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Home My WebLink AboutLEWIS & CLARK LT 104D ewis Clark #017mmO74�7A-r MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program S{. PO Box 196650 4700 Elmore Road i. Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite "f L)epartinc:t�t On -Site Water & Wastewater System Permit Permit Number: OSP241020 Effective Date: 3/26/2024 Work Type: WellSeptic Initial Expiration Date: 3/26/2025 Tax Code Number: 01707474000 Site Legal Address: LEWIS & CLARK LT 10 G:2941 Site Mailing Address: 8774 PATHFINDER CIR, Anchorage Owner: CUSHMAN FAMILY TRUST THE Lot Size in Sq Ft: 108113 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 5 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 2 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 Issued By: Date: Date: 6 Z= (-I Development Services Department On -Site Water & Wastewater Section ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel 1. D. 017-074-74 Phone: 907-343-7904 Fax: 907-343-7997 Property owner(s) ROB CUSHMAN Day phone 907-301-9046 Mailina address NHN PATHFINDER CIRCLE *ANCHORAGE, AK Site address NHN PATHFINDER CIRCLE *ANCHORAGE, AK Legal description (Sub'd., Block & Lot) LEWIS AND CLARK; LOT 10 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 (5 SEPTIC) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field � Initial El Single Family (SF) (w/wo AD U) Septic Tank El Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 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: Waiver Fees: Date of Payment: 2 2 2 `% Date of Payment: Receipt Number: Receipt Number: Permit No. 0 S P `� O Z O Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241020, Deb Wockenfuss, 03/26/24 THE DEPICTION OF ALL STRUCTURES SHOWN ON ADJACENT PROPERTIES ARE APPROXIMATE IN REGARD TO CONFIGURATION/LOCATION AND MAY BE BASED SOLELY ON PUBLICLY AVAILABLE MOA GIS RECORDS. THE LOCATION OF ALL WELLS AND SEPTIC SYSTEMS SHOWN ARE APPROXIMATE AND MAY BE BASED SOLELY ON INFORMATION OBTAINED FROM PUBLICLY AVAILABLE MOA ONLINE RECORDS AND/OR AS -BUILT SURVEYS �. I LEWIS AND CLARK; LOT 2 VACANT LEWIS AND CLARK; LOT 117 VACANT ,J PREVIOUSLY PROPOSED WELL LOCATION f LEWIS AND CLARK; TRACT B VACANT WETLANDS PER TRIAD ENGINEERING GRADING PLAN IN SUBDIVISION FILE OF MOA RECORDS - NOT IDENTIFIED AS A WETLAND ON MOA WETLANDS MAPPING (ATTACHED) f m ANDLOT3 VACANT t� \ 4` Well L.ocot t O�\ fEVISED WELL LOCATION 50' 7` GENERAL Lt / OF 50' WELL �- HOME WAS MOVED SOUTH; LOCATION SHOWN PER .DWG FILE PROVIDED BY SURVYOR AND CONFIRMED WITH BUILDER 1 LEWIS AND CLARK; LOT 11 VACANT ENGINEERING SALES CONSULTING � 3701 EAST TUDOR ROAD SUITE 101 'ANCHORAGE. ALASKA' PHONE (907) 337.6179' WEBSITE: wwm.gamessengineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ROB CUSHMAN 907-301-9046 1 OF 1 PROJECT/LEGAL DESCRIPTION: DRAWN BY: LEWIS AND CLARK; LOT 10 D.J.G. TYPE OF WORK: DATE: SEPTIC SYSTEM DRAINFIELD DESIGN - REVISED WELL LOCATION 6/13/2024 ' LEWIS AND CLARK; LOT 9 VACANT -AWWfS DESIGN IN MOA RECORDS - PER GEG SITE VISIT, HOME APPEARS TO BE UNDER CONSTRUCTION LEWIS AND CLARK; LOT 7 VACANT N S ALE: 1"=100' OF ,. P ......... ' w ? r AV *\ dC1TH �o o .. Jef ey A. mess 3w W } -J, i CE -7953 �� AV AV LICENSE ��'k lk #AECC884 �� Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241020, Deb Wockenfuss, 03/26/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241020, Deb Wockenfuss, 03/26/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241020, Deb Wockenfuss, 03/26/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241020, Deb Wockenfuss, 03/26/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241020, Deb Wockenfuss, 03/26/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241020, Deb Wockenfuss, 03/26/24 THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of of 20 2..11 , 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 UC4 n located at (legal description) le -{FIs cf 16,P- C1�� 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) 61— 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. Ct, 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. C�- 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 CG- Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 66- 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. CL Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. C — 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. C.C. 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. lolonwaiver. 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 haw. 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 C�� CZ 61,4 r— (signature) Date: j Z printname) STATE OF ALASKA. ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoiU-S trument was acknowledged before me this a2 day of OWL14 2014, by L I¢ CUN PUBUG NOTARY PUBLIC F R ALASKA IM] NOTARY MyCommissinexpir s: lzjof� ?o2r+ MUNICIPALITY: By: (signature) (print name) (rev. 05/18/2018) Date: 3 Z Title: Page 3 of 3