HomeMy WebLinkAboutSOUTHFORK NORTH BLK 4 LT 1Onsite File
Southfork
North
Block 4
Lot 1
#078-141-10
�o' Al0MUNICIPALITY OF ANCHORAGE
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On-Site Water &Wastewater Program •° 3.�
`, PO Box 196650 4700 Elmore Road ,,
x;Rar Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 %.
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Al'CH ORP(
On-Site Wastewater Disposal System Permit 11137/ 7 6°(`4 Tai'
11/2/201'7
Permit Number: OSP171262 Effective Date: .-9,44-5#284-7--
Work Type: Septic Initial Expiration Date: --14:0267778
Tax Code Number: 07814110000 /1/00(8
Site Legal Address: SOUTHFORK NORTH BLK 4 LT 1 G:0959 1 i '‘ii /7/1,4-
Site Mailing Address: 2110 SOUTH RIVER DR, Eagle River
Owner: GEARTY MICHAEL J Lot Size in Sq Ft: 71790
Design Engineer: FORGE ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
EJ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ 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: Date: t a 17
Issued By: A-Ge�+ r----"I
iii,zr6' Date: 1 Ara°I
Municipality of Anchorage '-
,le,,;„cr cnr
P.O. Box 196650 • 4700 Elmore Road
Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Division
On-Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW ** **
Waiver#: OSV171100 COSA#: Permit#: OSP171262
PID#: 078-141-10
Legal Description: Southfork North Block 4 Lot 1
Engineer: Forge Engineering
Applicant: Troy Davis Homes
Your request for a waiver of the required 100 feet horizontal separation from the absorption field
and septic tank to surface water has been approved. The approved separation distance is 50.0
feet. In addition, your request for a waiver of the required 4 feet vertical separation from the
bottom of the absorption field to groundwater has been approved. The approved separation
distance is 2.0 feet.
This waiver approval applies to the proposed absorption field and septic tank only. Any future
upgrade to the on-site wastewater disposal system will require all separation distances be met or
another approval from this department.
n The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver,
❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
® Adjacent properties are not affected by this waiver.
,
Waiver is Granted: X Waiver is not Granted:
Date: / 1 I Q/201 7 Approved by: Pdle_4(1 4 atittli
Name of Reviewer
**** VARIANCE/WAIVER REVIEW ****
MUNICIPALITY OF ANCHORAGE
Community Development Department ` Phone: 907-3 3 7.•'4
Development Services Division Fax: 9,0 3-79970 7
On-Site Water& Wastewater Program .1\7)\'
I/1*Fr ).&
ON-SITE SEWER/WELL PERMIT APPLICATIONilk•
OCT 272Gii
Parcel I.D. 078-141-10C
Property owner(s) Troy Davis Homes Day phone 310- "i •
Mailing addressBay
1689 S. Knik Goose Road #400 Wasilla, AK 99654
Site address South River Drive, Eagle River, AK
Legal description (Sub'd., Block & Lot) Southfork North, Blk 4 Lt 1
Legal description (Township, Range & Section)
Lot Size 71 ,790 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field 0 Initial 0 Single Family (SF)
(w/wo ADU)
Septic Tank 0 Upgrade ❑ Duplex (0) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Separation to ground/surface water Distance: 2'150'
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
1 '
(S •n-ture orroperty owner or authorized agent)
Permit/Rush Fees: 5(01 Waiver Fees: 4 S 5°I
Date of Payment: 9 f(0f 11 Date of Payment: `1/10 1"l * 10/Z1/11
Receipt Number: D$S% 'X- Receipt Number: 68 553, C -+ 01 61 31
Permit No. C 53 1 r1 1 a L ), Waiver No. O S V 11 1 100
Permit App_9-1-12.doc
FORGE ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
October 27, 2017
Municipality of Anchorage
Development Services Dept- On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Southfork North Sub, Block 4 Lot 1
Septic system design and permit application
Dear On-Site Services Engineer:
The owner of the above lot intends to build a 4-bedroom home on the property, so we are
submitting this permit application for the construction of a new septic system. The attached site
plan identifies the location of the home and existing well, as well the proposed septic location
and alternate site. No conflicts exist between this proposed system and any wells, whether on this
lot or adjacent lots. Drainage arrows are shown on the site plan showing the grade and direction
of flow. The drainage pattern in general will not be changed by the construction.
The test holes placed in the area of the septic system indicate silty gravel with sand.
Groundwater was found in all the test holes on the lot. The area of Test Hole#3 is a bit higher on
the property, and groundwater eventually stabilized at 6' below grade. Downslope from the test
hole, but greater than 50' away from the proposed trench and alternate, is an area of marshy
ground where water was observed to have pooled at the surface. This appears to be a regular
feature instead of just a result of wet weather or runoff. We are requesting a waiver to apply the
new code allowing for a 50' horizontal separation to surface water and 2' vertical separation to
groundwater with the use of an AWWTS. The effluent from the trench is significantly cleaner
than from a regular system, and there is no additional threat of contamination of groundwater
from this proposal.
The percolation rate was determined to be around 2.1 min/in. A Category III septic system
(Advantex) with an application rate of 6 gpd/sf was used in the design of the absorption system.
We are proposing to place a new 1500-gallon Advantex tank with an AX20 pod, pumping to a
shallow trench 5' wide x 18' long x 2' effective depth. The elevation of the distribution line will
be 2' below the surface. Soil will be mounded above the trench. A minimum of 3' of fill will be
placed over the absorption trench and 4' over the septic tank.
The ground surface on the lot slopes moderately (10-20%) to the west, but there aren't any steep
slopes greater than 25% on the lot. The new trench will be constructed parallel to the slope as
much as possible. It will be a minimum of 100' from all wells and more than 5' away from the
septic tank. The alternate site is located than 10' away.
If the system is constructed as designed, it will have no adverse impact:
• On the wells in the area or those to be constructed in the future.
• On existing septic systems in the area or those to be constructed in the future.
• On reserve space on any lots located in the area.
• On drainage patterns in the area. The current drainage pattern will be maintained.
Sincerely, ec44
...�,Q, ,� V
dir
Benjamin Schiller, PE ve♦'As 4;
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18'LONG x ii'''----WIDE----, 2 \---
1 I ALTERNATE SITE
EFFECTIVE DEPTH
1 1 1
\ NOTE: [ ../- ABSORPTION TRENCH •
NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 50'OF THE
...73--' 9F..1( ' ‘
..c .. .ficskh, PROPOSED SEPTIC SYSTEM
AS...." I, ..0
,;:::*• • • TH ....ft %IS/ ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
• Vul. ;of' /
0 PROPERTY ARE SHOWN.NO CONFLICTS WITH WELLS OR SEPTIC
LEGEND
A• - ; _d, SYSTEMS.
fa • Be ja in Schiller •: deo- MT-MONITORING TUBE
70% L 12592 .••'k-ii. 0 50 100
FCO-FOUNDATION CLEANOUT
vi •• Oct 27.2017 .• ...r.' = = = = FEET
14\9•?;;RorEsso;\V"-gr TH-TEST HOLE
w'kVoLvel•-'4"- 1N=50' CO-CLEANOUT
SOUTHFORK NORTH SUB , BLOCK 4 LOT 1
DESIGN FACTORS: SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW 5' WIDE TRENCH SYSTEM
PERK RATE: 2.1 MIN/IN 1500-GAL ADVANTEX TANK
APPLICATION RATE: 6 GPD/SF CATEGORY III SYSTEM
600 GPD / 6 GPD/SF / 5' WIDE ' 0.70 REDUCTION= 14.0 LF TRENCH
THEREFORE: CONSTRUCT AN ABSORPTION TRENCH 18' LONG x 5' WIDE x 2' EFFECTIVE
DEPTH (CONSERVATIVE). FLOW LINE ELEVATION IN TRENCHES TO BE 2' BELOW ORIGINAL
GROUND SURFACE. TOTAL DEPTH TO BE 4' BELOW EXISTING GROUND. PROVIDE 3' COVER
OR 2' COVER AND 2" INSULATION OVER ABSORPTION TRENCHES AND 4' COVER OVER
SEPTIC TANK.
3:1 SLOPE
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1;--=-1111
1'-6" _ I I I FI I II II
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.-_ [' 1 —, �1- --- _ 6 x 16" DIAMETER HOLES @ 3'O.C.
6" :111-:41 '-•.4-. .>
i' .`•."..i.._*_ (HOLES DOWN)
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I�II�1�1�1:1:1���_•.•=I=I_I_!_!_!_I;I�I�1�I:` -
5'
2' TO GROUNDWATER
6' TO BEDROCK OR IMPERMEABLE LAYER
5' WIDE TRENCH SECTION -,NNNxq �
(NO SCALE) �g.�P• •!F�fr
NOTES: *' 49TH
� •• /
GRADE AREA OVER TRENCH TO DRAIN AWAY ••` . .
MIN 6' SEPARATION FROM BEDROCK Be r in Schiller '
MIN 2' SEPARATION FROM GROUNDWATER 0„•-•.=••• A L12592 ``�
MIN 100' SEPARATION FROM NEARBY WELLS +11 `'oP ....
gl� ROEEssm,
MIN 50' SEPARATION FROM SURFACE WATER OR STREAMS �W���-•*-'�
MUNICIPALITY OF ANCHORAGE ��,�NIMAA
DEVELOPMENT SERVICES DEPARTMENT ��P OF • A+
4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 �•
t9 TH �\ *o
SOILS LOG AND PERCOLATION TEST
�� . Benj n Schiller :
LEGAL DESCRIPTION: SOUTHFORK NORTH SUB, BLOCK 4 LOT I ��III44..Ooct:52 92 .•�a�=�
PERFORMED FOR: FORGE ENGINEERING �'k DPROFESSItAl,\. -..
"NtX\ �I-
DATE: 10-09-2017 PROJECT No.:
PARCEL ID#: 078-141-10 TECHNICIAN: J. MILLETTE Professional Engineers Stamp:
DEPTH TEST HOLE 3
(feet)
I SLOPE SITE PLAN
OVERBURDEN
2 R
3
—r'...1
« tf:
4dm" ,
, .rr! : V
5 A .:s.,.11 .
SILTY GRAVEL W/ SAND SEE SITE PLAN
ft; f;4r v
7 ;:.4:.
F1�''rr
8 —171✓1.2
9 —q
ellWAS GROUND WATER ENCOUNTERED? NO
i';<:"a`t 1•""C BOH 1F YES 4 WHAT DEPTH. - L
11DEPTH OF WATER AFTER MONITORING: 6.0' f,
DATE OF MONITORING: 10/19/17
12
DATE READING GROSS TIME NET TIME DEPTHTONET DROP
13 (MINUTES) (MINUTES) (INCHES) (INCHES)
14 10/19 TEST HOLE PRESOAKED PRIOR TO TESTING:
15 1 3:40 0
16 2 3:49 8:50 6.0 6.0
3 3:52 0
17 4 4:02 10:00 5-7/8 5-7/8
18 5 4:03 0
19 6 4:13 10:00 5-112 5-1/2
20
PERCOLATION RATE: 2.1 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN: 4.0 FT. and 5.0 FT.
COMMENTS:
MUNICIPALITY OF ANCHORAGE `zz���\ ,
DEVELOPMENT SERVICES DEPARTMENT ��•icAi, 114_
4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 f*.ie. rK. 1st
SOILS LOG AND PERCOLATION TEST •••
Benj n Schiller :
LEGAL DESCRIPTION: SOUTHFORK NORTH SUB, BLOCK 4 LOT I +114 e.••. DS.
2p92..• to
PERFORMED FOR: FORGE ENGINEERING k °ROFESS
DATE: 8-12-2017 PROJECT No.:
PARCEL ID#: 078-14 I-I 0 TECHNICIAN: J. MILLET T L Professional En_ineers Stam.:
DEPTH TEST HOLE 1
(feet)
1 i.m. PEAT SLOPE SITE PLAN
2 �?Nc0:- r� p
�'+t`i�j:c:
3 .w
4 -.•* t
O5 {`~;' "� SANDY GRAVEL W/ SILT SEE SITE PLAN
6 0 „ 4.;,
7 C:?{:gli,h4
l':1.1tali
8 $ `°�
BOH
9
10— WAS GROUND WATER ENCOUNTERED? YES
1F YES Qa WHAT DEPTH? 2.5'
DEPTH OF WATER AFTER MONITORING: 2
11— DATE OF MONITORING:9/Z4/17
12DATEREADING GROSS TIME NET TIME D WATER o NET DROP
13 (MINUTES) (MINUTES) (INCHES) (INCHES)
14 8/I? TEST HOLE PRESOAKED PRIOR TO TESTING:
15 I 7:27 0
16 2 7:57 30:00 4.25 4.25
7:58 0
17 . 8:28 30:00 4.00 4.00
18 5 8:29 0
19 6 8:59 30:00 4.00 4.00
20
PERCOLATION RATE: 7.5 (M1N/INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN: 1.5 FT. and 2 FT.
COMMENTS:
MUNICIPALITY OF ANCHORAGE \\`,`
ac,
DEVELOPMENT SERVICES DEPARTMENT P'(�••'
4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 AV. i�4 •%
SOILS LOG AND PERCOLATION TEST 6 , , ,,�. ••
Be in Schiller :
LEGAL DESCRIPTION: SOUTHFORK NORTH SUB, BLOCK 4 LOT I ���frip '.,..aos�2o+li?,.•�G�
PERFORMED FOR: FORGE ENGINEERING ! ``t6tPROFES .........
DATE: 8-12-2017 PROJECT No.:
PARCEL ID#: 078-141-10 TECHNICIAN: J. MILLETTE Professional En:ineersSram..
DEPTH TEST HOLE 2
(feet)
1 — PIcAT SLOPE SITE PLAN
2 V
5 VOL.1444 w;�
��?t.�-�.,,�.t:�;; SILTY SANDY CLAY SEE SITE PLAN
6 0,4:,i..„7.14,
,1
7 {1ti BOH
8
9
10 WAS GROUND WATER ENCOUNTERED? YES
IF YES(q WHAT DEPTH? 2.5'
DEPTH OF WATER AFTER MONITORING: 2'
I 1
DATE OF MONITORING:9/4/17
12
GROSS TIME NET TIME DEPTH TO NET DROP
13— DATE READING (MINUTES) (MINUTES) WATER (INCHES)
(INCHES)
14— 8/25 TEST HOLE PRESOAKED PRIOR TO TESTING:
15
16
17
18-
19-
20
PERCOLATION RATE: (MIN/INCH) PERC. HOLE DIA. (INCHES)
TEST RUN BETWEEN: FT. and FT.
COMMENTS: _65T Ho 4.5 Nor PE2>ceo five To MAT LovOGn So14S_
Wheaton Water Well, Inc.
1190 N.Wasilla-Fishhook Road
Wasilla,AK 99654
(907)376-2041
WELL FLOW TEST
Project: Troy Davis Homes Date of Test: 10-26-2017
Well Site: Southfork North Lot 1 Block 4 Casing: 6"ID Steel
Parcel #078-141-10
Well Depth: 101' with 97.6' of casing Perforated: None
Static Water Level: 17' Date Level Taken: 10-26-2017
Date Drilled: Unknown Drilled By: Unknown
Elapsed Time Depth To Gallons Per Remarks
In Minutes Water Minute
0 17' Start Pumping
6 80' 16
24 71' 5 reduced flow rate
25 64' 5
27 61' 5
64 61' 5
97 61' 5
120 61' 5
150 61' 5
180 61' 5
210 61' 5
240 61' 5 Stopped Pumping
Draw Down/Recovery
0 61' Stopped Pumping
5 48'
10 34'
15 21'
20 17'
Municipality
of
Anchorage
January 12, 1988
P.O. BOX 196650
ANCHORAGE, ALASKA 99519-6650
(907)343-4200
Tom Fink,
MAYOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
Dan Jankie
% S & S Engineering
17034 Eagle River Loop Road #204
Eagle River, Alaska 9.9577
Subject: Lot 1 Block 4 Southfork North Subdivision
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1987.
Permits are issued on a calendar year basis by authority of
Municipal Ordinance. A new permit must be obtained from this
Department for any well and/or on-site sewer system not
installed by the expiration date.
If you have drilled the well, a well log needs to be sent to
this Department for documentation of the installation and to
close the permit. -
If a private engineer inspected the installation of the on-site
sewer system, the original as -built inspection report (three-part
form) must be sent to this office for review and approval, and
for documentation.
Effective January 1, 1988, a new fee schedule is in effect.
When re -applying for a new permit, the new fees are; $90.00 for
an on-site sewer permit; $50.00 for a well permit; $140.00 for
a combined sewer and well permit.
If there are any further questions, please call this office at
343-4744.
Since lyl
Robert W. Robinson
Program Manager
On-site Services
RWR/ljw
enc: Copy of Permit
`
^
~
�
PERMIT NO:
DATE lSS�ED:
APPLICANT:
ADDRESS:
CONTACT PHONE:
870011 ENGINEERED DESIGN
01/14/87
OAN JANKIE
17034 EAGLE RIVER LOOP RD. NO^ 20z
�AGLE RIVER" AK 99577
694^2979
LEGAL DESCRIP: SUBDIVISION: SOUTH FORK NORTH S/D LOT: 1 BLOCK: 4
SECTION: 9 TOWNSHIP: T13N RANGE: R1W
LOT SIZE: 71790 (SQ,FT" OR ACRES)
`
I certify that:
1. I am �amiliar with the requirements {or sewers and wells as set
/ �orth by the Municipality of Anchorage (MOA> and the State o� Alaska.
2. l will install the system in accordance with all MOA codes and regulations�
and in compliance with the desi�n criteria of this permit.
3. I will adhere to all MOA and State o� Alaska requirements �or the set back
distanom any existing well�wastewater disposal system or �ublic
sewerage system on this or any adjacent or nearby lot,
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDINS CODES,
THEN (1> AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPRO WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELEC[RICAL N NSED ELECTRICIAN.
SIGNED
APPLICANT: DAN JANKIE
ISSUED BY
�'�
DEPARTMENT
� HEALTH
AND ENVIRONMENTAL '`OTECTION
825�~/STREET�
ANCHORAGE� AK 99��1
264-472O
������
� ����
��~����
CONTACT PHONE:
870011 ENGINEERED DESIGN
01/14/87
OAN JANKIE
17034 EAGLE RIVER LOOP RD. NO^ 20z
�AGLE RIVER" AK 99577
694^2979
LEGAL DESCRIP: SUBDIVISION: SOUTH FORK NORTH S/D LOT: 1 BLOCK: 4
SECTION: 9 TOWNSHIP: T13N RANGE: R1W
LOT SIZE: 71790 (SQ,FT" OR ACRES)
`
I certify that:
1. I am �amiliar with the requirements {or sewers and wells as set
/ �orth by the Municipality of Anchorage (MOA> and the State o� Alaska.
2. l will install the system in accordance with all MOA codes and regulations�
and in compliance with the desi�n criteria of this permit.
3. I will adhere to all MOA and State o� Alaska requirements �or the set back
distanom any existing well�wastewater disposal system or �ublic
sewerage system on this or any adjacent or nearby lot,
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDINS CODES,
THEN (1> AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPRO WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELEC[RICAL N NSED ELECTRICIAN.
SIGNED
APPLICANT: DAN JANKIE
ISSUED BY
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PERFORMED
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
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DATE PER•F4�1�19 Ar'— -Z 2-V
LEGAL DESCRIPTION: Z— / U T iylk //wg Township, Range, Section:
r—� SLOPE SITE PLAN
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COMMENTS
F/11
61-fW Z.441IrS&T Isz�Ilele
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WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT L
O
DEPTH? P
E
Depth 10 Water Afler„ � „ / /�,
Monitoring? �� Dale: `/�/ / /,�
Reading Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
PERFORMED B`rAGLE RIVER, AK 99577 /I
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINE
72-008 (Rev. 4/85)
r �
CERTIFY THAT T IS TEST WAS PERFORMED IN
EFFECT ON THIS DATE. DATE: i a
V
MUNICIPALITY
Development Services Department Jr
On -Site Water & Wastewater Section
Parcel I.D. 078-141-10
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Phone: 907-343-7904
Fax: 907-343-7997
Expiration Date:
Complete legal description SOUTH FORK NORTH BLOCK 4, LOT 1
Location (site address) 2110 SOUTH RIVER DRIVE, EAGLE RIVER, AK 99577
Current property owner(s) RICHARD HOLT
Mailing address PO BOX 770865, EAGLE RIVER, AK 99577
Real estate agent
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
Day phone
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
®
Private Septic
IR
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑ _
Public Sewer.
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ H 12.. 5 O COSI P
Date of Payment �' u I � mo
Receipt Number 1 � 13
COSA # 052201622
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. 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 for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY ANCHORAGE AK 99516
Engineer's Printed Name CURTIS HUFFMAN PE Date 11/10/2020
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 i P r . • • '`"�
well and septic system. Therefore, any estimate of how long a system will function satisfactory ®g�.. • f �„� $��
for current or future occupants or guarantee that no unseen encroachments, deficiencies or 'oTH
JJ
discrepancies exist can be given by First Water Consulting & FWfS ... ...
.... ..... �.~. '. .
6. DSD/SIGNATURE •'•• Curtis Huffman
./ System #1 Approved for bedrooms �$����c/s� • CE 128991 .����.�'!
�1�FgF� RO
1/10/2920'
S IO�P�'�.v.,►
System #2 Approved for bedrooms ®q�OFESSON
Disapproved
Conditional approval for bedrooms, with the following stipulations:
OF
`�v� 'U�dr
WATER AND
WAS r_v o
,SER4
By: C���A 0_a�ou Original Certificate Date: 1 I o� 3 02 a"
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist
Legal Description: SOUTHFORK NORTH BLOCK 4, LOT 1 Parcel ID: 078-141-10
If more than 1 septic system on lot: COSA Checklist #
of
Structure served by this system
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled UNKNOWN
Total depth 101 ft
Cased to 97 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 11/3/2020
Static water level at beginning of test 20 ft.
Well production at time of test 3.2 gpm
Water storage tank volume NA 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 of Sample 11/3/2020
Comments __________________________________________________________________________________
B. TANK DATA
Age of tank(s) 3 years
Tank type/material STEP-ADVANTEX / STEEL
Measured operating fluid level in septic tank FLOAT LEV.
Standpipes/foundation cleanout per record drawing
Date of pumping 5/5/20 MAINT REPORT
C. LIFT STATION
Required maintenance completed
Age of lift station 3 years
Lift station material STEEL
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 11/4/2017
ALL standpipes present per record drawing
Total measured depth from grade 3.7 ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
Code-required soil cover over field FIELD INSULATED
System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Adequacy test date 11/3/2020
Results Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 620 gal
New depth 5 in
Elapsed time 60 min
Final fluid depth 0 in
Absorption rate 600 gpd
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Comments/Deficiencies:
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
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
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Property Line > 5’ Yes if No
ft
Absorption Field > 5’ 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 *50 ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No
ft
Community Wells > 200’ Yes if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10’ Yes if No
ft
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 *50 ft
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No
F. ENGINEER’S COMMENTS
*MOA WAIVER.
G. ENGINEER’S CERTIFICATION
I certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance
with MOA COSA guidelines in effect on this date.
11/11/2020
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 _ J'\)0y6-.12.e-L of 20 7,0, by and between
W\ fserein 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)
SOUTHFORK NORTH BLOCK 4, LOT 1
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
QW 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
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.
CWOwner 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-hour notice.
U_JV Owner agrees that any sale or transfer of title of the property will not occur without a new
�n ,,' Certificate of On -Site Systems Approval.
VV `� 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. 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:l (signature) Date: � I - Z U - 2 o Z. D
(print name)
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
The fore instr m
20M, bent was
Y_
NO ARY PUBLIC OR
My Commission expires:
ss.
cbefore me th ay of � v ,
omwL SEAL-
STATE OF ALXSi.A
LINDA L M, AIDL
NOTARY PUBLIC
MUNICIPALITY:
By: ��trt (signature) Date: 1 1 12 3
Rt6ccla- acr cA (print name) Title:
(rev. 05/18/2018) Page 3 of 3
P6
6 •
cc8 9 10I �
• _ .� Municipality of Anchor. • 4:�>
On-Site Water and Wastewater Progra MAR 2 2018 ' .,f.l I i
(907) 343-7904 •Y
6 w �s
2 h
Certificate of On-Site Systems Appro•`-�i 6 9 L c)
Parcel I.D. 078-141-10 Expiration Date: Ju-1q 5 Jo
1. GENERAL INFORMATION
Complete legal description Southfork North Block 4 Lot 1
Location (site address) 2110 South River Dr
Current Property owner(s) Troy Davis Home Inc. Day phone
Mailing address 1689 Knik Goose Bay Rd #400 Wasilla, AK
Real Estate Agent Day phone
2. TYPE OF DWELLING:
O Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Individual El
Individual Water Storage ❑ Holding Tank El
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: LiA�r`26a:) "/ Date: 40,0e
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ 11.14-2 Waiver Fee $
Date of Payment 3123t( Date of Payment
Receipt Number ? Receipt Number
COSA# (_)5L1S l 1,05 Waiver#
44
5. 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 for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Forge Engineering Phone 907-522-7773
Address 1399 W. 34th Ave . Suite 203 Anchorage, AK 99503
Engineer's Printed Name Benjamin Schiller Date 3/21/2018
o).•.rkt _I'r. :7 6
r*: 4-10
At49TM / -;Oryj
6. DSDSIGNATUREMP'.
N/ System #1 Approved for q bedrooms A" r,
Benia in Schiller :
System #2 Approved for bedrooms �� '' ;;, c� •12j�92 •\``te'
Disapprovedl'rDY,'OF_Ss0."-- ':f
Conditional approval for bedrooms, with the following stipulations:
•
Q1 ,-c OF q/vyv
V
pN�1TE
g WATER AND
-'.1c32.. NJp,STEG AAMR o
c<) PRO ��
�0%Air SR\I\CC,
By:
Pi-e/�iC� ( ?oto � j��. 7;'m cmc e,L��a cf Original Certificate Date: (ei-vcc`' /1. cad I o-
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory •
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other ;
COSA blue sheet j ., c
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: Southfork North Block 4 Lot 1 Parcel ID: 078-141-10
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) N
Date completed Unknown Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 101 ft. Cased to 97.6 ft. Casing height(above ground) 30 in.
FROM WELL LOG AT INSPECTION
Date of test Unknown 10/26/17
Static water level ft. 17 ft.
Well production g.p.m. 5 g.p.m.
WATER SAMPLE RESULTS:
Coliform AttosbNrcolonies/100 mL Nitrate Lm L-mg/L
Arsenic 11/14 L ug/L Date of sample: ` 1 Wheaton Water Wells
g p � I� �� Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Materi•al STEP/Steel 64d varvtzac) Date installed 11/03/17
Tank size 1500 gal. Number of Compartments 2 Cleanouts(Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) Y
Date of pumping Pumper New construction
C. ABSORPTION FIELD DATA
Date installed 11/04/17 Soil rating (g.p.d./ft2 or ft2/bdrm) 6.0 GPD/SF System type 5-Wide
Length 24 ft. Width 5.0 ft. Gravel below pipe 0.5 ft.
Total depth 3.3 ft. Eff. absorption area 120 ft2 Monitoring tube Y Depression over field N
Date of adequacy test New Const Results(Pass/Fail) For bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date
D. LIFT STATION
Date installed 11/04/17 Size in gallons 100 Manhole/Access (Y/N) Y
"Pump on" level at 48 in. "Pump off' level at 42 in. High water alarm level at 54 in.
Datum Bottom Cycles tested 2 Meets alarm&circuit requirements? Y
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot >100' On adjacent lots >100'
Absorption field on lot >100' On adjacent lots >100'
Public sewer main >75' Public sewer manhole/cleanout >100'
Sewer/septic service line >25' Holding tank >75'
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
>5' >5' >5'
Building foundation Property line Absorption field
Water main >10Water service line >10 Surface water 50
Wells on adjacent lots >100
ABSORPTION FIELD ON LOT TO:
Property line >10Building foundation >1 Water main >1
Water Service line >10Surface water 5 , Driveway, parking/vehicle storage >1
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
*Waiver in file for tank/absorption field to surface water separation.
G. ENGINEER'S CERTIFICATION „%,'�`�t�NkiN
I certify that I have determined through field inspections and rr�.taQ;•'•• ZIA
review of Municipal records that the above systems are in •49TH '••*��
:Sir:
conformance with MOA COSA guidelines in effect on this date. •,
Engineer's Printed Name Benjamin Schiller •• s aI4 e
3/21/2018 •,n,. in Schiller : j
Date !UV% C 1492 •..
itk ;•.Wytat.•`e'er
, icy
COSA brown sheet 10-10-12.doc
Wheaton Water Well, Inc.
1190 N. Wasilla-Fishhook Road
Wasilla,AK 99654
(907)376-2041
WELL FLOW TEST
Project: Troy Davis Homes Date of Test: 10-26-2017
Well Site: Southfork North Lot 1 Block 4 Casing: 6" ID Steel
Parcel #078-141-10
Well Depth: 101' with 97.6' of casing Perforated: None
Static Water Level: 17' Date Level Taken: 10-26-2017
Date Drilled: Unknown Drilled By: Unknown
Elapsed Time Depth To Gallons Per Remarks
In Minutes Water Minute
0 17' Start Pumping
6 80' 16
24 71' 5 reduced flow rate
25 64' 5
27 61' 5
64 61' 5
97 61' 5
120 61' 5
150 61' 5
180 61' 5
210 61' 5
240 61' 5 Stopped Pumping
Draw Down/Recovery
0 61' Stopped Pumping
5 48'
10 34'
15 21'
20 17'
ARS Aleut Analytical
Wheaton Water Wells Inc. Report Date: 3/26/2018
Attn: Debbie McWilliams Receipt Date: 3/12/2018
1190 N.Wasilla Fishhook Road Sample Date: 3/12/2018
Wasilla,AK 99654 Sample Time: 1:22:00PM
907-376-2041 Collected By: DG
Fax:907-376-2030
Flag Definitions:
Client Sample ID: Southfork LI B4 MRL=Method Reporting Limit
MCL=Maximum Contaminant Limit
Sampling Location: Southfork LI B4 B=Present also in Method Blank
Client Project: Well Safe I H=Exceeds Regulatory Limit
Sample Matrix: Aqueous M=Matrix Interference
J= Estimated Value
D=Sample Dilution Required
**= RL higher than MCL;target not detected
TNC=Too Numerous to Count-result rejected
CF=Confluent Growth-result rejected
TCNG=Turbid Culture No Growth-rejected
Lab#: W1803017-01A
Sample Comment: Southfork North Lot 1 Block 4
Preserve at sublab
200.8-As
Analysis Method DilPrep Analysis
Parameter Result Units Flags MRL MCL Factor Date Date Analyst
200.8(Aqueous)-200.8 Well Safe I Test was conducted by:(ARS)American
Radiation Services,LLC
Arsenic <MRL ug/I. NDD 10 l0 10 3/20/2018 3/20/18 18:59 BONES
Lab#: W1803017-01B
Sample Comment: Southfork North Lot 1 Block 4
Analysis Method Dil piep Analysis
Parameter Result Units Flags MRL MCL Factor Date Date Analyst
9223B-PA(Aqueous)-Coliforms in DW Test was conducted by:ARS Aleut Analytical,LLC
E.Coli Absent Present/Absent NA 1 3/13/2018 3/13/18 15:31 DRP
Total Coliform Absent Present/Absent NA 1 3/13/2018 3/13/18 15:31 DRP
Page 3 of 4
ARS Aleut Analytical
Wheaton Water Wells Inc. Report Date: 3/26/2018
Attn: Debbie McWilliams Receipt Date: 3/12/2018
1190 N.Wasilla Fishhook Road Sample Date: 3/12/2018
Wasilla,AK 99654 Sample Time: 1:22:00PM
907-376-2041 Collected By: DG
Fax:907-376-2030
Flag Definitions:
Client Sample ID: Southfork LI B4 MRL=Method Reporting Limit
MCL=Maximum Contaminant Limit
Sampling Location: Southfork Ll B4 B=Present also in Method Blank
Client Project: Well Safe I H=Exceeds Regulatory Limit
Sample Matrix: Aqueous M=Matrix Interference
J= Estimated Value
D=Sample Dilution Required
**= RL higher than MCL;target not detected
TNC=Too Numerous to Count-result rejected
CF=Confluent Growth-result rejected
TCNG=Turbid Culture No Growth-rejected
Lab#: W1803017-01C
Sample Comment: Southfork North Lot 1 Block 4
Analysis Method DilPCep Analysis
Parameter Result Units Flags MRL MCL FactorDate Date Analyst
4500-NO3E(Aqueous)-Nitrate+Nitrite pres Test was conducted by:ARS Aleut Analytical,LLC
pH on receipt: < 2
Nitrate-Nitrite as Nitrogen <MRL mg/L 0.10 10 1 3/20/2018 3/20/18 15:00 AAS/CS
Page 4 of 4
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ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
AND '( t (t yr 40 H-
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
Day of April of 20 18,by and between V:‘cLc rct +4,1-4
herein the"OWNER,"and the Municipality of Anchorage,herein the
"MUNIC[PALITY." In consideration of the mutual covenants contained herein,the
parties to this Maintenance and Repair Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. Municipality grants permission to
Owner to utilize and operate an Advanced Wastewater Treatment System
(AWWTS),described as
ADVANTEX SYSTEM
located at(legal description).
SOUTHFORK NORTH BLOCK 4 LOT 1
2. Definitions.
Alteration. Any change to the design or function of an AWWTS that
includes the installation or removal of any parts,components or pieces not
included in the original construction permit and design.
Certificate of On-Site Systems Approval(COSA). An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with Anchorage
Municipal Code(hereinafter, "AMC") 15.65. These approvals certify that
the systems are adequate for the homes that they support and meet the
codes that were in place at the time of system construction.
Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
Maintenance and Repair. The scheduled and as needed replacement of
existing parts,components and pieces of an AWWTS that were included
in the original design which would allow the AWWTS to continue to
perform as designed.
Permit. An On-Site Wastewater Disposal Permit as required by AMC
15.65 to construct and operate an AWWTS.
3. Term. The term of this Maintenance and Repair Agreement shall begin on the
date of approval by the Municipality to operate the installed system or issuance of a
COSA, and shall continue while the AWWTS is in use or is operational or until the
property is sold or title is transferred by the owner and a new COSA is issued to the
new owner or transferee of the property.
4. Alterations,Installation and Removal of Additional Equipment. Prior to
performing any alterations to an AWWTS, the owner agrees to obtain an On-site
Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65.
5. Maintenance and Repairs.
A. Throughout the term of this Maintenance and Repair Agreement,the Owner shall
maintain their AWWTS in a satisfactory condition capable of producing treated
septic effluent in accordance with the equipment's approval for operation in the
Municipality. The owner shall enter into a service agreement with an AWWTS
service and maintenance provider approved by the municipality and the
manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it
shall be the responsibility of the Owner during the term of this Maintenance and
Repair Agreement,and any renewals thereof,at the owner's sole expense,to pay
for any and all: (1)repair(s), (2)maintenance,(3)adjustment(s), (4)replacement
costs,and(5)inspection costs.
B. Owner agrees to comply with all applicable ordinance,laws,regulations,rules
and orders for the AWWTS.
C. Upon request by the Municipality,the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor,the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS
may be assessed in accordance with AMC 14.60 for improper discharge.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance,repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
G. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On-Site Systems Approval.
H. 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.
6. Nonwaiver. The failure of either party at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions,nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof,or the right of such party thereafter to enforce each and
every provision hereof.
7. Amendment.
A. This Maintenance and Repair Agreement shall only be amended,modified or
changed by a writing,executed by authorized representatives of the parties,with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement,the only authorized representatives of the parties
are:
a. Owner: -+ c-d j(4-
b. Municipality: Director. Community Development or designated authority
C. Any attempt to amend,modify,or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair 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 Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
OWNER:
By: ` 4 . (signature) Date: V/2/2.0 l Q
cLrAcA A -Y1,1 (print name)
STATE OF ALASKA )
)ss.
THIRD JUDICIAL DISTRICT )
The foregoin instrument was acknowledged before me this 3 day of rt I
20 la)by .C�.4►'d 14 I t .
Notary Public
MICHELLE CAMPBELL
�u.� / State of Alaska
NOTARY PUBLIC FOR MY Commission Expires March 28,2022
My Commission expires: A/%�zilt z, �. -)
MUNICIPALITY:
By: (signature) Date:
(print name) Title: