HomeMy WebLinkAboutPOTTER HIGHLANDS PH 2 BLK 2 LT 9Onsite File
Potter
Highlands Ph 2
Block 2
Lot 9
#020-281-69
(Rev 05/02/18)
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211311
PID Number: 020-281-69
Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade
Name
Brandon Schaefer
ABSORPTION FIELD
El Deep Trench 9Wide Trench El Bed ❑Mound
Site Address
6024 Potter Valley Road
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
(907) 301-5359
4
6.0 GPD/SF
2.8 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
2.2 Ft.
Gravel depth beneath pipe
0.6 Ft.
Subdivision Block Lot
Potter Highlands Phase 2 2
9
Fill added above original grade
1.4 Ft.
Gravel length
20 Ft.
Township Range
Section
Gravel width
5.0 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
1
Dist. between trenches
From
Tank
Field
Tank
Line
100 Ft2
Ft.
Well
>100'
>1 00'
N/A
N/A
>25
TANK ❑ Septic ❑ S.T.E.P. ❑ Holding Fm] Other
Manufacturer Capacity
Advantex / Orenco 1500 Gal.
Surface Water
>1
>100'
N/A
N/A
Material
Plastic
Number of compartments
2
Lot Line
>5'
>10'
N/A
N/A
NA
Foundation
>10'
>10'
N/A
N/A
LIFT STATION
rer
Capacity
Gal.
Remarks
Alarm location
Elec stalled by
PIPE MATERIAL House to tank D3034Tank to D3034
drainfield
Installer
Northern Excavation
Drainfield D3034 CO/MTD3034
Inspector J. Millette
BENCH MARK (Assumed elevation) 100 ft
Inspection 15' 4/15/22 4/15/22
Location and description
dates: 2nd
Bottom of siding @ point A
3rd 4m
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
OF A4
Conditional Approval:
Date
• • qtQIrk
®*: 49 TH ••
.�.
Septic Syste
Benjani3O;Schiller
�� �'F�, •, • ��
Approved (%
Date 1 2 2
CE 12592
��'srF�• . •7/11/22 • •��G��
`t�® pROFESSION�'4-`
Note: this approval oes not include
well permit requirements.
(Rev 05/02/18)
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PERMIT # OSP211311
PID # 020-281-69
FINISH GRADE SLOPE IS AT LEAST 2:1 & HAS
BEGUN TO GERMINATE w/ WILD UNDERGROWTH
() o
2i 84.1 FINISH GRADE . 82.7 ORIGINAL GRADE
URAINFIELD ROCK
80.5 80.5
MOA FILTER SAND
79.9 79.9
77.9 77.9 `
20'
NO GROUNDWATER 3/22/21
_ 75.2
kt
®: 4� 1H
PROFILE AS -BUILT /� �F�'.BenCE 125921'�er•
��D •7/l vzozz.,���V�
ENGINEERING
NO SCALE
�d�`PROFESSIONP .d
Development Services Department ; $ Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Well Log
Permit Number: #OSP211311& Date of Issue: 8/5/2021p Parcel Identification Number:
Date Started: 10/25/21 Date Completed: 10/29/21 Is well located at approved permit location? Yes ❑■ No ❑
Legal Description: Potter Highlands PH 2 BLK 2 LT 9 G:3638
Property Owner Name & Address: Trevi Builders
Borehole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
Casing Stick Up
0
2
Rotten Bedrock & Silt
2
4
Bedrock
4
298
Note: 6" casing grouted
0'
20'
4.5" liner grouted in the borehole
with a shale packer & bentonite
20'
40'
Coordinates:
N 61 ° 2'41 "
W 1490 46'12"
Water Sample Results: t /11 /2.3
Arsenic: NO ug/L
Nitrates: NO mg/L
Total Coliform Bacteria:Ncolonies/100mL
Method of Drilling ❑■ air rotary ❑ cable tool
Casing type: Steel
Wall Thickness: •250 inches
Diameter: 6 inches Depth: 23 feet
Liner Type: PVC
Diameter: 4.5 inches Depth: 20-298 feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 38 feet
Pumping level: feet after
hours pumping _gpm
Recovery Rate: 2 gpm
Method of Testing: airlift
Well Intake Opening Type:
❑ Open Endx❑ Open Hole
❑ Screened Start feet Stopped feet
❑ Perforations Start feet Stopped feet
Grout Type: Bentonite Volume: 2Bags
Depth: 20 Start 0 feet Stonoed 40 feet
Well Disinfected Upon Completion? Yes No
Method of Disinfection: Tabs Comments:
El ❑
Well Driller: Johnny Kay
Company: Hefty Drilling Inc.
Mailing Address: P.O. Box 112130 Anch. AK 96
Attention: The well driller shall provide a well log to the
On-site Water and Wastewater Section within 30 days of
completion.
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program �� e e
� 4700 Elmore Road
P.O. Box 196650
Mark Begich Anchorage, AK 99507 s ^ F E T Y
Mayor www.muni.org/onsite
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number: - 6� ;/1311 Date of Issue: 0f /21
Parcel Identification Number:
Legal DescriptionpUz Property Owner Name & Address:
Z L+9 I T Trey,'
(, , 3r-, 3P
Pump Installation Date: c _ 114 -
Pump Intake Depth Below Top of Well Casing: a q 0 feet
Pump Manufacturer's Name: V ,q,w d 9 v 5
Pump Model: 5 S Gki 07— 3 ao
Pump Size 1 hp
Pitless Adapter Burial Depth: lb feet
IPitless Adapter Manufacturer's Name: 9 -10
Pitless Adapter Installer: Re't rjDG
Well Disinfected Upon Completion? Z Yes No
Method of Disinfection: C � (oma`" -ve, b 4
I Comments:
Pump Installer Name: Johnny Kay
Hefty Drilling, Inc.
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
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PLAT NO. 2015-10
POTTER HIGHLANDS SUBDIVISION, PHASE 2
LOT •
. BLOCK 2
4.867 ACRES
N 83°56'091-'E 721.91'
q D, -�� �Fzgti
-.0-
0) 4 C'C
O
Z \ \ \
\
DS \ \
CLASS
\ A
33' SECTION UNE ESMT.
10' T. & E. ESMT.
N 89014'33"E
100.04'
N 78°42'43„E 801.12
5' DEVELOPMENT SETBAC
10' T. & E. ESMT:
® SEPTIC SYSTEM
EXISTING
BULDING
O�
sss O
�k 6 \\ •gyp �Q
:L DR. \\
\\ sams
w
38f
- - 10, X 421' DRAINAGE ESMT
AS -BU
I LT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO
GASTALDI LAND
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
SURVEYING, LLC
IT IS THE RESPONSIBILITY OF THE OWNER TO
JEFF A. GASTALDI, R.L.S.
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
2000 E DOWLING RD., SUITE 8
COVENANTS OR RESTRICTIONS WHICH DO NOT
ANCHORAGE, ALASKA 99507
APPS ON THE RECORDED SUBDIVISION PLAT.
PHONE 248-5454
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
GRID
DATE
HEREON BE USED FOR CONSTRUCTION OR FOR
SW3638
11/3/2022
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
F.B.
JOB NO.
I
2022-02
PHS292
NOTE: NO CORNERS SET TH IS DATE.
OF q�
�P\ °.....,° q
• S
•49 9
TH
. ...... ..........
m : Jeffery A. Gastaldi10, o`
LS -6091 Ar
11/3/2022 ." tJ�
rP0"�p
....... 000
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rofessional La\\
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A.
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 - 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www. m u n i, o rg/ons i to
On -Site Water & Wastewater System Permit
Permit Number: OSP211311
Work Type: WellSeptic Initial
Tax Code Number: 02028169000
Site Legal Address: POTTER HIGHLANDS PH 2 BLK 2 LT 9 G:3638
Site Mailing Address:
Owner: POTTER CREEK DEVELOPMENT LLC
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date:
n,.Cp r
CAP
v
Deparrinent
Lot Size in Sq Ft:
Total Bedrooms:
8/5/2021
815!2022
212021
0 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: Category Ill Nitrogen -reducing systems are required in this subdivision.
Veronica Pope
GE 2021.08.05
Received By: 17:41:35 -08'00' Date:
Issued By: A�ADate: O -� "�0 : 2 1
4
11111E
1111111111111111 Jill 111111111111 111111111111111! �J�
j _'� ^•4 ��t. 7� 5.-.
i illill��lill
a
� 9
Community Development Department - Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 020-281-69
Property owner(s) Potter Creek Development LLC Day phone 301-5359
Mailing address 561 E 36th Ave Suite 200 Anchorage, AK 99503
Site address NHN Potter Valley Road
Legal description (Sub'd., Block & Lot) Potter Highlands Phase 2, Block 2 Lot 9
Legal description (Township, Range & Section)
Lot Size 212,021 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑X
Initial ❑X
Single Family (SF)
❑X
(w/wo ADU)
Septic Tank
❑X
Upgrade ❑
Duplex
❑
(D)
Holding Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑X
Water Storage
❑
THIS APPLICATION INCLUDES
A VARIANCE / 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: &?-10 Waiver Fees:
Date of Payment: 719-'71 I Date of Payment:
Receipt Number: n100010 Receipt Number:
Permit No. 05N % 13 f l Waiver No.
Permit App__- : .,:c
August 5, 2021
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
8/5/21
Subject: Potter Highlands Phase 2, B2 L9 – Potter Valley Road
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot intends to build a 4-bedroom home on the subject property, so we are
submitting this permit application for the construction of a new well and septic system. The
attached site plan identifies the location of the home as well as the proposed well, septic location
and alternate site. No conflicts exist between this proposed system and any other well or septic
system, whether on this lot or adjacent lots.
The ground surface on the lot varies in slopes between 25% and 50% toward the west property
line. It is in an area between 25-30% that we are proposing a new trench. Due to bedrock, the
trench will need to be no deeper than 3.5’ from original grade. The current design meets the steep
slope separation exception for a wide trench with a sand liner 36” below the top of the organic
layer. Due to the fast-percolating soils, we expect effluent to travel mostly vertical without
daylighting. There are no slopes greater than 46% within 100 feet downslope of either the primary
or alternate site. Contours are shown on the site plan showing the grade and direction of flow.
Stormwater drainage will not impact this septic system. The new trench will be constructed parallel
to the slope as much as possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 50’ from all
wells and surface water, and more than 5’ away from the septic tank. The alternate site is located
more than 6’ away.
Please refer to the attached test hole logs, cross section, plan and profile pages for the septic design.
If this design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Michael E. Anderson, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211311, Rebecca Carroll, 08/05/21
PRIMARY & ALTERNATE SITE
NOTE:
NO SLOPES >46% WITHIN 100' OF PROPOSED SEPTIC SYSTEM. NO SURFACE WATER WITHIN 50' OF THE SEPTIC
SYSTEM.
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH
WELLS OR SEPTIC SYSTEMS.
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FD - FLOW DIVERTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
1" = 100'4-BDRM HOME
POTTER HIGHLANDS PHASE 2, BLOCK 2 LOT 9
FEET
0 100 200
August 5, 2021 POTTER VALLEY ROAD10' T&E EASEMENT
33' SECTION LINE EASEMENT
50' STREAM SETBACK
10' T&E EASEMENT
5' DEVELOPMENT SETBACK
10' x 421' DRAINAGE EASEMENT
CLASS D WETLANDS
STREAM COURSE
WELL w/ 50' RADIUS
1,500 GALLON
ADVANTEX TANK w/
AX20 FILTER POD
PROPOSED WELL
w/ 50' RADIUS
100' WELL RADIUS
935925915905 Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211311, Rebecca Carroll, 08/05/21
20' LONG x 5' WIDE, 0.5'
EFFECTIVE DEPTH
ABSORPTION TRENCH
NOTE:
NO SLOPES >46% WITHIN 100' OF PROPOSED SEPTIC SYSTEM. NO SURFACE WATER WITHIN 50' OF THE SEPTIC
SYSTEM.
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH
WELLS OR SEPTIC SYSTEMS.
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FD - FLOW DIVERTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
TH1
1" = 50'4-BDRM
HOMEMT
POTTER HIGHLANDS SUB PHASE 2, BLOCK 2 LOT 9
FEET
0 50 100
August 5, 2021 POTTER VALLEY ROAD50' STREAM SETBACK
10' T&E EASEMENT
5' DEVELOPMENT SETBACK
10' x 421' DRAINAGE EASEMENT
CLASS D WETLANDS
STREAM COURSE
1,500 GALLON
ADVANTEX TANK w/
AX20 FILTER POD
PROPOSED WELL
w/ 50' RADIUS
CO
CO
2CO FCO
ALTERNATE SITE
935925915905895100' SEPARATION FROM
>46% SLOPES
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211311, Rebecca Carroll, 08/05/21
POTTER HIGHLANDS SUB PHASE 2, BLOCK 2 LOT 9
TYPICAL TRENCH SECTION
(NO SCALE)
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
4" PERFORATED PVC
(HOLES DOWN)
DRAINFIELD ROCK
5'
6"
1'-6"
6"
6"
DESIGN FACTORS:SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: <1 MIN/IN
APPLICATION RATE: 6.0 GPD/SF
SHALLOW TRENCH SYSTEM
1,500-GAL ADVANTEX TANK w/
AX 20 FILTER POD
BOTTOM OF TRENCH: 3' BELOW HIGHEST GRADE
FLOW LINE ELEVATION: 2' 6" BELOW HIGHEST GRADE
TOP OF TRENCH: 1' 6" ABOVE LOWEST GRADE
600 GPD / 6.0 GPD/SF /5' WIDE * 1.0 RED FACTOR = 20 LF TRENCH REQUIRED (20 LF SPECIFIED)
August 5, 2021
2'
2'
MOA APPROVED
FILTER SAND
2:1
2" INSULATION OVER
GEOTEXTILE FABRIC
2:1 SLOPE MUST BE SEEDED
FOR EROSION PREVENTION
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211311, Rebecca Carroll, 08/05/21
1"=15'
POTTER HIGHLANDS SUB PHASE 2, BLOCK 2 LOT 9
SLOPE CROSS SECTION
3015 0
FEET
875'
0' 5' 10' 15' 20'
870'
25' 30' 35' 40' 45' 50' 55' 60' 65' 70' 75' 80' 85' 90' 95'
885'
880'
895'
890'
905'
900'
100'15'
EXISTING
G
R
O
U
N
D
~20%
PROPOSED
ABSORPTION
TRENCH
46% ANG
L
E O
F
EFF
L
UEN
T
INF
L
UE
N
C
E
BEDROC
K
~5
0
%
August 5, 2021
910'
10' 5'
915'PROPOSED
ALTERNATE
SITE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211311, Rebecca Carroll, 08/05/21
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE:
PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
TECHNICIAN:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPTH
(feet)
PROJECT No.:
TEST HOLE 1
SLOPE
SLOPE
SITE PLAN
DATE READING GROSS TIME
(minutes)
NET TIME
(minutes)
DEPTH to
WATER NET DROP
PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH)
TEST RUN BETWEEN: FT. and FT.
COMMENTS:
(inches)(inches)
J. Millette
DATE OF MONITORING:
WAS GROUND WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING:
IF YES @ WHAT DEPTH?
0.72 6
2 3
2/4/21
1
2
3
4
5
6
GP (POORLY GRADED
6" MINUS GRAVEL)
Professional Engineers Stamp:
NO
NONE
3/22/21
POTTER HIGHLANDS PH2, B2 L9
02/04/2021
020-281-69
Trevi Builders
13:051
2
3
4
5
6
1 - 6
1' OB
4:20
July 19, 2021
BED
ROCK
6"
13:11 1 - 64:25 6"
13:17 1 - 64:18 6"
13:23 1 - 64:21 6"
13:29 1 - 64:25 6"
13:36 1 - 64:20 6"
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211311, Rebecca Carroll, 08/05/21
MUNICIP ALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT,herein the "AGREEMENT"made and
enteredintoasofthis_2 Dayof y
Bandoa ,herein tłe"OWNER,"andtheMunicipalityof
Anchorage.herein the "MUNICIPALITY";,in accordance with Anchorage Municipal Code
(AMC)15.65.365.In consideration of the mutual covenants contained herein,the parties to this
Agrecmcnt agrec as follows:
of 20/-byandbetween
1.Advanced Wastewater Treatment Systems.The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as Advantex Waste Water Treatment System
located at (legal description)
Potter Highlands Phase 2,Block 2 Lot 9
2.Maintenance,RepairsandAlterations.
(Owner is required to read,understand and initial each section)
Throughout the term of this Agreement.the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative.The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall bc the responsibility of the Owner during the term of this Agreement to pay for all
repair(s),maintenance,adjustment(s),replacement costs,and inspection costs.This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system,which could include sewage backup and costly repairs or drainfield
replacement.
BS
BS
BS
BS
(rev.05/18/2018)Page 1 of3
BS
BS
BS
BS
BS Owncr agrces that the AWWTS installation and maintenance requirements as provided
Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance providcr.
Owner acknowledges that the fine for lailing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS.The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transler of title of the property will not occur without a new
Certificate of On-Site Systems Approval.
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction,maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
BS
3.Term.The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system,or upon transfer of title,and shall continuc
while the AWWTS is operational or until title is transferred.
4.Nonwaiver.The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions,nor in any way affect
the validity of the Agreement or any part hereof,or the right of the Municipality
thereafter to enforce every provision hereof.
5.Amendment.This Agreement shall only be amended by authorized representatives of
the Owncr and Municipality.Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6.Jurisdiction:Choice of Law.Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage.The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7.Severability.Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev.05/18/2018)Page 2 of 3
OWNER:
By: _ (signature) Date: '7103 a/
'PrO,Ytd0yl � t�(print name)
STATE OF A —7 -YO -5v
)
) ss.
THIRD .RMICTAL DISTRICT )
The foregoing instrument was acknowledged before me this 23 day of JU ,
2021 , byrrAr�an Schl�r F T
ANTHONY ZURITA
NOR PUB FOR AL-� A '�('-c.xasNotary Public. State of Texas
My C Mills,riexpires: Comm. Expires 09-18-2024
�f °• ai;�` Notary ID 132684674
MUNICIPALITY:
By: W(Lj(signature)
JQebeOCA 6�t-0�1 (print name)
Date: 8-151,7-10.2 t
Title:
(rev. 05/18/2018) Page 3 of 3