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HomeMy WebLinkAboutT15N R2W SEC 25 LT 126Aw 'am M� '00
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Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP221282 PID Number: 051-312-10
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ®Upgrade
Name
DORIS SHIMAKONIS
ABSORPTION FIELD
❑ Deep Trench ® Wide Trench ❑ Bed ❑ Mound
Site Address
17634 ALMDALE AVE, EAGLE RIVER
® Other ADVANTEX
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
3 GPD/SF
2 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
1 Ft.
Gravel depth beneath pipe
*0.5 SAS CREDIT W/ 1 Ft.
Subdivision Block Lot
126A
Fill added above original grade
VARIES 1.85-1.95 Ft.
Gravel length
30 Ft.
Township Range section
T1 5N R2W 25
Gravel width
5
Beds: Number of Lines
Distance between lines
SEPARATION DISTANCES
Ft.
--
-- Ft.
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
*150 Ft2
1
NA Ft.
Well
50'+
50'+
--
255'+
TANK 0 Septic ❑ S.T.E.P. ❑ Holding M Other ADVANTEX
Manufacturer
ORENCO / ANCH. TANK
Capacity
1500 Gal.
Surface Water
50'+
50'+
--
Material
Number of compartments
Lot Line
51+
51+
__
NA
COMPOSITE PLASTIC
2
Foundation
10'+
10'+
--
LIFT STATION
Manufacturer
ORENCO
Capacity
75+ Gal.
Remarks DECOMMISSIONED EXISTING SYSTEM &
INSTALLED NEW ADVANTEX SEPTIC SYSTEM w/ INSUL.
Alarm location
BASEMENT
Electrical installed by
CAPSTONE
*V ED — BUT ONLY 0.5' SQUARE FOOT SAS CREDIT
Installer JRS
PIPE MATERIAL House to tank 3034 rain eid 3034
d
Drainfield 3034 Co/MT 3034
Inspector FWC
BENCH MARK (Assumed elevation) 100 ft
Inspection1" 10/19/21
dates: 2nd 7/26/22
Location and description
3rd 7127/22 4" 7/28/22...
TOP OF AX MH
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Conditional Approval:
Date
TH
••••••••••••••••••••••%
Septic System
rove
•• Curtis Huffman
'
' Date % ' Z
CE
��slF • 9/29/22 • c� "
Note:
.
l liF� pROFES SION�`�'�.�4
this approval does not include well permit requirements.
tpo nrmwrd ax
PERMIT:
OSP221282
PID: 051-312-10
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Lot 126—
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98,927 S.F.
pp0
INSTALLED ADVANTEX
FAP 2.0 TANK
W/ PUMP BASIN
Q
12.1'
/Ns-rA�
Q
�
�
TH22-2
Q
A
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2$.O,
VERIFIED EL
SURFACE WATER, SEPARATIONS,
ETC... AT TIME OF CONSTRUCTION.
00
t!1
A—C=
47.2
B—C=
19.3
BM: MH TOP
FOD \
PUMP BASIN
MT
CO
A—D=
50.4
M"
99.90
104.40 FINAL GRADE
104.50
B—D=
18.5
INSTALLED AX20 PODENT
INSULATION
r & 4' OF INSULATION FILTER FABRIC
102.55
ORIGINAL GRADE/- TH22-2
A—E=
57.5
\
-T./-
ORO/OL
B—E=
13.0
a69
o,.ss ,o1.s
A -F=
62.0
96.35 1500 -GAL FAP
SEWER ROCK
cM/SM
ADVANTEX
100.55 ,00.55
B—F=
27.1
TANK
A—G=
91.2
3'+ MOA SAND
GRND,y7R,
B—G=
36.6
91'10
90 5' & o
CM/SM SOILS FOUND 6' 9/21/22
AT 1' BELOW GRADE.
ADDED 3'++ OF MOA SAND &
INSTALLED 1' ED -2'OG.
DECOMMISSIONED ANY ENCROACHING,
FOUND ABSORPTION SYSTEMS.
11'
st w BOH
SEPTIC SECTION
RELATIVE ELEV. To
SCALE, NTS
LOWER TRENCH
T1 5N R2W SEC 25 LT 126A
PREPARED FOR:
DORIS SHIMAKONIS
17634 ALMDALE AVE
EAGLE RIVER, AK 99577
FIRST WATER CONSULTING
13030 Sues Way
Anchorage, Alaska 99516
(907)350-9566
firstwaterAK@gmoil.com
SUPPORTSERVICES:
C .
DATE: 09/29/2022
SURVEY: LANG
DRAWN: FWCS
SCALE: 1" = 30'
OF AZ
pf * 9 TH
tis Huffman
CE 128991
09/29/202'
`�'7r33I0��
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 Wastewater Disposal System Permit
Permit Number: OSP221282
Work Type: Septic Upgrade
Tax Code Number: 05131210000
Site Legal Address: T1 5N R2W SEC 25 LT 126A G:0653
Site Mailing Address: 17634 ALMDALE AVE, Eagle River
Owner: SHIMAKONIS DORIS
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Q Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date:
nt
CA
� ' f
L� u:
Del)artineut
Lot Size in Sq Ft:
Total Bedrooms
8/9/2022
8/9/2023
98927
❑ 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:
• Mound is to have 3:1 slopes.
Mill
CO -,q] D es,yn C6th e, 9/iy
Received By: Date:
Issued By: Date: a 9 -
3
MUNICIPALITY OF ANCHORAGE
1:
1.Z
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-312-10
Property owner(s) DORIS SHIMAKONIS Day phone
Mailing address 17634 ALMDALE AVE, EAGLE RIVER, AK 99577
Site address 17634 ALMDALE AVE, EAGLE RIVER, AK 99577
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) T1 5N R2W SEC 25 LT 126A
Lot Size 98927 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
X❑
Initial ❑
Single Family (SF) X❑
(w/wo AD U)
Septic Tank
ElUpgrade
0
Duplex (D) ElHolding
Tank
ElRenewal
El
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
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: 595 Waiver Fees:
Date of Payment: / WZo ZZ Date of Payment:
Receipt Number: 700 2 & 3 Receipt Number:
Permit No. 65 PDQ 129 Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
C0#1
I W 0 r
CONSULTING
-c
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / fiistwaterAK@gmail.com
September 9, 2022
Municipalities of Anchorage
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM UPGRADE PERMIT — OSP221282
LEGAL: T15N R2W SEC 25 LOT 126A —17634 ALMDALE AVENUE, ER
The owner has requested that we obtain a septic permit to upgrade the existing aged septic
system on the above referenced lot. It was discovered that the groundwater levels have changed
since the original permit submittal and we propose to install a 1.500 -gallon Advantex system per
the attached design to serve the existing 3 -bedroom residence. The existing system will be
decommissioned in place and a new leach field installed per MOA required code. The lot and
area are served by private wells and the septic upgrade area has 5% slopes and in the higher
portion of the lot. The design will not impact any of the neighboring properties. Please contact
us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Firs[l
l6$
.e;mi .rtnesiac
91
F110 Watelax
" S- G 0 N S U L. T I N G
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
July 19, 2022
Municipalities of Anchorage
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM UPGRADE PERMIT
Nbnicipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPUANCI
OSP22128Z Deb Mckenfuss, 081091
LEGAL: T15N R2W SEC25 LOT 126A —17634 ALMDALE AVENUE
The property owner has requested we obtain a permit to upgrade the failed septic system of the
above referenced lot. We propose to install one shallow mounded bed at grade with MOA sand
and 1500 -gallon anchored STEP tank to serve the existing 3 -bedroom residence with the
attached distribution on the proposed design.
The design is based on the recent test hole conducted this summer. Groundwater seeps were
observed at test hole excavation and also found at 6' during monitoring. An additional testhole
was attempted east of the garage and south of the house as shown on the design, but an "older
septic" was found at that location. A slower percolation rate was used for the soils application
rate and all existing biomatted material from the existing crib will be removed, decommissioned
with MOA sand as required per code.
The slopes are moderate at 2-5% at the proposed upgrade location. The existing crib will be
completely decommissioned with MOA 2' of sand on the top layer and Type II soils or silt
below the MOA sand as required if needed. The lot and area are served by private water. The
design will not impact any of the neighboring properties. Please contact us if you have any
questions.
Sincerely,
Curtis Huffman, P.E.
yy t J11 tt..2G ,c "^
C �(1 Ydfi9 ll Sit YAIrFR
DESIGN CALLS: 3BR X 150 GPD = 450 GPD
450 GPD/3 GPD/SF = 150 SF SAS
150 SF / 5'W = 30 FT. TRENCH
USE 1 TRENCH — 30'(L) X 5'(W) X 0.5'(ED)
TOTAL MAX DEPTH FROM EXISTING GRADE: 2'
NO SLOPES >25% WITHIN 50' REMOVE 5' OF ORG/OL/GM/SM & ADD 3' OF MOA SAND
OF PROPOSED FIELD. TO 2' & PLACE FIELD AT —2' MAXIMUM DEPTH & MOUND
OVER W/ 3:1 SLOPES & INSULATION...
N❑TESI STAKE PROPERTY LINE & WELL RADII PRIOR TO CONSTRUCTION
FOUND BRASS CAPPED MONUMENT ALMDALE AVENUE FOUND SURVEY NAIL
SET j"x30" REBAR w/
YELLOW PLASTIC CAP
I
�ORARY TURNAROUND
Q
leap'
O
SET J"00" REBAR w/
Ej2�4'45"E 329.14' 7E W,PLASTIC CAP —
20' ROADWAY & UTILITY EASEMENT
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nage ro tomaxTne� CUSS D
METLANDS
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RFS eFp N n°9ae®P" VoA OWL w,Fn
iOFNCF "ASSUMED
64*• ry' exrsv am/sr,oe PATH'
DEfxYC9M OQSMq ST.
D/CS R NSTNI. I[M 10W L
FAP a TQM NO WEL WITHIN
eM� 50' OF P POSED
FM zo ,d, ./ DCO a ArM TAMC
�IMAM AXnaDAT —rwx SEPTIC S STEM. R
TO ST E ALL WEI
I EQU PFR MDA COLE
A"•� RADII URFACE
rn a YANLIM ear+ m
Ulm
cownax
q8.0' caoueem ,x a mew
^M WATE RIOR TO
LARG L T W/ N O
e ADD e• IeDA eAIO a 1¢OUe¢O
LOT 126A
APPA�REN ADJACI
98,927 S.F. ENC OA HMENTS
N 8756'30'W 329.19
ONLY 4 PAGES OF MOA RECO�DS /
7D ALUMI M MONUMENT Lot 127 FOUN ALUMINUM MONUMENT—
Tl 5N
R2W SEC 25 LT 126A
PREPARED FOR:
DORIS SHIMAKONIS
17634 ALMDALE AVE
EAGLE RIVER, AK 99577
FIRST WATER CONSULTING
13030 SUES WAY
ANCHORAGE, AK 99516
907-350-9566 FirstWaterAK@gmail.com
Lot 125A
Lot 1256
ONST.
VACANT
SUPPORT®SERVICES: ®�_®
OF
DATE: 9/9/2022 ` � tis Huffman �
SURVEY: LANG CE 128991
DRAWN: FWCS 1 9/9/2022�0®
SCALE: 1" = 60' ® FESS1010, Aw
PAGE: 1 OF 2
DESIGN DETAILS:
INSTALL NEW 1500—GAL ADVANTEX TANK SYSTEM WITH AX20
POD. MAINTAIN 10'+ FROM
FOUNDATION, 50'
TO WELLS, 50' TO SURFACE
WATER, 5' TO
FIELD & DECK SUPPORTS WITH
4' OF COVER OR
INSULATION. ADD INSULATION
& MOA SAND
AS NOTED ... & INSTALL NEW
30'L 5'W 0.5'ED
TRENCH AT 2' MAX FROM EXISTING GRADE.
INSTALL PER AMC 15.65,
15.55, & MASS ...
TANK BEDDING, SEPARATIONS,
MATERIALS,...
IF APPLICABLE:
DISTRIBUTION LINE: 30 LF 1
1/4" PVC WITH 3/16" HOLES @ 1' SPACING
W �
(n N
// L�dO
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Li
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V)
Q LIJ
0 O
O
J O
Q N
� O
O
YZ
N I
�I
�1N
\ STAKE WELL RADIUS
\ PRIOR TO CONSTRUCTION
114,
NSF
so 4 ,
VERF, Sr IS S, FROM DECK INSTALL
SUPPORTS AND 16' FROM DFCO
FOUNDATION
® Mt
IF ELEVATIONS REQUIRE,
ADD ANCHORED PUMP �O
IASIN AFTER AX FAP 2.0
TO NEW FIELD. ,1 DCO
—'28.0
�
� �
W
O
O ,n
I In
CONDUCTED TH & FOUND
OLD SEPTIC SYSTE.. DECOMMISSION
"V
�1C'
NOT SUITABLE
FOR SEPTIC AREA
DECOMMISSION THE ENTIRE
w1 EXISTING 8X8 CRIB / SYSTEM &
NEXISTING TESTHOLE
AS REQUIRED PER MOA CODE.
TH22-1
Ea
EXISTING CRIB/SYTEM
O4v DECOMMISSION EXISTING S.T. J
INSTALL NEW 1500 -GAL
FULL ASSEMBLED ADVANTEX
FAP 2.0 3- R TANK W/ AX20 POD cv
& ANCHOR WITH 4CY OF
CONCRETE P R MANUFACTURER
SPECS MOA CODE
W/ DCO BEFOR & AFTER TANK.
INSTALL AX FIELD AT -2' MAX
MT CO FROM EXISTING GRADE W/ INSULATION,
2'+ MOUNDED COVER & SLOPES 3:1
AND VEGETATION AS
REQUIRED PER MOA CODE
VERIFY ALL WELL RADII
& MAINTAIN 50'+ TO
SURFACE WATER
PRIOR TO CONSTRUCTION
LOT 126A
98,927 S.F.
N 89°56'30"W 329.19'
T1 5N R2W SEC 25 LT 126A SUPPORT®SERVICES:
Aar,
OF a®®
PREPARED FOR: ��'�O
DORIS SHIMAKONIS w
17634 ALMDALE AVE C ®* 9 TH
EAGLE RIVER, AK 99577
4t��Jllll`
FIRST WATER CONSULTING DATE: 9/9/2022 0� rtis Huffman 4
SURVEY: LANG rJ, CE 128991 w
13030 SUES WAY DRAWN: FWCS $
9/9/2022v®
SCALE: 1" = 30' � ss1oN
ANCHORAGE, AK 99516 �
907-350-9566 FirstWaterAK®gmail.com PAGE: 2 OF 2
1H22-2
CONDUCTED TH & FOUND
OLD SEPTIC SYSTE.. DECOMMISSION
& ADD 6' MOA SAND & REQUIRED
SEPARATIONS TO PROPOSED FIELD
VERIFY ALL WELL RADII
& MAINTAIN 50'+ TO
SURFACE WATER
PRIOR TO CONSTRUCTION
LOT 126A
98,927 S.F.
N 89°56'30"W 329.19'
T1 5N R2W SEC 25 LT 126A SUPPORT®SERVICES:
Aar,
OF a®®
PREPARED FOR: ��'�O
DORIS SHIMAKONIS w
17634 ALMDALE AVE C ®* 9 TH
EAGLE RIVER, AK 99577
4t��Jllll`
FIRST WATER CONSULTING DATE: 9/9/2022 0� rtis Huffman 4
SURVEY: LANG rJ, CE 128991 w
13030 SUES WAY DRAWN: FWCS $
9/9/2022v®
SCALE: 1" = 30' � ss1oN
ANCHORAGE, AK 99516 �
907-350-9566 FirstWaterAK®gmail.com PAGE: 2 OF 2
F rsr Wd[er
CONSULTING
,�� �`✓ ,- IYATE P./WAST EWA7ER
SU PPOfl7 & PLANN111G
13030 Sues Way - Anchorage, Alaska 99516
Tel. 907-350-9566 firstwaterAK@Rmail.com
SOILS LOG -PERCOLATION TEST
LEGAL DESCRIPTION: T15N R2W SEC 25 LOT 126A
DEPTH
FEET O_ G SOILS
ORG/OL
2 :.:.:.:.:.
3
4
5
6
7
GM/SM
8
Silt increasing w/
9 »>` depth
10
11
12
13
14
15
16
17
18
19
20
Aq-
r • • ' Curtis Huffman • j
,-*k�'/
PERFORMED FOR: DORIS SHIMAKONIS
TESTHOLE # 22-1 DATE PERFORMED: 6/30/22
GROUNDWATER ENCOUNTERED: YES
IF YES, AT WHAT DEPTH: 6' SEEPS
DEPTH TO WATER AT MONITORING: 6'& 1'
DATE: 7/7/22 & 9/7/2022
SEE SITE PLAN FOR SLOPE & LOCATION
COMMENTS:
DUE TO RECENT SITE INSPECTION
& GROUNDWATER MONITORING
THIS AREA IS NOT SUITABLE
FOR A SEPTIC SYSTEM.
Reading Date Gross Net Time Depth Net Drop
Time to
Water
PERCOLATION RATE (MIN / INCH)
TEST RUN BEWTWEEN & FT
PERC HOLE DIAMETER
PRE-SOAKED PRIOR TO TEST & ALL READINGS TO
THE 1/16Tx
PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT
ON THIS DATE. DATE: 9/8/22
0
FlIst Wder
CONSULTING
WAY E"n/WASiEiY::TER
3UPPM S PtAfoliNo
13030 Sues Way - Anchorage, Alaska 99516
Tel. 907-350-9566 firstwaterAK@gmail.com
SOILS LOG -PERCOLATION TEST
LEGAL DESCRIPTION: T15N R2W SEC 25 LOT 126A
I=0M_:_I
3
Net Time Depth
to
Water
Net Drop
GM/SM
4
16/16"
5
" 6"
6
" 6"
'' SEEPS AT 6-7'
7
8
h` A
Silt increasing w/
9
t''> depth
10
11
PERCOLATION RATE 22 (MIN/ INCH)
TEST RUN BEWTWEEN 2 & 3 FT
PERC HOLE DIAMETER
BOH
12
13
14
15
16
17
18
SEEPS AT 6-7'
19
20
OF
& i1
g 49 TH
Curtis Huffman' : ' ,
CE 128991 ,• i���/
• .9/8/22.. • ���
l�`F�PROFESS40NA .,.�
PERFORMED FOR: DORIS SHIMAKONIS
TESTHOLE # 22-2 DATE PERFORMED: 8/23/22
GROUNDWATER ENCOUNTERED: YES
IF YES, AT WHAT DEPTH: 6' SEEPS
DEPTH TO WATER AT MONITORING: 5'
DATE: 9/7/2022
SEE SITE PLAN FOR SLOPE & LOCATION
COMMENTS:
VERIFY GROUNDWATER & SITE
AT CONSTRUCION & INSTALL
MOUNDED ADVANTEX SYSTEM.
USE REDUCED SOIL RATE OF 3 GPD/SF
Reading Date Gross
Time
Net Time Depth
to
Water
Net Drop
8/24/22
30 min 6"
16/16"
" 6"
17/16"
" 6"
16/16"
PERCOLATION RATE 22 (MIN/ INCH)
TEST RUN BEWTWEEN 2 & 3 FT
PERC HOLE DIAMETER
PRE-SOAKED PRIOR TO TEST & ALL READINGS TO
THE 1/16TH.
PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT
ON THIS DATE. DATE: 9/8/22
MUNICIPALITY OF ANCHORAGE
/ ® DEPAR I IVICIV 1 OF r7CHL 1 n OC CIV V IrSV IV IVICIV 1 HL rn1 Cl' I IVIV
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
R 4i� _ -�_ ji
PHONE
��
EW
❑ UPGRADE
MAILING ADDRESS
Smc 14,q
LEGAL DESCRIPTION
L J2 r1 )U 2.,S- S E l/
LOCATION
NO. OF BEDROOMS
U Y
DISTANCE TO:
Well
Absorption area,
w o� C7
Dwelling
PERMIT NO.
H z
aQ
w�_
Manufacturer
Material
No. of compartments
y
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
Y
J0Z
DISTANCE TO:
Well
Dwelling
PERMIT NO.
= z FQ-
Manufacturer
Material
Liquid capacity in gallons
O
w =
DISTANCE TO:
Well
Foundation I
Nearest lot line
PERMIT NO.
LU u -Z
Z w
No. of lines
Length of each line
5c 1 r•
Total length of lines
Trench width
6 Qinches
Distance between lines
F�
Top of tile to finish grade
Material beneath tile
inches
Total effective absorption area
7-f
W
C7
Length
Width
Depth
PERMIT NO.
Q F
LUFL
Type of crib
Crib diameter
Crib depth
Total effective absorption area
LU
y
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
Cla
Depth
Driller
Distance to lot line
PERMIT NO.
Lu
�
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
^'
I�
PIPE MATERIALS
SOIL TEST RATING
a�U
-
INSTALLER
i
7`
REMARKS S�—
G—`v
�l uC_3V
r 7
�e
11
ar
APPROVED .�1. DATE LEGAL C%
72013 (Rev. 3/78)
THE REQUIRED SIZE € F THE SOIL ABSORPTION SYSTEM IS:
THE LENGTH LI NE!' 1_ I _iIS THE _LNG -L ( I f FEET) _ — THE TRENCH
rE!,H OR rRI _ I E D
THE DF.;.IPTIH € F A TRENCH OR PIT it THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOMOF THE EXCAVATION (i N FEET),
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GE'H'===fEL BETWEEN THE OUTFALL L _IPE
!=!N€::! THE BOTTOM OF THE EXCAVATION ( I ='N FEET).
L.3' 1 FZ E" E> EE F=' K X @_ 0— 1=1 P%A 0Z K 1 K ,'{--- a__i€ ill ci ;0 171 1__1 K.. 1_ EN Ill K
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION II'•:i'E,PECTIt._tP' S € F ANY WELLS ADJACENT "j't,_! THIS PROPERTY €=!i ��D THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
BACKFILLING OF ANY SYSTEM .— t I—!I_.: € FINAL INSPECTION AND APPROVAL r t ,..._ _• Y THIS
: _.._
DEI-'i'?{H'•'.TMENT WILL BE SUBJECT Ti=t PROSECUTION.
MIN111UM DISTANCE BE . t=.EEN !•_€ WELL AND :. }=!C•. f ON-SITE SEWAGE DISPOSAL Sr •_±'_=HL S : _• } _M is
00 FEET FOR PRIVATE WELL L OR =0 TO 200 FEET FROM M ! PUBLIC WELL DEPENDING
UPON THE T4`r'F_• OF PUBLIC WELL.
L ,
!•:t I €':i •t• 11 tN DISTANCE EI~:;E€M EI PRIVATE WELL TO A PRIVATE SEWER LINE I °.= 25 FEET AND
TO €-i COMMUNITY = EWER LINE I S 75
FEET.
OTHER REQUIREMENTS i`i!'=€ = APPLY. SPECIFICATIONS AND CONSTRUCTION D'( l=±GRt-I€'1.S i=lF:.r_
AVAILABLE TO INSURE t=R PER INSTALLATION.
°"`.< E— 7'�_ u ` _ ._ _ ,i_ tl'''--'- :-E.w I_ -g fes._ ti._: d;� e s L_.b ,.._ it -t,',
1 CERTIFY THAT
AMI FAMILIAR I A€ WITH THE REQUIREMENTS FOR €(' Ol'•:±-- '(TE SEWERS D WELLS '•=i' SE -1
FORTH BY THE: HE MUNICIPALITY OF ANCHORAGE.
2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: 1 UNDERSTAND THAT IHE ON—SITE _EWR SYSTEM 1 Y REQUIRE E _=RGEENTIF THE
RESIDENCE IS REMODELED TO INCLUDE M±_€RE , II 14 —. E•ttiDR±WtOMS.
'2('e00.': (bi�a� LX+ S+ Af'ht'n
APPLICANT P=4€.?L .=HI1''fAKOI•••II. =, R
€ Sac/Inkhan Ye
ISSUED UED E• T ----- Vii._._.___._____- • €-±1:_._ � . d -z_._. `,° ;•. 0
1-1 i'--€€ pil ti 40 Z .. : ' L€ L.. -- 0_. 10 C3 F" FA 14 CT K ' F:° FJ CA E ---
t -! HI
F,- RTMEN ± € €p HEALTH
DEPARTMENT
`••;€-'f ENVIRONMENTAL r'!-'€ a , ± ! ±ii•,
25 ` ±_ • STREET, REET,
ANCHORAGE, AK 99501
264-4720
PERMIT
NO. ( 820065
rj —:€'.±T
€'"€:-±'" _ _! 1: ':
PAUL _ HI a—!---': _€I=•:II'= _TR
1 f :._ _'� €'f: !- _.
Fes'.«, ._ ... ._ (
BOX :L49 E ' =_,=�a�. 77
688-2445
LOCATION
Ftl_MDA `[_E ±w H€_€±-; ,r ±=1K
LEGAL
L126 ; '€ 5HE.;_.:..I'I:• --. - SE101
LOT SIZE :a t_.'._;.00
w:QF_€►=€RE FEET
TYPE OF
SOIL €SBSORP..,..' ON SYSTEM E'I':} I _• : D}T A i NF I E LO
MAXIMUM
14UPIBER € F BEDROOMS — _
ATTNG ('_ 0 F T 'BR = 220
SOIL RATING
THE REQUIRED SIZE € F THE SOIL ABSORPTION SYSTEM IS:
THE LENGTH LI NE!' 1_ I _iIS THE _LNG -L ( I f FEET) _ — THE TRENCH
rE!,H OR rRI _ I E D
THE DF.;.IPTIH € F A TRENCH OR PIT it THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOMOF THE EXCAVATION (i N FEET),
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GE'H'===fEL BETWEEN THE OUTFALL L _IPE
!=!N€::! THE BOTTOM OF THE EXCAVATION ( I ='N FEET).
L.3' 1 FZ E" E> EE F=' K X @_ 0— 1=1 P%A 0Z K 1 K ,'{--- a__i€ ill ci ;0 171 1__1 K.. 1_ EN Ill K
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION II'•:i'E,PECTIt._tP' S € F ANY WELLS ADJACENT "j't,_! THIS PROPERTY €=!i ��D THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
BACKFILLING OF ANY SYSTEM .— t I—!I_.: € FINAL INSPECTION AND APPROVAL r t ,..._ _• Y THIS
: _.._
DEI-'i'?{H'•'.TMENT WILL BE SUBJECT Ti=t PROSECUTION.
MIN111UM DISTANCE BE . t=.EEN !•_€ WELL AND :. }=!C•. f ON-SITE SEWAGE DISPOSAL Sr •_±'_=HL S : _• } _M is
00 FEET FOR PRIVATE WELL L OR =0 TO 200 FEET FROM M ! PUBLIC WELL DEPENDING
UPON THE T4`r'F_• OF PUBLIC WELL.
L ,
!•:t I €':i •t• 11 tN DISTANCE EI~:;E€M EI PRIVATE WELL TO A PRIVATE SEWER LINE I °.= 25 FEET AND
TO €-i COMMUNITY = EWER LINE I S 75
FEET.
OTHER REQUIREMENTS i`i!'=€ = APPLY. SPECIFICATIONS AND CONSTRUCTION D'( l=±GRt-I€'1.S i=lF:.r_
AVAILABLE TO INSURE t=R PER INSTALLATION.
°"`.< E— 7'�_ u ` _ ._ _ ,i_ tl'''--'- :-E.w I_ -g fes._ ti._: d;� e s L_.b ,.._ it -t,',
1 CERTIFY THAT
AMI FAMILIAR I A€ WITH THE REQUIREMENTS FOR €(' Ol'•:±-- '(TE SEWERS D WELLS '•=i' SE -1
FORTH BY THE: HE MUNICIPALITY OF ANCHORAGE.
2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: 1 UNDERSTAND THAT IHE ON—SITE _EWR SYSTEM 1 Y REQUIRE E _=RGEENTIF THE
RESIDENCE IS REMODELED TO INCLUDE M±_€RE , II 14 —. E•ttiDR±WtOMS.
'2('e00.': (bi�a� LX+ S+ Af'ht'n
APPLICANT P=4€.?L .=HI1''fAKOI•••II. =, R
€ Sac/Inkhan Ye
ISSUED UED E• T ----- Vii._._.___._____- • €-±1:_._ � . d -z_._. `,° ;•. 0
.,r;�.,.,.
t� F. Is.�:✓'"2 tip "tib. ° 7�
FIOUCIH
AN
DEPAR'i M, N + Cit= HE=AI:i}! '1,N D E N V 1 R 0 N N1 FN T A I - P1 3 OT _C:f1i-)N
January 4, 1982
Paul Sminakonis, Jr.
Box 149
Eagle River, AK 99577
Permit 71, 810541
Subject: L126 T15N R2W Sec 25 SE1/4
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
C�4 (V8
Les N. Buchholz R. .
Program Manager
Sewer and water Program
Enclosure: Copy of Permit
' r=1 k -i bf 1 10 1i =1 I_ I P::u F- 4 0::-- E -
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
" 825 'L' STREET, ANCHORAGE, HK. 99501
264-4720
K") T41 17- I= w; E=r 44 E: F-'- F='L=- F! r-1 I -F
PERMIT NO. ( 810541 )
APPLICANT PAUL SHIMHKONIS, JR. BOX 149, E. R. c}«%{--1 \ 688-2445
LOCATION HLMDHYLE AVE, CHUGIHK
�c`��
'~`
LEGAL L126 T15N R2W SEC25 1���=�� .�z_LOT SIZE 108900 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: DRHINFIELD 0,
� ^
MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 220 Y�
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
^
11 w! 105 (3FZFA%/E=L_ E>E=F"7FFq= �
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.
THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
_T_ 1-1 E07 _T_ in? E= PA ED 14 K! 110 7- T-9 i K=? 09' CA CA CA F� E� E�7F'
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
in? K lot k_J I Fw! EZ E> in EE 0=1 7- 1 ED -T- 1=1 KI F42 17 ::::�'E=_= -1L ED ED CD Ca FA L_ L_ ED PA�
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
--- --- --- 1- Ong ED < :a, 1 1 C"?KK0 FAFREE Fw?E=7TTf8_R I F70=40 --- -----
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND
TO H COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F" E=7 17? 101 1 0- E=7>1 F" 1 FQ E� 00 E> E0 ED E= P1 ED E� F2 7111 " AL SR EKKL
I CERTIFY THAT
1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS
6
SIGNED:_____________________________________
HPPLICHNT PAUL SHIMHKONIS, JR. 40
No
ISSUED B _£=���__DHTE_��=���0L�L_____
�=-�-�-~-�������������� �� �� �� � u,~
'
L�
0 & E ENGAEERING & DEVELO� MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Earl Ellis
688-2280
Performed for: Name: ej /V/ S9, '7 : 5- "5' Z)
Tel. No. Iq
Mailing Address: 191<', .575RS�77
Legal Description: /0 /- 12- & , -2 VV, ,5, /4/,,
Depth (feet)
AfL
2
12, 72z5r
4
5
1.1
7- EZ
8
9
10
11
12
13
14
15
16
Soil Characteristics
PLOT PLAN
6 A111 Al
A-1,VVIIAl = 220
At,
,s*, OF A Q�45
4-&
Ground Water Encountered: Yes � No lfyes, what depth
49.
Proposed Installation: Seepage Pit Drain Field
Comments: Earl P. Eilis rub
Performed by:
2-2
13
PLOT PLAN
6 A111 Al
A-1,VVIIAl = 220
At,
,s*, OF A Q�45
4-&
Ground Water Encountered: Yes � No lfyes, what depth
49.
Proposed Installation: Seepage Pit Drain Field
Comments: Earl P. Eilis rub
Performed by:
MR01U VICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 051-312-10
Legal description T1 5N R2W Sec 25 Lot 126A
Site address 17634 Almdale Ave
Eagle River
Current property owner(s) Doris Shimakonis
Expiration Date: 1-6-22
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for
Comments or advisories:
bedrooms, with the following stipulations:
By Original Certificate Date: — 22
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
Rvs�
MUNICIPALITY OF ANCHORAGE
o y
Development 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. 051-312-10
Complete legal description T15N R2W SEC 25 LOT 126A
Location (site address) 17634 ALMDALE AVENUE, EAGLE RIVER, AK 99577
Current property owner(s) DORIS SHIMAKONIS Day phone
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: ® 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: ® Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel ® 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: ❑
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 $ 226 - +1W Waiver Fee $
Date of Payment ql as /moo as Date of Payment
COSA # 0) S C o2 a xl ':� � Waiver #
43I39 -3a
COSA Application—July 2022 copy 2.doc
Legal Description: TI 5N R2W SEC25 LT126A Parcel ID: 051-312-10
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system
A. WELL DATA
❑ Well log is filed with Onsite (or attached) Water storage tank volume NA gallons
Date drilled CIRCA 1970s Total depth 63+ ft Well disinfected for coliform test? ® Yes ❑ No
Cased to UNKNOWN ft ® Coliform bacteria is Negative
® Sanitary seal is functioning correctly Nitrate 3.4. mg/L ❑ Nitrate less than MRL (ND)
® Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND)
Casing height (above ground) 18+ in. FWCS
Date of flow test for COSA 6/15/22 Collected by & Sullivan
Static water level at beginning of test 50 ft. Date 6/15/22 & 9 ... SULLIVAN PENDING
Well production at time of test 3+ gpm
Comments NO WELL LOG & SULLIVAN SHOCKED WATER SYSTEM WITH NEW COLI SAMPLE.
B. TANK DATA
Measured operating fluid level in septic tank NEW
Date of pumping NA — ADVANTEX
® Required maintenance completed, if AWWTS
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) NEW FIELD
® ALL standpipes present per record drawing
Total measured depth from grade 3.95 ft (max)
Measured depth to pipe invert from grade 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) N
If yes, enter date
C. LIFT STATION
® Required maintenance completed
Age of lift station NEW years
Lift station material PLASTIC
Comments: NEW ADVANTEX SYSTEM
Adequacy test date NA—NEW
Results ❑ Pass
Fluid depth prior to test _ in
Water added gal
New fluid depth in
Elapsed time _min
Final fluid depth in
Absorption rate _gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 12 in
Effective depth used 0 in
Effective depth remaining 12 in
Comments/Deficiencies: CO/MT AT EXISTING GRADE. FI
COSA Checklist 2022.docx
E. SEPARATION DISTANCES
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' Community Sewer Manhole/Cleanout > 100'
❑ Yes if No *50+ ft ® Yes if No ft
Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft
Absorption Field on Lot > 100' ❑ Yes if No *50+ ft Holding Tank > 100' ® Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft
® Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ®Yes if No ft ® 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 *50+ ft
Tank to Property Line > 5' ® Yes if No ft Wells on Adjacent Lots:
Field to Property Line > 10' ® Yes if No ft Private Wells > 100' ❑ Yes if No *50+ ft
Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft
Water Service Line > 10' ❑ Yes if No *50+ ft If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
*SYSTEM MEETS CATIII SEPARATION DISTANCE REQUIREMENTS.
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 FIRST WATER CONSULTING Phone 907-350-9566
Engineer's Printed Name CURTIS HUFFMAN PE Date 9/29/22
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting & F1:5
COSA Checklist 2022.docx
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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 -f Day of 0C_ /,xe /- of 20 2 Z. by and between
—F- YhY- �►� m o _ , 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 AN ADVANTEX SYSTEM
located at (legal description)
T15 R2W SEC 25 Ll 26A
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.
voc
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.
V S 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
Y-42 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
AVY'WTS 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:
_.(print name)
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoin inst ment was acknowledged before me thislllday of
20_% by
'-NOTARY PUBLIC FOR ALASKA LETECIA C. CNROUST
My Commission expires: !Tc_! � 5- Notary public
ter'— State of Alaska
My Commission Expires Mar 26, 2025
MUNICIPALITY:
B(signature) Date: O S
(print name) Title:
(rev. 05/18/2018) Page 3 of 3