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HomeMy WebLinkAboutRIVER VIEW ESTATES BLK 4 LT 9River'view Estates Block 4 Lot 09 #050-72! -02  Municipality of Anchorage Development Services Department Building Safety Division ~,~ On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 '~ ~' www.ci.anchorage.ak.us (907)~3-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection RepoA Pe~it Numbe~ SW020184 PID Numbe~ 050-721-02 Name: CHUCK LUPER Wastewater System: ~ New D Upgrade ~dm~: 215~7 RNER P~K DRI~ * ~G~ RNER, ~ 99577 ABSORPTION FIELD Phone: No. of (907) 696-5060 4 ~D~p T~h ~Shallow T~h ~Bed DMound ~er T~ ~ f~ ~1 LEGAL DESCRIPTION ~ "~: ~ .o ~. ~ 6.0 Block: ~ Subd~illon: ~ ~ p~ ~m ~m ~ g~: ~ ~ ~ 4 9 R~ER~ E~ATES 0.87-1.87 ~ 4.13 Township: Range: S~ion: ~ ~ ~ ~ ~ ~ ~= - - - 0.9-5.28 ~ 60 WELL: I New ~ Upgrade 5 ~ 1J - PR~ATE 110 ~ 27 ~ 600 ~.~ D 3034/ F-810 H20 WE~ DRILLING 6/24/02 105 ~ JIMMY WALKER 3/2002 ~M: Pu~ ~ ~ ~ ~t ~ ~u~: 10 cm UNKNOWN ~ 24+ ~ TANK SEPARATION DISTANCES · s.pu: D Hol~ng a S.T. EP. meld Station Tank ~ U~ ANCH0~GE TANK 1250 Well 100'+ 100'+ - - 25'-I- ~EEL 2 su,~. w~t.~ ~oo'+ ~oo'+ - - - LIFT STATION Lot Uno 5'+ 10'+ I Foundation 5'+ lO'+ ~1 I Cu~aln Drain N~NE KNOW~ - ~j~~~ Remerks: BENCH MARK BOSOM OF SIDING N~R POINT "A" j~ ~ ~01.16 Inspections peffo~ed by:. AKWWC, INC. Dates: 1st, 7/'3/2002 '~:[:~ .~ ...... 2nd, 7/5/2002 Development Se~ices Depa~ment Approval (~.R~viewed,~o,) and approved by:~ Date: ~[ '~' } ~:~'~'~o m .,o~'.......__ ........... PERMIT NUMBER: swo2o,84 AS. ,BUILT DRAWING ./' ..~.<~ ,' 7/14/2003 ~I~ WATER & WASTEWATER , CONSULTAmS. INC. CHUCK LUP[. (007) 69S-50SO 2 OF RIVERVIEW ESTATES SUBDIVISION; LOT WP[ OF ~ORK: AS-BUILT DRAWING OF SEPTIC SYSTEM · ,,,. A B ST1 29.82 57.40 ST2 38.17 64.05 DBL1 40.39 66.35 DBL2 42.55 67.76 C01 45.19 70,18 MI1 49.32 74.64 C02 104.61 127.77 MT2 95.16 119.03 SW020184 ~ 050-721-02 TOP OF T~K AT~ := J = ~TOP OF T~K AT INLET ~ g~ ~~ ~ ~ OUTLET = g6.50 ' ~t~[ B~5~4~ SEPT C TANK % I~RT OF BUNO A, MT CO ~ FI~ C~E m II II / ~ O~C~ ~I~R~ OF PIPe~ "  GROUN~ATER a 8~.50 - gl.00 (Am.) ~ RE~T~ E~TATION OF BOSOM ~ OF TEST HOLE - 82.00 ~ ~ RE~T~ E~TATION OF BOSOM o~ ~s~ .o~ - ~.~ ............... ~: ..... ~w..: ~. . .... ~I~ WATER & W~TEWATER ~: ,q D/4 9 r~ ~ , CHUCK LUPER (907) 696-5060 5 OF 5 " f~ ..... PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM '~%%~'~'~ ~ H20 Well Drilling Co. P.O. Box eTO~O, W~lla AK ~ Owner of Land: '~ -' ' ' __ ~- D~pth of Well t/ / ~ ) FL ~ A~: ~Stm~ L~, ~,r ~. ~ L~tion ~W~l: ~" ~ ~ Ft.~ Date - ~terted: Date - Ended: WELL LOG Gals. Per Min,. Kind of Casing Kind of Formation: Form....O .....R. to ....~.. ..... FL ..... Ft.,,..l.O......Ft. Form ............. R. to ............ Fl ....................... Form ............. Ft. !o ............ FI. ...................... Fo~m ............. R. to ............ Ft ....................... Fora,1 ............. Ft. to ............ FL ...................... Form ............. Ft. to ............ Ft ....................... Form ............. Ft. to ............ R .................... Fora1 ............ .FL lo ............ R .................... Fo~n ............. FL to ............ FL ................... Fon~ ............. Ft. lO ............ Ft .................... Fo~m ............ .FL to ............ Ft....'. ............... Form ............. FL to ............ Ft .................... Form ............. FL to ............ Ft .................... Form ............. Ft. to ............ Ft .................... Fom~ ............ .FL Io ............ Ft .................... Fonm ............. Ft. to ............ Ft .................... · Form ............. R. to ............ FL ...................... Fora1 ............. FL to .~,)~)..~ Ft .................... Rnal Well Del~t .... r~,~., ......... Ft. D~lem N~me: ~ Grouting: Well Grouted: Yes No Mat~rtal: Neat Cememt Bento~e ~ Pump: ~ available) H.P. Leng of Drop I pe Ft. Capacity Type: 8ulxne~ble Jet CenUffugal Olher Ft. Dep~ Weight ~ , lbs/It. FL Del~h Stickup ft. agm MUNICIPALITY OF ANCHORA GE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Jun 20, 2002 Expiration Date: Jun 20, 2003 Permit Number: SW020184 Legal Description: RIVER VIEW ESTATES BLK 4 LT 9 Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: Chuck Luper Owner Address: 21337 River Park Dr. Anchorage, AK 99577- Parcel ID: 050-721-02 Site Address: Lot Size: 43950 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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 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: Issued By: {~-- ~ Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci,anchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number Property owner(s) Mailing address (1) Mailing address (2) CHUCK LUPER 21337 RIVER PARK DRIVE * EAGLE RIVER. AK Day phone 696-5060 Zip Code 99577 Legal description (Lot, Block & Sub'd.) LOT 9. BLOCK 4: RIVERV1EW ESTATES SUBDIVISION Number of Bedrooms Legal description (Section, Township & Range) Lot Size ~ .~ ~,.~-'~ Acres/~ Well Only [~] Water Storage THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade Jacuzzi Water Softening Unit THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER &: WASTEWATER CONSULTANTS~ INC. Permit Fees: /-'~'~--~'~ = ~::~(~:~(.~ Date of Payment: ~ - IR - C) ~ Receipt Number: O"Z-I/~ '~_~ Waiver Fees; Date of Payment: Receipt Number: ALASI WATER & WASTEWATER ~.,...~ '"~'- CONSULTANTS. INC. ~,,,a~,~.,,..,.~.,.,~,,,,.,,.~,.,,,,,,,,~.,~ June5,2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Proposed and Well Septic System Design for Lot 9, Block 4; Riverview Estates Subdivision To whom it may concern: The proposed 4 bedroom house will be served by a private well and septic system. T~vo test holes were excavated in the area of the proposed septic system. The septic system will be designed around the 30 foot radii of these test holes. We are proposing that a 1250 gallon septic tank and a five foot wide drainfield be installed. Comments regarding the design are summarized as follows: 1. 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 1.0 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Pemolation Rate: 3.3 & <1 minutes/inch b. Allowable Application Rate: 1.0 gallons/day/112 c. NumberofBedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 600 tt2 f. Total Depth: 6 feet (max. - at any poin0 g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 60 feet long k Effective absorption area = 600 112 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907)337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 4. TOPOGRAPHY: The area for the proposed septic system is mostly flat. In short, there are no slope concems. We are 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. ~ Jeffr~:y~. , M.S. ?resider 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 * Website: akwwc.com r : ,F/ xX '~s. '%.", .-.;~.~;7 ,,4-,-'" "--..'"'~ ~ ! h / -.?.~ %. ,, v .~.~ ,,/~..- ... -. ~ I I ~ ~ x xx I~/ : %,. ~ ,--~-~o~' ~-~,% % %-% x I I ./ ~ / X_ ~ / ' I -d~---- / X X ./ / I I .... ~ I I I I I I I I I  6/5/2002 ':~' WA'FB~ ~VASTE~TER : ~o~~.,~..__ ........... ~....~ CHUCK LUPER 696-5060 1 OF 2 ~ t.J,,f~CvlA, ban ~s~.: LOT 9, BLOCK 4; RIVERVIEW ESTATES SUBDIVISION qb,~,~_ '~...~ ...... SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM ~t:~;~ ~~' , ~ I / / ................... J.L.M. ~" ~. '. ~S~ WATER & WASTEWATER ~ co.su~.xs. ~.c. ,'?~?' ~o, o~.~ .o~. ~,x~ z~. ~.c.o~a~. ~ ~soa · ..o.~ ~o~,~. ~ ~o.~.~z~6 1" = 40' CHUCK LUPER 696-5060 2 OF 2 ~ O~RI~N: ~z' . CE", g53 .." LTO g, BLOCK 4; RIVERVIEW ESTATES SUBDIVISION DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM ., .... ~C~ DESCRI~ON: LOT 9, BL~K 4; R~ E~A~ SUBD~SION"" ~ ~'~:' 8 :/'Y'- ~'v" VGqne,.:... v~. '~ '. :E~i 7953 ~' ~ O~AN,CS ITEST HOLE ~1I SS CAT ONS ~ GP ML ,.~ s~c /~ 'x% ~ ~ ~ _~ ~PR~Sm ~- GC OL -- ' sw ~ SP CH I~]~tt~3 GP-GH TO ~1 SM OH ~.s' ~/~/2oo2 13.5' 6/6/2002 ~ N .~'-~+~- 11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINUTES) READING (INCHES) 12 5/~0/2002 1 10:~ - 6- _ 2 10:58 10 ~' ~ Sp TO ~ ~o:ss - 6- _ 14 i~] GP 4 11:08 10 ~' 5 11:08 - 6- 6 11:18 10 3" 15 7 11:18 - 6- 16 8 11:28 10 3' 9 11:28 - 6- 17 10 11:38 10 3" 11 11:38 - 6- _ 18 12 11:48 10 3" 3' 19 PERCOLATION RATE 3.33 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. ~D 6.0 FT. 20 A FOUR HOUR PRESO~ WAS PERFORHED: ~ YES ~ NO SOILS LOGGED BY: JODY MAUS PERCO~TION TEST PERFORHED BY: ~B ~L COHHENTS: PERFORMED BY AK~C, INC. I, JEF~ A. G~NESS, CERTI~ ~T THIS W~ ~ERFORMED IN ACCORD~CE WEH ~L ~A~ AND MUNICIP~ GUIDEUNES IN E~ ON ~IS DATE: DEPTH TO GROUNDWATER DATE DRY 5/29/2002 13.5' 6/3/2002 13.5' 6/6/2002 ALASKAx WATER & WASTEWATER F~A 4 } ~ Jig "Z'~ CONSULTANTS, INC., ,,, .... .... IS0IL LOG - PERC0~ION TEST] , ~~o~o~,cs ITEST HOLE ~2I S01L C~SSIFICA~0NS ". N ~ N ' ' ' ~ GP I ML . ~ s~.c ~/ ".X '~/% -- '~ SP CH Sp-SH sc DEPTH TO GROUNDWATER DATE 1 10 TIME (MINUTES) READING (INCHES) ~ ~/~o/~oo~ ~ - - ~- - 2 - I O' ~ SP TO a - - ~" - ~ GP 4 - 5 - _ 6- _ 18 19 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN ~.0 FT. ~D 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: SOILS LOGGED BY: JODY ~US PERCOLATION TEST PERFORMED BY: ~B ~A~ COMMENTS: ~ INS~U ~NDY SOI~ SHOULD ACT ~ A ~D RL~R. PERFORMED BY ~C, INC. I, JE~ K G~NESS, CERTI~ ~T THIS W~S pERFORmED IN ACCORD~CE WITH ~L ~A~ AND NUNICIP~ GUIDEUNES IN EF~ ON THIS DATE: DEPTH TO GROUNDWATER DATE 12' 5/29/2002, 11' 6/3/2002 11' 6/6/2002 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & .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. 050-721-02 1. GENERAL INFORMATION HAA# /3(-1 O2-3G Expiration Date:. C~_ .- ~ g _ O J3t'' Complete legal description RIVER Location (site address or directions) Current Property owner(s) Mailing address Lending agency Mailing address R~al Estate Agent. Mailing address VIEW ESTATES SUBDIVISION; LOT 9, BLOCK 4 21357 RIVER PARK DRIVE * EAGLE RIVER, AK * 99577 CHUCK LUPER Day phone 696-5090 21287 RUNNING BROOK CIRCLE * EAGLE RIVER, AK * 99577 Day phone Day phone, Unlessotherwise~quesle~ HAAwillbehe~byDSD ~rpick~. 2. NUMBER OFBEDROOMS: 4 TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [] Individual On-site [] Individual Water Storage nj Individual Holding tank Community Class. Well r-] Community On-site [-] Public Water System r-I 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 4 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) 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certifi(~.ates 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.' Se STATEMENT OF INSPECTI°N BY ENGINEER As cedified by my seal affixed hereto and as of the validation date shown below, I redly that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site wafer 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 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm CARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701'E"TUDOR ROAD' surrE 1°1 * ANCHORAGE' AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational fife of all wells and septic systems depend on the local soils condition, groundwater levels ~hat may fluctuate during the Year, and the water usage of the family being served by the system. These condiEons are outside the control of the evaluator of the system. Satisfactory test results do not guarantee futura performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. 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 party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE t~. Approved for /-[" bedrooms. Disapproved. Conditional approval for Attachments: HAA Che(~klist septic system Advisory Well Flow Advisory bedrooms, with the fllowing stipulations: '= : WAS1~WATEt(: : ...- Manitenance Agreements Suppl..emental Engineer's Reort Other Original Certificate Date:_ (Rev. 12J01) ;Ii Be Legal D,e~;ciiption: : Municipality of Anchorage Development Services Department Building Safety Division ' :' On-Site Water & Wastewater Program 4700 South Bragaw St.' .~ P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904- HEALTH AUTHORITY APPROVAL CHECKLIST WELL DATA *ASSUMED c~ASED TO BEDROCK W(~ll typei. PRIVA. T__E :IFA; B, or C provide PWSID# N/A Date completed 6/24/2002 .Sanitary seal (Y/N) YES . . Totald(Jpth 110 ,fl .... :Cased to *27 fl. ]i' ' { [' ' FROM WELL LOG D~te o~f ~st 6/2~-/2002 Static water level 105 ft. Well production ,10 g.p.m. WATER SAMPLE RESULTS:. RIVER VIEW ESTATES SUBDIVISION; ,LOT 9~ BLOCK 4. Parcel ID: Coli~orm' 0 colonies/100 mi. Arsenic:; N/,A mg./L . SEPTIC/HOLDING TANK DATA Tarik Tyl~e/Material STEEL -Tank size' 1250 gal. Number of Compartments 2 FoUndatioh cleanout (Y/N) yes I~uJ'nping ': ', Dat~ of 6/23/2004 ABSORPTION FIELD DATA I'B£LOW FINAL CRAD£I Date insta led 7/3/2002 Soil rating ~r ft~/bdrm) 1.0 ength t',: 60 ft, ' Width 5 fi. 050-721-02 Well L~g (Y/N) wires properly protected (Y/N) Casing height (above ground) AT INSPECTION Nitrate' 0.1 'mg./L: Otherbactei~ia , - :, : ~ 6/.21/.2004- : :' ~ -- Date of sample: 6/18/2004- Collected b~: ~ Date' installe~ Cleanouts ~/N) Depression over tank (Y/N) NO High water ~larm (Y/N) : . ~- Pumper'' JR'S puMpING '' ' YES- YES 24 'in. Totll,depih' ;6.9 - 8.3ft. Eft. absorption area,' 600 ft'. Monitoring tube YES ~. I~epression over field NO N , uate of adequacy test ' ' ' "" Results/p,.,..~:~:i, _ , ~ I , _ . . _Am/- ' ~on treatment (past 12 mo.) (YIN & type) NONE KNOWN If~/es, give date. · - !*sYSTEM LESS THAN Two YEARS 'OLD. . i i Syste~itype SHALLOW'TRENCH , Grovel 'below pipe 4.13 ft. N/A 7/,,3/,2002 2 0 colonies/100 mi. GEG, LtD. LIFT STATION Date installed ."Pump on" level at ; Size in gallons in "Pump off" ' ' in..,. High water alarm level at in. Cycles tested . Meets alarm & circuit requirements? SEPARATION DISTANCES ' .., '. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot r l O0''~t' Absorption field on lot" · 100'+ Public sewer main N/A sewer/septic service line ' 25'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: on~adjacen;~ lots 100'-I- On adjacent lots " 100~+ Public sewer manhole/cleanout ~ ~ ~Holding tank N/A N//A Building foundation 5'+ : Propedyline 5'+ Water main N/A .... Water service line 10'+ Wells on adjacent lots 100'+ ., · ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation ~10'+ Water service line 10'+ Surface water 100'+ · ;Curtain drain NONE KNOWN Wells on adjacent lots 100'+, _ COMMENTS ' .: Absorption field Surface water. 5'+ 100'+ Water main N/A Driveway, parking/vehicle storage 10'-t- G. ENGINEER's CERTIFICATION I certify that I bave 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. Engineer's Printed Naml JEFFREY A. GARNESS Date~ , (,~/'Z."~ ! O ~'" ~'"~ .Waiver Fee $ '· 'Date of Paym(~nt Receipt Numbe~ ;CT and E AWWC SGSICT&E ENVI 'i : Drinking water Analysis'R~port for Tc~tal. Coliforrn. Bacteria .. { · READ INSTRUCTIONS ON RL=~-r-RSE ~IDE BEFORE COLLECTING SAMPLE, MUST BE COMPLETED BY WATER SUPPLIER · * TO BE COMP. LETED BY LABORATORY .. Sample ,Receivina: · ' " Date: ,~'-- i~livery MethYl, :' E..-I - Received B~.' ~ ;5615301 *. 200 W..F~TrER DRIVE ·· 'ANCHORAGE, ALASKA 99518 . Tel: 907-562-2343 .. Fax: 907-561-5301 Lab t 043594'-!/ -- l, ' I ' S~PLE'n~ '. '": ' : .l~Roufln.' [] Treated Watel; · ' [] Repeat Sample' . "il I;ntr~'~dWa~r ' (refer to lab no. · .) I-I Special purpose · ... · ., .' ,. Analytical Method: · D 'Membrane Filter r'] ' MMO-MUG (P/A) 06-23-04 01 :OOPg ._.SGS.... ! FROg-CT&E ESI, SGS ENV SERVICES 90?5615301 T-836 P.02/06 F-789 Laboratory Analysis Report SGS Ref.# Client Name Project Name/# Client Sample ID Matrix 1043550001 Garness Engineering Group, Ltd. NA Riverview East Lot 9 Blk 4 Drinking Water All Dates/Times are Alaska Standard Time Printed Date/Time 06/23/2004 13:51 Collected Date/Time 06/18/2004 10:45 Received Date/Time 06/18/2004 13:15 Technical DireCtor Step, l~n C. Ede Released~~~/~ Sample Remarks: EP 300.0 - Sample was run past hold time for nitrate due to an instrument malfunction over a weekend. Allowable P~ep Analysis Parameter R~ults PQL Units Method Container ID Limits Date Date lair Waters Department Niwate-N 0.100 U 0.100 mg/L EPA 300.0 Microbiology Laboratory ....... Total Coliform f 10B, W/Coli, No~/ col/100mL SM20 9222B . B (<=10) 06/22/04 A ¢<=1) 06/18104 DPT t (907) 502-2343 f (907) 561-5301 WWWmSgsenvironmental.com M.mbur of l~e ScS Oroup (Societ~ Olifl~ral. de Survsillsnc.}