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Home My WebLink AboutSHANGRI-LA ESTATES EAST BLK 4 LT 4Onsite File Shangri-La Estates East Block 4 Lot 4 #020-043-75 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231106 PID Number: 020-043-74 Dwelling:❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: 9 New ❑ Upgrade Name THEODORE &SENEGA FREITAG ABSORPTION FIELD ❑Deep Trench XWide Trench El Bed ❑ Mound Site Address 16249 Mountain Breeze Drive ❑ Other Phone Phone f Bedrooms Soil Rating Total depth from original grade 7�� 5 4.0 GPD/SF 4.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Shangri La Estates East 4 4 Fill added above original grade 0.0 Ft. Gravel length 40.0 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines n/a Distance between lines n/a 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 Ft2 1 n/a Ft. Well 100'+ 100'+ NA NA 25'+ TANK ❑■ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 2500 Gal. Surface water 100'+ 100'+ NA NA Material Number of compartments Lot Line 10'+ 10'+ NA NA NA Steel/Epoxy Coated 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Orenco 250 Gal. Alarm location House Electrical installlle/d by 2C� xx Com/" PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer Northern Excavation & Construction Drainfield 3034 Co/MT3034 Inspector PES BENCH MARK (Assumed elevation) CJQQl ft Inspdection v, 09/20/23 09/20/23 Location and description 2nd aro 09/21/23 4`h 9/24/23 See Site Plan, Bottom of house trim ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date P'"'•••�� .... .. . ....... "$seven Septic Syste j j Approved%', / L annoRa '•. CE 8149 .� •. 2024-10-24•. ••.,4•• -24 i Date Note: this approval does not include well permit requiremen.s. (Rev 05/02/,T8) DESIGN PARAMETERS — — — — — — — — �R PRIMARY/RESERVE SEPTIC SYSTEM / —w —v WATEWELL RADIUS / UNE NO. BEDROOM: 5(750 gpd) TANK SIZE: 2500ga1 ADVANTEX _ss —ss — NEW ISEPTIC \ / W/ 2EA AX20 PODS — I 1 PERC RATE: 14.9 MPI ABBREVIATIONS / SOIL RATING: 4 GPD/SF _ — TH TEST HOLE — / AREA RQD: 187.5 SF — �� (P) PROPOSED /SYS. TYPE: WIDE TRENCH 0.5' E.D. T2 (E) EXISTING MIN LENGTH: 37.5 LF lIlk T pc CO CLEAN OUT NO. l -i' DCO DOUBLE CLEAN OUT USE: T1 FC FOUNDATION CLEANOUT 40LFx5.0'WxO.5'E.D.,4.0'T.D. _ — — FS MT FLOW SPLITTER MONITOR TUBE NO. — B _ TOTAL AREA: 200 SF — — �� ly TYP TYPICAL INSTALLED NEW 2500gol STEEL SEPTIC TANK op l INSTALLED W/2EA AX -20 PODS 86 . l BALLASTED W/2EA 2'x2'x8' CONCRETE BLOCKS INSTALLED W/FC BEFORE — J II \ / INSTALLED NEW 2500go1 STEEL SEPTIC TANK TH / INSTALLED W/2EA AX -20 PODS l BALLASTED W/2EA 2'x2'x8' CONCRETE BLOCKS l l l INSTALLED W/FC BEFORE TH-PES2023 90 I EI I RECORD DRAWING THIS RECORD DRAWING REPRESENTS THE AS -BUILT CONDITION OF THE PROPERTY IMPROVEMENTS DESCRIBED ABOVE. THE DRAWING AND ANY OTHER SUBSEQUENT ATTACHED OR INCLUDED INFORMATION IS BASED ON PERIODIC VISUAL OBSERVATION BY A REPRESENTATIVE OF PES ALONG WITH NOTES, PHOTOS, AND OTHER INFORMATION PROVIDED BY THE INSTALLER OF THE SYSTEM. THE INFORMATION PROVIDED IN THE RECORD DRAWING APPEARS REASONABLE AND REPRESENTS THAT THE PROJECT WAS DESIGNED AND CONSTRUCTED IN GENERAL CONFORMANCE OF 18 AAC 72, THE ADEC ONSITE WASTEWATER SYSTEM INSTALLATION MANUAL, AND AMC 15.65 WHERE APPLICABLE. PES SHALL NOT BE HELD LIABLE FOR SYSTEM DEFICIENCIES WHICH FALL OUTSIDE THE SCOPE OF THE REQUIRED VISUAL OBSERVATIONS OR SUBSEQUENT OBSERVATIONS IF REQUESTED BY THE INSTALLER. SEPTIC SYSTEM INSTALLERS ARE TRAINED AND APPROVED BY THE MUNICIPALITY OF ANCHORAGE AND OR ADEC AS APPLICABLE. INSTALLERS ARE RESPONSIBLE FOR CONSTRUCTING THE SEPTIC SYSTEM AS DESIGNED AND ENSURING THEIR WORK CONFORMS TO THE CODES AND POLICIES STATED ABOVE. NOTES: PANNONE ENG SVC LLC (C.1. 1088) REVISIONS DATE RECORD DRAWING P.O. BOX 1807 PALLIER, AK 99645 QF 10/24/2024 PHONE 907 745-8200 FAX 907) 745-8201 p' SCALE 49 SHANGRI—LA ESTATES EAST, BLOCK 4, LOT 4 •• • ••• P.I.D. NO DRAWN DRM THEODORE & SENECA FREITAG '31even ane020-043-74 9149 PERMIT NO. SITE: 16249 MOUNTAIN BREEZE DRIVE ao 28149�j OSP231106 SITE PLAN ANCHORAGE, AK SHEET of 2 M1. Fl / T2 C2_ SCALE: T1 C1 B ` — w — / 142.8 FC2 F2 FC1 A' C M2 -7 PCC PAD / NEW HOUSE HOUSE 96 TH-OHI C� I I /NEW WELL X700`—_�__ lb j - 1 T&E EASEMENT I /-� �r - - --'-- ---- //-j l EXISTING OPEN CHANNEL s l/ACANT LAND NO WELLS OR / DRAINAGE AS MAPPED BY l SEPTICS MOA GIS EI I RECORD DRAWING THIS RECORD DRAWING REPRESENTS THE AS -BUILT CONDITION OF THE PROPERTY IMPROVEMENTS DESCRIBED ABOVE. THE DRAWING AND ANY OTHER SUBSEQUENT ATTACHED OR INCLUDED INFORMATION IS BASED ON PERIODIC VISUAL OBSERVATION BY A REPRESENTATIVE OF PES ALONG WITH NOTES, PHOTOS, AND OTHER INFORMATION PROVIDED BY THE INSTALLER OF THE SYSTEM. THE INFORMATION PROVIDED IN THE RECORD DRAWING APPEARS REASONABLE AND REPRESENTS THAT THE PROJECT WAS DESIGNED AND CONSTRUCTED IN GENERAL CONFORMANCE OF 18 AAC 72, THE ADEC ONSITE WASTEWATER SYSTEM INSTALLATION MANUAL, AND AMC 15.65 WHERE APPLICABLE. PES SHALL NOT BE HELD LIABLE FOR SYSTEM DEFICIENCIES WHICH FALL OUTSIDE THE SCOPE OF THE REQUIRED VISUAL OBSERVATIONS OR SUBSEQUENT OBSERVATIONS IF REQUESTED BY THE INSTALLER. SEPTIC SYSTEM INSTALLERS ARE TRAINED AND APPROVED BY THE MUNICIPALITY OF ANCHORAGE AND OR ADEC AS APPLICABLE. INSTALLERS ARE RESPONSIBLE FOR CONSTRUCTING THE SEPTIC SYSTEM AS DESIGNED AND ENSURING THEIR WORK CONFORMS TO THE CODES AND POLICIES STATED ABOVE. NOTES: PANNONE ENG SVC LLC (C.1. 1088) REVISIONS DATE RECORD DRAWING P.O. BOX 1807 PALLIER, AK 99645 QF 10/24/2024 PHONE 907 745-8200 FAX 907) 745-8201 p' SCALE 49 SHANGRI—LA ESTATES EAST, BLOCK 4, LOT 4 •• • ••• P.I.D. NO DRAWN DRM THEODORE & SENECA FREITAG '31even ane020-043-74 9149 PERMIT NO. SITE: 16249 MOUNTAIN BREEZE DRIVE ao 28149�j OSP231106 SITE PLAN ANCHORAGE, AK SHEET of 2 n DRAIN ROCK o 6" ABOVE PIPE INV N 4" 0 DRAIN PIPE a F FILTER FABRIC 4 99.1 2E - ^___ T71 H—�� \� FG: 99.0 II 94.7 95.0 2,500g STEEL ADVANTEX TANK SYSTEM PROFILE — NTS SOILS LOG — PERCOLATION TEST 13 WAS GROUND WATE 14 ENCOUNTERED? 15 IF YES, AT WHAT DATE PERFORMED: 12SEP2023 DEPTH? N/A DEPTH TO WATER AFTER MONITORING? n%o DATE: 9/19/2023 95.5 95.0 87.0 DRY 9/12/23 DRY 9/19/23 TH—PES2023 WATER SOIL TEST RESULTS /ANALYSIS *NOTE 1 LEVEL NET DROP ORGANICS MPI THIS TEST. WERE 2 PANNONE ENG SVC LLC (C.1. 1088) P.O. BOX 1807 PALER, AK 99645 PHONE 907 745-8200 FAX 907 745-8201 REMOVED 9/12/223 10:30 2.26 --- BEFORE 3 2 11:00 EXCAVATION 2.17" 30 MIN 13.8 OF TEST HOLE 4 2.26 --- --- 5 4 11:30 4.29 2.03" 6 14.8 GM/SM 11:30 2.26 7 --- 6 12:00 8 2.01" 30 MIN 14.9 9 10 11 12 BOH SOILS LOG — PERCOLATION TEST 13 WAS GROUND WATE 14 ENCOUNTERED? 15 IF YES, AT WHAT DATE PERFORMED: 12SEP2023 DEPTH? N/A DEPTH TO WATER AFTER MONITORING? n%o DATE: 9/19/2023 95.5 95.0 87.0 DRY 9/12/23 DRY 9/19/23 COMMENTS: Test hole excavated by NORTHERN EXCAVATING WATER SOIL TEST RESULTS /ANALYSIS READING DATE CLOCK TIME LEVEL NET DROP NET TIME MPI THIS TEST. READING NOTES: PANNONE ENG SVC LLC (C.1. 1088) P.O. BOX 1807 PALER, AK 99645 PHONE 907 745-8200 FAX 907 745-8201 1 9/12/223 10:30 2.26 --- --- SHANGRI—LA ESTATES EAST, BLOCK 4, LOT 4 THEODORE & SENECA FREITAG SITE: 16249 MOUNTAIN BREEZE DRIVE 2 11:00 4.43 2.17" 30 MIN 13.8 3 11:00 2.26 --- --- 4 11:30 4.29 2.03" 30 IN 14.8 5 11:30 2.26 --- --- 6 12:00 4.27 2.01" 30 MIN 14.9 COMMENTS: Test hole excavated by NORTHERN EXCAVATING SOIL TEST RESULTS /ANALYSIS PERFORMED BY: Pannone Engineering Services LLC. I CERTIFY THAT THIS TEST WAS PERFORMED IN • PERCOLATION RATE 14.9(min/Inch) • PERC�HOLE ic Soils IAMETER Group:" HSG A) ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF TEST RUN BETWEEN 3.0 FT AND 4.0 FT. • TEST RUN FOR OVER AN HOUR, LAST THREE READINGS PROVIDED. THIS TEST. NOTES: PANNONE ENG SVC LLC (C.1. 1088) P.O. BOX 1807 PALER, AK 99645 PHONE 907 745-8200 FAX 907 745-8201 REVISIONS pF � *� �� * Me,,;, anrio�a CE 8149 jo/24/24 DATE 10/24/2024 SCALE RECORD DRAWING SHANGRI—LA ESTATES EAST, BLOCK 4, LOT 4 THEODORE & SENECA FREITAG SITE: 16249 MOUNTAIN BREEZE DRIVE NTS P.I.D. NO 020-043-74 DRAWN DRM PERMIT No. OSP231106 NOTES SHE 2 OF 2 SOILS LOG ANCHORAGE, AK MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Alpine Drilling & Enterprises Well Log Permit Number: #SW231106 Date of Issue: 5-25-23 Parcel Identification Number: 02004374000 Date Started: 7-20-23 Date Completed: 7-21-23 Is well located at approved permit location Yes E]No Legal Description: Shangri La East Block 4 Lot 4 Property Owner Name & Address: Freitag Theodore and Seneca Micholsohn & Daughter Borehole Data: Soil Type, Thickness & Water Strata Depth (ft) From To Method of Drilling x air rotary El cable tool Casing type: steel stick-up 0 2 Wall Thickness:.250 inches gravelly silt sand &gr m el 2 103 103 106 Diameter: 6 inches Depth: 106 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 62 feet Pumping level: 103 feet after 2 hours pumping 10 ,-pm Recovery Rate: 10 gpm Method of Testing: air IiLt Well Intake Opening Type: x Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 1 bg Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 iNCHOwAG;- MUM(CWAU V OF ANCHORAGE - 0 n�j DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section 907-343-7904 Fax: 343-7997 www.muni.org/onsite Well Decommissioning Lo Legal Address: �r+"l�, 1 A 156ZA- 5S Subdivision lock Lot T R Section Lot On-site Water R Wastewater Section certified contractor performing the well decommissioning: Name: ame:,RX,1 6WIly Signature: 44 corn AIRAW�s �v Well decommissioning date 11910412-?? Method of decommissioning: AMC 15.55.0601-1 a. ❑ b. ❑ C. Location: Use the space below to provide a drawing of the property showing the following items: • North arrow • Decommissioned well location • Location of other water wells on the property Two separate swing -tie distances for each well shown on the drawing Note: The swing -tie distances shall be measured from either permanent structures or the property corners. 1 \62�: rj, �� kf, V — N 1 9RjvE EZE �- MOUNTAIN -0 R 40.33, E EASEMENT \� 10' T& N v? cA 61y� ��S Lot 6 Q, (99 2 Lot 3 N79 -02'4 w 26g 8�. HO MANLE Co V)MANHOLE CV S S N Lot 5 TANKS STANDPIPES C5)_I' J N c.o.co o S IZ rn ^2 X22 1� N \NG 9 118.8' U 10-73'�y\S �. o• �' 7 h W Q N 6g •2 9 �� 5 1� 1 LOT 4 Q• 56, 917 SQ FT �, Q :.:.RAP .PAD;.:. \2 �. 1.31 ACRES "' O O ---------- -- ------------1 10 " T&E EA SEMEN T S89°57'04"E 324.10' Survey Certification: I hereby certify that a Mortgagee's 124 E 7th Avenue Inspection was performed on the described property. Anchorage, Alaska 99501 Notes: It is the owner's responsibility to determine the existence of any easements, covenants, or restriction which (907) 306-8104 are not on the recorded subdivision plat. mail@S4AK.com It is the contractor's responsibility to check top of foundation grade & building setbacks in relation to property lines and easements Job: 2021-34 Scale: 1" = 50' Plat: 2011-62 Drawn by. AK Field Book: 156 Grid: SW3239 11 Date: 8/22/2024 UNSUBDI VIDED As Built Legal Description: Lot 4, Block 4, Shangri-La Estates -East Subdivision LEGEND: Brass Monument 0 Rebar w/ Cap Q Pavement Recylced Asphalt Pavement (RAP) Well Septic Qs Utility Pedestal Transformer Concrete 0 F 4 49 . . ...... ...... .......... . Andre Kae p I o LS -100 98 44�'--.08/22/2024..-- Qn�°fessiono� �Qo MUNICIPALITY OF ANCHORAGE �p,cnt On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 v http://www.muni.org/onsite Dehartrnent On -Site Water & Wastewater System Permit Permit Number: OSP231106 Effective Date: 5/25/2023 Work Type: WellSeptic Renewal Expiration Date: 5/24/2024 Tax Code Number: 02004374000 Site Legal Address: SHANGRI-LAESTATES EAST BLK 4 LT 4 G: Site Mailing Address: 16249 MOUNTAIN BREEZE DR, Anchorage Owner: FREITAG THEODORE & SENECA Lot Size in Sq Ft: 56917 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 5 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q 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 Special Provisions: 1. Submit the well professional's report with the Inspection Report. 2. With the Inspection Report, submit the Pump Install Log, water sample results and well decommissioning log if existing well is decommissioned. G0- 1 We l (-rnoueJ -o Wes-' d. 71�1Z3 Received By: 155 Ufa TO Date: Issued By: Date: 2 S 2flz� MUMUPAL7 Y OF "'K C H0RlAG7 y� Community Development Department �l' 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. 020-043-74 Property owner(s) Theodore & Seneca Freitag Mailing address 27211 Falcon Drive Chugiak, AK 99657 Site address NHN Mountain Breeze Drive Anchorage, AK Day phone Legal description (Sub'd., Block & Lot) Shangri-La Estates East B4 L4 Legal description (Township, Range & Section) Lot Size 56,917 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X ADU) Septic Tank [AUpgrade 1-1(w/wo (D) El Holding Tank ❑ Renewal FX]Duplex 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: Date of Payment: S�g�z3 Receipt Number: OZZC, 7 G Permit No. DS 0021, 110r Permit App__- : :—'.,'c Waiver Fees: Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O. Box 1807, Palmer, AK 99645-1807 Telephone: (907) 745-8200 FAX: (907) 745-8201 DATE Subject: Expired On-Site Water and Wastewater Permit Permit Renewal Request Permit Number: OSP221076 Legal Description: Shangri-La Estates East B4 L4 This is a request to renew the permit for the above mentioned lot. All site conditions remain the same. The construction still will not affect the health, safety, or development of the surrounding lots. Sincerely, Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231106, Curtis Townsend, 05/25/23 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program pOBox 19685O 4/OOElmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 1Z 111111111 11111111111111 iiiiiiiiiiii�ililillill iiiii Permit Number: OSP221076 Work Type: WellSeptic Initial Effective Date: Expiration Date: Tax Code Number: 02004374000 Site Legal Address: SHANGRI-LA ESTATES EAST BLK 4 L 4 G:3239 Site Mailing Address: Owner: FREITAGTHEODORE &SENECA Design Engineer: PANNONE ENGINEERING SERVICES This permit bsfor the construction of: 5/18/2022 5/18/2023 Lot Size inSqFt: 56917 Total Bedrooms: 5 El Disposal Field R1 Septic Tank 0 Holding Tank 0 Privy Z Private Well El Water Storage All construct shall beinaocond'noewith: 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 perAkXC15.S5.ProvidenotifiootionbyoaUing(QO7)343-7A84(24/7). 4. From October 15toApril 15.asubsurface soil absorption system under construction during freezing weather shall beeither: e. Opened and Closed onthe same day, or b. Covered, sealed, and heated toprevent freezing Special Provisions: 1. Submit the well professional's report with the Inspection Report. 2. With the Inspection Reporl. submit the Pump Install Log, water sample results and well decommissioning 3 log ifexisting well iodecommissioned. Received By: Issued By: / MUNICIPALITY ANCHORAGE N � 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. 020-043-74 Property owner(s) Theodore & Seneca Freitag Mailing address 27211 Falcon Drive Chugiak, AK 99657 Site address NHN Mountain Breeze Drive Anchorage, AK Day phone Legal description (Sub'd., Block & Lot) Shangri-La Estates East B4 L4 Legal description (Township, Range & Section) Lot Size 56,917 Sq. Ft. . Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial 0 Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo ADU) Duplex (D) ❑ Holding Tank ElRenewal ❑ 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: _4 8szo Waiver Fees: Date of Payment: qI kId o Date of Payment: Receipt Number: 0 I /v 6 S16 Receipt Number: Permit No. 0-,S)927-1076 Waiver No. Permit App_-*-: - Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221076, Deb Wockenfuss, 05/18/22 Page 2 of 2 6. Drawing Markings: The Drawings are marked "For MOA Review Only". When written notification that the review is complete and no further comments are received from MOA On -Site Department, the note will be removed and "For Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at 745-8200. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O.Oox 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (90/) 745-8201 Minicipality of Anchorage -ri n ^ ^ -ICR FS119 ME al Id M ter --1 u7 0 0,5 2 > I I --I -P ` g: Lo D (n 00 g— > —i z '0 s rr�C p m�2oFi"'OzC I I D-o"nNVyl'o0 1,1 �-c *> po�DzooH X oco�� DmN zo .moox o ovo i�� z 0 L rZG) un o z �m �vt I-�ur� r un[n D o n p D onS n c m x N a- 0 m 0 m " U) 0 0 m �! z �� 1.. = ��D . `1 -613 113 - p 'f13fA �N � Ila m -\ iSd3�y5a y a ^r O _ I r _ C` •.t O x o tom 1 _• O O � �` �` + Y^x� \\ . z I ,vocm I it \� X m m C � W _ 6 • � � ��1 � y ,' E C-1 J rn I C z ' z I X ( ai' m cn oo ,n y� o f, �h , N N i \ ' I , u I J o In NOTES: PANNONE ENG SVC LLC (C.i. 1088) `""""++1F.EVISIOFIS GATE FOR CONSTRUCTION AI•: P� A<q th, 4/7/2022 iJi1 l' r i(liti- 7= rt`,i7 _'_-1 r��SP•- '`r�f,94REV 1: 5/2/22 SCALE SHANGRI—LA ESTATES EAST B4 L4 ' P.I.D. rta 60' DRAWN ACP THEODORE & SENECA F-REITAGi SkrcnR. noon 020-043-74 v, SITE: NHN MOUNTAIN BREEZE DRIVE ..... ANCHORAGE, AK e - FEP.111T raiz. SITE PLAN '<<,,`'�E�ffy== SHEET oPxxxxxx I of I Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221076, Deb Wockenfuss, 05/18/22 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 ¢t, Day of 1111011/ of 202,2,-, by and between I -na n.Af)y`2 b i C 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. Advance(] Wastewater `I'reatrnent Systerns. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex 25000 with step tank located at (legal description) Shanqri- La Estates East S4 L4 2. Mai ntcnance 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. 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. IOwner 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 f ' 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. JI Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. !L_ 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 OWNER: By: `tel (signature) Date: (print name) STATE OF ALASKA ) )ss - THIRD ss.THIRD JUDICIAL DISTRICT ) Tile floregoino_ instrument Meas acknowledged be(bre me this ` day of' � v �0-2r by`�tV1 FNOTARY of Ato ka NOTARY ['iJI L FOR ALASKA PLicMy Commission expires: Tt LG Z� a L. rtn E*m15, 2024 MUNICIPAILITY: By: �0� (signature) nt name) (rev. 05/18/2018) Date: PZ/ g Z Title: Page 3 of 3