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HomeMy WebLinkAboutT15N R1W SEC 9 LT 31TI5N RIW Section 9 Lot 31 #051 - 105-10 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St, P,O, Box 196650 Anchorage, AK 99519*6650 www.ci.anchorage,ak.us (907) 343-7904 CERTIFICATE Of HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D., O,f' l - 105' -IO 1. GENERAL INFORMATION Complete legal description ' T15 Location (site address or directions) R1W SEC 9 LT 31 HAA# /q~ O!a 93-/ Expiration Date:_ ~ ]o ,.O., Z~'- O/ 021015 BOWERY LN CHUGIAK, AK 99567 Current Property owner(s) Mailing address Lending agency Mailing address Stephen Hopkinson Day phone P.O. Box 670275 Chu.~ak' 'AE qq567 Day phone, Real Estate Agent Carolyn Greiner / R./H.W Dayphone 6q6-qsq? Mailing.Address 16600 Centerfield Drive EaRle River, Al( 99577 Unless .otherwise requested. HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: ;~ 3. TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer [] [] [] [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in Ihe State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. 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 may be reissued for a period of up to one year with valid water samples.) 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. e 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 outJlned in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further vedfy 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. , NameofFirm S&S Engineerin~ Phone 694-2979 Address 17034 EaKle River Loop Rd 1~1. R~ver, AK 99577 Engine'~r's Printed Name Rober't C. Co~nn P.E. Date Approved for ~)- Disapproved. Conditional approval for DSD SIGNATURE 2001 bedrooms. bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Westewatar Program 4700 South Brugaw St. _ P.O. Box 196650 ,N~horoge, AK 99519.6650 www.ct.anch~,rage.ak.us (907) 34,3-7904 HEALTH AUTHORITY APPROVAl. CHECKLIST Legal Description: A. WELL DATA Well type ..~K~ Date completed ~/K Total depth ~'/K ft. If A, B, or C provide PWSID # Sanitary seal (Y/N).~ Cased k) FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform (-~ colonies/100 mi. Date,°f Samp'l,: ~0! Well Log (Y~. /v 0 Wires properly protected (Y/N~ Casing height (above ground) /~- 'f- in. AT INSPECTION g.p.m. ~'° ~;~ g.p.m. Nitrate ~, ¢ mg./I. Other bacteria (~ colonies/lO0 mi. t B. SEI='FIC/HOLDiNG TANK DATA TankType/Uaterial ~/l, pT', (... / ~. O. P, ~ . Tanks~ze };}00 gal. Number of Compartments F, oundatio~ cleanoui {~IN) ¥~.-~ Depression over tank (Y/N) Date of pumping ,A~::4J' Pumper ~/,~' C. ABSORPTION FIELD DATA Date InstelJed 7/~f/0 I" Soil rating (~2 or ft2rodrm)"~, Length ~ ft. Width I~" ft. Total depth, ~ ft. E~.abso~tion a ~2 Monitodng D tein,ta,ed. / Oeanou~s (y/N) "/'~'5 High water alarm(~N) . ¥¢J System type ,--~.~--~ Gravel below pipe ~-. ~ ../t. fl. Deprassion over field Fo[. ~" bedrooms New depth in. g.p.d. Date of adequacy test N~ Results (Pass/.~ ~ Fluid depth in absorptio~ field before test in. Water adde~_ gal. Elapsed Time: min. ~. Absorption rale >= Any rejuvenafio~]:oeflt~past 12 mo.) (YIN & type). If yes, give date D. LIFT ~I'ATION "Pump on" level at If q in. Datum ?,~/~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons _ ~3o o 'Pump off' level at ~'L~ in. Cycles tested ~ Septic tank/tift station on lot / Absorption field on lot Public sewer main Uanhole/Access ) High water alarm level at q ¥- J'' in. Meets alarm & drcuit requirements? ~'~ J' · On adjacent lots On adjacent lots Public sewer manhole/deanout Holding tank S.~.~E'/septlo service line ~ ~"/4- SEPARATION DISTANGES FROM SEPTI~ TANK ON LOT TO: Building foundation / ~/,V-- Property line //:~ ~" Absorption field / O /4- Watermain /,,//~. · Water service line //O /~- Sudacewatsr /~7 '~- Wells on adjacent lots //~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: /,~ Properly line / O ~'' Building foundallon. / CD .~' Water main Water Service line /~/P' Surface water ,/~)O /~- Driveway, parking/vehidestorage ~ ~'' / Curtain drain/~/V'E' /~.n//34/~/Wells on adjacent lots /O"0 ,~- , F. COMMENTS con~rmance ~ MOA H~ gu~elines Engineer's Prin~ Name HAA Fee $ Date of Payment Receipt Number (Rev. 12/00) oo$ ql Waiver Fee $ Date of Payment Receipt Number 200 W. Pol~er Drive Drinking Water Analysis Report for Total Coliform BacteriaAnchoro0e. Al( 99518-1605 Tel: (9071 562-2343 READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING S~MPLE Fax: (907} 561-5301 MUST BE COMPLETI:D BY WATER SUPPLIER PUBLIC WATER SYSTE~i I.D. # IIIIIII PRIVATE WATER SYSTEM vt Send Involce 0 $endResult~ vt Send ln~o~e SAMPLE DATE: Month tPLE TYPE: Routine vt Repeat Sample (for routine sample with lab ref. no. ) vt Special Purpose Day Year Treated Water Untreated Water Time Collected SAM PLE LOCATION Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~ Satisfactory n Unsatisfactory vt Sample over 30 hours old. results may be unreliable · Sample too long in transit; sample should not be over~g~'nours old at examination to indicate reliable results. Please send new sample via special deliv,ery ~ail. Date Received / Time Received t ^oa ysis Analytical Method: ..,,~Membrane Filter vt MMO-MUG · · Number of¢olooies/100 mi. Result* Analyst 10154 0 .eh Fbk~ Jun Date: Time: Cller, t notified of unsatisfactory results: Phoned Spoke with Date: Time: [] Faxed [] Faxed BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-MUG Result: Total Coliform Membrane Filter:. Direct Count C~ Verification: LTB BGB Fecal Coliform Confirmation Final Membrane Filter Results 0 Colonles/100 mi COLIFIRM Collforl~100 mi Time ~ hrs Comments: i~ E~ Member of the SGS Group (Soci&t~t G~,n~tr;le de Suweillance) ENVIRONMENTAL FACILITIES IN ALASKA. CALIFORNIA, FLORIDA. ILLINOIS. MARYLAND. MICHIGAN, MISSOURI. NEW JERSEY. 01410. WEST VIRGINIA CT&E Environmental Services Inc. Laboratory Division 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 561-5301 CT&E Ref. #: Client Name: Project Name: Client Sample ID: Matdx: PWSID Sample Remarks: 1015420001 S & S Engineering n/a L31 Sect 9 T15N RIW Drinking Water Client PO#: n/a Printed Date/Time: 08/20/01 13:40 Collected Date/Time: 08/16/01 15:30 Received Date/Time: 08/16/01 17:40 Technical Director:. Stephen Ede Released Parameter Results PQL Units Allowable Prep Analysis Method Limits Date Date Init Total Coliform (MF) 0 col/100 mi Nitrate 0.8 U 0,5 mg/L SM9222B 08/16/01 SKW EPA 300 10,0 08/16/01 SCL t, Municipality of Anchorage .." Development Services Depadment .;~ Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 Page www. cLanchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number:. ~(,O010~t~l PID Number: O5'l- lOft- "''" ~3t'~g~'3e/3 /'/'p~:;;/'/~'Ogl WastewaterSystem: [] New [] Upgrade --"PO I~ ~70~17~ ('/~u.~;4~ A/C qqEl7 ABSORPTION FIELD Well: ONew D Upgrade · ' ' I~''' "'~'" ~o~o ~/~ SEPARATION DISTANCES Usep~ic ~HoMing ~S.T.E.P. ~Othec Tank Field Station Tank S~r~e w. I~'103' !~'~ ~5~ ,~--I~' I1~' ISI' ~ / " UFTSTAT~ON HDP~ 5~/ c ~ Bo~7~ BENCH MARK Ins-e-'i ....... ! 70~ E~Ie Rl~r L~ Road, No. ~,,- ~,,-,, .......... ?h'-- '~'W.,~ ....... DevelOpment Se~ices Department Approval ,,- ,~,Reviewed and approved by:~//~/~ ~. ~ate: P£RMIT No.,SW010221 Munici cdi-t DEPARTMENT OF ~EA~TH .A. nch o.r a g.e. AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 eAncho~ge, Al~sko 99519-66500Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAl. LOT .]1, SECTION 9, T15N, R1W, S.M. P.I.D. NO. 051-105-10 FINAL G~NSULATION 94'4'J ~ ~-94.1' MT2=97.8'~ M. T2 DIST. LINE=g6.2'-) A B FCO 16.0' 16.5' ST1 45.0' 64.0' MH 49.0' 68.0' FV1 49.5' 58.5' FV5 59.5' 66.0' MT1 59.0' 65.0' MT2 58.5' 75.0' oFINAL GRADE MT1/MTl=98.O' I~N~.S.~ ~INAL GRADE MTi ~95.9..// ~. ~"~'~'~ ~--BOTTOM OF SAND=93.9' GROUNDWATER AT ~'?.6' 86.9' B.O.H. PER.~r~ No..SWO 10221 ~ACE 2 Or., 3 Municip. ati'c oP .A.n_ch.ocaQe DEPARTMENT OF HEA~.TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 OAnchor~ge, Alask~ 99519-66500Teteohone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 31, SECTION 9, T15N, R1W, S.M. P.I.D..NO. 051--105-10 FROM : ALLIED ALASKA ELECTRIC FAX NO. : 9~73733894 Aug. 19 2~0! 10:~8Pl'1 P2 August 17, 2001 To whom The li~ stat[on at 23405 Lower Terrace street was wired by ,~ I~cemed electrician, in accordance with t~e ' cmrent n~tioml ele~-u;c code. Under pmalty ofl~jary, I certify thh ~,,r',~n to be tree and correct. Sinc~ly, ALLIED ALAS~ F~.F. CTRlC, [,LC Owner 14:04 ~ E}lGIf~U-I~If~ °XY? (,94 1211 PROPERTY OWNER MAINTENANCE AGReeMENT ON-SITE WASTEWATER DISPOSAL SYSTEM greem~ent, dated ~ ~ ,2 is made between the Municipality of Anchorage l.)epartment of Health and Human Servlc. es (DHHS) and the prolx'riy owner(s) of This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. Thc property owner(s) agree to the following: The property owner(s) will have an annual inspection of the system performed by a registered prof~sional engineer. This insp~tion shall verify that all effluent and air pumps, timers, and alarms are functioning as designed. Any deficienc%s shall be correctol and the engineer's statement that the system is functioning as designed shall be filed annually w/th the DHHS. Propcn'y Owner Name (Notarize Hcrc) In witness whereof. I hereunto set my hand and . ,(~,al seal. N,.~tary Public {si~anlt~ My ~ion c~[res: TOTal_ P.01 MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (007) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 02, 2001 Expiration Date: Jul 02, 2002 Permit Number: SW010221 Legal Description: T15N RIW SEC 9 LT 31 ~Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Stephen Hopkinson Owner Address: PO Box 670275 Chugiak, AK 99567- Parcel ID: 051-105-10 Site Address: 021015 BOWERY LN Lot Size: 108900 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit Is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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: Date: / ,ssued, Date: 7-2 -0 / Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bmgaw St. P.O. Sox 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak, us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number Properly owner(s) Mailing eddress (~) STEPHEN HOPKINSON BOX 670275 * CHUCIAK. AK Day phone 688-0D10 Mailing address (2) Legal description (Lot, Block & Sub'd.) ZJp Code LOT 31: T15N. RIW. SECTION g, 99567 Legal description (Section, Township & Range) Lot Size _~.D~ A~ THIS APPLICATION IS FOR; Sewer Only ~] Sewer and Well Sewer Upgrade · Number of Bedrooms 2 Well Only Water Storage THIS PROPERTY CONTAINS: Hot Tub ~[~ Swtmmlng Pool Therapy Pool [] Water Softening Unit I certify that the above Information Is correct. I further certify that thls application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER &: WASTE'WATER CONSULTANTS~ INC. Permit Fees: ~,,~o~.(~ .~ Date or Payment: Receipt Number:, Waiver Fees; Date of Payment: Receipt Number:. TEWATER CONSULTANTS, INC. June 14, 2001 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Septic System Upgrade for Lot 31; T15N, RIW, Section 9, (Bottomless Intermittent Sand Filter - ISF) To whom it may concern: The existing 2 bedroom house is served by a private well and septic system. The existing septic system is an undocumented system and is believed to be encroaching on groundwater. We are proposing that a 1250 gallon S.T.E.P. tank and a innovative Bottomless Intermittent Sand Filter (ISF) system be installed. Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: Two test holes were excavated on the west half of the property to determine an area suitable for a septic system upgrade. Given the limited area around the test hole, high groundwater, and the setbacks from the well & creek, & pond; it is our opinion that a Bottomless ISF system is the most viable option. 2. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 2.0 gallons/day/ft should be used for the Bottomles Isl. 3. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate for ISF: 2.0 gaIlons/day/ft2 c. Number ofBedrooms: 2 d. Design Flow: 300 gallons per day e. Minimum Absorption Area: 150 ft2 f. Effective Depth below pressure pipes: 2.5+ inches g. Width: 12 feet 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com h. Length: 20 feet. i. Effective absorption area-- 240 ft2 j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". 1. Sand Material: In accordance with M.O.A. latest standards m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1% passing the #8 sieve. We are proposing to excavate down to a depth of 3 feet (maximum - remove all organics), place a minimum of 6 inches ofsand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional lift station (Anchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the 1SF. 4. SURFACE WATERS: There is a small creek and a small pond on the north half of the property. The 100 foot setback from the surface water is to be flagged by a registered land surveyor prior to construction. 5. TOPOGRAPIIY: The area for the proposed septic system upgrade is mostly fiat. 6. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with the MOA "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (4700 South Bragaw Street.). 7. CLOSING: I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank ~;~u for your assistance. Sincerely/~ Pres~ ~[I 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com I I I I LOT ~OB, $£c'nON g, TISN. R1W LOT 29B, SE:~TION g, TISN, R1 · - I II h. II II ~ I I ! \ bJ I I I % 0 I I II ~, ,--,~. ~// 1 I I I I I TI~, RIW, ' I I [ I I ~ I ~ I I ml I I I . I - I I T15N, RlW, SE~N g, I I ~T (SEE D~IGN P~E 2 OF 3) '~ I I ~ VALL~ AVE. ~// x I 6/14/2001 ~- ~ A~SI~ ~'I'ER & I~STEB~TER ~ ~T4~ p ~ CONSULTANTS, INC, 6901~,~e~Gg.~S~e~[~3?~7eeF~907~38~Z&6 1 ~ __ 100t STEPHEN HOPKINSON 242-4282 1 OF 3 .' · " ............. · {:r,~ ~1 -7955 .. LOT 5,: SECTION 9, TISN. RIW '~"~...'.--~'"'~ SITE P~N FOR SEPTIC SYSTEM UPGRADE , ~ L ~V ~ I ~ SU~OR PRIOR ~ ~N~ON. (s~ ~o~ ,.._........__,,.,,,~...~,,,,,.,,...,,,,..,,, ,..,o, Z~;.:~.::::;:::', LOT 51; TI5N, R1W, SECTION 9, "... DESIGN OF SEPTIC SYSTEM UPGRADE (BO~OMLESS . ¢ 1~1~5. ~L~5, ~ FLL~::~ r 12' ~ [ ...................... ~__~ ..... ] · / ...... ; .......... /,,..,,~.~.'. ~ ~~~ P~N VIEW (~ ~ .................. ~- ..~,~ ~) -~'~'~'~ ~ ..... ..... .:~ ~...~ :~-.~::,,~z~,~: .~ ~.-,~.~4~ ~'~ PROFILE VIEW ~1~1~oo~ .... . . ~ ~ CONSULTANTS. INC. ~ >R~ FOR: PHONE NUMBS: P~[ NUM~: L,~ ~. STEPHEN HOPKINSON (907) 688--0510 5 OF T]5N, R1W, SECTION 9, LOT 51; DETAIL OF BO~OMLESS INTERMI~ENT SANF FILTER (ISF) ALASKA ~5 R & WASTEWATER~,.,.,~,,,,., ,, ,,-e-~"'r. t/..~ ,~, '.;.'-r~ ISOIL LOG - PERCOLATION TESTI ,..,..,~.L[/~ ......... IFC, AL OESCR1P'~ON: T15N, RlW. SECT]ON g, LOT ,31, PERFORMED FOR SlLPHEN HOPKINSON DATE: 8,/7//01 :..wo :~ GW ====: OR(; '%°; ~ GP ~ ML 4 ..... · , GC OL .... '" SH OH G-- :,~:..[ SC 7-- '~'" *' DEPTH TO :~ :~"* DATE ,~,'~, GROUNDWATER S.o~ 5.3 6/14/2001 I I , I t ........ ~_4~ 11 ~ DATE RE. lNG CLOCK NET TIHE WATER LEVEL NET DROP TINE (HINGES) RE.lNG (INCHES) 12~ 13 ~ ,,- <, c 20 TEST R~ BETWEEN 1.0 FT. ~D 1.5 COMMENTS: PERFORMED BY A~ WATER & W~ATER I, JEF~ A. ~N~S, CER~ ~T ~IS W~ ~RFORMED IN ACCORD~CE WI~ A~ ~A~ ~D MUNICIP~ GUIDEUNES IN E~CT ON ~IS DA~: DEPTH TO GROUNDWATER DATE 5.s 6/?/2ooi 5.3 6/14/2001 ALASIL~ ~ATER & WASTEWATER £~'~... r , ISOIL LOG - PERCO~TION TESTJ L~ ~ ~. ..... ~....:...~ ~ DESCRI~ON: T15N, RIW, SE~ON 9, LOT 31, w~ PERFORMED FOR SILFHEN HOPKINSON DA~: 6~01 lr~t)' :~:=~: OR~ICS ~, ~:.. ITEST HOLE ~21 '~ ~'~-~t,-.~"~"~ ~ ~ GM ~~ CL 4 , ~?~"'' ) x GC OL ~.~",' CP/SP ,, ~, SW MH '"','~. SC 7-- ?75.,.. DEPTH TO ~'<,'~, GROUNDWATER DATE .~.-..~,e, ~o- 11-- DATE RE'lNG CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINGES) RE'lNG (INCHES) 12~ I I 20 TEST R~ BETWEEN 1.0 FT. ~D 1.5 COHHENTS: PERFORMED BY A~ WA~R & W~ATER I, JEF~ k G~NESS, CER~ ~T THIS W~ ~ERFOEMED IN ACCORD~CE W~ ~ ~A~ ~D MUNICIP~ GUIDEUNES IN E~LCT ON ~IS DA~: DEPTH TO GROUNDWATER DATE 6.0 6/7/2001 5.7 6/14/2001