HomeMy WebLinkAboutPOTTER HIGHLANDS PH 2 BLK 2 LT 11f� MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: ________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 020 281 71 POTTER HIGHLANDS PH 2 2 11 COLONY BUILDERS INC 9420 VANGUARD DR UNIT A ANCHORAGE, AK 99516 02 12 2025 212 AY MCDONALD 23075V .75 12 MARTINSON PELLETS ANCHORAGE WELL & PUMP SERVICE 7640 KING STREET ANCHORAGE AK 99518 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241043 PID Number: 020-281-71 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade Name Elliott & Curci Hughes ABSORPTION FIELD El Deep Trench MWide Trench E] Bed ❑■ Mound Site Address 6080 Potter Valley Rd ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 5.0 GPD/SF 0.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 0 0 Ft. Gravel depth beneath pipe 5 Ft. Subdivision Block Lot Potter Highlands Phase 2 2 11 g Fill added above original grade 3.8 Ft. Gravel length 25 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches 1 Dist. between trenches N/A From Tank Field Tank Line 125 Ft2 Ft. Well >50' >50' N/A N/A >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding 0 Other Manufacturer Advantex Capacity 1500 Gal. Surface Water > 50' > 50' N/A N/A Material Plastic Number of compartments Two(2) Lot Line >5' >1Q' N/A N/A NA Foundation >101 >1 0' N/A N/A LIFT STATION Manufacturer Orenco Capacity 250 Gal. Remarks AWWTS Alarm location Near AX -20 Pod Electrical installed by Frontier Electric PIPE MATERIAL House to tank D3034Tank to D3034 drainfield Installer Northern Excavation Drainfield D3034 CO/MTD3034 Inspector M. Jakubisin BENCH MARK (Assumed elevation) 100 ft Inspection 1�t 10/28/24 11/6/24 Location and description dates: 2 nd `nh Center of MH 3`d 4 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp 0F l Conditional Approval: Date r�Q• ' ���1�� 49 TH �..._.. ... ......../ Septic Syste Approved Date ` J :A .... Benjamin Schiller .� ./ 1/115/252 ilPROFESSIONP�.� XN, his approval does not include well permit require ents. l\\ROFESS`t (Rev 05/02/18) CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT DC - DROP CONNECT MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND PERMIT # OSP241043 PID # 020-281-71 1"=50' POTTER HIGHLANDS, PHASE 2 BLOCK 2 LOT 11 FEET 0 50 100Benjamin Schiller CE 12592 R E GISTEREDPROFES S I O N A L E N G INEER 1/13/25 PLAN AS-BUILT 25' LONG x 5' WIDE, 6" EFFECTIVE DEPTH ABSORPTION TRENCH 1500-GAL ADVANTEX SEPTIC TANK 2CO TH#1 A B FCO 16.2 DC 1 30.6 DC 2 41.6 DC 3 65.0 MH 127.2 2CO 130.5 CO1 169.4 2.7 24.2 32.4 51.8 111.9 114.4 155.0 FCO P O T T E R V A L L E Y R O A D 3-BDRM HOME 10' T&E EASEMENT 5' DEVELOPMENT SETBACK WETLANDS CO1 CO2 MT2 MT1 NEW WELL ALTERNATE SITE MAPPED DRAINAGEWAY PER PLAT MAPPED DRAINAGEWAY PER PLAT NOTE: NO WATER OR VISIBLE DRAINAGEWAY NOTED ON SITE MT1 170.3 CO2 158.0 MT2 157.5 156.3 145.2 144.7 DC3 DC2 DC 1 MH CURTAIN DRAIN CLEANOUT A B PROFILE AS-BUILT (NO SCALE) 96.2 91.1 97.0 99.8 FC O MH PERMIT # OSP241043 PID # 020-281-71 POTTER HIGHLANDS, PHASE 2 BLOCK 2 LOT 11 2C O Benjamin Schiller CE 12592 R E GISTEREDPROFE S S I O N A L E N GINEER 1500 GAL ADVANTEX FAP 2.0 TANK AX-20 FILTER POD 1/13/25 93.0 FINISH GRADE 25' MT 1 TH # 1 NO GROUNDWATER 3/1/23 88.7 89.2 CO 1 CO 2 82.7 88.7 89.2 89.2 ORIGINAL GRADE MT 2 87.2 87.2 MOA APPROVED SAND DRAINFIELD ROCK 2" INSULATION 3:1 SLOPES w/ TOPSOIL & SEEDING Alpine Drilling & Enterprises Well Log Permit Number: #SW241216 Date of Issue: 8=12=24 Parcel Identification Number: 02028166000 Date Started: 10-12-24 Date Completed: 10-14=24 Is well located at approved permit location? x Yes ❑ No Legal Description: Potter Highlands Phase 2 Block 2 Lot 11 Property Owner Name & Address: Colony Builders 9420 Vanguard Unit Unit A Anchorage, Alaska 99507 Borehole Data: Soil Type, Thickness & Water Strata Depth (ft) From To Method of Drilling x air rotary ❑ cable tool Casing type: steel Stick-up 0 2 Wall Thickness: . 250 inches Gravelly silt Organics &silt 2 9 9 15 Diameter: 6 inches Depth: 42 feet Liner Type: Diameter: inches Depth: feet bedrock 15 206 Casing stickup above ground: 2 feet Static water level (from ground level): 24 feet Pumping level: 200 feet after 2 hours pumping 4 gpm Recovery Rate: 4 gpm Method of Testing: air lift Well Intake Opening Type: ❑ Open End x Open Hole ❑ Screened Start feet Stopped 40 feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules & chips Volume: 7 De the 40 Start 0 feet StoppW feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? X Yes ❑ No - Method of Disinfection: chlorine tablets _ Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 MUNICIPALITY OF ANCHORAGE ONenr On -Site Water & Wastewater Program '0 PO Box 196650 4700 Elmore Road i Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 ^ f http://www.muni.org/onsite Delrirtment On -Site Water & Wastewater System Permit Permit Number: OSP241043 Effective Date: 3/28/2024 Work Type: WellSeptic Initial Expiration Date: 3/28/2025 Tax Code Number: 02028171000 Site Legal Address: POTTER HIGHLANDS PH 2 BLK 2 LT 11 G:3638 Site Mailing Address: Owner: HUGHES ELLIOTT & CURCI ALICE Lot Size in Sq Ft: 128724 Design Engineer: FORGE ENGINEERING Total Bedrooms: 3 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: I r 0 Issued By: Date: Date: Y 2 �,2O Z Community Development Department `' Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-281-71 Property owner(s) POTTER CREEK DEVELOPMENT LLC Day phone Mailing address 561 E 36th Ave Suite 200 Anchorage, AK 99503 Site address NHN Potter Valley Road, Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Potter Highlands Phase 2 Black 2 Lot 11 Legal description (Township, Range & Section) Lot Size 128,724 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑X Single Family (SF) ❑X Septic Tank ❑X Upgrade pg ❑ (w/wo ADU) Holding Tank El Renewal El Duplex (D) El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. i (Signature of property owner or authorized agent) Permit/Rush Fees: / 3 12 Date of Payment: Z % Receipt Number: Permit No. 10 Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App__- : , _., c March 25, 2024 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Potter Highlands Phase 2, Block 2 Lot 11 Septic system design Dear On-Site Services Engineer: The owner of the above lot intends to build a 3-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 ground surface on the lot slopes away from the road at around 20-25%, and in some places up in the front of the lot there are sections steeper than that that approach 4 0%. The septic system is located in a flatter area where the slopes are around 20%. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. 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 6’ 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 OSP241043, Curtis Townsend, 03/28/24 CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FD - FLOW DIVERTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND 1"=50' POTTER HIGHLANDS, PHASE 2 BLOCK 2 LOT 11 FEET 0 50 100Benjamin Schiller CE 12592REGISTEREDPROFESSIONA L E N GINEER 3/25/24 SEPTIC PLAN 25' LONG x 5' WIDE, 6" EFFECTIVE DEPTH ABSORPTION TRENCH ADVANTEX 2.0 FAP SEPTIC SYSTEM 2CO TH#1 FCO P O T T E R V A L L E Y R O A D 3-BDRM HOME 900 10' T&E EASEMENT 5' DEVELOPMENT SETBACK WETLANDS 910 920 930 940 950 960 970 980 990 1000 1010 1020 CO CO MT MT NEW WELL LOCATION ALTERNATE SITE MAPPED DRAINAGEWAY MAPPED DRAINAGEWAY Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241043, Curtis Townsend, 03/28/24 POTTER HIGHLANDS, PHASE 2 BLOCK 2 LOT 11 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 12592REGISTEREDPROFESSION A L E N GINEER DRAINFIELD ROCK 5' 6" 1'-6" DESIGN FACTORS:SYSTEM REQUIREMENTS: 450 GPD PEAK FLOW PERK RATE: 10.2 MIN/IN APPLICATION RATE: 5 GPD/SF 5-WIDE TRENCH SYSTEM ADVANTEX 2.0 FAP SEPTIC TANK BOTTOM OF TRENCH: 0.5' BELOW GRADE FLOW LINE ELEVATION: AT GRADE TOP OF MOUND: 3' ABOVE GRADE 450 GPD / 5 GPD/SF (/ 5' WIDE * 1 RED FACTOR [0.5 DEEP])= 18 LF TRENCH REQUIRED (25 LF SPECIFIED) GEOTEXTILE FABRIC 4" PERFORATED PVC (HOLES DOWN) 3/25/24 REPLACE ORGANICS WITH MOA-APPROVED SAND 6" 2" INSULATION 2.5' OF COVER, VEGETATED 3:1 MAX SIDE SLOPES w/ TOPSOIL AND SEED Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241043, Curtis Townsend, 03/28/24 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? 10.21 2/22 1 2 3 4 GM (SILTY SANDY GRAVEL) Professional Engineers Stamp: NO Potter Highlands, Ph 2 Block 2 Lot 11 02/22/23 020-281-71 Colony Builders 10:40 6 11:10 11:40 12:10 2' OB 30 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 3/17/23 PERC TEST LOCATION TECHNICIAN: M. Jakubisin 2 - NONE 2/29/23 COMMENTS: SITE PLAN 4 0 16 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED B.ROCK 630 2 10 16 3 6 16 630 3 3 0 16 630 3 1 16 2 15 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241043, Curtis Townsend, 03/28/24 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 Day of O L-e" of 202A, by and between )irein the "OWNER," and the Municipality of Anchorage, herein the " ICIPALITY", 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 System located at (legal description) Potter Highlands Phase 2 Block 2 Lot 11 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. It shall be the responsibility of the Owner during the tern 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. 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-hoLrr notice. `J — 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 AWVifTS 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. Severabilit . 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 0 By. (signature) (print name) STATE OF ALASKA Ss - THIRD RJDICIAL DISTRICT Date: . ....... 4t, The foregoing instrument was acknowledged before me thisli day of r3 AA 20A:4, by t L L- I- C) IQ- Z4A �--Are3l 1-k A�P-,Y PUBLIC FbR ALASKA My Commi5don- expires - NOTARY PUBLIC SARA DONOVAN STATE OF ALASKA MY COMMISSION EXPIRES JUIV 16. 2024 MUNICIPALITY - By: [A^ j _(signature) (1-nS TOt v/,-s Div D—(print name) Title- C-1vIL- (rev. 05/18/2018) Page 3 of 3 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251094 Parcel ID 020 -281-71 Expiration Date: 3/12/2026 Legal description POTTER HIGHLANDS PH 2 BLK 2 LT 11 Site address 6080 POTTER VALLEY RD Current property owner(s) COLONY BUILDERS INC X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 3/24/2025 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 Service 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 submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE' `USI 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. 020-281-71 Complete legal description Potter Highlands, Phase 2, Block 2 Lot 11 Location (Site address) 6080 Potter Valley Rd, Anchorage, AK, 99516 Current property owner(s) Colony Builder Inc. Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: X 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: A Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑■ Plastic ❑ Concrete ❑ Fiberglass Age NEW - See advisory if steel older than 20 years 6. ABSORPTION FIELD: X AWWTS ❑ Bed ❑ Deep Trench ❑■ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑E 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 $ 20 Date of Payment COSA# ()G9q Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 N/A N/A N/A N/A (907) 522-7773 Benjamin Schiller, P.E. 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 |0 Day of mar. of 20 2, by and between Alliett Hughs, hercin 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) Potter Highlands Phase 2 Block 2 Lot 11 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 ina 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. (rev. 05/18/2018) 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. Page 1 of3 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 AVwWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The ternm 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 of3 OWNER: By: Euki - Q (signature) Date:MR, 1.2 ZQZ4 name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day of 20g�:, by NOTARY PUBLIC ALASKA My Commission exp _ .; • ';, . -, Date: e) Titl: (rev. 05/18/2018) Page 3 of 3 124 E 7th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com Land Surveying Land Development Consultants Subdivision Specialists Construction Surveying AECC#173042 S4 Group Lot 11, Block 2, Potter Highlands Subdivision Phase 2 As Built 03/18/2025