 CAP NeNvY[vr ANCHOR�Aioe D4•'•�GSFl.,:__--;Imem � ORDI 41TCo"'iInEVAVED, ay: LNi1iCkeo�..,� A 1426 MrDEAS54CIAtES "'--- - --•_____ I+ STRf£i-__._... _ __»: _ _ -:-•,- f _-__,_____ANCHORAGE AL•ASKR— )ATE:� Br: SC41[:--_RF�iT .-_� ��=1� ...«�� wORKdtOER: lflElD90CK: "'OR to: Obi__ June 7, 1991 ROBERT SHAFER, P.E. ROGER SHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS LL-) ) Mun i.c i.pa ity ob Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L S.tneet SEWER BWATER P.O. Box 196650 MAIN EXTENSIONS Anchorage, Ataska 99519-6650 REFERENCE: Lot 1; Contour Acnes SEWER& WATER Request you issue .the attached Heatth Au thou i--ty Appnovat (HAA) and INSPECTION grant a waiveA bon .the honi.zontat sepanation distance between the private wed and a septic .tank tocated on ,the reberenced property at a distance ob 80 b.t. ENGINEERING STUDIES In 1971 a aseptic tank and teachbietd were in6tateed on the p4ope4ty at AND REPORTS a distance ob appnoximately 55 it. and 100 6t. respecti,vety bnom .the wW. At that time, they met ,the nequiud sepaution distances. In 1982 .the capacity ob .the septic system was upgraded to 4 bedrooms. With this upgrade a new septic and teach6ie2d were added to the WELL INSPECTION wW JsyJj,tQiYll�at a distance 6)Eom ,the wt;�u, of appnox-imateey 80 6t. and 110 4t. B FLOW TEST res pec tcve.D�y. However, in 1982 the nequined Aepanati-on distance between a aseptic .tank and a p,%i.vate wW was 100 b.t. Thenebore, it -us this 6epanati,on distance requiument in which we %equest a bormat waiver . SITE PLANS A_gilli Winn Dirt ii g -i n..J .. ..J 1.L- --n i. n.. Page Two Lot 1; Contour Acnes #1; June 7, 1991 B. SOIL SORPTION: As stated above, .thea.e .is no weft tog depicting the .type o6 soitz encountered down .to the water .table. However, we have gathered welt togs bon .the neighboring properties Lot 4; Contour Aenes; Lot 1; Btock. 1; Rosebud Hit ts; and Lot 1; Btock 2; Rosebud Hitts. Atl .three togs show a vanity of soil sUatas consisting primarity of silty sands with gravet. Sot togs perbormed on ,the property .in 1970 show predom.ina.te.ty Aitty sands and gravee. Use 2.0 pts C. PERMEABILITY: The so.c is described above -typ.icatLy have a tow permeability rate. Use 2.0 p.ts D. WATER TABLE GRADIENT: I b we catc.utate a hydraut is gradient enduced by .the existing pump within ,the wett we bind Jrom aur Jtow test data there is a maximum drawdown o6 6'. This gives a m.in-imat gradient -toward the weft. In actuat.i-ty, the aqu.iJeA gradient is probably s.imitar .to .the stope of the Land which is away Brom .the wett -toward the septic system at about 5%. Use 2.9 pis E. HORIZONTAL SEPARATION: The hor.izon.taL separation distance between .the septic .tank and .the wett is approx-imate2y 801. Use. 2.2 pts TOTAL POINTS = 16.2 Therebore, it appears that "No bacta a2ogicat pottution possible, but chemical pottution poss.ibte but unt kety Brom househotd chem.icats." Other mitigating Jaators .involved which suppontt ,the .issuance ob the waiver are ab bottows: 1. Onty the septic -tank (s) are within .the 100 J.t. pu tective weft radius. Generatty speaking, septic tanks should not be considered a "continuous" source ob contamination as would a teachJ.ietd. 2. The weft togs show severat tayers of so.ct i.nctud.ing sittb and ceays which would detour ,the m.iguti.on ob septic eJJtuen.t 6 -tom .the septic .tank to the drinking wader aqu,iben. 3. The probess.ionae engineer who performed .the .inspecto.in of .the septic upgrade .in 1982 noted the tessera separation distance and Jett this distance was acceptabte. Page Three Lot 1; Contour Acta #1; June 7, 1991 4. The tece i.ving ao.c to as depicted on the aoit.6 toga chow a high Aitt content ob .tow pewea.b.it ty. Th.vs indicates a high teve.t ob contaminate b-itttati.on as wastewater. seeping bnom .the tanks tnave2a through the Boit. 5. NiUate and cots jonm bacteAia sampte % autts bonen the we.Ptt were aatdabactony. The nitrate .levee ob 1.8 mg1t is neaaonabty .tow. Since the ctoaest septic tank has been in use bon neanty 20 yeana, tib ,the welt were to be contaminated, nitrate tevets might be higher by now. G. The house is Located between the septic tank and the welt. Other than the natunat a.tope ob the .tot, this would atao detour ovenb.tow migration bnom the septic tank to the weP.t. 7. This is an area ob .targe .tot 6ize6 which gave a .tow septic aystem density. This would bunthen minimize contamination ob the wee2 bnom A eptiC a yatema . It is our opinion the honizonta.t aepanation distance pusc'tibed by 18AAC72 is not nequ%ned in this case. Ib you have any questions on requite additionat inbonmation bon your %eview, pteae contact us. BERT A. SHAPER, P.E. S/gm ATTACHMENTS 0 1 11-11 i 1 :71 -Lu' 10 :?W( J)01 r 100 JHk-N WHI I l:. W. — • . • • r*N » .,, •- I ' F'. 1%1 - • w . .. .. . . .... .� Y�• ......• .�. .. ..... .. ,� � -- y yr..�.....: .....� r�':•:�'�....V�.',"yM.O.r..Mw.�.w.r�r+W!•n�-��.+�. _ 46, t6,; /LAK .;�o��'4x� u•.+� •4 n t.T ; Set •C. . logo S6PflG L'�'�1i'FI(�,i Its;, ���• 6 � � 19 � I �K-� L�C Ger. Ir M 0 \ fi � F'kr�9•��f 0 6 ATES--, easa��er,ts shorn or. the, As -s t l t ere AS.mrBUILT As shown on the recorded plait an$ are si:p-„��.4'ti ,p1plimente�d with any easements• before er'�.,��' se o� 4\ 4 '4 a 1 after the rlat date as delinPate� if M111 Q •''�"�•"' �` Title Search No.rr r •... gy s,�,.,::?:xqeltad td; 2. Under no circums!ances shoiflcl'•an hereon be used for corstructioo or for Nstablishing - boundaryY ori fence lines. 3s The surveyor takes responsib+ 1 t.Y for the • initial trensactlon only. •Yr.wr, 90 I'Yfw�ii •1Yl Y .'{ a +t~ ,, �r J . , . James Kad o,1-,WU4 . 44 .149t0d- A 0, 4,AD SAAB! CAI Moka+Nrdr Fc o-, NQ. _ ' IRON Illi NORAGE RECORDING G1S7�iC7 r � Kul : rAiK a�.fNo ....._... V -----"- t A HYDEP S TReE r RAGEALASKA )ATE, — I/: «.,�. � Vill • w�1R!{ ItOEk� jflA00K;�...._.._�•GRtD' ..PALE..... / ` -. - IV 1Z 1 V UV I.7 0 I Q � � v1 \ N `V Z N N o N o ` cND N O Oct cD i t0- ----- - - -- ---- --- I- ------------- - -- NIVO ON I �` `O — ~ — N� �MiM� IU M O N N t�5 Otoo 0 tDN cD N N N N N M M I- QD \A�\/ N N CV .ao 3NIdId Yr� - o� $� �� �o o o �_ o M Imo°' p LC) o v \\ o _ m LC)N O N N cp O — Lo 2 Nit)lq- O _ Q-' pp r M QFi N \ O A� O �� OM M oQ O r o M �� _ RIpGEV1E�N O �� 0 rn d �! d- -,j O25 � p - � LO 63 \ O LD o N Lc) � M pAo pi p t0 ' ro d j �.. — �! ^� N j10 Lo - N \\ - Z O /I It W M N OND O — N N N — ap Z 1 Z: cli m N N N N N � _3 - -- - — --- - - - - N 0 Lf) N _ — O C7 ! - --- ---Ips, _. _ _O O — O - N 4) N �- N O Y - - - o """ - avoH H08113 OVO8 H0818 o 0 0 o It O \ � tti °' LO O M J d N p�n- O to N co U-) Q 0 Z n- >n / ON S3y.9V n01NOO U � P •e L� S Municipality of Anchorage '41 Department of Health and Human Services Ohm, Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 June 26, 1991 Robert A. Shafer, P. E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 1 Contour Acres Subdivision #2 Waiver Request #WR910023, PID #017-451-27, HA910234 Dear Mr. Shafer: Your request for waiver of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance is a well to septic tank 80 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services ljm: #6 Concur: JhanS m rogram Manager On-site Services 'WRIVA9 W4 f v ER Rf vl f IN FOR 4 o f / COwrou f fe-,ft5 '0'2 R 9:(?%Esr Fob rAr r� -I- w, ELL PAry— — - % E E 15 A10 WFL4 L oe, FOR THE S4ed,74get i Lo F o ,� a L 0 EC!�i ?i US T fT aor;ej 04,k.? htt#u/vr,4/" a t T kE L06.S IAI ra QSµ RF*e E l' Wk4r�voa. u rW F- S*tf ar � T ELL fS 14E o ra c d6 PTH If r/ c 'I `I E vAEL /1 2 FEET. V u. IP1 •.0 & T/tf t-51,4- 7 s r Tg�-- Pu 1w-PjED 47- 4 bl F7 -c 7� � M Ou /P f OF Pu AU°I N d+, F r/4 L0 6 e&rE T&AF E Is 4 4 COBBL E���pA064 IV walk -f i Za Al J7 u,s T T'D RC OROc/1_ OF n(C L,. -6L L o,6 AL R v t c w T� v61- I F- SE&rl TO �-idf BEd�Poc/r_ TIKIf vu D� v�D�NCE T�Er�� /1 tibEEIi T l l J F}fiEL G ZO A,,&. rwo r li. ,T AflOv . Yi�� ��� L'L�'3 r'J �; sic rs • w �rH �,�. . x�rC-R ,jr Cr lA,cIVr,C i i i i I i¢d r¢R�� � E p Tr c ,no rk — WF- Oplb,N.4L reprfc -- S)Ir TFM tA., /wf T19�-L�n /s-, i4 t.L tc ! T &F /774 r'� E .f orP rl c �t�_J____,f s� f,EOT f/P o M i THE' fuggircr w ect r#/f kE Ea— / s I fA Tlr,E lli�UP69&01016 OF Y'KAr O/Q/(I/aAL SEPTrC f YlTFM 160010 60-P 1� o Ert WAS w t1Ew n4e ncopt! c rAmAe L�,x) Ayt TA` L Eli 90 . f EST FROM 77 -IE w,FI-4- AAOV i E r7dLk' >iySPFC T I wG E �t%G /N�'f IP. T ��/S w � S Dot�E 'i EPTEM iE /98'2, l� E RE.y NT i7�l,EiV w �T /OOf#T. r� NL�w urG ?ADE R tT/o j //o FEET f 0AJw T/,r.w L. r,j I f Oo-t Mee, e" i zr L f f 2 1. --ILL JPiE iP k, r rP a PYO' ",*/ P fie e _ i OF A, A E. C. SA W. G Fe 1? _ U. N TF7-il 8 E — -- I Srgric w)org1 LEVEL � /32 - / - x. t 7 • � /qd Z Sa R T ow _ U.$ /1v G Gv E t t 1-06 ow l dT ?b 8,14- L5.2 5.2 I't �qB/t 1 Tl' 13 L,,# 7�- C DAi £ Vf}T/vE ASJuMPT/ep /� fEd G 1'o�v Stt/�ROkroD1�6 wrL4 Lab E VIPRAICE / S Z OtiTAL �q T`la.v __ == X .2+22. 2 TorhL 20 -� _ _ /? )gN r - 17- n / V Fn --- --- _-_ _--- February 2, 1971 Mr. Gunnar [tooth Star Route A. Box 1607 Anchorage, Alaska 99502 SUBJECT: Sewage Disposal System, Lot 1, RLOCTc 415r, Contour AcresVSubdivision /4�v- , -* as(f/• Dear Mr. Rooth: (J�-! An inspection was made of your on-site sewer system September 22, 1970. Final approval was not given by this Department due to the fact that the seepage pit was not large enough according; to the soil test results. Although no action is being taken by this Department, please be advised that the subject sewer system does not meet Borough Ordinance No. 28-68, Article VI, Sewage Disposal Practices. The information we obtained at the time of our inspection will be kept on file. Sincerely, C.S. McKechnie Environmental Health Aide rn (q pli , J ) 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # IC) rA - 41 �1 HAA # nazti 1. GENERAL INFORMATION Complete legal description Lot 1; Contours Ac cess #2 Subdivision; Location (site address or directions) 5700 Penny C.ixc e Property owner Chante A. & LyneU Champion Day phone Mailing address Lending agency Mailing address Day phone Agent 13,71thaha Pa)tk9.)t JACK WHITE CoMPANy Day phone Address 3201 "C" StAe-et11 Anchotage, Ata,6kaI Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 v 3. TYPE OF WATER SUPPLY: Individual well Xx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Xx 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. 1/91) Front MOA #21 Baa vow Noea 466 AGH) eao-zc -�jom s,aaaui6ua leuolssajoid ayl ui suoissiwo ao saoaaa aol alglsuodsai lou si 96eaoyouy jo Aj!jedioiunW ayl 'panssi si aleollpoo a aaoleq elep azAleue ao suolloadsul lonpuoo lou op SHHa to saaAoldw3 -sluewaalnbei alels pue Ieiepal uielJao i4slles olaapao ui suollnlllsul buipual alayl pue sawoy to saaseyoind of Aselrnoo a se slyl saop SHHa ayl 'eNsely to alelS ayl ul p9a91sl69a aaaulbua Ieuolssaload luapuedepul ue Aq anoge g ydei6end ul uanlb suolleluasaidai ayl uodn Aluo paseq saleoipliao Ienoiddy Al!aoylny ylleaH sonss! (SHH(l) saolmaS uewnH pue ylleaH to luaw:pudaa 96eaoyouy;o Al!ledlolunVN ayl NUI-LIIVJ _ � Z , alea :suoilelndlls bulnnollol ayl glinn 'swooapaq Y l ale(] :A8 sluawwo0 ieuolllppy aol Ienoidde leuolllpuo0 panoiddesia •swooapaq L a01 panoaddy 3unIVNJIS SHHa '9 ainleu6ls s,a99ul6u3 ssaappy VOZ 'ON peo'd dool Xanl'd 1013 t =' I �J' G. auoyd _ cuai� to aweN -uolloadsul slyl to alep ayl uo loelle ui suolleln6ei pue 'seoueuipio 'sapoo alelS pue IedlolunlN lle yl!m eouelldwoo ui si welsAs lesodslp aalennalsenn ao/pue Alddns aalenn alis-uo ayl 'uolloedsul pue uoile6ils9nui Aw woal pue saIg 96eaoyouy to Aliledioiunw aq woil paulelgo uollewaolul eq uo paseq leyl Allaanaaylanl I •uiaaay paleoipui aanlonils to adAl pue swooapaq to aagwnu eql aol alenbope pue leuollounl 'ales s► walsAs Iesodslp aalumalsenn ao/pue Alddns aalenn ells-uo ayl leyl snnoys uolleolldde lenoiddy Allaoylny ylleaH slyl to uolle6llsanul Aw leyl Allaan I 'nnolaq unnoys alep uollep!len ayl to se pue olaaay pax!lle leas Aw Aq paigpeo sy a33NION3 AS N01103dSNI JO LN3W31d1S 'S Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Parcel I.D. ,,Z65, -Z_ A. WELL DATA Well type If , B, or C, attach ADEC letter. ADEC water system number Log present (Y� Date completed Driller Total d pth C sed to 4`0 fi Casing height ( � Sanitary seal 40N) si Wires properly protected PN) �:l 0 FROM WELL LOG AT INSPECTION Date of test Static water level Well flow Pump level CW W -` _ a ._, g.p.m. g.p.m. L W a� SEPARATION DISTANCES FROM WELL TO: s5 E, CL�r-f0 F,��IE�.Gi7 Septic/holding tank on lot $01 WAld%4- f6MJ�*-r ; On adjacent lots mor Absorption field on lot m ; On adjacent lots 1 Public sewer main �� Public sewer manhole/cleanout IJDI,,� Public sewer service line Petroleum tank NOr e_ WATER SAMPLE RESULTS: Gorr/Coliform C)t Nitrate IOther bacteria Date of sample: 1 '� Collected by: S4 S B. SEPTIC/HOLDING TANK DATA S- 1'7-91 Date installed Tank size I opo Compartments Cleanouts (.YEN) Fou dation cleanout4S7N) Depressi (YM P-► High water alarm (Y41P A Alarm tested (Y/N) A Date of pumping 6;7- SEPARATION DISTANCE FROM PTIC/HOLDING TANK TO: F�v �`-Its ( J Well(s) on lot , On djacent lots j �' Foundation 27 'Iqg It To property line I t:> _' Absorption field 27 Water main/service line— Surface ine Surface water/drainage 1co 4- 72-026 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Dat installed Size in Ballo Vent (Y/N) on level at High water alarm level Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA a -1-7--i1 Date installed Length On adjacent lots "Pump off" level at Cycles tested Surface water _ Total absorption area _75 !7-,5l- Cleanouts present(PPN) Y Depression over field (Y/Up Date of adequacy test Results/fail) eA, Se, for 4 (, �J� 1 bedrooms Peroxide treatment (past 12 months) (Y4g� ' `� •-1 If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot wol On adjacent lots l i- Property line o '� 1 To building foundation �n � To existing or abandoned system on lot t On adjacent lots �� -Jr Cutbank 'ar-�� Water main/service line LSI 1 I Surface water j )'� -�' \ Driveway, parking/vehicle storage area Curtain drain tlDA V kr s� E. ENGINEER'S CERTIFICATION fi 'tel r j'ef 1 k or -3S I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on tht4N^qf44jg inspection,. .,>n:o-tlNG Signature a46ver I.00Ro"I , 204 "ar, -- "ar, Alaska 99577 Engineer's Name Date a f/ HAA Fee $ F) D `C) Date of Payment t' Receipt Number p 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number���,Ei— 76(;,3 Soil rating V PJ?le% System type G -r:::+ (5 •'S�Qi�'• ►,�'�E�, Width Gravel thickness Total depth'` rJC b� Total absorption area _75 !7-,5l- Cleanouts present(PPN) Y Depression over field (Y/Up Date of adequacy test Results/fail) eA, Se, for 4 (, �J� 1 bedrooms Peroxide treatment (past 12 months) (Y4g� ' `� •-1 If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot wol On adjacent lots l i- Property line o '� 1 To building foundation �n � To existing or abandoned system on lot t On adjacent lots �� -Jr Cutbank 'ar-�� Water main/service line LSI 1 I Surface water j )'� -�' \ Driveway, parking/vehicle storage area Curtain drain tlDA V kr s� E. ENGINEER'S CERTIFICATION fi 'tel r j'ef 1 k or -3S I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on tht4N^qf44jg inspection,. .,>n:o-tlNG Signature a46ver I.00Ro"I , 204 "ar, -- "ar, Alaska 99577 Engineer's Name Date a f/ HAA Fee $ F) D `C) Date of Payment t' Receipt Number p 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number���,Ei— 76(;,3 rr 1 x034 Eapte River Loop Road E801e River, Alaska 9951y ROBERT A. SHAPER CIVIL ENGINEER $94.2919 PROJECT: DATE OF TEST: LOCATION OF WELL (Lepai Description): LL DEPTH: FT. CASIN � 4- '�Q�+�D a -----F• SCREEN: DATE DRILLING COMPLETED nG '� •� "------ DRILLER: STATIC WATER LEVEL (top of Casinp):� FT. DATE: CLOCK ELAPSED TIME SINCE DEPTH TO DRAWDOWN! UMPING P TIME PUMPING STARTEDI WATER, FT. RECOVERY RATE, DPM REMARKS STOPPED, MIN. 10 15 160 (3 hours) 5 210 27 240 (4 hours)q" RECOVERY .oy;'� K. 1 O 25 Comments: Wov\., Flow is not Guarantood Subsequent Variations Can O etair_ V _cog\ a' `& CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING LABORATORY 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 '°+'? ANALYSIS REPORT BY SAMPLE for WORborder# 34320 Date Report Printed: MAY 17 91 1 16:28 Client Sample ID:L1 CONTOUR ACRES S/D #2 Client Name :S & S ENGINEERING PWSID :UA Client Acct :SNSENGP Collected MAY 16 91 a 12:20 his. BPO # PO # NONE RECEIVED Received MAY 17 91 # 11:30 hrs. Req # Preserved with :AS REQUIRED Ordered By :R. SHAFER Analysis Completed :MAY 17 91 Send Reports to: Laboratory Supervise :STEPHEN C. /E,�DE � 1)S & S ENGINEERING Released By C 2) ..........................................................................................................•......................... Chemlab Ref #: 912068 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result Units Method Limits --------------------------------------------------------------------------------------------------------- NITRATE-N 1.8 mg/l EPA 353.2 10 Sample ROUTINE SAMPLE COLLECTED BY: R.D.J. Remarks: .............................................................................................................. 1 Tests Performed See Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Less Than, GT -Greater Than