HomeMy WebLinkAboutSOUTH HILLS BLK 5 LT 13Onsite File
South Hills
Block 5
Lot 13
#017-071-12
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Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211407
PID Number: 017-071-12
Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: X New ❑ Upgrade
Name
MGJ
ABSORPTION FIELD
❑ Deep Trench ❑■ Wide Trench ❑ Bed ❑ Mound
Site Address
7615 EAST 140TH
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
3.0 GPD/SF
1.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
0.5 Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
SOUGH HILLS BLK 5, LOT 13
Fill added above original grade
2.5 Ft.
Gravel length
40 Ft.
Township Range
Section
Gravel width
5 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
200 R2
1
Ft.
Well
50'-I-
50'+
50'+TANK
El Septic ❑ S.T.E.P. El Holding L] Other
Manufacturer Capacity
ANCH TANK 1500 Gal.
Surface Water
50'+
1 50'+
I
Material
Number of compartments
Lot Line
10'+
0'+
NA
EPDXY COATED STEEL
2
Foundation
10'+
10'+
LIFT STATION
Manufacturer
Capacity
Remarks ADVANTEX
AN C H TANK
80 Gal.
Alarm location
EAST WALL
Electrical installed by
RISING SUN
Installer
PIPE MATERIAL House to tank 3034 drainfield Tank to
3034
MIKE N ANDERSON, P.E.
Drainfield 3034 COIMT3034
Inspector MIKE N ANDERSON, P.E.
BENCH MARK (Assumed elevation) 97.8 R
Inspection ection 1,17/12/22 7114/22
Location and description
2"tl
TOP OF MANHOLE
3`d 4'h
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
4'IN
•-� S� '7 .1a:
Conditional Approval:
Date
�' • • • �. +- t'
� -'49TH
.... ............f
1 0 - MICHAEL N. ANDERSON ;, 0
Septic System
Approve
�
-J_
d. •. CE 946
Date IF
,��F�F- ....• �`� .W
Note: this approval does not include well permit requirements.
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Permit No. OSP211407 Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: SOUTH HILLS BLK 5, LOT 13 PID No.: 017-071-12
MARK
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SEP11C SEMON WATER O 94 SEPT 2021
N.T.S.
®®®� OF
49 X
MICHAEL N. ANDEF
No. CE 9469
E:
Aug. 31, 2022
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Lot Line Waiver
Legal: SOUTH HILLS BLK 5 LT 13
To Whom it may concern:
This is a request for a lot line waiver for the new leach field. The granting of this
�
waiver will not impact any of the surrounding neighbors. Rqv� r w�cc�v
Sincerely /4✓w,
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
*+c
Municipality of Anchorage
P.O. Box 196650 ® 4700 Elmore Road
Anchorage, Alaska 99519-6650 ® (907) 343-7904 0 Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Division
On -Site Water and Wastewater Program
Waiver#: OSV 221062 COSA OSC221424 Permit#: OSP211407
PID#: 017-071-12
Legal Description: South Hills Block 5 Lot 13
Engineer: MNA
Applicant: MGJ
Your request for a waiver of the required 10 feet horizontal separation from the drain field to the
lot line has been approved. The approved separation distance is 0 .
This waiver approval applies to the Existing Trench only. Any future upgrade to the on-site
wastewater disposal system will require all separation distances be met or another approval from
this department
❑The affected adjacent property owner(s) have been given a 7 -day notice regarding this
waiver.
❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
- Adjacent properties are not affected by this waiver.
Waiver is Granted: X Waiver is not Granted:
Date: Approved by:
Name of Reviewer d v
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6ILL S. COLE DOC CO dba
LLIVAN WATER WELLS
P.O. Box 670269, Chugiak, AK 99567 $88-2759
OWNER OF LAND: MGJ
ADDRESS:
LEGAL DESCRIPTION South Hills Block 5 Lot 13
DATE: 10-19-21
PERMIT NUMBER: OSP211407
DATE OF ISSUE: 10-18-
11
TAX IDENTIFICATION NUMBER 01707112000
Is well located at approved permit location: ®Yes ❑No
Method of Drilling: ®air rotary ❑cable tool
Depth of Well: 320'
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 64 feet
Liner type 260' of 4.5" PVC
Static Water Level: 37 feet
Recovery Rate 6 ® gpm ❑ gph
Method of Testing Air
Well Intake Opening Type: 1-1 open end ®open hole
❑ Screened Start feet Stopped
❑ Perforations Start feet Stopped
Grout Type: Bentonite Volume: 350lbs
Depth: from 2 feet, to 58+ feet
Well Disinfected Upon Completion: ®yes ❑ no
Method of Disinfection: Chlorine 50 PPM
Comments:
Surface Seal installed per MOA Code.
Bore Hole Data
Depth
From To
0 2
2 4
4 10
10 29
29 37
37 59
59 162
162 181
181 204
204 221
221 290
290 310
310 320
Casing Stickup
Overburden
Tight Silty Sand & Gravel
Hardpan
Tight Silty Sand & Gravel
Bedrock Broken
Bedrock Gray Soft
Bedrock Gray w/ Quartz
Bedrock Gray
Bedrock Gray Fractures
Bedrock Gray
Bedrock Gray Fractures Water
Bedrock Gray Hard
ESiiNC,
Mies. 3
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
Q Doc co ata
BILL Sc COLE
ULLIVAN WATER WELLS
VOY—F P.O. Box 670269, Chugiak, AK 99567 688-2759
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: SW OSP211407 Date of Issue 10-18-21
Parcel Identification Number: 01707112000
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE "rcnr
Onsite Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.orglonsite - -
apartment
On -Site Water & Wastewater System Permit
Permit Number: OSP211407 Effective Date: 10/18/2021
Work Type: WellSeptic Initial Expiration Date: 10/18/2022
Tax Code Number: 01707112000
Site Legal Address: SOUTH HILLS BLK 5 LT 13 G2940
Site Mailing Address: 7615 E 140TH AVE, Anchorage
Owner: MGJ BUILDING GROUP LLC Lot Size in Sq Ft: 34123
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
R1 Disposal Field 0 Septic Tank El Holding Tank ❑ Privy B 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 (24/7).
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
Received B)
Issued By:
Date: fo
(t
Date:
I?USH
MUNICIPALITY OF ANCHORAGE
Development Services Department `r' 1 Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-071-12
Property owner(s) MGJ BUILDING GROUP LLC Day phone
Mailing address 12780 OLD SEWARD HWY UNIT 108, ANCH AK
Site address WMIU16 E_ . Me -Nae -
Legal description (Sub'd., Block & Lot) SOUTH HILLS BLK 5 LT 13
Legal description (Township, Range & Section)
Lot Size 34,123 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
F. -I Initial 0
Single Family (SF) El
(w/wo ADU)
Septic Tank
Q Upgrade ElDuplex
(D) ❑
Holding Tank
❑ Renewal ❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
ED
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: +4q'( -
Date of Payment: 0 2 L'�_ o i
Receipt Number: 0 a a y(og
Permit No. Qs P 2 11907
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Sept 21, 2021
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: New septic & well permit
Legal: SOUTH HILLS BLK 5 LT 13
To Whom it may concern:
This is a request for a septic/well permit on the above referenced lot. One test hole
was excavated and found silty sands (SM) for the entire depth with no water during
excavation. After one day water was measured at 6 feet which is at the GM/ML
intersection same as the Garness holes. Garness Engineering did several test holes
(4 total) last week and found the same soils but the organic layer was only two feet
deep with water at the bottom of the organic GM/ML layer. Due to the high water
level the perc tests failed. My test hole was located up-hill from theirs (see site plan)
and had silty sand mixed with some organics and the perc was 10 minutes per inch.
My test hole has a 1-day water monitoring which matches the Garnness test holes.
My design has a 5 foot separation from the bottom of the organic layer to the trench.
The lot has slope of approximately 10 percent to the north, see site plan. This new
system and well will not impact any of the surrounding neighbors.
Sincerely
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211407, Deb Wockenfuss, 10/18/21
SEPTIC FIELD SECTION
DESIGN CRITERIA:
0.5' EFFECTIVE
4 BDRM X 150 = 600 GPD
SOILS = 600/3.0 = 200 GPD
200 GA/5 = 40'
5.0' WIDE
40' LONG
(1) TRENCH
1.0' DEEP 6.0
(TH#1)
0.5
SM
ORG 2.0'5.0'
-1.0
-0.5
MOUND OVER
FILTER FABRIC
SEWER ROCK
3,3(
GRADE
1"=200'
PROPERTY LINE
PROPOSED
DRAINAGE FIELD
PROPOSED WELL
100' & 50' RADIUS PROPOSED HOUSE
-E 140TH AVE-
SCALE:
DJRDRAWN:
DATE:
SOUTH HILLS, BLOCK 5, LOT 13
Anchorage, Alaska
MGJ
9/17/2021
-RAB
BI
T
C
R
E
E
K
R
O
A
D
-
-OLD HILLSID
E
W
A
Y
--KELLY RANCH ROAD--SHADOW LANE-TH#1, WATER AT 6', SEPT
& INSULATION
0.25" HOLES @ 48"
7.0 GM/ML
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211407, Deb Wockenfuss, 10/18/21
1"=50'
PROPOSED 1,500 GALLON ADVANTEX
SEPTIC TANK & POD, W/ A PUMP
BASIN, BALLAST TANK W/ 4,000 LBS
WELL
DRIVEWAYPROPOSED
HOUSE
PROPOSED 50' &
100' WELL RADIUS
SOUTH HILLS
BLOCK 5, LOT 13
SCALE:
DJRDRAWN:
DATE:
SOUTH HILLS, BLOCK 5, LOT 13
Anchorage, Alaska
MGJ
9/17/2021
-E 140TH AVE-
-RAB
BI
T
C
R
E
E
K
R
O
A
D
-
SOUTH HILLS
BLOCK 5, LOT 14
SOUTH HILLS
BLOCK 5, LOT 12
SOUTH HILLS
BLOCK 5, LOT 4
SOUTH HILLS
BLOCK 5, LOT 5
SOUTH HILLS
BLOCK 5, LOT 3
WELL
WELL
CLASS III
MT
MT
TH#1
TEST HOLES BY GARNESS
10% SLOPE10% SLOPESEPTIC
CLASS III
SEPTIC
APPROX AREA FOR ADDITIONAL FILL
WITH 3:1 SLOPE OVER THE SEPTIC
AREA. TOPSOIL AND SEED REQ.
FCO
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211407, Deb Wockenfuss, 10/18/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211407, Deb Wockenfuss, 10/18/21
R V514
MUNICIPALITY O..F ANCHORAGE
Development Services Department \. R
-- i Phone: 907-343-7904
On -Site Water & Wastewater Section
Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel 1,11 017-071-12
1. GENERAL INFORMATION
Expiration Date:
Complete legal description SOUTH HILLS BLK 5 LT 13
Location (site address) 7615 EAST 140TH , ANCH AK
Current property owner(s) HEINZ Day phone
Mailing address SAME
Real estate agent
2. TYPE OF DWELLING:
Q Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
El
Private Septic
FE
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 12-0
,x, n
Date of Payment I5 r`l " _ 2
Receipt Number c2 l q 0 %
COSA#_ D_5(_-2214Zy
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
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, 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 MIKE N ANDERSON, P.E. Phone 727-8864
Address 4661 NATRONA AVE ANCH AK
Engineer's Printed Name MIKE N ANDERSON, P.E.
S. DSD SIGNATURE
System #1 Approved for 4 bedrooms
System #2 Approved for bedrooms
Disapproved
Date 8-12-22OF
4
.a ��•.,.. �E to
s
r 49TH i.
F�
MICHAEL. N. ANDERSON
946
{fSStOO���
Conditional approval for bedrooms, with the following stipulations:
Bv: _/1 I-
G\pP Ll I Y 0
`
QA/
23 oVV,1 TFR F
o�
�r P
Original Certificate Date: 9"-31-2?_
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 blue sheet
COSA Checklist
Legal Description: SOUTH HILLS BLK 5, LOT 13
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑!• Well log is filed with Onsite (or attached)
Date drilled f"21
Total depth 320 ft
Cased to 64 ft
Sanitary seal is functioning correctly
❑■ Wires are properly protected
Casing height (above ground) 20 in.
Date of flow test for COSA
Static water level at beginning of test 37 ft.
Comments * new well and septic
B. TANK DATA
Age of tank(s) 7122122 years
Tank type/material 5E "fcc
Measured operating fluid level in septic tank * 36
■❑ Standpipes/foundation cleanout per record drawing
Date of pumping NEW
D. ABSORPTION FIELD DATA ADVANTEX
Which system tested (date installed) 7122/22
❑ ALL standpipes present per record drawing
Total measured depth from grade 4.5 ft (max)
Measured depth to pipe invert from grade ft (min)
❑■ N/A — pressurized field
EW 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 0 gallons
Comments/Deficiencies: ' PRE-SET LEVELS FOR THE ADVANTEX
COSA Checklist yellow sheet
Parcel ID: 017-071-12
Structure served by this system
Well production at time of test 6+ gpm
Water storage tank volume 0 gallons
Well disinfected for coliform test? ❑ Yes■❑ No
0 Coliform bacteria is Negative
Nitrate 0.349 mg/L ❑■ Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by MNA
Date of Sample 810122
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments: NEW ADVANTEX INSTALLATION
Adequacy test date NEW
Results ❑J Pass For 4 bedrooms
Fluid depth prior to test in
Water added cal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
❑✓
*>50
Community Sewer Manhole/Cleanout > 100'
❑ Yes
if No
ft
�]✓, Yes
if No ft
Neighboring Tank > 100' R Yes
if No
ft
Private Sewer/Septic Line > 25' Q Yes
if No ft
Absorption Field on Lot > 100' Q Yes
if No
ft
Holding Tank > 100' Q Yes
if No ft
Neighboring Absorption Fields > 100'
Q Yes if No ft
Water Main > 10'
Animal Containment > 50' Q Yes
if No ft
Q Yes
if No
ft
Yes if No ft
Water Service Line > 10'
Yes
if No
Manure/Animal Excreta Storage > 100'
If septic tank is under driveway
Community Sewer Main > 75' Q Yes
if No
ft
R] 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'[j✓
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'
Q Yes if No ft
Water Main > 10'
Q
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' Q Yes if No ft If absorption field is under driveway comment below
Property Line > 10' O Yes if No _ 0 ft Wells on Adjacent Lots:
Water Main > 10' Q 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 ft
Surface Water > 100' Yes if No ft
F. ENGINEER'S COMMENTS
* ADVANTREX SYSTEM WELL RADIUS IS >55'
oSk/ 221 ®6-z
G. ENGINEER'S CERTIFICATION
I certify that / 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.
COSA Checklist yellow sheet
z
ivll;.HAEL N.
9469 ~
�,+ ,;�
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this 2�I t� Day of A -i -I ( u 5 cf of 20 ZZ, by and between
' .,r ( r G . p / `,� z_ , herein the "OWNER," and the Municipality of
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
Agreement agree as follows:
1. Advanced Wastewater Treatment Svstems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as
located at (legal description)
2. Maintenance, Repairs and Alterations.
(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.
CIV It shall be 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.
(`, J 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.
(rev. 05/18/2018) Page 1 of 3
Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
Owner acknowledges that the fine for failing 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 transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
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.
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 continue
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 Owner 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
'Alii1
BY ` (signature) Date: Z 'jam_
Z, (print name)
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this �� day of 40CQ-US7-
20=–C; by 45MJ 0%/' X?Z,/AUT
N RY BLIC FOR ALAS �`�. .�".�o;�e0,��i�,
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My Commission expires:
- RIOTARY
PUBLIC,'*
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MUNICIPALITY:
By;—:::�� (signature) Date:
(print name) Title:
(rev. 05/18/2018) Page 3 of 3