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HomeMy WebLinkAboutTHE VILLAGES TIDE VIEW LT 3TheiVllages, Tide View Lot 3 #020-091-47 «Vlvi1 7��tQr llI�� 1201 Ramona St. 99515 ANCHORAGE, ALASKA 344-7'7'14 Q2 - CPI SIX INCH WATER WELL DRILLED ----------OUT TO THE DEPTH OF 21:^ ft. DRILLED AT THE RATE OF --------- PER FOOT. Steel casing seated to L2 ft. PROPERTY OWNER Bernie D. Claus 12)1 Ram,)na St. Arch. AK 99515 LOCATION OF WELL SITE Lt. 3 Tre Villages Tide View (Above Potter Marsh) DRILLER Berrie Claus of ReTnart Drilling W -irks WELL LOG: 0 — 16' Silty sandy fine gravel. 35% clay material. 16 - 33' Conglomerate of bedrock. A weathered broken rock material. 33 - L2' Steel casing driven & seated into the Yard rock at L2 ft. This material is a harder conglomerate type rock into hard rock at L2 ft. L2 — 2L)' Bedrock. A sedimentary rock. Giod water production from 22) ft. to 2L0 ft. Water yield coming out of a porous type bedrock. Water production proved to be (after 12 hours of test pumping) 12 gom, steady yield. Water recovery comes bac!c uD to 115 feet of surface. Submersible Dump (3/L horse) should be installed at about 2)) ft. (About L" ft. off bottom.) Water Well paid for in full. Date water well was drilled & completed: Liguct 26, 1979. Item: There is no rec-)rd of a Well Permit taken out in 1979, therefore, we wish to be registered with the muni, this January, 1994, as a permanent record of this water well. This water well has just been tested (01/03/94) with water analysis by Chemlab. Flow test by Rampart Drilling�Works Todays date: January 19, 199L COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE S OF ----------- THANK YOU VERY MUCH. BE& CLAUS`OF RAMPART DRILLING WORKS DATFUI/1919L Tris (above) info updated fro-.+ August, 1979. SERVICE CHARGE OF IV,% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS. PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 -L- STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW940032 DATE ISSUED: 2/22/94 DESIGN ENGINEER:DUMMY COMPANY EXPIRATION DATE: 2/22/95 OWNER NAME:CLAUS BERNARD D & OWNER ADDRESS:16900 VILLAGES SCENIC PKWY PARCEL ID:02009147 LEGAL DESCRIPTION: THE VILLAGES TIDE VIEW LT 3 LOT SIZE: 49227 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS /wz��_ RECEIVED BY: �( DATE: ISSUED BY: /� \- DATE: �/-1 IF,, Municipality of Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 02-0 -09/ - y7 COSA# Expiration Date: �_ - /0 - C2 '- 1. GENERAL INFORMATION Complete legal description 4o f 3 . TAe //i //og.i TJde Location (site address) 16 900 Tr da e-. ew ri tilwe Current Propertyowner(s) J"effr-Ty Free(man Dayphone 3y5'-Lfes-9 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address P'6'• Qex 1118N1� Anel.or7C Alf 99S// J A—`an!°°.9 rtd�/ gr.92 Day phone 2S 7 - or ys- • Y' /10 Lfi ~4i�nc�r4ge 99r 7 I- 1'n Puro Rool Er" Dayphone 279- 778/ l:3Y0 Ra�nvr P1t<rp 5..�/r ��Li'' �¢n�rorQgc /0k 99Sr8 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY. Individual Well Individual Water Storage Community Class Well Public Water System Pleal-e c4,11 Rio/%. 4i ect 3 @ 22-9-7761/ �Aen (afA TYPE OF WASTEWATER DISPOSAL: ® Individual On-site ❑ ❑ Individual Holding Tank ❑ ❑ Community On-site ❑ ❑ Public Sewer .reaoa Jor/,4 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Onsite Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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. (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 engineers work. 4. 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 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. l 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 Et -"I P_ 7-'echn;'t Sir✓'�o/ Phone 39S -173-P Address )HS30 6elio l""yv� Rd, AAeAorgvei4tc 9eSV Engineer's Printed Name F• /gaol' Date Send• y. Zua 4.f.•..•...•.......•.•.. it • THEODORE E. MOORE 5. DSD SIGNATURE,?,;:, CE -3589 —K Approved for 3 bedrooms. r',•.,/G �•� Disapproved.`A'�'`'? Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Septic System Advisory Well Flow Advisory Nitrate Advisory By: az Original Certificate Date: pw 7105) vop •.••.:•..:...........:... 4.f.•..•...•.......•.•.. it • THEODORE E. MOORE 5. DSD SIGNATURE,?,;:, CE -3589 —K Approved for 3 bedrooms. r',•.,/G �•� Disapproved.`A'�'`'? Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Septic System Advisory Well Flow Advisory Nitrate Advisory By: az Original Certificate Date: pw 7105) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lo P-3 The f/slle,,v e, ParcellD: 026-491-4/� A. WELL DATA Well type P v f If A. B, or C provide PWSID # V• A Well Log (Y/N) Y Date completed �% l9 '19 Sanitary seal (Y/N) Total depth 2 YO ft. Cased to ly 7. 1. FROM WELL LOG Date of test _9 / 26 / 79 Static water level lir ft. Well production 12 g.p.m, WATER SAMPLE RESULTS: Coliform _0--colonies/100 mL Nitrate 2•S mg/L Arsenic: L ppb date of sample: ,0 24, /b B. SEPTIC/HOLDING TANK DATA N -A. t_ A•wwu Tank Type/Material Tank size Wires properly protected (Y/N) _Y Casing height (above ground) ?G in. AT INSPECTION 8/ 2012 7 97 tt. 6. Y 7 g.p.m. Other bacteria _ ? colonies/100 mL 7 Collected by: TecA Sewn) Date installed gal. Number of Compartments _ Cleanouts (Y/N) Foundation cleanout (Y/N) _ Depression over tank (Y/N) _ High water alarm (YIN) Date of pumping Pumper C. ABSORPTION FIELD DATA N. A. ( AwWeA Date installed Length ft, S'e e.. a �) Soil rating (g.p.d./ft' or ftZ/bdrm) Width System type ft. Gravel below pipe ft. Total depth _ ft. Eft. absorption area _ft' Monitoring tube_ Depression over field _ Date of adequacy test Results (Pass/Fail) For _ bedrooms Fluid depth In absorption field before test _ in. Water added_ gal. New depth_ in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION N• A• Date installed Size in gallons Manhole/Access (Y/N) "Pump on' Ievel at —in. `Pump off" level at _in. High water alarm level at in. Datum Cycles tested Meets alarm ti circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N. A. On adjacent lots ? (00' Absorption field on lot N • A. On adjacent lots 100' Public sewer main > too' Public sewer manhole/cleanout Sewer /septic service line > ?.S I Holding tank V. A• Animal containment areas V. A. Manure/animal excrete storage areas N• A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: N• A. Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: N• A• Property line Building foundation Water main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION .........................Et 1 certify that 1 have determined through field inspections and . review of Municipal records that the above systems are in !: ' ""•• ••• f•: , : I,CODO^: 4:O F. Okg'; jf conformance with MOA COSA guidelines in effect on this date. i.? , r. G' Engineer's Printed Name Th eocle rr F. /eta o.2�`'�• ` !� ay C 4 Date ^+�/' k^' bei '/ 200 7 COSA Fee $ H3 Waiver Fee $ Date of Payment 9/11Z007 Date of Payment Receipt Number 9 `585 Receipt Number (Rev. 11105) SCS ReLN 1074202001 Client Name Flattop Technical Srv. Project Name/a Lot 3 The Villages-Tideview Client Sample ID Lot 3 The Villages-Tideview Matrix Drinking Water P%%SID 0 Sample Remarks All Dates/limes are %tasks Standard Time Printed Date/Time 08/312007 13:23 Collected Date/time 08/202007 11:30 Received Date/Time 08202007 14:22 Technical Director Stephen C. Ede Allouable Prep Anal)sis Parameter Results PQI. Units Method Container ID Limits Date Date [nit Metals by ICP/MS Arsenic ND 5.00 ug/L GP200.8 C (<10) 0829'07 0829;07 TK Waters Department Total Nitrate/Nitrite-N 2.56 0.100 Microbiology Laboratory Total Coliform 0 mg/L SM204500NO3-1' D (<t0) col/100ml. SM209222B A (<I) 082&'07 JDS 0&20/07 SDI' W MUNICIPALITY OF ANCHORAGE Ak • DEPARTMENT OF HEALTH b 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. # 09-0— O 9 I — 4 -I HAA # )-(A 616CCOC. 1. GENERAL INFORMATION Complete legal description Lo i 3 Tt, a V. L�a o�c� 1 icQe v� ueJ" Location (site address or directions) Ib 90-0 Property owner �r� �r� �u^a`� Day phone ow —109'q 9 Mailing address O. aox 1� 18�� , ��.� gg'3ti— 16 y1 Lending agency �0r� +�-� �O�k Day phone X61— 3 37°1 Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well 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: C, Individual on-site Holding tank • . r ,i'[rl �.� Community on-site V111, 17 _ Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. pass (Rr. IM) irOM Moi m 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 this 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. Name of Firm ob�eH S�vrlclo�oQ 1�E Phone 2'79—i°III, Address t,4!/ 20 1-. Engineers signature �- Date r�. F"r • rill.,.�. 6. DHHS SIGNATURE z Approved for ✓ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: I,I ),;Additional Comments A\ \' By: Date CAUTION 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 orderto 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. rnanMW w+> B. wa\m ® Municipality of Anchorage AL Aicm Department of Health and Human Services an HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Loo 3 TL V; LLQ i %-& V-vuParcel I.D. 0;2n - o91- Ll �7 A. Well Data Well type Log present (YM) Total depth Sanitary seal (YM) Date of test Static water level Well flow Pump levelt If A, B, or C, attach ADEC letter. ADEC water system number N�- Septic/holding tank on lot �f Datecompieted 8�2(o/y4%i Driller Absorption field on lot Q n� Cased to Lf Z Casing height r Oro Sewer service line 150 ±- Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION $/ZC/-7ti A Z_ 12 g.p.m. 6 5 rn 2 g.p.m. n g i= > io 7 -' o SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 1111A Absorption field on lot Ighn, Public sewer main r Oro Sewer service line 150 ±- G 4 0c On adjacent lots 7 /rro On adjacent lots f 0-c> Public sewer manhole/cleanout j 'fes o Petroleum tank N n H P WATER SAMPLE RESULTS: Coliform 0 Nitrate Date of sample: "/;-7 14 q 4 Other bacteria .2 la1q� Collected by: �S B. SEPTICIHOLDING TANK DATA N/A Date installed Tank size Compartments Cleanouts (YM) Foundation cleanout (YM) Depression (YM) High water alarm (YM) Alarm tested (YM) Date of pumping Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Weil(s) on lot On adjacent lots Foundation To property line Absorption field Water main/service line Surface water/drainage .72,028 (399)•floM CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Size in gallons Vent (Y/N) 'Pump on' level at High water alarm levet Meets MOA electrical codes (YM) Manufacturer Manhole/Access (Y/N) 'Pump off' Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date Installed Soil rating (GPD/Ft') Length Width Gravel thickness Total absorption area Cleanout present (Y/N) Date of adequacy test Results (pass/fail) Water level In absorption field before test Peroxide treatment (past 12 months) (YM) Surface water System type Total depth Depression over field (Y/N) for Bedrooms After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots Property line To building foundation To existing or abandoned system on lot On adjacent lots Cutbank Water main/service line Surface water Driveway, parkingNehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. r F Signature Engineer's Name o ��ti n rLc�aw.0 �.� �• ,\ Date e c_ f� -71 of t�l HAA Fee $ , 00 ,,ffD Waiver Fee $ Date of Payment / — // — 9�J Date of Payment Receipt Number 46,05' r > Receipt Number 72-026 (393)• Back ' t} !'_._.-. ...''.�..•.. .....)C'. _1 �,h r. �..� Int '�%a r, :...:�'/.j"+':'.y"+ :7 ��/ IUI 11: +Inu:r::alil, II Airpo:': !;nae! r\nchora;;Q_A!a::!:a !)JS 1%0'-1 !'); TcnlFirk I :IS \u:nbcr l'.)07) 562-0S'21•1 nr,,y;r December 3, 1993 Jeffrey .Friedmw n 3007 W. 32nd Avenuo Anchorage, Alaska 99517 RE: SANITARY Sr..-IrM AS4PSSNENT LEVY UPON cONNGcrIom ES'I'Ir111'li Lot 3, The Villages Tidevicw Subdivision Mr. Friedman- In response to your inquiry, dated November 14, 1993, tho Anchorage Water & Wastewater Utility has calculated a sanitary sewer assessment estimate for a parcel of property described as "Lot 3, The Villages Tideview Subdivision." This parcel may be considered for connection to a 24 -inch gravity sanitary se,.•:cr line constructed in Old Seward highway in 1906. In accordance with PZ -7U Wastewater Tariff Regulations, the lateral sewer assessment rale for this property is therefore based on the. 1986 levy upon connection rate of .28584 per square foot of annesrable properLy. The asno=nhle arca of a parcel with respect to a lateral sa.:cr assessment is the area of the pnrcol within 150 foot of any boundary of the parcel that is within or adjacent to the right-of-way where t -ho improvement is located, in this case, the Old Soward Ilighway right-of-way. The arca, ostimaLed at 15,400 square feet, will be assessed for lateral service following connection. The lateral assesnmont is estimated at $4,400 (15,400 sq. ft x $0.28504 per square foot). The assessment udll be billed in twenty annual installments over a period of tucnty years allo-aing you to pay the assessment over time. Additionally, an annual spocial assessment collection charge of $48 will be due along with the annual payment-. The Main -Tap and On -property permit to connect into the sanitary sewer line currently costs $139.55. Additionally, purchase of a Right -of -Way permit will be required to access the sanitary sewer line. For further information, please call our office at 564-2716. Sincerely, Parbara J. Itoward Ergincr.rinq ;�'ch T,nciior-,e', v:a Lor & III .':;1�:',:ewater utility ;. - AL Commerciai Testing & Engineering Co. 1 Environmental laboratory Services L zg rte/ 5633 8 Stree: Anchorage, AK 90518-1600 Drinking `Vater Analysis Report for Total Coliform Bacteria Fax (907) 556; 234 5301 .. READ INSTRUCTIONS ON REVERSE SIDEBEFORE COLLECTING SAMPLE MUST BE COLLETED BY WATER SUPPLER TO BE COIvL'L CED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D. 0 I I I I I I '4=lps's shows t::s Water S.k%e=- to be: PRIVATE WATER SYSTEM yI Satisfactory ElU.^satisfactay ❑ SrndR x - ❑ Sa.dlnw�ce ' ❑ Sz ::?le ccr. 30 hoL'••s cic, res._I�s � z betx=5able S • V P, EC C, ArNi� ❑ $i�71e 10010 $ LI tZ^^S.i; S2`]!C SSOL'!d ?°" `"" _•. -.«. not lie ove.. 4S ho=s old at esa.:=atior to L-ad:Ca:e r- .'ab!e res_°ts. Please se_d re sample tia s?eC:z 2dit//-`� nzil. �. s.. z>c... Date Received i 1z 2% Time Received )5_30 ❑ SendRes.1a ❑ Sendln"ke Aoalysis Began DEC 9 7 1994 Analytical Afetbod: ',JZ Me- bra -,e Fi!ter ❑ ?ANO-Ul7G I - �" Ste• oc« ' N=be7efco!o-.ies1l00=I. Lab Ref. No. Result" Analyst SAVTL=_DATE: FW -1 © F91VI Month Day Year — ��`S11S..ikNV TY?E: 94.6280 --(—= Routine ❑ Treated Water Sentto A.D.E.G Anch Fbls Jun ❑ ❑ Repeat Sample (for routine sample Untreated Water Fried %itb lab ref. no. ) Dam: ❑ Special Purpose Time Collected Client notified of unsatisfactory results: SAMPLE TI - LOCATION n Collected11 Elr By , 046 3 t Le V/t Llk�cb � i ea t!1-r� �j C Phoned SPpke with Faxed ?teat Date- Tirn BACTERIOLOGICAL WATER -It\'ALYSIS RECORD MStO-NIUC Result: Total Coliform E Coo Membrane Filter: Direct Count e L OR OL V.S-_ It61//0p ,i1 100m1 Ver!Gcation: LTB BGB COLIFIR?f Fecal Coliform Coorinnarion os Final Nfembrane Filter Results -DEC;olirormlloo m1 Reported By Tr». W-ear�hDDate �' 2 8 1994 Time 1500 bre Crews: PART ONE OF T WQ Tfs r4#1=h0 y Mer..twof the SGS Group tSocidi4 G6nErale de Surveil:ance) 'N'VIRONN,-ENTAL FA CI_ti I_S IN ALAS K2, COLORADO. FLORIDA, I'11NOIS. MARYLAND. NF V J:RS_.. OHIO, LFTAK. IV=ST VIRGINIA .AALCommercial Testing & Engineering Co. Environmental Laboratory Services Released BK=r--` Sample Remarks: SAMPLE COLLECTED BY: T.S. - ac Allowable Ext. Anal LABORATORY ANALYSIS REPORT Units Method Limits Date CTLE Ref.# 94.6280-1 -------------------------------------------------------------------------------------------------------------------- Nitrate-N 2.06 mg/L EPA 353.2 Client Sample ID POTABLE/LOT 3 THE VILLAGES TIDE VIEW CMR Matrix WATER Client Name TOBBEN SPUR.K1=, P.E. WORK Order 11607 Ordered By TOBBEN SPURELAITD Printed Date 01/01/95 9 17:15 hrs. Project Name Collected Date 12/27/94 01 15:15 hrs. Project# Received Date 12/27/94 m 15:30 hrs. PWSID UA Technical Director STEPHEN C..EDE Released BK=r--` Sample Remarks: SAMPLE COLLECTED BY: T.S. ...................................................................................................... • See Speeial Inscruetlons Above IIA Unavailable • See Sample Remarks Above NA . Not Analyzed SU . Undetected, Reported value is the practical quantification limit. IT . Less Than dD . Secondary dilution. GT . Greater Than L 5633 B Street, Anchorage, AK 99518.1600 — Tel: 1907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA - ac Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init -------------------------------------------------------------------------------------------------------------------- Nitrate-N 2.06 mg/L EPA 353.2 10. 12/30/94 CMR ...................................................................................................... • See Speeial Inscruetlons Above IIA Unavailable • See Sample Remarks Above NA . Not Analyzed SU . Undetected, Reported value is the practical quantification limit. IT . Less Than dD . Secondary dilution. GT . Greater Than L 5633 B Street, Anchorage, AK 99518.1600 — Tel: 1907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA CHEZ IICAL & GEOLOGICAL LABORATORY A DNISION OF COdLVERCIAL TESTNG & ENGINEERING CO. l 176� (ag TELEPHONE (907) 502-23=3 sW3 B Street Anchorage. Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM I.D. # ( PRIVATE WATER SYSTEM ha/'v PnM� M1o. TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: satisfactory ❑ Unsatisfactory Mr.g A--V� ❑ Sample too long in transit; sample should not be over 30 hours old at examination cn su. zaCo to indicate reliable resuts. Please send new sample via special delivery mail. SAMPLE DATE: LSI FOT5-1 Mo. Day Year SAMPLE TYPE: I jG� Routine /❑ Check Sample (tor routine sample with lab ret. no. ) ❑ Treated Water ❑ Special Purpose 'K Untreated Water SAMPLE Time Collected No. LOCATION _ Collected By 1 1"4.3 ait�v;it�ts I��I.S`�ir _ • 2� I 3I I 4 I _� 51 READ INSTRUCTIONS i BEFORE COLLECTING SAMPLE: I Date Received �1105- Time Received /10 4Z) Analytical Method: Membrane Filter A.D.E.C. \1g1AS Ir '36 No. of colonies/100 ml. Lab Ref. No. Result* Analyst 501038 J 1-70 ',J^`J/ m I I m I m � I m BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter. Direct Count Verification: LSB - Fecal Cofiform Confirmation Final Membrane Filter ResuI ��� Reported By /r TNTC t= Too Numerous To Count OB - Other Bacteria BGS 1 O coliform(/oo ml Coliform/too ml Date J-4.11 0 E 0,71:15 Time: I7 a.m. p.m.