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HomeMy WebLinkAboutEQUESTRIAN HEIGHTS BLK 3 LT 9EQUESTRIAN HEIGHTS Block 3 Lot 9 017-092-77 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 2 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241337 PID Number: 017-092-77 Dwelling: R Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name Hultquist Homes, Inc ABSORPTION FIELD ❑ Deep Trench RN Wide Trench El Bed ❑� Mound Site Address 14566 Rockingham Cir El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 5 GPD/SF +0.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +1.0 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Equestrian Heights 3 9 Fill added above original grade 4.2 Ft. Gravel length 25.0 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines NA Distance between lines NA Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding ( Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 125 Ftz 1 NA Ft, Well 100'+ 100'+ NA NA 25'+ TANK [:1Septic 0 S.T.E.P, ElHolding IN] Other Manufacturer Anchorage Tank/ Orenco Capacity 1500 Gal. Surface Water 50'+ 50'+ NA NA Material Number of compartments Lot Line 5'+ 10'+ NA NA NA Fiberglass 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Orenco Capacity 250 Gal. Remarks Adventex W/ Aux Pump Vault Alarm location Electrical installed by House Solid Ground Tank to PIPE MATERIAL House to tank 3034 ASTM D1785 drainfield Installer _ ___ _ Hultquist Homes Drainfield ASTM D1785 CO/MT3034 Inspector PES BENCH MARK (Assumed elevation) 100 ft Inspection 15` 1/2/25 1/7/25 da Location and description 2nd s'd 1/8125 atn 1!16/25 Top of back deck, nearest corner ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp •'' •.,• Conditional Approval: Date even annomet �'. CE 8149 .` '•. 4/17/25•.• Septic System Approved / G ,/G Date N e: this approval does not include well permit requiremets. (Rev 05102/18)/ I I I EPHEMERAL ROAD SIDE DRAINAGE. DOES NOT CONSTITUTE SURFACE WATER. I I NEW AUX PUMP VAULT TH- RESERVE AREA (NIC) ENT/Rh AREA T ILLED AS PART OF YARD GRADING INSTALLED NEW DRAIN FIELD 25 LF x 5.0' WIDE x 0.5"ED x +0.5'TD W/ 2.0" SAND FILTER INSTALLED MONITOR TUBE AT EACH END MOUNDED TO CREATE MINIMUM 3.0' OF TOTAL COVER o�Y NSU ti � W O W �10W� Cn meati 5 A 0 C z J � z � O U o � 17.6 CO 29.1 e � U 92.6 �u ±88.9 (10/1/24) LOT UNDEVELOPED NO WELLS OR SEPTIC W/1N 200' OF PROPOSED SYSTEM INSTALLED 1500go1 ADVANTEX W/ AX -20 POD INSTALLED FC BEFORE INSTALLED AUX PUMP VAULT AFTER SEE NOTES THIS SHEET 1 (P) o i z �w �Q i � U NEW ppj / 1 GO4BR q, B HOUSE LS2 M 1 \w�O° �___ ___ " M2 DECK ,✓(:q �� DESIGN PARAMETERS (ON DRIVEN PILES' / °��� PRIMARY/ RESERVE SEPTIC SYSTEM NO. BEDROOM: 4(600 gpd) 57.7 ��o TANK SIZE: 1500gal ADVANTEX ° so.s / o��\°QPERC RATE: G1 MPI SOIL RATING: 5 GPD/SF LOT 9 AREA ROD: 120 SF / SYS. TYPE: WIDE TRENCH 0.5'ED WITH 2.0' SAND FILTER MIN LENGTH: 24.0 LF DRAINAGE ESMNT CONTAINS / FLOWING WATER. APPROXIMATE USED: CENTERLINE OF FLOW. 25LF x 5.0'W x 05E.D. x +0.5'TD f WITH 2.0' SAND FILTER TOTAL AREA: 125 SF w w m m oFILTER FABRIC r o z DRAIN ROCK 6" ABOVE PIPE INV z 0 1.25" 0 DRAIN PIPE o RECORD DRAWING W/%" HOLES 7� THIS RECORD DRAWING REPRESENTS THE FG: 98.1 AS -BUILT CONDITION OF THE PROPERTY IMPROVEMENTS DESCRIBED ABOVE. THE DRAWING AND ANY OTHER SUBSEQUENT ATTACHED OR INCLUDED INFORMATION IS r --EG: 93.9 93.9TH-1 BASED ON PERIODIC VISUAL OBSERVATION EG: 93.9 93.9 OR BY A REPRESENTATIVE OF PES ALONG WITH -1.5 NOTES, PHOTOS, AND OTHER INFORMATION 0.5' SEWER ROCK SP/ PROVIDED BY THE INSTALLER OF THE 2.0' FILTER SAND GP SYSTEM. 889 THE INFORMATION PROVIDED IN THE RECORD (10/1/24) - -5.5 DRAWING APPEARS REASONABLE AND SM/ REPRESENTS THAT THE PROJECT WAS ML _8.0 DESIGNED AND CONSTRUCTED IN GENERAL PROFILE SCALE: NTS CONFORMANCE OF 18 AAC 72, THE ADEC DATE PERFORMED: ONSITE WASTEWATER SYSTEM INSTALLATION 9/24/2024 MANUAL, AND AMC 15.65 WHERE APPLICABLE. PES SHALL NOT BE HELD LIABLE FOR SYSTEM DEFICIENCIES WHICH FALL OUTSIDE THE SCOPE OF THE REQUIRED VISUAL OBSERVATIONS OR SUBSEQUENT OBSERVATIONS IF REQUESTED BY THE INSTALLER. SEPTIC SYSTEM INSTALLERS ARE TRAINED AND APPROVED BY THE MUNICIPALITY OF ANCHORAGE AND OR ADEC AS APPLICABLE. INSTALLERS ARE RESPONSIBLE FOR CONSTRUCTING THE SEPTIC SYSTEM AS DESIGNED AND ENSURING THEIR WORK CONFORMS TO THE CODES AND POLICIES STATED ABOVE. NOTES: PANNONE ENG SVC, LLC .... 2025 Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 p'�'• - Scale PHONE (907) 272-8218 FAX (907) 272-8211 "y ...... ....... P.I.D. NO DRAWN BY: DRM EQUESTRIAN HEIGHTS, BLOCK 3, LOT 9 017-092-77 HULTQUIST HOMES INC �ie,3e►ron anrio�e PERMIT NO. 14566 ROCKINGHAM CIRCLE CE 814 OSP241337 PLAN ANCHORAGE, AK j Sheet 2 OF 2 A B C FC 10.5 LS 1 23.5 17.6 CO 29.1 16.9 LS2 30.8 15.7 M 1 26.4 47.7 M2 24.0 23.3 LOT UNDEVELOPED NO WELLS OR SEPTIC W/1N 200' OF PROPOSED SYSTEM INSTALLED 1500go1 ADVANTEX W/ AX -20 POD INSTALLED FC BEFORE INSTALLED AUX PUMP VAULT AFTER SEE NOTES THIS SHEET 1 (P) o i z �w �Q i � U NEW ppj / 1 GO4BR q, B HOUSE LS2 M 1 \w�O° �___ ___ " M2 DECK ,✓(:q �� DESIGN PARAMETERS (ON DRIVEN PILES' / °��� PRIMARY/ RESERVE SEPTIC SYSTEM NO. BEDROOM: 4(600 gpd) 57.7 ��o TANK SIZE: 1500gal ADVANTEX ° so.s / o��\°QPERC RATE: G1 MPI SOIL RATING: 5 GPD/SF LOT 9 AREA ROD: 120 SF / SYS. TYPE: WIDE TRENCH 0.5'ED WITH 2.0' SAND FILTER MIN LENGTH: 24.0 LF DRAINAGE ESMNT CONTAINS / FLOWING WATER. APPROXIMATE USED: CENTERLINE OF FLOW. 25LF x 5.0'W x 05E.D. x +0.5'TD f WITH 2.0' SAND FILTER TOTAL AREA: 125 SF w w m m oFILTER FABRIC r o z DRAIN ROCK 6" ABOVE PIPE INV z 0 1.25" 0 DRAIN PIPE o RECORD DRAWING W/%" HOLES 7� THIS RECORD DRAWING REPRESENTS THE FG: 98.1 AS -BUILT CONDITION OF THE PROPERTY IMPROVEMENTS DESCRIBED ABOVE. THE DRAWING AND ANY OTHER SUBSEQUENT ATTACHED OR INCLUDED INFORMATION IS r --EG: 93.9 93.9TH-1 BASED ON PERIODIC VISUAL OBSERVATION EG: 93.9 93.9 OR BY A REPRESENTATIVE OF PES ALONG WITH -1.5 NOTES, PHOTOS, AND OTHER INFORMATION 0.5' SEWER ROCK SP/ PROVIDED BY THE INSTALLER OF THE 2.0' FILTER SAND GP SYSTEM. 889 THE INFORMATION PROVIDED IN THE RECORD (10/1/24) - -5.5 DRAWING APPEARS REASONABLE AND SM/ REPRESENTS THAT THE PROJECT WAS ML _8.0 DESIGNED AND CONSTRUCTED IN GENERAL PROFILE SCALE: NTS CONFORMANCE OF 18 AAC 72, THE ADEC DATE PERFORMED: ONSITE WASTEWATER SYSTEM INSTALLATION 9/24/2024 MANUAL, AND AMC 15.65 WHERE APPLICABLE. PES SHALL NOT BE HELD LIABLE FOR SYSTEM DEFICIENCIES WHICH FALL OUTSIDE THE SCOPE OF THE REQUIRED VISUAL OBSERVATIONS OR SUBSEQUENT OBSERVATIONS IF REQUESTED BY THE INSTALLER. SEPTIC SYSTEM INSTALLERS ARE TRAINED AND APPROVED BY THE MUNICIPALITY OF ANCHORAGE AND OR ADEC AS APPLICABLE. INSTALLERS ARE RESPONSIBLE FOR CONSTRUCTING THE SEPTIC SYSTEM AS DESIGNED AND ENSURING THEIR WORK CONFORMS TO THE CODES AND POLICIES STATED ABOVE. NOTES: PANNONE ENG SVC, LLC .... 2025 Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 p'�'• - Scale PHONE (907) 272-8218 FAX (907) 272-8211 "y ...... ....... P.I.D. NO DRAWN BY: DRM EQUESTRIAN HEIGHTS, BLOCK 3, LOT 9 017-092-77 HULTQUIST HOMES INC �ie,3e►ron anrio�e PERMIT NO. 14566 ROCKINGHAM CIRCLE CE 814 OSP241337 PLAN ANCHORAGE, AK j Sheet 2 OF 2 www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: OSP 241337 Date of Issue 10/7/24 Parcel Identification Number: 01709277000 Legal Description Property Owner Name & Address EQUESTRIAN HEIGHTS BLK 3 LT 9 Hultquist Homes 14566 Rockingham Circle Anchorage, AK 99516 Pump Installation Date: 10/9/24 Pump Intake Depth Below Top of Well Casing: 370 feet Pump manufacturer’s Name: Goulds Pump Model: 10GS10412CL Pump Size: 1 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Pitless Manufacturer: Disinfected Upon Completion? yes no Method of Disinfection: Chlorine 50 PPM Comments: 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. Merrill Hultquist Homes Certified Drilling Log OWNER OF LAND: Hultquist Homes ADDRESS: 14566 Rockingham Circle Anchorage, AK 99516 LEGAL DESCRIPTION Equestrian Heights BLK 3 LT 9 DATE: 10/2/24 PERMIT NUMBER: OSP241337 DATE OF ISSUE: 10/7/24 TAX IDENTIFICATION NUMBER 01709277000 Is well located at approved permit location: Yes No Method of Drilling: air rotary cable tool Depth of Well: 420’ Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 84 feet Liner type 320’ of 4.5” PVC Static Water Level: 52 feet Recovery Rate 25 gpm gph Method of Testing Air Well Intake Opening Type: open end open hole Screened Start feet Stopped Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 Lbs. Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: yes no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 Casing Stickup 2 4 Overburden 4 45 Silt and sand with some gravel 45 72 Soft bedrock 72 104 Broken bedrock 104 181 Soft bedrock 181 209 Bedrock gray with quartz 209 248 Greenstone 248 365 Bedrock gray 365 420 Bedrock gray with quartz 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. MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAWENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT' made and entered into as of this, J' re pay of j U rk.— of 20 2,S . by and between E if ;0+t- H c& herein the "OWNER," and the Municipality of Anchorage. herein the "MUNICIPALITY", in accordance with Anchorage Municipal Cade (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Areata agree as follows: 1, Advanced Wastewater TrealMent Sntelg. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex located at (legal description) Equestrian Heights 63 L9 2. Maintenaacr Repairs and Alterations. (Owner is required to read, understand and initial each section) j1k Throughout the terra of this Agreement, the Owner shall enter into a service agrecammt with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all vepair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically S400 to $600). gam„ 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 perr ided alterations to the system. e �t 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. 05/1&12019) Page I of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. EA Owner acknowledges that the fine for failing to maintain and repair an AWW1°S may be assessed w accordance with AMC 14.60.030. kd_ Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. €B Owner agrees that any sale or transfer of title of the property will not occur widow a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. NenwaWer. 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 themfier 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. b. o e eflaw. 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. y. Severabillty. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement_ (rev. OS/ 18/2018) Page 2 of 3 ONN NER: By- griature) Date: pe ot, —(Print name) STATE OF ALASKA THIRD JUDICIAL DISTRICT rd The foregoing4"SiTument was acknowlad-jed before me thisZ.3 day of 20� by jzae "Akyz— ZY-1-11W, NOTARY PUBLIC FOR *kzt3X*=- "SHZV4'TW- % a My Commission expires: ature) Date: name) Title: (rev. 05118:= 01$) Page 3 of 3 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: OSP241337 Work Type: WellSeptic Initial Tax Code Number: 01709277000 Site Legal Address: EQUESTRIAN HEIGHTS BLK 3 LT 9 G:3038 Site Mailing Address: 14566 ROCKINGHAM CIR, Anchorage Owner: HULTQUIST HOMES INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: © Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms: 10/7/2024 10/7/2025 23350 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: Issued By: Date: Date: i cZ 2-c z 4 MUNICIPALITY OF ANCHORAGE 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. 017-092-77 Property owner(s) Hultquist Homes Inc Mailing address 12570 Old Seward Hwy Anchorage, AK Site address NHN Rockingham Circle Day phone Legal description (Sub'd., Block & Lot) Equestrian Heights 133 L9 Legal description (Township, Range & Section) Lot Size - 23,350 —Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field r_x] Initial I -XI Single Family (SF) RX (w/wo ADU) Septic Tank FAI Upgrade R Duplex ❑ (D) Holding Tank El Renewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well RX Water Storage R 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. 15W (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: Receipt Number: Permit No. Date of Payment: Receipt Number: Waiver No. Permit App_'-'- : - -, Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O.Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska Subject: Equestrian Heights B3 L9 Initial Well and Septic System Permit Request This is a design narrative for a permit to install a well and septic system on the subject property. The proposed installation will serve a proposed four-bedroom (4) house. This lot and surrounding lots are to be served by private wells. Currently there are no wells within 100 feet of the proposed wastewater treatment system. 1. Soils: A test hole was performed on this lot by Pannone Engineering Services, LLC on 09/24/2024. Groundwater was observed during the excavation of the test hole at a depth of 5.5 feet below the ground surface (BGS). Bedrock was not encountered during excavation of the test hole. Groundwater was observed in the test hole monitor tube after 7-days at a depth of 5.0’. Based on the results of the percolation test and overall soils appearance an application rate of 5.0 gpd/SF was used for the design of an advanced wastewater treatment system in the area of the test hole. 2. Soil Absorption System Design: See Sheet 1 of the design package. 3. Surface Water: There is a drainage easement along the eastern property line. During the test hole the swale was actively flowing water. There is an ephemeral drainage along Pickett Street which does not contain surface water. 4. Topography: See attached site plan for area topography. 5. Drawing Markings: The Drawings are marked “For MOA Review Only”. When written notification that the review is complete and no further comments are received from MoA On-Site Department, the note will be removed and “For Construction” drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, SRP Steven R. Pannone, P.E. F. ASCE Owner/Civil Engineer 2 October 2024 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241337, Curtis Townsend, 10/07/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) 2.2. SCOPE OF WORK: INSTALL SYSTEM IN ACCORDANCE WITH THE ATTACHED DESIGN AND SPECIFICATIONS. 5.0 FEET 5.0 FEET Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241337, Curtis Townsend, 10/07/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241337, Curtis Townsend, 10/07/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) A SCALE: NTS DRAIN FIELD SECTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241337, Curtis Townsend, 10/07/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) COMMENTS: Test hole excavated by HULTQUIST HOMES INC. PERFORMED BY: PANNONE ENGINEERING SERVICES, LLC. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. ·<1.0 (min/inch) ·6" ·2 FT AND 3 FT SOILS LOG & PERCOLATION TEST Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241337, Curtis Townsend, 10/07/24 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 QC�� r of 20_2 _, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex located at (legal description) Equestrian Heights B3 L9 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 term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This r 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. CPH 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 I of 3 014 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 6W Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be �,,1 assessed in accordance with AMC 14.60.030. Vl~t Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. (XL Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 61) Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing j_ guidelines for the construction, maintenance and repair of the Owner's AWWTS. Co Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: ' (signature) Date: �1-6 ot-�j4 c S (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT } The foregoing instrument was acknowledged before me this 4S11- day of 20 Zq , by au&Qc STATE OF A.L.A.SKA, t� NOTARY PUBLI F . R ALA A NOTARY PUBLIC z tom_ My Commission expires: l.P s Ashy Lmltigne# MUNICIPALITY: i, By: (signature) 5 S'' (print name) Date: I Y Title: C t (r'l C- '`- /,.r;;� i2 (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 Parcel ID 017 -092-77 Certificate of On -Site Systems Approval OSC251207 Expiration Date: 5/16/2026 Legal description EQUESTRIAN HEIGHTS BILK 3 LT 9 site address 14566 ROCKINGHAM CIR Current property owner(s) HULTQUIST HOMES INC X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: By:t ��'"��__ Original Certificate Date: 6/2/2025 This C rfificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject syst (s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, D elopment Service Department (DSD) issues COSAs based upon representations provided by an i dependent 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 X Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE Development Services Department v 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. 017-092-77 Complete legal description Equestrian Heights, Block 3, Lot 9 Location (site address) 14566 Rockingham Cir Current property owner(s) HUltquist Homes 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: 0 Private Well serving # 1 dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: ❑E Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete R Fiberglass Age new - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑Q 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 $ 7S Date of Payment Sl,�rl/Lt COSA # 6V 2-W-07 Waiver Fee $ Date of Payment Waiver # COSA Application_Apr2025.doc COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: 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) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B.TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D.ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade 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) If yes, enter date Adequacy test date 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) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 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’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ 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 Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F.ENGINEER’S COMMENTS 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC & MOA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail, and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore, we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Phone Engineer’s Printed Name Date 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 9, Block 3, Equestrian Heights Subdivision As Built SCALE BAR 02/19/2025 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DE PARTMENT � '�� 907-343-7904 Cin -Site water and wastewater Section � .f Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On -Site Systems Approval # OSC251207 Subdivision: Equestrian Heights, Block: 3, Lot: 9 This well's productivity was determined to be .42 gallons per minute. The recommended well productivity under (AMC 15.55) for a 4 -bedroom residence is .41 gallons per minute or 150 gallons per day per bedroom. Water storage may be necessary to accommodate your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval.