HomeMy WebLinkAboutPOTTER HIGHLANDS PH 3 BLK 3 LT 12Onsite File Potter Highlands Ph 3 Block 3 Lot 12 #020-282-04 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231314 PID Number: 020-282-04 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade Name Kochert Revocable Trust ABSORPTION FIELD ❑Deep Trench Wide Trench ❑Bed ❑Mound Site Address 18924 Potter Highlands Drive ❑ Other Phone 907-272-5259 Number of Bedrooms 4 Soil Rating Total depth from original grade 6.0 GPD/SF 7.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original 3.0 grade Ft. Gravel depth beneath pipe 4 Ft. Subdivision Potter Highlands Phase 3 Block Lot 3 12 Fill added above original grade 5.4 Gravel length 20 Township Range Section Ft_ Ft. Gravel width 5.0 Ft. Beds: N/A Number of Lines 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 300 Ftz 1 N/A Ft. Well >100' >100' N/A N/A >25 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑� Other Manufacturer Advantex Capacity 1500 Gal. Surface Water >1 00' > 1 00' N/A N/A Material Plastic Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation > 1 0' > 1 0' N/A N/A LIFT STATION Manufacturer Orenco Capacity 250 Gal. Remarks Alarm location Next to FCO Electrical installed by Frontier Electric Installer PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 BTH Construction Drainfield D3034 CO/MTD3034 Inspector B. Schiller BENCH MARK (Assumed elevation) 100 ft Inspection 151 9-14-2023 2�a 9-14-2023 Location and description 3b 4th Bottom of siding @ basement slider ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp .� Conditional Approval: Date 49 o .. .. r .. .-,�: / 'n5chiller Septic System Approved Date Z /-ao,,Z �•,. Benja ..� �� F� CE 12592 �sl�•, 1-3-24 �G�� Note: this approval does not include well requirements. PR �_.. permit ice, POTTER HIGHLANDS PHASE 3, BLOCK 3 LOT 12 PERMIT # OSP231314 i TR A-6 / / / / / / / V- / m� mJ 1500-GAL ADVANTEX TANK / w/ AX20 POD / / PUMP VAULT p LOT 12 20' LONG x 5' WIDE, 4' EFFECTIVE DEPTH ABSORPTION TRENCH INSTALLED PARALELLTO ACTUAL SLOPES--ZTH#2 �OT11 ENGINEERING � � A B C *:49TM ;* . . Benja i Schiller ���F����.•••CE592 •- 2v��� 31/24 1� 1►�� PR O F E S S I ONP�'�. � FCO 23.2 10.2 MT1 30.8 46.4 MT2 33.1 63.0 VAULT 28.8 19.9 MH 31.2 13.3 POD 33.9 15.5 PID # 020-282-04 r � j I ® \ I \ \ LOT 13 EXISTING CAT�III TREATMENT i SE�TLC SYSTEM O 50' WELL RADIU / EXISTING WELL I TH#1 / sa 4-BDRM HOME / 10' T&EtAS ENT \ / 1 B / — — 0 //1 (2017) TH#4 / I � ALTERNATE SITE 8' MIN SEPARATION FR+ � PROPOSED SYSTEM II O j AND 10' FROM FOUNDATION & Q PROPERTY LINE I I LOT 8 I � I � I 0 50 100 FEET 1 "=50' LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH- MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE PERMIT # OSP231314 V V.V 109.4 FINISH GRADE 104.0 ORIGINAL GRADE I 101.0 101.0 DRAINFIELD ROCK 97.0 97.0 20' NO GROUNDWATER 9/14/23 �- 86.0 H E N .. Il R I N G PROFILE AS -BUILT (NO SCALE) OF -IR . 7H • • . • Benja' Schiller • . �F •. CE 12592 t���sj��. varza ®w_ OFESION•.���� P • .. S• •;eo ` m.� R \� ' sl rrwbA_ ,...i4Cq �9�1 49 TH ••*'I SOILS LOG AND PERCOLATION TEST Benja Schiller �+,�Fc�•, LEGAL DESCRIPTION: POTTER HIGHLAND PH3 133 L12 CE12592 Jl vav2a ,.• V � Ii���F�PROFEss1oNP` PERFORMED FOR: CHRIS HOUGHTON DATE: 9114123 PARCEL ID#: 020-282-04 Professional Engineers Stamp: TEST HOLE 2 DEPTH (feet) 1 06 2 4 ,. 5 6 r GM (SILTY SANDY GRAVEL 7 W/ LARGE COBBLES) 8 .. ti 6" DIAMETER TEST HOLE PRESOAKED PRIOR TO TESTING 9 PERCOLATION RATE: 2.0 (MIN/INCH) ,. 10 SITE PLAN 11 • `• 12 ; 13 14 ` 15 1 16 •- ; 17 - 18 •f - V TH#2 � BOH 19 NO WAS WATER ENCOUNTERED? — IF YES n WHAT DEPTH? NONE DEPTH TO WATER AFTER MONITORING 9/21/23 DATE OF MONITORING TECHNICIAN: SCHILLER COMMENTS: USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED DATE READING START TIME NET TIME (MINUTES) DEPTH To WATER (INCHES) NET DROP (INCHES) 9/14/23 1 12:15 10:00 94 �°—� 9916 5 8/16 2 10:00 94 �°—� 9916 5 8/16 3 10:00 94 �°—� 9916 5 6/16 4 10:00 94 is 99 �s 5 4/16 5 10:00 94 �°—� 9916 5 3/16 6 10:00 94—°� 9916 5 2/16 www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW OSP231314 Date of Issue 9-13-23 Parcel Identification Number: 02028204000 Legal Description Property Owner Name & Address Potter Highlands Phase 3 Block 3 Lot 12 Crown Pointe Homes 18924 Potter Highlands Drive Anchorage, AK 99516 Pump Installation Date: 10-23-23 Pump Intake Depth Below Top of Well Casing: 232 feet Pump manufacturer’s Name: Franklin Pump Model: 10FRD07P4-3W230 Pump Size: 3/4 hp Pitless Adapter Burial Depth: 12 feet Pitless Adapter Installer: BTH Construction Disinfected Upon Completion? yes no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Merrill 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. Certified Drilling Log DOC CO dba BILL 8. COLE :4�►ULLIVAN WATER WELLS eP.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Crown Pointe Homes ADDRESS: 18924 Potter Highlands Dr. Anchorage, AK 99516 LEGAL DESCRIPTION Potter Highlands Phase 3 B 3 L12 DATE: 10/9/23 PERMIT NUMBER: OSP231314 DATE OF ISSUE: 9/13/23 TAX IDENTIFICATION NUMBER 02028204000 Is well located at approved permit location: ®Yes ❑No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 400' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 264 feet Liner type Static Water Level: 60 feet Recovery Rate 2.5 ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ® open end ❑open hole ❑ Screened Start feet Stopped ® Perforations Start 70 feet Stopped 82 Grout Type: Bentonite Volume: 50 lbs. Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes Ono Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 2 4 4 10 10 14 14 17 17 20 20 25 25 30 30 37 37 57 57 75 75 80 80 98 98 118 118 225 225 259 259 281 281 359 359 390 390 1 400 Casing Stickup Overburden Silt sand and gravel Silt sand, some gravel Gravel, silt Gravel Silt sand and gravel Silt sand, some gravel Silt, gravel Gravel, silt Silty sand and gravel Bleeding hardpan Sandy gravel clay Clay with some gravel Tight silty sand and gravel Hardpan with yellow clay Broken bedrock Bedrock gray Fractured bedrock Bedrock gray 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. AsBuilt 1/23/24 Feet 0 50 100 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 hftp://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP231314 Work Type: WellSeptic Renewal Tax Code Number: 02028204000 Site Legal Address: POTTER HIGHLANDS PH 3 BLK 3 LT 12 G:3638 Site Mailing Address: 18924 POTTER HIGHLANDS DR, Anchorage Owner: KOCHERT REVOCABLE TRUST Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: t»ent /1 I Department Lot Size in Sq Ft: Total Bedrooms: 9/13/2023 9/12/2024 53483 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 4 Special Provisions: • A test hole is required prior to construction of the absorption field, in the location shown on the site plan, to confirm minimum separation to impermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7 -day groundwater monitoring. If results require a design change, construction shall stop pending approval of a change order. Please submit results with the inspection report (or change order, if required). Issued By: /U div Date: Date: /3 H COPA, L�T7 OF O HCH0RIA CE :E 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 r $. Parcel I.D. 020-282-04 Property owner(s) KOchert Revocable Trust Day phone 907-272-5259 Mailing address 11453 Spyglass Hill Circle, Anchorage, AK 99515 Site address 18924 Potter Highlands Dr, Anchorage, AK 99515 Legal description (Sub's., Block & Lot) Potter Highlands Ph3 Block 3 Lot 12 Legal description (Township, Range & Section) Lot Size 53,483 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) 0 ADU) Septic Tank 0 Upgrade El(w/wo Duplex (D) El Holding Tank ❑ Renewal 0 Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 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: �Z 2 Waiver Fees: Date of Payment: Receipt Number: Permit No. ns? 2 3 i s t� Permit App_'- ::' .. c Date of Payment: Receipt Number: Waiver No. August 18, 2023 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Potter Highlands Ph3 B3 L12 – Potter Highlands Dr Septic System Permit Renewal Dear On-Site Services Engineer: The permit (OSP221308) for the construction of a well and septic system on the subject property has expired. A site visit was conducted and we noted that the home has mostly been built. The building is in the location specified on the plot plan and there are no substantial changes to the design or location of the septic system since this permit was originally issued. We are requesting a permit renewal. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231314, Deb Wockenfuss, 09/13/23 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.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP221308 Work Type: WellSeptic Initial Tax Code Number: 02028204000 Site Legal Address: POTTER HIGHLANDS PH 3 BILK 3 LT 12 G:3638 Site Mailing Address: 18924 POTTER HIGHLANDS DR, Anchorage Owner: KOCHERT REVOCABLE TRUST Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: �»enr ' � r Department 8/12/2022 8/12/2023 53483 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: j i_ Ci 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 tresults withthe inspection report (or change order, if required). • Change Order #1: Locations of the well and septic system were moved. Rame y: �Orol 12_ 2hgi n eeri'vi A Date: Issued By: Lh` `�/`rr�4�iu. Date: S MUHMPAUTY OF A CHH UU AGE i Community Development Department- 1 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. 020-282-04 Property owner(s) Crown Pointe Homes Day phone 907-272-5259 Mailing address 3350 Midtown Pl, Anchorage, AK 99503 Site address NHN Potter Highlands Dr Legal description (Sub's., Block & Lot) Potter Highlands Ph3 Block 3 Lot 12 Legal description (Township, Range & Section) Lot Size 53,483 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field FX -1 Initial 0 Single Family (SF) 0 Septic Tank 0 Upgrade ❑ (w/wo AD U) Holding Tank ❑ RenewalDuplex (D) El ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 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 a Waiver Fees: Date of Payment: C0�3�2Z Receipt Number: 0925gD Permit No. 0 S P-20 13O S Permit App_::- :- Date of Payment: Receipt Number: Waiver No. August 8, 2022 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Potter Highland Ph3 B3 L12 – NHN Potter Highlands Dr. Septic system design Dear On-Site Services Engineer: The owner of the above lot intends to build a 4-bedroom home on the 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 subdivision requires a CATIII advanced wastewater system which has been detailed in the septic design. 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 8’ away. Please refer to the attached test hole logs, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221308, Deb Wockenfuss, 08/12/22 POTTER HIGHLANDS PHASE 3, BLOCK 3 LOT 12 ;hi A4 950 960 970 980 990 / J LOT 13 EXISTING CAT,,III TREATMENT SEPTIC SYSTEIVT- — J 1500 -GAL ADANTEX TANK / w/ /X20 POD PUMP \VAULT / 10.6 �\ ` �// 50' WELL RADIUS 1050 // I /1010// // // ( // i /� — PRISED WELLS / 1.020 / } PRT /'T / / , �� / i� .) TH#1� V ) LO 1/12 / 14-BDRM HOMEL /' /��/ -' 10'T&EAS ENT 1040 1Q40 13.7 j (2017�TH#4 20',LONG 5' WIRE, 4' EFFECTIVE DEPTH ABSOS PTPN TRENCH / / / CONFIRMATION, I j / / _j_ 4- -r / TEST HOL I ALTERNATE SITE � / �� / 8' MIN SEPARATION FRO `�OT 11 PROPOSED SYSTEM \ O j AND 10' �OM �OUNDA\IION & Q PROPERTY LINE,LOT 8 / I 1050 I �� [N GIN EFBE-~\'� NOTE: I \� NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 1 00'OF THE LEGEND ' 1� PROPOSED SEPTIC SYSTEM „�Q�. •''•��1�� CO - CLEANOUT ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2C0 -DOUBLE CLEANOUT ' • • • • • • • • • • • PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC FCO -FOUNDATION CLEANOUT •SYSTEMS. FS - FLOW SPLITTER VALVE .. Benja i Schiller �/ MH - MANHOLE �+ �'�� •, CE 2592 �� r 0 50 100 MT -MONITORING TUBE f 'srF•.,ea1122 ,••�FEET SV - SEPTIC VENT �,�iF�PROFESSIONP�=50 1 "' TH - TEST HOLE 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 Benjamin Schiller CE 12592R EGISTEREDPROFE S S I O N ALENGINEER4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 5' 6" 6" 2'-6" 4' DESIGN FACTORS:SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW PERK RATE: 2.8 MIN/IN APPLICATION RATE: 6.0 GPD/SF 5' WIDE TRENCH SYSTEM 1500-GAL AWWTS SYSTEM BOTTOM OF TRENCH: 7' BELOW GRADE FLOW LINE ELEVATION: 3' BELOW GRADE TOP OF TRENCH: 0.5' ABOVE GRADE 600 GPD / 6.0 GPD/SF /5' WIDE * 0.5 (RED FACTOR) = 10 LF TRENCH REQUIRED ( 20 LF SPECIFIED) 8/2/22 GEOTEXTILE FABRIC POTTER HIGHLANDS PHASE 3, BLOCK 3 LOT 12 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221308, Deb Wockenfuss, 08/12/22 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 2.8 7/27/22 1 2 3 4 5 6GM (SILTY SANDY GRAVEL) Professional Engineers Stamp: NO POTTER HIGHLAND PH3 B3 L12 7/27/22 020-282-04 CROWN POINTE HOMES 2:00 1 2 3 4 5 6 0 12:33 12:34 12:35 12:36 12:37 1' OB 10:00 Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER8/2/22 PERC TEST LOCATION TECHNICIAN: l.TIDWELL 3816 - DRY 8/2/22 COMMENTS: 6" DIAMETER TEST HOLE PRESOAKED PRIOR TO TESTING SITE PLAN 3816 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED th#1 0 10:00 37 16 0 10:00 39 16 0 10:00 37 16 0 10:00 3816 0 10:00 39 16 37 16 39 16 37 16 3816 39 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221308, Deb Wockenfuss, 08/12/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221308, Deb Wockenfuss, 08/12/22 OS P2-- 1305 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 741 Day of s r- of 20,2 2, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MU-NICIPALITY", 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 (AWViITS), described as Advantex System located at (legal description) Potter Highlands Ph3 B3 L12 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. _-jX It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adiustment(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 'A A repairs from the manufacturer's representative or maintenance provider. —L� 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. fl/ 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. 'r°i 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 evert 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 Iaws 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. 0511812018) Page 2 of 3 OWNER: By: ^'.!: �c (signature) // A© c --h ell / (print naive) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) Date: ?- l`'749"_0'Z' The foregoing instrument was acknowledged before me this qday of U-60 S�(— , 2022, by C441!�!Jsc'l'.SL� Jam- � ���.►,,,,,,,�. OTARY PUBLIC FOR ALASKA My Commission expires: j AA MUNICIPALITY: By:'4 gnature) /—(print name) c A _ %(PA UB 0G F OF AIJ y'o Date: T_— Title: (rev. 05/18/2018) Page 3 of 3