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T12N R3W SEC 4 LT 16 S180'OF W198'
Onsite File T12N R3W Sec 4 Lot 16 S 180' of W 198' #014-082-01 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page I of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221252 PID Number: 014-082-01 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade Name Spinell Homes ABSORPTION FIELD Deep Trench Q Wide Trench Bed E] Deep E] Mound Site Address 6965 Spruce Street Other Phone Number of Bedrooms Soil Rating depth from original grade 4 4 gpd/sf GPD/SF JTotal 4.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.5 Ft. Gravel depth beneath pipe 0.5 Subdivision Block Lot LT16 S180 OF W198 Fill added above original grade 0 Ft. Ft. Gravel length 40.0 Ft. Township Range Section 12N 3W 4 Gravel width 5.0 Ft. Beds: Number of Lines NA Distance between lines NA 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 FF, 1 NA Ft. Well 100'+ 100'+ NA NA 25'+ TANK ❑ Septic N S.T.E.P. ❑ Holding X Other Manufacturer Orenco / Anchorage Tank Capacity 1500 Gal. Surface Water 100'+ 100'+ NA NA Material Number of compartments Lot Line 51+ 10'+ NA NA NA Plastic / Fiberglass 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks 5w Trench with 50LF x 10'W ERS Orenco 250 Gal. Advantex System Alarm location Outside Garage - Cnr of House Electrical installed by Solid Ground Installer PIPE MATERIAL House to tank 3034 dTankto 3034ainfield Pomraining Construction Drainfield 3034 CO/MT3034 Inspector PES BENCH MARK (Assumed elevation) 100 ft Inspection 1-` 4/11/2023 2nd 4/12/2023 Location and description 3`d 4/13/2023 4"' See Site Plan, Bottom of house trim ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF * 49 7H �* .... .. ....... ..Mev an **Re CE 8149 Septic Syste / Approved !it' Date 2 y �••.2023-05-17 Note: this approval oes not include well permit requirements. ipe., n�m�i�o y £ �7 0 0 � m� o u)< C*zz�-D r O, 0 z O_� y £ z -u> p 0 0 m p C p C p 0 z� C0 m Z Cn r 0 z O D r D Z X FFI C m D 0 cn n C m C D D Z mm -rl ^ Ocn F- -�0 -Ti mm -0 cn N r r Dn�D7 GO D n FFJ mem 7U J 6) 01 Ul T O X O c_lj 00 CD Iv Z D co c� co o� o U D IV o U o o ;uIrl) O z 0 J � N CO t • uu U) n o 00 J 00 Cll -Ti - �o�r� m 0 D-< C D D Z mm -rl ^ Ocn D cn -0<*� mOmD�DOm0cnmm0 Zm -�0 0 mm -0 cn mOp r r Dn�D7 D FGT71� FFJ mem 7U E1 DO Z�D� X�pDO�DCZ� O T O X O O D= OD = --i oz N) m rvDo • • a A • !�F • Z ) o4 t t • • o U D 0— z 0 o U o o ;uIrl) O z 0 orm� m r�U) ^m Z t • �0 cn p a) ZJ < U) n o n m 1 0 D0 z Q °� D -Ti - �o�r� m 0 D-< -�� :�-- �-) cn m m� z o mU) o om x O F11 Z m r z C -)D co = f � `Q Z FFJ o p z xO m X- Q n m F11 p O � C m m (� �D 0 _0 m P / AWWU� R AND SEWER SERVICE m \ g o 0 / ono r r _ SPRUCE STREET N D904'49w 180.45. c o W W W AWWU IRAN ION MAIN W o x W W� J v I C T \l 33" ROW 3 C v O12, o�z n I 1 ' o� o o� \ `v Ln 1 C)oom o / I i I r(n v1�r�Vl r NOTES: PANNONE ENG SVCLLC (C.1. 7088) REVISIONS u"" P.O. BOX 1807 PALNPER, AK 99645 OFA�,d 5/22/2023 RECORD DRAWING PHONE (907) 745-8200 FAX (907) 745-8201 SCALE TI 2N R3W SEC4 L16 S180' OF W198 "' '.' P.I.D. NO DRAWN ACP SPINELL HOMES INC "6`�erei, an, 'a 014-082-01 CE 8148PERMIT NO. SITE: NHN SPRUCE STREET OSP221252 SITE PLAN ANCHORAGE, AK 9 5/22/2023 SHEET 2 OF 3 ♦ • ♦ Vic) • • r'l0 � ��� 1 i I �:� + _I / G) �7 SOT N O ~�O ♦ ♦ ♦ ♦ f ♦ ! ♦ ♦ ♦ ♦ ♦ t ♦ ♦ ♦ ♦ ♦ t • •/s r1l Off• O T O O • • ♦ • f • f• t! t s• ! ♦ ♦ ♦ s ♦ t • • �O ♦ s♦ • A• a • • • • • 44 • t ��� O ♦ C. • • a A • !�F • W O O A O o4 t t • • .6 A- vamiT O • • • ! • •�♦ • • N 00'02'32't 181 .05' Z t • O O / / y Z SEWER/CE_ n � w w 7 NOTES: PANNONE ENG SVCLLC (C.1. 7088) REVISIONS u"" P.O. BOX 1807 PALNPER, AK 99645 OFA�,d 5/22/2023 RECORD DRAWING PHONE (907) 745-8200 FAX (907) 745-8201 SCALE TI 2N R3W SEC4 L16 S180' OF W198 "' '.' P.I.D. NO DRAWN ACP SPINELL HOMES INC "6`�erei, an, 'a 014-082-01 CE 8148PERMIT NO. SITE: NHN SPRUCE STREET OSP221252 SITE PLAN ANCHORAGE, AK 9 5/22/2023 SHEET 2 OF 3 o .0 a7 0 m m z ml /Z N\ �� O v � O < D cn v mam m x ut IZ m m Fri � r o 0 0 x® Z U N N N N z� E; I w� I I mz$ovG a1.5o� z`m'o e o z F uz NOTES: PANNONE ENG SVC LLC (C.1. 1088) P.O. BOX 1807 PALMER, AK 99645 PHONE (907) 745-8200 FAX (907) 745-8201 Aj "' ... }� onriowe CE 8149 REVISIONS DATE 5/19/2023 RECORD DRAWING SCALE NTS T12N R3W SEC4 L16 S180' OF W198 SPINELL HOMES, INC SITE: NHN SPRUCE STREETOSP221252 P.I.D. NO 014-0 82-01 DRAWN ACP PERMIT NO. SHEET SECTIONS ANCHORAGE, AK 5/19/2023 3 OF 3 Certified Drilling Log OWNER OF LAND: Spinell Homes ADDRESS: 6965 Spruce Street LEGAL DESCRIPTION T12N R3W Sec 4 Lot 16 DATE: 9-1-22 PERMIT NUMBER: OSP221252 DATE OF ISSUE: 7-22-22 TAX IDENTIFICATION NUMBER 01408201000 Is well located at approved permit location: Yes No Method of Drilling: air rotary cable tool Depth of Well: 65 Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 65 feet Liner type Static Water Level: 8 feet Recovery Rate 30 gpm gph Method of Testing Air Well Intake Opening Type: open end open hole Screened Start feet Stopped Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: yes no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 Casing Stickup 2 4 Overburden 4 52 Silty Sand & Gravel 52 65 Sand & Gravel 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 VWDOette A ER WELLS www.suilivanwaterwells.com Pump installation Log Well Drilling Permit Number: SW Parcel Identification Number. Legal Description I Pump Installation Date: 6LI- J 3 2- 3 Date of Issue Property Owner Name & Address Pump intake Depth Below Top of Well Casting:? feet Pump manufacturer's Name: Fr, 11A K A v1 Pump Model: Pump Size: (�� hp Pitless Adapter Burial Depth: 0 feet Pitless Adapter installer: Pbry-wo-ni nom) Exco\°ckil Ci -1 Disinfected Upon Completion? ® yes no Method of Disinfection: Chlorine SQ RPM Comments: Pitless Manufacturer: Pj -a2,- ; / Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 1 2 3 4 5 6 7 8 9 TEST HOLE 1 OR GP/ GM SM SAND & GRAVEL FILL BOH DATE PERFORMED 4/11/2023 SOILS LOG ± 6.5' WAS GROUND WATER SAMPLE ENCOUNTERED? Y LOCATION IF YES, AT WHAT DEPTH? 8.0' DEPTH TO WATER AFTER MONITORING? 8.0' DATE: 4/18/2023 SOIL TEST RESULTS/ANALYSIS • PERCOLATION RATE SEE SIEVE (Hydrologic Soils Group: HSG A) • PERC HOLE DIAMETER 6" • TEST RUN BETWEEN 6 FT AND 7 FT COMMENTS: Test hole excavated by POMRANING EXCAVATION. PERFORMED BY: PANNONE ENGINEERING. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES:UAit PANNONE ENG SVC LLC (C.1. 1088) REVISIONS RECORD DRAWING P.O. BOX 1807 PALMER, AK 99645 01=„ 5/19/2023 PHONE (907 745-8200 FAX (907) 745-8201 SCALE NTS T1 2N R3W SEC4 —16 S180' OF W198 ... P.I.D. NO DRAWN AGP SPINELL HOMES, INC .1014-082-01CE 1eren onnowe PERMIT N0. SITE: NHN SPRUCE STREET e'�s OSP221252 SOILS LOG ANCHORAGE, AK SHEET 5/19/2023 WATER RATE READING DATE NET TIME LEVEL NET DROP (MPI) READING 1 PERCOLATION TEST NOT POSSIBLE AT DEPTH DUE TO 2 HAZARDOUS SOIL CONDITIONS. SEE SIEVE ANALYSIS. 3 4 5 6 ± 6.5' WAS GROUND WATER SAMPLE ENCOUNTERED? Y LOCATION IF YES, AT WHAT DEPTH? 8.0' DEPTH TO WATER AFTER MONITORING? 8.0' DATE: 4/18/2023 SOIL TEST RESULTS/ANALYSIS • PERCOLATION RATE SEE SIEVE (Hydrologic Soils Group: HSG A) • PERC HOLE DIAMETER 6" • TEST RUN BETWEEN 6 FT AND 7 FT COMMENTS: Test hole excavated by POMRANING EXCAVATION. PERFORMED BY: PANNONE ENGINEERING. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES:UAit PANNONE ENG SVC LLC (C.1. 1088) REVISIONS RECORD DRAWING P.O. BOX 1807 PALMER, AK 99645 01=„ 5/19/2023 PHONE (907 745-8200 FAX (907) 745-8201 SCALE NTS T1 2N R3W SEC4 —16 S180' OF W198 ... P.I.D. NO DRAWN AGP SPINELL HOMES, INC .1014-082-01CE 1eren onnowe PERMIT N0. SITE: NHN SPRUCE STREET e'�s OSP221252 SOILS LOG ANCHORAGE, AK SHEET 5/19/2023 040.002 Crowther Associates 1632 Bellevue Circle / Anchorage, Alaska 99515 Telephone (907) 349-2198 / E mail: crowther@alaska.net Client: Pannone Engineering Services Project: 6965 Spruce Street Date: May 17, 2023 Particle Size Distribution Table (percent passing subject sieve size) Sample Source -- Moisture Content 20.0% Sieve Size Percent Finer Percent Finer Percent Finer Percent Finer 3 inch 100 1-1/2 inch 100 ¾ inch 99 #4 77 #10 60 #40 29 #100 21 #200 20 0.02 mm xx Classification Silty Gravelly Sand (SM) Invoice 190 50 0\0 4 0 A W1 Technical Guidance Manual — March 2023 C K, IN; 11111 1 MwIlmed W=11 0 7 % SAND A black anti white wi-sion is provideki in Appendix B. Figure 2-1. United States Department of Agriculture soil textural triangle. t.0 4- ", S a ;-,- 'Or ensunnn t! e,' evkirmlf-e'ri c"r "JtE,, Wconvollr, 2-4 B-1, B-2 C-11, C-2 UNSUITABLE H N Technical Guidance Manual — March 2023 Table 2-4. Soil textural classification design groups. Soil Design Soil Design Application Rate Group Subgroup Soil Textural Classification (GPD/ft2)a NSb NS Gravel NS Coarse sand_ A A-1 Sand° 1.2 A -2a Loamy coarse sand 1.0 A -2b Fine sand 0.75 Loamy sand — -..,._e B B-1 Very fine sand 0.6 Sandy loam Very fine sandy loam B-2 Loam _ 0.45 Silt loam Sandy clay loam (5527% clay) C C-1 Silt 0.3 Sandy clay loamd Silty clay loamd C-2 Clay loamd _ 0.2 NS NS Sandy clay NS Silty clay Clay Organic muck Duripan Hardpan Claypan a. Application rates are for domestic strength wastewater. b. Not suitable (NS) for installation of a subsurface sewage disposal system. c. See medium sand definition (section 3.2.8.1.2) for a manufactured material that may be acceptable for use. d. Soils without expandable clays. Notes: gallons per day per square foot (GPD/ftz) 2.1.3 Soil Design Subgroup Corrections }F. A soil design subgroup may be lowered as indicated in this section. (Subgroup correction is used to determine the application rate only; it will not change surface water or groundwater separation requirements.) 1. Soil with moderate or strong platy structure should be lowered one subgroup for design. purposes. kSoil should be lowered one subgroup if 35%-60% is rock fragments (very gravelly; very stony). 3. Soil should be lowered by two subgroups if 60%-95% is rock fragments (extremely gravelly, extremely stony). 4. Soil with 95% or greater rock fragments is unsuitable as an effective soil for subsurface sewage disposal. 5. Uniform fine and very fine sand (e.g., blow sands) should be lowered two subgroups for design purposes. Soils that qualify for this modification have a coefficient of uniformity less than three (CL, < 3.0). ontmllec Dock imunt—U- FL; '` . 3:" Eui3rQ - hcF u. =. . , _._ .�(. z.. ,. . , _! 2-7 SP R U C E S T R E E T AsBuilt 5/3/2023 Feet 0 30 60 .MUNICIPALITY OF ANCHORAGE Development Services Department ^'�`` p P r.� �= Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 014-082-01 Certificate of On -Site Systems Approval Expiration Date: 8/24/23 Legal description T12N R3W SEC 4 LT 16 S180'OF W198' Site address 6965 SPRUCE ST Current property owner(s) SPINELL HOMES INC XThe On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 5/24/23 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 R 0 514 NO� -tel{ «t -iDevelopment Services Department ' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 014-082-01 Complete legal description T12N R3W SEC4 L16 S180 of W198 Location (site address) 6965 Spruce Street Anchorage, AK Current property owner(s) Spinell Homes 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑N Plastic ❑ Concrete ❑ Fiberglass Age 0 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑® AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: lip Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee$• Waiver Fee Date of Payment Date of Payment COSA # 05C23/114-7) Waiver # COSA Application—June 2022 Legal Description: T12N R3W SEC4 L16 S180 of W198 Parcel ID: 014-082-01 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA FOR Well log is filed with Onsite (or attached) Date drilled 7/14/21 Total depth 144 ft Cased to 134 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 7/14/21 Static water level at beginning of test 21.4 ft Comments B. TANK DATA Measured operating fluid level in septic tank n/a Date of pumping n/a ❑ Required maintenance completed, if AWWTS Comments: New Tank D. ABSORPTION FIELD DATA Which system tested (date installed) 4/13/23 ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade • '5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) no If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 70+ gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes ❑ No On Coliform bacteria is Negative Nitrate, mg/L _ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by rt:w:) Date 5,g/23 C. LIFT STATION ❑ Required maintenance completed Age of lift station 0 years Lift station material Plastic Comments: New lift station Adequacy test date new system Results ❑ Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 0.5 in Effective depth used 0 in Effective depth remaining 0.5 in From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft FIN] Yes if No ft Neighboring Tank > 100' © Yes if No ft Private Sewer/Septic Line > 25' FO-] Yes if No ft Absorption Field on Lot > 100' a] Yes if No ft Holding Tank > 100' © Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑ Yes if No ft Q Yes if No ft ft If tank or field is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft Fw� Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes if No _ Tank to Property Line > 5' Fm] Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' 0 Yes if No ft Private Wells > 100' Fm� Yes if No _ Water Main > 10' Q Yes if No ft Community Wells > 200' n Yes if No _ Water Service Line > 10' R Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ft ft ft G. CERTIFICATION &: 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Pannone Engineering Services Phone 907-745-8200 Engineer's Printed Name Steven R Pannone P.E., F. ASCE COSA Checklist—June 2022 Date 2369 5-015" ,E 8149 � 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 1 St Day of May of 20_2a, by and between , 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 Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex located at (legal description) T12N R3W SEC 4 L16 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 Isa— 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. 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) Pagel 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 41— 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 OWNER: By: ,(signature) Date: Z11- (print name) —� STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 2- „ day of ,r 20 23 , by j_, _,A- i M(05TA PUBLIC FOR ALASKA My Commission expires:.._..t�7 - t -z MUNICIPALITY: LITY: BY :tt/ u` — (signature) —(print name) 9..z OFFICIAL SEAL LEZLIE ARNOLD NOTARY PUBM-STATE Of PLASM My Comm. Expires keft 14,20 Date: �z 2 Title: MUNICIPALITY OF ANCHORAGE ,1,cnr On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road G I Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 n http://www.muni.org/onsite k. Del>arrmell t On -Site Water & Wastewater System Permit Permit dumber: OSP221252 Effective Date: 7/22/2022 Work Type: WellSeptic Initial Expiration Date: 7/22/2023 Tax Code dumber: 01408201000 Site Legal Address: TI 2N R3W SEC 4 LT 16 S180'OF W198' 6:2135 Site Mailing Address: 6965 SPRUCE ST, Anchorage Owner: BRANDT ROBERT F & FELLON L Lot Size in Sq Ft: 35640 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: Cif Disposal Field RI 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: • A test hole is required prior to construction of the absorption field, inthe location shown on the site plan, to confirm minimum separation toimpermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7-daygroundwater monitoring. If results require a design change, constructionshall stop pending approval of a change order. Please submit results withthe inspection report (or change order, if required). Received B Issued By: ,r Y• Date: Date: 71 Z_. _ U CIPALITY OF ANCHORAGE Community Development Department = Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 014-082-01 Property owner(s) Spinell Homes, INC Mailing address 1900 W. Northern Lights Blvd #200 Site address NHN Spruce Street Day phone Anchorage, AK Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T1 2N R3W Sec4 L16 S180' of W198' Lot Size 35,777 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (N all that apply) Initial rX-1 Absorption Field ❑X Septic Tank ❑X Holding Tank ❑ Privy ❑ Private Well ❑X Water Storage ❑ APPLICATION IS AN: - TYPE OF DWELLING: Initial rX-1 Single Family (SF) ❑X (w/wo ADU) Upgrade ❑ Duplex (D) E]❑ Renewal Multiple Dwellings ❑ (SF and/or D) 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. ��Ignaiure or property owner or authorized agent) Permit/Rush Fees: O Waiver Fees: Date of Payment: f� I �' D a Date of Payment: Receipt Number: U 3y j G Receipt Number: Permit No. 0S 11 10- 5 Waiver No. Permit App_-'- :- :-..:c: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221252, Deb Wockenfuss, 07/22/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221252, Deb Wockenfuss, 07/22/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221252, Deb Wockenfuss, 07/22/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221252, Deb Wockenfuss, 07/22/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221252, Deb Wockenfuss, 07/22/22 MUNICIPAEIiTY OF ANCHORAGE ADVANCED WAS'T'EWATER TREATMENT SYS'T'EM MAINTENANCE AND RE, PAIIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this __L.Day of —J) (e,/ of 20 _,? -P-, by and between AMS , 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 Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described located at (legal description) 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) 45— 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. IIt 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. 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. 5 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. 'herrn. 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.. S. 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 � aw. 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. 05/19/2018) Page 2 of 3 OWNER: By(signature) Date: zo ndr� S pi e,l (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 20 day of A2r' I 20�p , by An AK _?_Xv�.e N Y BLIC FOR ALASKA My Commission expires: L{ - Z3 OFFICIAL SEAL LEME ARNOLD A tJMARY PUBLIC -STATE OF ALASKA My GM.E>�ite5 11 14, X23 MUNICIPALITY: By: (signature) Date: z Z 2Z (print name) Title: (rev. 05/19/2018) Pale 3 of 3 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221252, Deb Wockenfuss, 07/22/22