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HomeMy WebLinkAboutFIRE LAKE LT 3 LT K3Onsite File #051-333-41 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: .OSP 191496 PID Number: 051-333-41 Dwelling: ❑ Single Family (SF) M with ADU Z Duplex (D) El Two Single Family Project: Fl New Upgrade Name DAVID WILSON ABSORPTION FIELD - EXISTING El Deep Trench F-1 Wide Trench El Bed El Mound Site Address 14011 KNOB HILL DRIVE, EAGLE RIVER El Other Phone7 f Bedrooms Soil Rating depth from original grade 77� 6 GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot FIRE LAKE LOT 3 K3 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft' I I Ft. Well 100'+ 25'+ TANK 0 Septic F-1 S.T.E.P. ❑ Holding E] Other Manufacturer GREER Capacity 1500 & 1000 Gal. Surface Water 100'+ Material HDPE Number of compartments 1 & 2 Lot Line 101+ NA Foundation 10'+ LIFT STATION IManufacturer Capacity Gal. Remarks Existing septic tanks decommissioned per code. Alarm location Electrical installed by Installer NORTHERN EXCAVATION PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Drainfield CO/MT 3034 Inspector FWCS/ MNA BENCH MARK (Assumed elevation) 100 ft Inspdates: ection i'l 11/26/19 Zed 11/27/19 Location and description 3`d4", BOTTOM OF TRIM ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date 7',OF 1� ALS 491H* Septic System 0 /�-- ) Approved - lql Ak �A .MIC MICHAEL N. ANDERSON.- S No. CE 9469 .. -' . Date 1/8/20.20.. - Pftprssloo' Note: this approval does not include well permit requirements. -AV k Gv 0:)/041 1 0) 11/4/19 MUNICIPALITY OF ANCHORAGE Development Services Department r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 051-333-41 Property owner(s) DAVID WILSON & MARGARET BAKER Day phone Mailing address 14011 KNOB HILL, EAGLE RIVER, AK 99577 Site address 14011 KNOB HILL, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) FIRE LAKE LOT 3, LOT K3 Legal description (Township, Range & Section) Lot Size 56,166 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑ (w/wo AD U) Septic Tank ® Upgrade ® Duplex (D) Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. QJ%piRitlq& Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\FormsUient FormsTermit Application.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 / Fax 345 -1391 Support Services Brent M. Western 907-440-4601 October 28, 2019 On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANKS - UPGRADE PERMIT LEGAL: FIRE LAKE LOT 3, LOT K3 – 14011 KNOB HILL DRIVE To whom it may concern: The owner has requested we proceed forward to obtain a septic permit to upgrade the aged septic tanks on the subject lot. The proposed upgrade will serve the existing 6- bedroom house. The lot and area are served by private wells. The proposed design will not impact any of the neighboring properties due to the lot layout. Please contact Brent M. Western or me if you have any questions. Sincerely, Michael N. Anderson, P.E. Attachments: ADEC Record Docs Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191496, Rebecca Carroll, 11/04/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191496, Rebecca Carroll, 11/04/19 / I/ STATE OF ALASKA \ // ➢ EPFRTMENT OF ENVIRONMENTAL CONSERVATION APPROVAL OF ON RES]DENIFAL WATER AND SEWER SYSTEMS PROPERTY DESCRIPTION mrL A a;!- df /5 - — -- ,Y91_f F—A--�-: __ --__ _ -I all -_ This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance Of the water supply and wastewater disposal systems. A recent watersar le was tested and found 10 meet department orEnvironmentalConservationdrink - Ing water standards for total coliform bacteria .WASTEWATER DISPOSAL The domestic wastewater system was: — ❑ Inspected by the Department of Environmental Conservation and found to be In compliance with applicable requirements of 16 AAC 72; Inaspeofed I Professional Ergmearwhohnettlikes mM the system kessam er With applicable to qufmanints of 18 AAC 72; LJ Installed by a Certified Installer who cedifles that the system complies with applicable requirements of 18 AAC 72' or L testi adirmalsouldricam Falgrne _ 1R4IhD R n gyp--. .. and that the student complies w Ih Yfid dI'ntr i frhsep od�]Sia"3ilas"'$e6 d fn i! - This approval isvald for aL single tamp@ m INT rally unit_ with a total of bedrooms._ - ..use grr_G C. na¢+ine 1115 pormsorlON'. weMr—aPnsina IXp rJohnn il; CANARIMPPOGMi FNMDM FNT EAGLE RI��((.� Jan �•f3!F—PJa ENGINEERING 5773 94 - CPBan sJnnttNo EAGLE RIVER. ALASAA 99577 uuwun:e er -2— 'd <TM m , 6/9f/ n Panne 6945195 ' I YT LII e. Ll O9f�r ..y4Psp Or dC'ge J fi.3 GPM as /3'd�a.,�...,. ✓wr �°,`q _. BPC l ABJ v, -- -- gime° noe ssma'^�+`m. OFAGIERIVERENGINEENINGSEAVIGES O $ salts LOG EAGLE PNEP, AN 99577 P. O. BOK P3291 6945195 D PEncourlox TEST SOI IS LOG—PERCOLATION TEST PERVORMEO von:' - T,l, A•.... L(i DA TE rERroRDen: s/a../so LEGAL DEscnmT:ON:_ L.t X3 of 4t3 /=5 e L.he / ,p Wec 2- Zl pTE RAX I I ap+eJ o<snv:� 2- TIM Tims Wen, Dr,p 4; 4 � 6 B � S•..L P Gw./ 7J� II�jnY ir)Y G✓m.f B 9 UIT� 10- . n .ti WY A. SOMA PEAWLS70N RATE /So 105�2r. I I TEST RYNPFIWE�ETANO SFT SOMERMTs %r J P6nwnmEO Ev: too NNMEnIn.,.rv. SSOdSM CERTIFIED er'6/��m DATE: o, mx'h7rmP. .: —� WE Aw.. AC Po6T TIM Tims Wen, Dr,p PEAWLS70N RATE /So 105�2r. I I TEST RYNPFIWE�ETANO SFT SOMERMTs %r J P6nwnmEO Ev: too NNMEnIn.,.rv. SSOdSM CERTIFIED er'6/��m DATE: o, mx'h7rmP. .: —� WE Aw.. AC Po6T GREAI'ER ANCHORAGE AREA BORuUGH  Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME SEPTIC TANK: DISTANCE / FROM WELL / ~ 7~ MANUFACTURER INSIDE LENGTH ~ ) INSIDE WIDTH ¢~~~MATE RIAL .LIQUID DEPTH_ NUMBER OF COMPARTMENTS LIQUID CAPACITY /0-~'~) GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER OR WlDTH/~--, / LINING MATERIAL /~.~-~"..~/z_~ CRIB SIZE: DIAMETER / BUILDING FOUNDATION__ NEAREST LOT LINE.<~z~ ADDITIONAL ABSORPTION ? ! LENGTH 7 DEPTH / ~ DEPTH ~ DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 3 3~ SQ. FT. WELL: TYPE ~'~ ") CONSTRUCTION BUILDING NEAREST FOUNDATION -- LOT LINE NEAREST SEWER LINE DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK __ SYSTEM CESSPOOL APPROVED DISTANCES: OTHER SOURCES DISAPPROVED __ :~/'/~/-~DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Fn~m No. EQ-031 DATE Gte:, .--r ANChorage Area bo~ Ugh PERMit NO. DEPARTMENT OF ENVIRONMENTAL QUALITY ~/~ ~//~___.~ $330 "C" STREET ANCHORAGE, ALASKA 99503 SEWAGE DISPOSAL SYSTEM ~--APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SEEPAGE Pit .. DRAIN FIELD . OTHER SOIL TEST RESULTS ~_~d_ ' ~'~"~..~'~d~'~)d~'~'~'~'~'~'~'~'~ ~--~'~"OTE, THIS PERMIT IS NOT VALID WITHOUT SOIL Tl='ST COM,LETION OATe ANT,D,R^TeD /",~?~"~ /~, -/~e FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEEPAGE AREA s,~e/e~ ~/y'Y~ ' Tv~E .~/-/"-' MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK -- FOUNDATION TO SEEPAGE PIT ~':~'~ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ~ SEEPAGE PIT ~ TO NEAREST LOT LINE. / DRAIN FIELD I DRAIN FIELD SEPT,C TANK, /D~ , SEE~AG~ PIT SEEPAGE Pit ALSO CONSIDER AREA WELLS. SEEPAGE P'T DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT F~TTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, DIAGRAM OF SYSTEM Jim Arnold ~ .,: 18 Sept ?5 top- soill 2 Gw content. The sediments were fairly loose with a low water DATE RECEIVED INSPECTION APPOINTMENTS TIME , TIME DATE '~ ~ ~ ~ I DATE I I NSP ECT[O~R INSPECTOR ,MIJNICIPALITY Of ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTF~TvI~NMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTALSAN TAT ON D V SION SEP 1. ? 1980 Telephone 264-4720 DE r' E/~/E I'~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SL~/~FIA~I~.Iii'I~/S DATE INSPECTOR DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processad. Please allow ten {10) days for processing. · ......Z RTYOWNER I 5HONE MAI~L~'N G ADDRESS PROPERTY R~SIDENT~I/f dif{~rent from abo~E) ' - - 2,' BUYER ' ' / - ~AILING ADDRESS 3. LENDING INSTITUTION MAILING ADDRESS 4. REA..LTOR/AGENT MAILING ADDRESS r~ i, LEGAL DESCRIPTION JPHONE PHONE JPHONE JPHONE 6. TYPE OF R~SJD~CE ~ SINGLE FAMILY [] MULTIPLE FAM;LY NUMBER OF~BEDROOMS [] One _[~ Four [] Two [] Five [] Three ~' Six [] Other 7, WATER SUPPLY '~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM  I NDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SlX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or []Holding Tank Size: ~ ~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOl LS RATING MANUFACTURER MATERIAL Septic/Holding Tank IAbsorption Area lSewer Line INearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS DATE [] [] [~"~DISAPPROV ED APPROVED FOR BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) 72-010 (Rev, 6/79) MUNICIPALITY OF ANCHORAGE Development Services Department ry- Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-333-41 1. GENERAL INFORMATION Complete legal description FIRE LAKE LOT 3, LOT K3 Expiration Date: 'T —30 `-2D40 Location (site address) 14011 KNOB HILL DRIVE, EAGLE RIVER, AK 99577 Current property owner(s) DAVID WILSON & MARGARET BAKER Day phone Mailing address 14011 KNOB HILL DRIVE, EAGLE RIVER, AK 99577 Real estate agent Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ® Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ Lr 12. Waiver Fee $ Date of Payment �2 - "1 '? oZd Receipt Number COSA # C9 C ->C, a.61 2 -go Date of Payment Receipt Number Waiver # Distance: 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems 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 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 6/8/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of _4+ construction (workmanship & materials), the water usage of the family being served by thert�ll+ system and maintenance. The operational life of all well and septic systems are subject to ��P",�! ' • • , {Q�l these various and dynamic characteristics and are outside the control of the evaluator of the ••• well and septic system. Therefore, any estimate of how long a system will function satisfactory , TH ••* �� for current or future occupants or guarantee that no unseen encroachments, deficiencies or ` discrepancies exist can be given by First Water Consulting & Fwrls • • • • • • • • • • . �- 6. DSD SIGNATURE • Curtis Huffman...... uffman• • .: , CE 128991 •,•//� System #1 Approved for 1�/ bedrooms �� �rF ' --.o2o ,.���� It �FVpROFESSt�NP System #2 Approved for bedrooms 1l\ROFESS Disapproved lllllttt(ttt Conditional approval for bedrooms, with the following stip`*Q4 C O _ ATER A� z o R WA PRO Ojs By: Original Certificate ,Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: FIRE LAKE LOT 3 LOT K3 Parcel ID: 051-333-41 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Unknown Total depth *307 ft Cased to Unknown ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) **18+ in. Date of flow test for COSA 5/7/2020 Static water level at beginning of test 82 ft. Water storage tank volume 500 gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 9.11 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) WE Collected by Date of Sample 6/9/2020 Well production at time of test 3 gpm Comments *Per owner / AWPS — well was deepened to 307' and hydrofracked prior to purchase w/ pump at 267'. **18"+ above bottom of pit (well below grade) — See attached AWPS inspections. Storage tank bypassed for test B. TANK DATA Age of tank(s) 0.5 years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NEW ® Standpipes/foundation cleanout per record drawing Date of pumping NEW - 2 TANKS D. ABSORPTION FIELD DATA Which system tested (date installed) 6/12/1987 ® ALL standpipes present per record drawing Total measured depth from grade 9.9 ft (max) Measured depth to pipe invert from grade 3.9 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 10/2/2019 Results 2 Pass For 6 bedrooms Fluid depth prior to test 45 in Water added 1200 gal New depth 65 in Elapsed time 1080 min Final fluid depth 42 in Absorption rate 900+ gpd Any rejuvenation treatment (past 12 months) N If yes, enter date FW'CS E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) ® Yes if No Septic Tank/Lift Station on Lot > 100' Surface Water > 100' ® Yes if No ft Property Line > 5' Community Sewer Manhole/Cleanout > 100' if No ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 14b, OF Al ASW law, TH ... . ...... • Curtis Huffman CE 128991 .•�``� `c * /18/202Q .Aw ��� PROFESSIONP MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENTP9 907-343-7904 On -Site water and Wastewater Section % Fax: 343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC 201240 Subdivision: Fire Lake, Lot: 3 Lot K3 A water sample revealed a nitrate concentration of 9.11 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Ma�lmg%�dest -UNAl�as a 9 196Sawtnrmun�org��� a t. From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. ,.�MMngAdss, . 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" 0 0 (D rt. cr w (n —1 =F CD Z (D 7- CL r -t- 'n — 0 3 (D (D (D m- m r) -1 :* w 0 (D S ti3n < (a -0 (D (D (D :3 PF -- ::E --' (D :3 0 (D n = ::$ > 2L •CL 0 rr Lq (D ZF '-J I (D rt 0 0iD S'� StiI �qk V � �� �- \ \,E SGS Ref.# 1210517001 Client Name MOA Development Services Department, O Project Name/# 14011 Knob Hill Dr Client Sample Ill 14011 Knob Hill Dr Matrix Drinking Water Printed Date/Time Collected Date/Time Received Date/Time Technical Director 02/15/2021 8:37 02/02/2021 15:15 02/02/2021 16:00 Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter ReSUItS LOQ Units Method Container ID Limits Date Date Init Waters Department Total Nitrate/Nitrite-N 5.86 0.200 mg/L SM21 4500NO3-P B (<10) 02/03/21 EWW Microbiology Laboratory E. Coli Negative 1 100mL SM21 9223B A 02/03/21 A.L Total Coliform Negative 1 100mL SM21 9223B A 02/03/21 A.L 2of5