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HomeMy WebLinkAboutTract D MUNICIPALITY OF ANCHORAGE L ARTMENT OF HEALTH AND HUMAN SE CES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 : ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT DISTANCES · c n~ M-'~A'~--....~TO SEPTIC ABSORPTION ¢' gS-oT Z l I LEGAL DESCRIPTION LOT LINE ~r I B,ock I Su~v,s,on // Township, Range, Section AS-BUILT DIAGRAM (Show location of well, septic system, property hnes, foundabon, TANKSJ ~ SEPTIC [] HOLDING (,~ ~'' Capacity m gallons Manu,~tufer Material ~/~¢ / N°' °f C°mpadments TYPE OF SYSTEM j~TRENCH [] BED [] W. DRAIN [] OTHER /...~,~¢ '6~pt~ to p,pe bottom from Total depth from orig,nal grade or,ginal grade 3 / FT ~,~0 FT Filladded above°rig'nalgrad~// / FT Grave' depth b,~;t~t;p'pe FT Gravel length Gravel w~dth 76"' FT 2,' t~' FT Distance betwe n Ii es Total absorpt,on area ~'~7 Number of hnes I Soil rating i Pipe material e Installed WELLS / ' ~ PRIVATE ~ OTHER {Identify) Class,ficat,on (A,B,C) Total Depth I Cased to Installe~ Date Installed: REMARKS: 72-013 (3/85) DEPARTMENT OF' HEAL.'T'H AND ' ENVIRONMENTAh PROT'ECTION 825 L ST'REET, ANCHORAGE, AK ' 99501 264-4720 CD I'Nl ....S l' -F' E S E: W [£ R". 8~ W E; L. L_ F'.F£ F;~ M I 'l- I:::'EI::~M I T' NO: DAT'E ISSUED: ()A / 18/85 AF:'P L I CAI'4'T': ADDRESS: [,.Jlq fA(..,1 F'HONE: % S&S ENGINEERING ED SCOTT SRB 196-X EAGLE RIVER., AK 99577 694-29'79 L..EGAL; DESCF"(I P: LO,T S I ZE: MAX E I:.'JDROOM~: StJBDIVISION: BRENDLWOOD SECTION: '7 TOWNSHIP: 217800 (SQ..FT. [IR ACRES) 3 LOT: T D E LOCI':... C) 14N RAKIGE: 1W L:i.s'Led below ar'e the opt. ior~s available 'Lo you in designing your sep'Lic system. Choose the opt. ior~ t. hat best Fits your site. DEP'I'H ']"O PIPE BOTTOM (F']".) GIRAVEL DEPI"H (F'T'.) T'(.'ITAI.... DEF:"I"H iF']". ) GF,'AVEL WIDTH (FT.) GRAVEL L. ENGTH (FT.) GRAVEL VOL, LJME (CU. YDS. ) TANI< SIZE (GAl,.S) SOIl,., RA'T'ING (SQ.F:'T. /BR) 3.0 ** 4.0 4.() 7.0 0, 5 3.5 1 (). 0 4.5 '7.5 2.5 26.0 5.0 75.0 50.0 :L 13 .. 0 **' 52. i 48.2 83.8 1,00().0 ** 1~000.0 ** 1,000.0 ** :349 284 349 · ~.~ DEP'I'H TO F'IPE BOT]"OM < 3.5 F'l". REQUIRES INSULATION · )~.~. DE:]Z"T'H TO PIPE BOTTOM < 4.0 F"]". MAY REQUIRE A LIFT STATION .~.,)~ GRAVEl_ LENGTH > ' =' 7u FT. RE:QUIRES MULTIPLE IRIJNS (NOT EXCEEDING 75 F'"l". EACH) ~..x. TANI< MUST I-.lAVE AT LEAST T'WO COMPART'MENTS I c:ertiFy that: 1,. I am familiar with 'bhe requirements ('or on-site :sewers and wells as set f'ort, h by t. he Municipality of' Anchorage (MOA) and the State of Alaska. 2. I will ins'Lall the :system in accordance with all MOA codes and ~egul.ations, and :i.n compliance with the design criteria of' this permit. 3. I wi ll adhere to all MOA a~d Stat. e of Alaska requirements for the set. back distances from any exist:Lng well, wastewater disposal system of public: sewerage sys'Lem on 't'.,his or any adja(.~ent or nearby lot.,, 4.. I understand that this permit zs valid For a maximum of 7.; bedrooms and any enlar'gement will require an addit:i, onal permit.. ];F A I...IF'T STAT'IOIq IS INSTAL, L.E:D IN AN AREA COVERED BY MOA BUILDING [.~[)DES, 't'HEN (1) AN ELEC"t"RICAL, PERIdI'T' AND INSF'ECTION MUST BE [)BTAINED; (2) AS-'BU]:L,I"S WII_I ....NOT ~EE APPROVED W:['T'F'IOU'I" AN ELECTRICAL INSPEC'I"IOI~ REPORT; AND (3) 'T'HE EL. ECTRICAL. WORK MUST BE: DONE: BY A L..ICENSE:D ELECTRICIAN. S I GNED DATE: AF: F L I CAI'4'I~ E:NG I NEER I NG lED SCOT"F ISSUED BY ~__.~,....~~ .................... DA'T'E:: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ,~J St"~_ 0 .~" Z). 1 2 3 4 5 6 7 8 9 10 --11 12 13 14 15 16 17 18 19 Township, Range, Section: SLOPE ~? · /'-/Sz~J/ J~/cc/ SIT~E PLAN WAS GROUND WATER ENCOUNTERED? ,~J'O IF YES, AT WHAT DEPTH? Depth to Water Alter Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop / 20 PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER ~ / · _ TEST RUN BETWEEN ~ FT AND ~ FT -- 72-008 (Rev. 4~85) ,?t~, '~98..2979 MUNICI F'ALI"[~( [IF AI~-]HOF~:~IDE[ DEPARTMENT HEALTH AND ENVIRONMENTAL ROTECTION 825 ~. STREET, ANCHORAGE, AK 9~o01 264-4720 DN--S I 'l-E-: $[--21~IER .~_-~ WELL F'EIE:I-I I '1- PERM I'T NO: DATE'.' ISSUED: 850521 06/18/85 APPLICANT: ADDRESS: CONTACT PHONE: % S&S ENGINEERING ED SCOTT" SRB 19&-X EAGLE RIVER, AK 99577 694-2979 LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: SUBDIVISION: BRENDLWOOD SECTION: 7 217800 (SQ. FT. OR ACF ( LOT: T. D RANGE: 1W BLOCK: 0 Listed below are the options avai system. Choose the option that DEPTH TO PIPE BOTTOM (FT.) ['~RAVEL,. DEPTH (FT'.) TOTAL DEPTH (FT.) GRAVEL WIDTH (FT,) GRAVEL LENGTH (Fl".) GRAVEl.. VOLUME (CU. YDS. ) TANk.'.: SI ZE (GALS) SOIL. RATING (SQ. FT. /BR) sept i c W. DRA I ~1 4.0 '¥ 5. o 0 //., 147.0 ** 48.2 ~, ~8. 1 000.0 * I~000.0 ** 284 549 ** GRAVEL LENGTH > 75 FT. ** TANK MUST HAVE AT LEAST TWO COMP RUNS (NOT EXCEEDING 75 FT. EACH) NTS I certi£y that: , 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. ~. I will install the system in 'accordance with all MOA codes and regulations, and .in compliance with the design criteria o~ this permit. 5.~ I will adhere to all MOA and State of Alaska requirements for the set back distances ~rom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid ~or-a maximum of 5~bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS I~TALLED IN AN AREA COVERED BY MOA BUILDING CODES. }HEN (1) AN ELEC'I'RI~4L~. F~RMIT AND INSPECTION MUST BE 'OBTAINED.: (2) As-BUILTS WILL. NO'~ BE APF'R~~~ AN ELEC]'~RICAL INSPECTS, ON REPORT~ AND (5) THE SIoNED~ ~E~ DATE: APF~,_ i CANT: ;;;;-;;-;~;;;' ..... - .... ' ................... ---- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] SOILS LOG PERCOLATION TEST PERFORMED fOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 1'0 11 12 13 14 15 16 17 18 20 t~ ~bert A. sharer % Ne. 1457-E DATE PERFORMED: SLOPE SITE PLAN COMMENTS PERFORMED BY: 72-008 (6/79) WAS GROUND WATER ~1(E SL ENCOUNTERED? '~ O P DEPTH? i' PERCOLATION RATE qO (minutes/inch) TEST RUN BETWEEN ~ FT AND ('~ FT Gross Net Depth to Net Reading Date Time Time Water Drop I ~.-Io.,,~~ 5.-%o D_" .! Parcel I.D. # 1, 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 GENERAL INFORMATION Complete legal description Tract D; Brendlwood sec 7; Location (site address or directions) Eric Brendle P.O. Box 770035 HAA # Property owner Mailing address Lending agency. Mailing address Agent Address T14N-. R1W NHN Kaskanak Drive Eaqle River, AK Day phone AN Q9577 Day phone 694-5242 Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest-' lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XXX 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 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 of thi:s' Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEEEING (~ ~.,'- ~' ~ ~. ;? 7 ~.~ Name of Firm ~-,,,o ........ Phone ....... u'~ ~,~vur Loop r~oad No. 204 Eagle River, Alaska 99577 Address Engineer's signature ' ~,. ¢,------- Date ¢/7/q 5' o..s ~ Approved for '~, ~ '.¢c~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the-representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The MunicipalitY of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72q325 (Rev. 1/91) Back MOA MUNICIPAUTY OF ANi~ORAIi~'~ ENVIRONMENTAL SERVICE8 DIVi81011 Municipality of Anchorage APR '07 1998 DEPARTMENT OF HEALTH & HUMAN SERVICESm:)i:::t~[::ITI.[::n Environmental Services Division i i L ~,~ m.,Iwm..~.~ 825 L Street, Room 502 · Anchorage, Alaska 99601 · (907) 343-4744 Health Authority Approval Checklist Legal Description: A. WELL DATA Parcel I.D.: Well type Log present ~N) Total depth Sanitary seal (~N) )~-~J' Date of test Static water level Well production WATER SAMPLE RESULTS: If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to "~o / Casing height (above ground) Wires properly protected i~N) cl ~, % FROM WELL LOG AT INSPECTION / / · / ./ +0' j g.p.m. g.p.m. Coliform Date of sample: '! B. SEPTIC/HOLDING TANK DATA Date installed [~,~lqZ. Tank Foundation cloanout~l) . . Date of Pumping C, ABSORPTION FIELD DATA Date installed lO i I'z-lc~Z- Nitrate 6P, ~' '~, Collected by: Other bacteria ;7G$4 Eagle ~iver Loop Road Ne. 204 Eagle River, Alaska 9~$7X size Depression (Y~) Pumper . Sci[rating (g.p.d./ft= or~bdr~) Number of Compartments m ~ Cleanouts ~'N) u[~ _~ t0(P High water alarm (Y/~D tJ/~ System type ~'lZ~-~ C'~ Length '3C,~' / Width ,2~ ~'/~ ~ P~ . Gravel thickness below pipe ~ Total depth ~0 Effective absorption area ~0 ~ ~ ~ Monitoring Tube present ~N), ~ ~ Depression over field (Y~ Date of adequacy test ~/~/~ Results~Fal,, ~ For ~~ bedrooms Fluid depth~.,,lin absorEtion~. ,,field before test (in.);~ '~ ~ "Immediately affe~l., gal. water added (in.): Fluid depth ~~ (ins)Minutes later: {~R~ ~ Absorption rate = ~+~ g.p.d. Peroxide treatment (past 12 months) (Y/N) ~E ~ If yes, give date ~ ' 72-026 (Rev. 3/96)* Date insta Size in gallons Manhole/Access "Pump on" level at* "Pump off" level at* High water alarm level at* Cycles tested E. SEPARATION DISTANCES Septic/holding tank on lot Absorpt on, field on lot Public sewer main SEPARATION DISTANCES FROM WELL ON LOT TO: Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout 2.5' ~ ~ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation la ,.1- Property line t.O' +' Absorption field Water main/service line Ih'-}' Surface water/drainage l~r/3~ Wells on adjacent lots ,.¥ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line I O! ~ Building foundation lO ~-~ Surface water Curtain drain I~¢~ Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots IO' ¥ F, ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal in conformance wit~ MOA H__AA gu_~lelines in effect on this date. Signature ~~/~'~ Engineer's Name Date HAAFee $ ~ ~ ~ Date of Payment /--/"/'7 /~"~~/' Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number ~O'd q~lOl CT&E Environmental Services Inc. Laboratory Division r~ ]ri°king Water Analysis Report for Toni Coliform Bacteria aoow. Po,,, o,. Afl~hOfags, Ag g9S18.1SOS ~4B I, VSTR~IO~ ON REVE~E ~ID~ ~FORE CO~L~IJY~ ~,~IP~E T.I: (~ SS2.23~ Yeflr SAMPLE DATE: Moatk SAMPLE TYPE: 0 Tresml Wster 13 unmmwd Weals,* Routine ihlN~l Sample (roe marina ~ml~ lib r~L 0o. ,, .-- Fsx: (IO?) SS1-S301 COMPLETED BY LABOR~TOKY , Wirer SAMPLE to lek Sam~le~e~ 30 hou~ old. mule may O Staple ~ loeb in ~.it; ~plc shout~ ~ ~ o~r 41 Mum old It e~imioa m ind~ mliGle ~ PI~ ~d n~ ~pM ~a s~ ddiv~ ~l. hi. Rmivd ~m.~c.~" ~ Anal~diuIMithod; ~ Met~d~sA.'eitt~ ..... MMO.MUG Client notified or uostttabti~rY multi: BACT~REOLOGICAL WATER A.I~ALYSIS RECORD MMO. MUG RIIIIIIJ T~ml Colireta~ , '-- .. .'dembmae lql#R DiNer Cleat _ ~ ,, _ Coleak~. IQQ mi :.. - ' ~G~ cokmn~ ,, Verifltmtien: LTl _ - ~--- .. ' .. _ . ;. ~O/EO'd dl~ ~ U,d~h,,~ Of ~0 SGS Grout) i~OCieti GM&M dO SulMJiI|InCII TO£STgqLOG 39U~DHDN~ IS3 ~±D L£:80 866T-90-~dU '~ CT&E Environmental S.rvicas inc. ChemLab Ref_ #: 98.1503-001 Client Name: S & S Engineering Project Name: n/a Client Sample ID: Tract D Brendlewood $/D Matrix: Drinking Water Ordered By: Jeremy PWSI D n/a Sample Remarks: Client PO#: Printed Date/Time: Collected Date/Time: Received Date/Time; TechnJcal Director: n/a 4/6/98 00:00 4/2/98 '15:13 4/3t98 12:t5 Stephen Ede Released Parameter Results PQL Units Allowable Prep Method Limits Date Analysis Data init Total Coliform (MF) 0 co1/100 mi Nitrate 0.736 0.1 mg/L SM9222B EPA 300 10.0 4/3/98 TMW 4/4/98 RMV ~O×TO'd T0£S~9S~06 BD~OHDN~ [SB 33±D 9£:80 866T-90-~d~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section · P.O.: Box 196650 Anchorage, Alaska ' 99519-6650 'CERTIFIcATE'oF HEALTH AU:I:'HORITY ' APPROVAI.?FORA~ SINGLE FAMILY DWELLING L INFORMATION ete legal deScripti°n Location (site'address or directions) E~i¢ Brendl~ ,' Property owner g address P.O~i"!~B'°~:770055 Ea.q~ 'RiU~r,~ AK. g agency address ' ent' Day phone 99577 Day phone :/,Day phone 694-5459 otherwise requested/'HAA ~ili be :'h ~ld' f°r: P i'C kup. IMBER OF BEDROOMS: ,/:.: ~,,': :~v . EOF WATER SUPPLY:,: :,: .: .. -... Individual well ,. XXX Community well PubliC wMer If community, w~ ing to the le TYpE OF WASTEWATER DISPOSAL: Individual on-site State ADEC.attes t;.. Community on-site Public sewer '- If communitywas~ewater'SYStem:'pr°Vide written confirmation from State A DEO attesting tothe'iegalify and status of system. 72-025 (Rev. 1/91) Front MOA#21 Name of Firm · .. Address .i~:~:, E~igineer's signature STATEMENT OF, INSPECTION" BY; ENGINEER. As certified by mY seal ·affixed' hereto'and as of thevalidatiOn date·shown bel0'w, i investigation of this Health: AUthoritY APproval;aPPii'catio~!shbws th'at'the and/or wastewater disposalSystem iSsafe, f~Jn~{i~naiandadequate fOr the number°f_ ...and type of structure indicated herein~ I'fUrth*~r ve~if ~'the 'MunicipalitY: ~UPpl~ 'auniCi Ordinances; and re effect°n the '" ' ,.~ :':; . :.., .,~ S:~'S ENGINEERING~, Eag · - · ':~' .. Date ':,DHHS SIGNATURE., Disapproved. COnditional apprOval for bert A. NO.r bedrooms, with the~=following stipUlations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health AUthoritY Approval Certificates based only upon the representations given in-paragraph 5 above by an independent~ professional engineer registered in the State of Alaska, The DHHS does this as a courtesy to purchasers of hOmes ; and their lending institutions in order to satisfy:Certainfederal and state requirements: Employees of DH~ )ns or analYze data bef°r~' ~';ce~ifica{e is isSUed~ The;,.MUniciPality of ?reSPonsible fOr errors or omissions in the ProfesSiOnal engineer's work:.. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A, Well Data Well type Log present ~'N) Parcel I.D. Total depth "'/L~ Sanitary seal ~1) ',~ If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~ ~'~ ~ '~' ~ Driller Cased to -] L--~ Casing height Date of test Static water level Well flow ~,, Pump level1 FROM WELL LOG Wires properly protected C.~N) g.p.m. AT INSPECTION g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line '~' ; On adjacent lots \ ~"- ; On adjacent lots \ Public sewer manhole/cleanout ~/~ Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA O, '7 ~r Other bacteria Collected by: .~ ;:.~ ~ ,~:~,~r~i'~E'~,;NG r~ ,~ ~ ~?, [~ River Loop Road No, 204 Date installed Cleanoutsl~/N) V High water alarm (Y~ / Date of pumping ~'~' \,~ ~ V'/~7..~ Tanksize ~ oc;:>c:, Compartments '7..--- Foundation cleanout ~i/N) ~/ Depression ~ Alarm tested (Y/N) ¥.~"rr,./.-~ Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~.~ o On adjacent lots To property line ~ ..o ~ ,g- Absorption field Surface water/drainage \ ~ ~ Foundation Water main/service line \o 72-026(3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) .~ SEPARATION DIS~ROM LIFT STATION TO: We ii~n~ot"~'~ on adjacent lots Manufacturer Manhole/Access (Y/N) at Surface water D. ABSORPTION FIELD DATA Date installed \ Length '~ Total absOrPtion area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y~J.)~ Soil rating (GPD/Ft2) -~ ~ ~/~ System type '"~'"~-~ c~ Width "Z~. ~' ~ Gravel thickness "7 ~ Total depth I c:~ ~ \ C~-'~c~ '~' Cleanout present'N) x~/ Depression over field (Y/I~ ~( "I~.-'~'c~4-~ Results (pass/fail) '----- for '~ Bedrooms ~ After test ~' ,"-~ If yes, give date '""'-'- SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot \ ~ c:> To building foundation~ On adjacent lots Surface water Curtain drain On adjacent lots \ ~ ~ ~ '~ Property line To,existing or abandoned system on lot Cutbank ,-~/ ~ Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed~ MOA and HAA guidelines in effect on the date of this inspection. Engineers' Nam~ ......... ~. - . . · ~ HAA Fee $ Waiver Fee $ Date of Payment . d_~ ~ [ /~ ~i/'t~ . , '"~~ Date of Payment Receipt Number ~.~'"~ I~_~ (,.,.._~._~ ~ ) Receipt Number 72-026 (3/93) Back 0:3/31/9,4 16:2:3 CT"&E ENUIRONHENTRL LAB SEP, UICP~ ,~~?MMERCIALT'IB,..q;T'ING & I::NGINEERING IRON,M.~'NTA t. LAEQ~:AVORY CO. N0. 193 D02 Drinking Water A_naiysis Report So? ~ B~ CO~L~D BY WA~R S~gL~R T0 B~ C()~L~D BY L,=~Ok&TORY Month Day $ A.MPLE T~E: Routine SpeciM ?u~ose $.~'*~LE LO CATIO~ Year Tica¢ C¢]',ected By b~ m~,elhble Ti~e Received BACTE1R/OLO GICA. L WATER AaNALYSIS RZCORD Me~b~t~e Filter: Dtre;t Cou=t Vefificatio.m LTB Final Memb~oe Filter Re~ul~s/ · Reposed ~}' ' © Colonies/LO0 mi Coltfarm/l O0 u~l CT&E Ref.# Client Sample ID Matrix Commercial Testing & Engineering Co. Environmental Laboratory Services wj~-j~,~-~,jj~-~'~'~'j~'f~,~r~'fjjjjjsf~jjjj~~ LABORATORY ANALYSIS REPORT 94.0918-3 TRACT D BRENDLEWOOD WATER ClientName S & S ENGINEERING WORK Order 76268 Ordered By R. SHAFER Printed Date 03/07/94 ~ 10:30 hrs. Project Name CollectedDate 03/02/94 @ 14:00 hrs. Project# Received Date 03/03/94 ~ 13:00 hrs. PWSID UA Technical Director Released By: STEPHEN C. EDE Sample Remarks: ROUTINE SAMPLECOLLECTED BY: RAY. Parameter QC Allowable Ext. Results Qual Units Method Limits Date Anal Date Init Nitrate-N 0.74 mg/L EPA 353.2/300.0 10 03/04/94 CMR * See Special Instructions Above ** See Sample Remarks Above U = Undetected, Reported value is the practical quantification limit. D = Secondary dilution. UA = Unavailable NA = Not Analyzed LT = Less Than GT = Greater Than 5633 B Street, Anchorage, AK 99518-1600 --Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA March 7, 1993 S & S Engineering 17034 Eagle River Lp Rd #204 Eagle River, Alaska 99577 REFERENCE: Tract D Brendlwood S/D; Sec 7, T14N, R1W, S.M. To whom it may concern, The septic system and the well located on the reference property have not been in use until just recently. Eric Brendle 0 0 0 0 0 0 0 0 0 0 0 : : : : : : : 0 0 0 0 0 0 0 0 0 0 rd 0 0