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HomeMy WebLinkAboutSPENDLOVE VIEW HEIGHTS BLK 2 LT 4pendlove View Heights Block 2 Lot 4 #021-021-29 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: NSA PID Number: 021-021-29 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name RON SHINE ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 13431 CANYON ROAD'ANCHORAGE, AK El Other Phone Number of Bedrooms Soil Rating depth from original grade 907-227-9201 4 4 GPD/SF JTotal UNK Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe .03-.53 Ft. Subdivision Block Lot SPENDLOVE VIEW HEIGHTS; BLOCK 2, LOT 4 Fill added above original grade SEE DWG. Ft. Gravel length -15 Ft. Township Range Section N/A Gravel width -15 Ft. Beds: Number of Lines 3 Distance between lines -5 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank • Line 225 __. Ft' ' Ft Well 100 1 + 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 1 00'+ Gal. Material Number o mpartments Lot Line I 10,+ NA -� LIFT STATION Fourda{;on ** ®`+ C �> Manufacturer Capacity Remarks .`pER 2009 INSPECTION REPORT BY LARS SPURKLAND, PE Gal. —ABOUT 5 FEET TO DECK POST; DOCUMENTATION OF A UNPERMITTED DRAINFIELD Alarm loc n Electrical installed by UPGRADE PERFORMED IN 2017 (?) Installer PIPE MATERIAL House to tank EXISTIn Tank to EXISTII drainfield A+ HOME SERVICES Drainfield D1785 CO/MTD3034 Inspector INSTALLED WITHOUT INSPECTIONS AND/OR PERMIT BENCH MARK (Assumed elevation) 100.00 ft Inspection 1st _ _ Location and description dates: 2nd 3rd 4th _ _ DECK STAIR CONCRETE SLAB ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date pp'60�� QTH 9O p........ ..... . ........ ........ OQ fr Septic System Approved Date 8 0�� . f Q 9� CE -7953 O �p�rPre��.t.J.Z7•�p Note: this approval does not include well permit requirements. #AEc�044p0000��� kmev u31vu-10f A l�U \O T0-4 1 bQ-&roo �� ©r,t y �ec�,�oowt CzPP, rbv� co PERMIT NUMBER: RECORD D RAW I N G PARCEL ID NUMBER: A 021-021-29 A B /MT1 16.1 28.6 MT2 13.4 20.5 / MT3 26.6 25.2 MT4 27.4 30.9 1 p�JS D II Q MT2 MT3 A O - .- DECK t- le 9 M ._ �_ EXISTING BIOCYCLE Z ASSUMED LOCATION OF SEWER LINES ' Z<I QO U ' I 10' UTILITY EASEMENT — EXISTING 3 +�*"' ;•'� BEDROOM HOUSE / LOCATION OF WATER LINE; PROFESSIONALLY LOCATED BY ARCTIC EFFLUENT (RETAINED BY PROPERTY OWNER) ON 1/27/2022 - SEE ATTACHED LETTER REGARDING WATER LINE �h~ II B MT2 MT3 A b �-►'I - .- DECK t- le 9 M ._ �_ EXISTING BIOCYCLE ASSUMED LOCATION OF SEWER LINES ' SPENDLOVE DRIVE -PHYSICALLY MEASURED -8' FROM EDGE OF MT TO WATER LINE LOCATE 'APPROXIMATE LOCATION OF BED; MTS WERE NOT INSTALLED IN BED CORNERS EXISTING ADU ENGINEERING 6 SALES* CONSULTING.. mmaw ��} 3701 E. TUDOR ROAD, SUITE 101 `ANCHORAGE, AK 99507' PHONE (907) 3376179' FAX (907) 3383246' WEBSITE: -gam-gin-ring... PREPARED FOR: PHONE NUMBER: PAGE NUMBER. RON SHINE 907-227-9201 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SPENDLOVE VIEW HEIGHTS; BLOCK 2, LOT 4 D.J.G. TYPE OF WORK: DATE: RECORD DRAWINGS OF UNDOCUMENTED SEPTIC 1/31/2022 z ...�,la "aar� �.,P�E,..j , f �'y�♦ 0.......... 9 ........ ....... . .... ... ... 0 .... .. .. ..................... 0, r Gam S to AW 0 * #' x CE -7 53 �!- 1 2 • W •��ESSI�i�� LICENSE It #AECC884 ��»� ARCEL ID PERMIT'NUMBER: RECORD DRAWING P021-021N29ER: N/A d Z.016 MT MT ® r FINAL GRADE = 100.40-100.74 4ig 2" INSULATION I MOA SAND FILTER 15' WIDE (APPROX.) FILTER FABRIC ORIGINAL GRADE = 97.4 PER MOA RECORDS OF NEW SAND = 97.24-97.79 1" PVC SCH 40 HOLES FACING UP WITH ORIFICE SHIELDS (PER ORIGINAL DESIGN) INVERT OF DISTRIBUTION LINE = 97.71-97.81 L BOTTOM OF EXCAVATION = 95.30-96.13 EXPOSED BOTTOM OF SAND AT EACH CORNER D.�z14 A- —c,?j I .�c m c mXrown ENGINEERING -SALE'S,.CONSULTING mwm - am 3701 E. TUDOR ROAD, SUITE 101 "ANCHORAGE, AK 99$07"PHONE (907) 33Jfi779"FAX (907) 334B-3246"Vt£BSITE: wnw.g®rnessenginaerin— , ... ...... .- ..• PREPARED FOR: RON SHINE PHONE NUMBER: 907-227-9201 PAGE NUMBER: 3 OF 3 ffrey A. Gamess Q 0j�i °�*-J :, CE 79 3 +' LEGAL DESCRIPTION: SPENDLOVE VIEW HEIGHTS; BLOCK 2, LOT 4 DRAWN BY: D.J.G. t .� �j' " �v� W TYPE OF WORK: �, DRAINFIELD PROFILE DATE: 1/31/22 LICENSE,44 `�';��� • #AECC884 LOT 3 c $2838 4) I m EAST 195.00 30 W_ 10' Utility Easement — — — — — — --- — — — — — — — — c I o I I I I LOON LOT 5 38 7 0 } Y N House o 8.0 LOT 4 24.0 N O O z ( I I m 10.0 L6 t c1 z I 7.0 ¢o I I cTi l 0 I � 42.0 N ,Septic vent (typ) C14(I CO deck 0 CN r� `� z deck Q I ( x0 2 1t2 Story 32.00 Z �) �i o Frame o a o ,o,� House 6 32.0 30. 30 EAST 175.00 L — SPENDLOVE DRIVE — — RECERTIFIED 1-3i-22{ `'�►`� ` AS -BUILT NO CORNERS SET THIS DATE OF . At t� I hereby certify that I have perforated a Mortgagee's inspection AW r in accordance with ASPLS Standards of the following described property: LOT 4 BLOCK 2 0: � nth *#SPENDLOVE VIEW HEIGHTS Vic' r' " 4• • Anchorage Recording Precinct, Alaska, and that the . , a improvements situated thereon are within the property lines and do not overlap or encroach on the property lying rf,izabetlt a adjacent thereto, that no improvements on the property hang LS adjacent thereto encroach on the premises in question and '+� f i « , • o r that there are no roadways, transmission lines or other SCALE: 1 = 50' 0 sstot�r+ `1.ey,"► visible easements ments on said property except as indicated % Dated at Anchorage, Alaska this 1st day of MARCH 2006. EASEMENTS OF RECORD, OTHER THAN FB 21-7, pg 43 THOSE SHOWN ON THE RECORDED FRED WALATKA 8 ASSOCIATES. L.L.C. PLAT ARE NOT SHOWN HEREON Recert 6-16-10 BE gp7-24&1666 Engineers and Surveyors UNLESS OTHERWISE NOTED. FB 06.1, pg 57 This drawing Is a representation of conditions found at the time tfte mortMe location survey was performed. This document does not constitute a boundary survey and is subject to any Inaccuracy that a subsequent boundary survey may disdose. The Information contained on this drawing shall not be used to establish any fence, structure or other improvements. This drawing shell only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Wallatka is a violater of Federal Copyright law. Unless gross negligence Is discovered, the liability extent of the preparer is limited to the amount of fees collected for services In preparation of this product„ i P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section Waiver#: OSV221008 COSA#:OSC221037 Permit#:OSP211023 PID#: 021-021-29 Legal Description: Spendlove View Heights Block 2 Lot 4 Engineer: Garness Engineering Group Applicant: Ron Shine I�cpartmcnt Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the private water service line has been approved. The approved separation distance is 4.0 feet. See engineer's waiver request and owner information on water service line construction for justifications. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ■■aamaamaaaaaavaaamamaaaaaaavvaaeaaaaammvvaemvmaaaaaaamaaavavaaaamavaaaamaaamv� Waiver is Granted: X Waiver is not Granted: Date: a g o� _ : Approved b gLc� — Y a�a— Name of Reviewer aavaseaaaavvaanmvaamamvaaaaaaavvvaeavaammaveaaeeava0avavaaaaamaaaamamaaaaa0aaaI A7�AR . Eh1GIiEERthICi SALES- C©NSULiING- , a «.rrrd r February 1, 2022 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Documentation of Spendlove View and Heights; Block 2, Lot 4 drainfield To whom it may concern: The subject lot is served by a private well and septic system. Per the owner, the system was rebuilt (and expanded) in 2017 without a permit and/or engineering inspections. On 1/26/2022 the system was partially exposed (by A+ Home Services) to document what was installed (length, width, top of pipe, top of sand, bottom of excavation). Attached are record drawings which shows the approximate location and system elevations. Below is a table of the elevations of the bed that were exposed in the field: In addition to our documentation/excavation, the homeowner provided several photographs of the 2017 installation (attached). As can be seen on the attached pictures, there are three lateral lines in the bed. In addition to the septic, the homeowner had an ADU built on the lot that is served by the well and septic system. The water line from the existing property to the ADU was professionally located (by Arctic Effluent) and its approximate location is shown on the record drawings. It should be noted that the closest MT is approximately 8' from the water line and the MTs were not installed at the corners of the bed. We are conservatively requesting that your department issue a variance from the drainfield to the water line down to 4 feet. The 2018 Uniform Plumbing Code allows for a 5' separation (H20 service line to drainfield), so the requested variance is not extreme. The water samples for the well were negative for bacteria. If you have any quespons, please contact us at 337-6179. Thank you for your assistance. , M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Website: www.gamessengineering.com .®•.�, p F. � Sal %`9 j/::.�1........... (fray A. Garnass -kAW cis CE -7953 r PancccclON��'..r," � 7- •� 0 TOP OF SAND ELEVATION PIPE INVERT ELEVATION BOTTOM OF SAND/EXCAVATION SOUTHWEST CORNER 97.29 97.71 95.30 NORTHWEST CORNER 97.24 97.76 95.16 NORTHEAST CORNER 97.46 97.81 95.90 SOUTHEAST CORNER 97.79 97.81 96.13 In addition to our documentation/excavation, the homeowner provided several photographs of the 2017 installation (attached). As can be seen on the attached pictures, there are three lateral lines in the bed. In addition to the septic, the homeowner had an ADU built on the lot that is served by the well and septic system. The water line from the existing property to the ADU was professionally located (by Arctic Effluent) and its approximate location is shown on the record drawings. It should be noted that the closest MT is approximately 8' from the water line and the MTs were not installed at the corners of the bed. We are conservatively requesting that your department issue a variance from the drainfield to the water line down to 4 feet. The 2018 Uniform Plumbing Code allows for a 5' separation (H20 service line to drainfield), so the requested variance is not extreme. The water samples for the well were negative for bacteria. If you have any quespons, please contact us at 337-6179. Thank you for your assistance. , M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Website: www.gamessengineering.com .®•.�, p F. � Sal %`9 j/::.�1........... (fray A. Garnass -kAW cis CE -7953 r PancccclON��'..r," � 7- •� 0 12:11 .:;,i5GE � Today 12:11 PM Hi Dave, not replied to you went throughfor Muni e questions. used • pe K purchased from Ferguson. Definitely2. a joint,one continuous froms • th 4) 1 49-2 j L—�K (2, rj Ur r Ar F, (-"� Li I %,-D I j oaj-) C, � r4-0 'Z C: §.:4 9>Amg�" 9 --r- Lo Municipality of Anchorage ( Development Services Department i Building Safety Division " On-Site Water and Wastewater Program. 4700 Bragaw St. P.O. Box 796650 Anchorage, AK 99579-6650 Page of www.ci anchorage.ak.us (907) 341.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S W o5Q Lfr9 PID Number: 0+21 - 0 2t - 29 Na" Wastewater System: ® New ❑ Upgrade on sk-...e a eee /VNiY Ca n oaf ABSORPTION FIELD Pn Nw of Beo'oomF O Deep imam D $nano. Tln (Bea X MOW. O Otw LEGAL DESCRIPTION $al Ramp (0 Taw Depen hprrl aprul paae O'S x Fl. (✓ GPDwt° BiuA LM$Wo�w,s/wn / DWh to pipe Croom ham Wig" grrW Grsvel aegis DMwwh Ppe 0.5 2 S O V W !1 ^ +' 1 Ft Ft iownan�p Rarge Ssawn' FA saga wMW agnr gra 3.5 C." LeVn 15 FI. FI. Well: ® New E]Upgrade Gr" w h 10 Num a Ines 2 DIwwICe MF.eea Ines 5 FI Fl. c4so'.1-M (P-,W.. A, B. DI I Taal Depen. Cassa to 52 Taw aosorgI- wea 150 Ft' Pepe Mwenw PVC SckeJt4l 10 Priv a lob Ft. Ft Dane• A inc ri �'n Dwe Dalaa ID-30-05 $I"K Wnw LevN /$ Fl "a1w A+ lrla e, �Pr Dela imlwba 10/18/0-S Yiaa Pump Sw at camp H.9a Aoove C-a TANK 5 GPM VM KA O Ujn FI. 2 Ft SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. ."her. To Septic Absorption Lift Holding ubhTJPnvate ar""aol"ef 6101 p ly GalI6IXI From Tank Field Station Tank Sewer Line LE. W"' loo'+ '100+ looi — 2s'+ Maw FF6! %ss Numaw a Gaaywmwae q SWtxe Watw lop + loot loo + -' LIFT STATION La Li.p+ IoL+ to'+ — Ka b00 Gw MWM BIOC LC FaWWwan ,c'+• lo'+• •PWrp Ori MWw 'Poop Olt brw al / Win wwa taro. _ Pump Moo 6 Meoal Eieantal vnp ws 51,1�d Cy fd Conan Drwn a NA N 45yep- Pnt Ly. Rema"• BENCH MARK Louuon aaa Dow,". Dec S+Ai� S A ove>eel. WnNJ .avelgn y 100 FL OtOLYJAW-AP+A4-,enti.L.-Ai9 Inspections performed by: L'Ars Spur kj-Ancj Dates: 1" l` fe o .�E���cl'til��p _ OF .A� 1, Development Services Department Approval y 49TH*10 Approval Date: OL Conditional r✓a'•"•��!!t?.. ,LARS SPUR{LAAO; V100 an /lei C��O12 I9�0!v.� Reviewed and approved by: ✓ % cw Date: PN�fES510C1P� (Rs.aai W LQ Nj lye - — — — — — — — — — -i Ia I t — — — — — — — — — o I I O 2 I I Well o o I 4 -Bedroom House r] Septic! Area A B 0 17.0 E 18.0' 12.51M • asrAttED erocrttE I —OfDROGW 1KK/NO I TOTAL LENGTH 15 R I TOTAL WH 10 R as R sLWER Rocx OTH 10 R COVER � 100 R 517Ii1CK , LOT 4 � I V SuerAEE VATER IN DIT (TRPL SPENDLOVE DRIVE I ¢ Well — — — I I I I House I L'S 75 1Go SCAT y- = 50 FT. I SPURKUND ENGINEERING LT 4 ELK 2 SPENDLO�E VE/W HEIGHTS I I SEPTIC SYSTEM ASBU/LT I 203 W 15TH. AVENUE DATE. -JANUARY 3, 1006 RON SHINE ANCH. AK. 99501 SHEET. 21J GRID. 2942 ,,,,,_� NHN CANYON ROAD # SVO50169 PID �• MLwrraR ASTM 3034 TFST NOIL n� GRADE TO DRAIN n 8 nrrvrnr T11iN I I W..= 102' ORIGIMAL GRADE [LEV.= 97.4' BACK FILL 3' 98.4' 1'1 2-1/2' MINIS CLEV.= 97.9' • • • `. FILTERSAND .34 Yl AI • [LEY.= 95.9' GROUND RAW 6' MIN ELLv.= 9L4' 93.9 L. 5. R4' MAX B.O.N. [LEY.= 90.4 1' 0© N CLEAN OUT FINISfCD GRADE AVAY TOP IN ALL DIRECTIONS ♦/- 101' 11 � b 4PVC INRUENr LD PPRIMARY CHAMBER • AERATION CHAMBER •CLARIFIER in •DISCHARGE CHAMBER �BOTTON DF TANK INSTALLATION ...; ....... BLLiBQARD INsuanD+ L EXCAVATE A 10' x 10' x 10' DEEP HIE FLR B10CYCLE SYSTEM 1 �-� 14' SAA'D/GPAVfL 2. PLACE A MINIML44 D'4' SAND OR GRAVEL FDR LEVELING CURSE IN TIC BOrTCH Dr PC EXCAVATION LLD�ACT£DCDA7SE, COMPACT AS REOUMB. ? PLACE 4 SHEETS DF e x 8' x 2' DIRECT Bl.RIAL RIGID INSLUArlaV ON TDP OF COMPACTED LEVELING CORSE TO PROTECT BOTTON Or FIBERGLASS TANK. TAKE EXTRA CARE TO ASSWE THAT INSLEATIM CDAPSE IS LEVEL IN ALL DIRECTIONS 4. BACKFILL ARD.ND TANG LP TO invar LF 4' INFLLENT AND 1-1/4• EFFLLENr LINES VITN FREE-FLOVINO NSF MATERIAL FREE DF LARGE STEWS LR BDX.DERS 15. — I MDNlrLR TUBE / AVEL BACKFILL b C 1-1/Y SCFCDLCE 40 PVC V/ 3/8' HZfS 230' MLINITOR TUBE h /� SAND L"J2 BENCH MARK DECK STAIRS SLAB ASSUMED ELEVATION 100' G] 1006 SPURKLAND OVE VIE 203ANCA 5 . Ol NUENG LNBLK2NHNECANYONN ROADp HEIGHTSI ISEPTIC SYSTEM ASBUILT SHEET. 3/3 DATE. JANUAR GRID. 2942 I RON SHINE I PERMIT a SVO50169 PID N 021-021-29f SVH02042DVG vevis?A &-5-oi-> bent by: bnlne Hones; 8075223860; Dee -14.O6 12:27PM; Page 212 ALPINE DRILLING & ENTERPRISES vParcel Identi$estloa Number. f-2 permit Number. #SW060169 Date of Isaae: OMit location? ® Ye. No Date Startedt L29-05 Dltte Compku� d:& Is well bcsud at appmved Pew' L*0 DeacriPtlon: Property Owner Name & Address: Ron SAO Rd porebole Data: Soil Type, Thid:ne" & Water Strom (ft) From To . sUak-Up 0 2 2 20 silty sandy Gravel water sand b Gravel 2G 23 gravelly blit 41 ar7ty watersand andgrMl 41 41 42 grove#Y BE 42 49 49 108 bedrock Mashed of Drilling ® Alf rotary ❑ cable tool Caafng ": Al4Si Wall Thickness: .250 inches Diameter: ¢ inches Depth: S feet I,facr Type: Diameter. inches Depth: feet Casiv4 sdckup above ground: $ feet Static water level (from ground level): 1Vcet pumping kvel:10 feet afler 2 hours purnping SDm Receyery Rate: ¢ Urn Method of Testing: till Wen Intake OpcaioR Types 0 open Fad ® Open Holt 0 Screened Start feet Stopped ket 0 perbrteions Start feet Stopped feet GrentType: r,, r ..,rtJe� Volume:$ Startgfea Stopped2feet lump: Intake Depth feet Wen Disinfected Upon Complet'"? ® Yea ❑ Method of Disiafeetlon: GAiQdP_ems Commeftta: Well Domer. AJPine Or'n;ng & Fnterprfses AncWrage Ak 9951 f log to the property owner vnthin 30 days of completion and the prope:ry Attendoa: The well driller dull prorido a well _ .\ _:.\ 1..... ,. I September 1, 2009 To: Municipality of Anchorage Building Safety Division, C/O On-site Water & Wastewater Program Department Subject: Wiring of residence 13431 Canyon Road Anchorage, AK 99516 Permit # 05-0553, Legal description lot 4, Block 2, Spendlove View Height 1, Ron Shine, the owner of the above residence, had performed the task of electrical wiring work to the best of my knowledge and that it was done in according and compliance to the to Municipality of Anchorage's electrical Code. MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO50169 Date Issued: Jun 08, 2005 Expiration Date: Jun 08, 2006 Parcel ID: 021-021-29 Legal Description: SPENDLOVE VIEW HEIGHTS SUBDIVISION BLOCK 2 LOT 4 Design Engineer: 0007 Tobben Spurkland, PE Owner Name: RON SHINE Owner Address: NHN CANYON ROAD ANCHORAGE. AK 99516 - Site Address: NHN CANYON ROAD Lot Size: 47689 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit Is for the construction of: M Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well ❑ Water Storage All construction must 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 engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. -THE UPPER SIX INCHES OF A MOUND SYSTEM MUST CONSIST OF TOP SOIL; AND THE MOUND MUST BE VEGETATED SUFFICIENTLY TO PREVENT ERROSION. -A MAINTENANCE AGREEMENT NEEDS TO BE SIGNED AND SUBMITTED WITH THE AS -BUILT. Received By: IF Date: VMS, DS Issued ByDate: g \ Municipality of Anchorage •\ Development Services Department Building Safety Division On -Site Water and Wastewater Program s 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. n71 - 0,2_1 -;Lq Permit Number SW Property owner(s) _ Roe% S1 .,,e Day phone _ GZ2 - 3882 Mailing Site address__ _ Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size L4q) U `I/n�Acr Sq.F THIS APPLICATION IS FOR: Code 995'/6 —zip Code W 5 Number of Bedrooms 9 Sewer Only ❑ Well Only ❑ Sewer and Well �? Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: (46D.61) f t?S -L Waiver Fees: Date of Payment: Date of Payment: Receipt Number.. SReceipt Number: (Rev. 09/04) r Environmental ConsuHing and Design SEPTIC SYSTEM DESIGN LOT 4 BLOCK 2 SPENDLOVE VIEW HEIGTIIS Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 May 20, 2005 We are submitting an application for the installation of a well and septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: Groundwater at 3.5 Ft. Use Mounded Bed with BioCycle Soil Rating. From Testhole 05/16/05. < 1 min/in - 6 gal per sq.ft/day No. of Bedrooms 4 Required Area per Bedroom: 15016 -25 sq.ft. Total area required: 25 x 4 —100 sqft Bottom Rock At+0.5feet Top Rock At + I feet Rock Depth 0.5 feet Total Bed Length 100 /10 - 10 feet USE 15 FT SYSTEM CONFIGURATION BIOCYCLE STANDARD BED TOTAL LENGTH 15 FT TOTAL WIDTH 10 FT TOTAL DEPTH 1.5 FT FILTER SAND 2 FT ROCK DEPTH 0.5 FT COVER 3 FT The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. 203 West 15t6 Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng@gci.nct � I I � III LOT 2 I III I LOT 8 I� g�1 L T3 2 ISN A I® 0 I II � L III � III ��---_ _------ t Lar? I i proposed Wett Pro P osed I J1�' Z Flouse 1 O1� } o raD —rrFr — ITT — — —�e� — — — — — — — — — — — LQ Iq I LOT 4 LOT 5 1 LOT 6 VACMT _ 1 ST.RFACL V CR M D/TCN ITR/CKLf7 _ — SPENDLOV£ DRIVE 1 House —LOT 3 M�vsusull ,f Lar 1 Lar 2 1 ••. QBE ............. ��1#I = 49th j�/� �... o TDBB N SPURKLAND � I Inc I ���f •., No. CE -2225 50 0 50 I ! 150 200 ?50 300 •••�-4 L$$l�•••� • SLiaLE+ 1. = 100 rT. 4������� IUuuen ZrUKAuryU rc. LOT 4 MOCK 2 SPUPLOVE VEN HUGBTS SEPTIC SYSTEM DESIGN 203 W 157H. AVENUE ANCH. AK. 99501 RON SHINE DAT£.• MAY 19, 1005 907 279-3916 11 SH£ET. 1/3 GRID: 2941 PERMIT #SV020XXX PID # 016 -141 -XX SVH02041.DVG I :I I< CZ �I Septic Area IL - - - - - - - - - - - - - - - - - - - - - - - - - -- - -- --Ir-illL11YfA T - - - --- -- Proposed Veil i? g Proposed 4 -Bedroom House I I BlSTA[L BAOCTCtt mam I I ! ioT- u tcMcm O ' m ' J iriIrn0"W o,�a W II ,00rT5fWR� Te thole) p O COVCR -------- rR&DALE �rsaff�TB---I--- - - - - -- I I I ? I LOT 4 I I I r— Su�ACr VA TER IN DI IIR.Xnn SPENBL17VE BR1V£E,OF ♦♦♦♦ ' 49th °• ♦�� Well ................ I TDD SP ND I IF, HouseI ♦� s;,No. CE -2225 zs o v 75 SCAT �• = 50 FT.Iro �—� / I ♦♦�♦��,��••.- T098£N SP.E. 203 W 15TH.7H. AVENUE LT 4 BLK 1 SPENOLOff VE/W HEIGHTS SEPTIC SYSTEM DESIGN AVENUE ANCH. AK. 99501 RON SHINE DATE. MAY 20, 2005 (907) 279-3916 11 SHEET. 2/3 GRID. 2942 I PERMIT # PIB # ' 4' ACWTER ASTM 3034 ORALC TD PRAIN 607UTILE 3 BACK faL —Ir fOIVD1AllIN CLEAN OUT VADCD SEVER RGCK IAM ' ' •. �.s• OGr. /XTEA SIAM' IaW.' ' -•'�'"— SLOPE flNISICD LFALC AVAY TI fROI P IN ALL DIR£CTfL1MS' . • • : •`, ,1!' , ;. •NI ?'' 15' ---� � HOUNDED BEDPVBISMIRL NTS I "J7 PVC DLCNr m PPRDAY CHBER 0AERAIl�CUMBER A ®DISOPWr CWBER TIM LT TAW ............... . 8.-0. -------- �2' BLLCBOARD 1NST.CATEN INSTALLATION 4' SAND/GRAVEL LEVELM MRS& CaWACT£D L EXCAVATE A !0 x f0' x f0' DEEP Il2E FOP BILC•YCLE SYSTEM 2 PLACT A HINACM Or 4' SAND GIP GRAVEL FUR LEV£LIAC CDLRSY IN TIC BOTMN IF JW EXCAVATILPL COWACT AS REDUWA 8 PLACE 4 MCETS GF e x D' x ?' DIRECT BLRIAL RIGID WMA OV TOP Or COWACTED L£VELIAG CLLRS£ 10 PROTECT BOTA- TOM Or FIKRGLASS TATAKE EXTRA CAR£ IV ASSY.RE THAT INSMAIIOV CLMS£ IS LEM IN ALL DIR£CTIGNS 4. BACKFILL ARR.MD TAW LP TO INVERT GF 4' INUCNr AND 1-1/4' ETntCNT LRCS VITN AAIERIAL FREE LF LARGE SWS OP BLl•tKRS fREE-aDVAG AV 15' — TUBE ellAOV/TOP SAND/GRAVCL BACKFILL 1-1/4�VC V/ 31r NZES f 30' . TDP AND B19mmlot :.,.• •. •, ' I :: TO SPURKLAND' AOVITLR TUB£ No. cE-222311 �Isk TOBBEN SND . 203 W 15TH.4H. AAVENUE . LU BLK2 SPENNOVE VIEF HEIGHTS SEPTIC SYSTEM SHEMATJC ANCH. AK. 99501 RON SHINE 11 DA Tr. MAY 10, 1005 907 279 SHUT- 3/3 GRID: 2942 PERMIT # SV030XX PIB # XX SVH"42DVG Municipality of Anchorage Development Services Department Building Safety Division O On -Site Water and Wastewater Program 4700 South Bngaw SL P.O. Box 196650 Anchorage, AK 99519.6650 www a anchorage.ak.us (907) 343.7904 Soils Log - Percolation Test Peqormed For: Por\ Shrr\Q_ Ls;a1Descr.p1.cn: _Lolt 9 Noc4CI Shz,klbVe. situ Township, Range, Section: Death 1 OHO _"D E):CC6: SE=EJB 2. 060 S 3. 006 SannON N1O 4. 6fonitoring? CTriaJCle Dale; s. o0o fir«Le of E. 00 ° SAE _ r. 0 0 n E. WAS CROtER Date _"D E):CC6: SE=EJB Net Time Depth to Water Me: D= 1 rt 5, 7. k S IF YE S. AT MAT DEPT H? �1 91 t Deplh to Water After D 3.5 P 6fonitoring? E Dale; 5 23 0 Reading Date Gross Time Net Time Depth to Water Me: D= 1 rt 5, 7. k 6 r4 2PoS 3% 0 12 - u g• i MOM'I 6/a it -il l j 1• a u 7 ° n 4t1O 7 1' a Ir 1 1 1 I it 0 l F " h t "r I 1 1 1 FE?CCIATIGI P.,ITE��1 1esYe+l GzAC FUS 0I..'.I_T?4 (p TEST RU`: 9EWIS—P) ( FT ANO_Fr CC`:,!=_ ITS 'C=FORUEDBY. _ L4r5 S9Gr1I4Yt0 t L! CERTIFY THAT THS ' -ST L:+ -S PER=OR%1EO IM ACCORDANCE 00TH ALL STATE AND MUMCIPAL GUIDEIW S W EFFcCT Orl TiiIS DATE. DATE: S 6 2 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 4A F � -Y Certificate of On -Site Systems Approval Parcel 1. D.021-021-29 1. GENERAL INFORMATION: Expiration Date:i Complete legal description Spendlove View 4 Heights; Block 2 Lot 4 Location (site address) 13431 Canyon Road *Anchorage AK Current Property owner(s) Ron Shine Day phone 907-227-9201 Mailing address Real Estate Agent _ _._ Day phone 2. TYPE OF DWELLING: ® 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 Individual Water Storage ❑ Holding Tank ❑ Community Class Weil ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: ✓ Distance- H 1� Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 55c Waiver Fee $ -5 Date of Payment __ r // � I 20 2, Date of Payment Receipt Number Receipt Number COSA # 06 C,) 210 3% Waiver #— 0 S V_2.? f O 0 g OSP 2)_t023 10 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: Garness Engineerinq Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: -Z- In In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and Q000G��,O industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, n groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and " " "' • ' ' ' ... • .. ' • • ... . are outside the control of GEG. Satisfactory test results do not guarantee future performance of the ,....... system/s; therefore;-GEG-makes no warranty (express or implied) regarding the future performance of �• r : Q the well or septic system. GEG makes no representation whether an alternative well or septic system �' �, t e " r"ess: GQ can be installed on the property in the event either of the current systems fail to perform adequately in �(� o. CE– 79-3p the future. The content of this report is for the sole benefit of the person/party that retained GEG to e�Q2,-Z—'^ a p perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right v0 Pr�fesslon �o whatsoever. 6. DSD SIGNATURE _ System #1 Approved for bedrooms ,11ltltl{t((CCf(t(/�f System #2 Approved for bedrooms ��L\TY Ofi,�l�' Disapproved ON-SITE Conditional approval for bedrooms, with the follov�tgstip:ANp rn 03 WAST=V ATER JPOHROGRAM I))111� By: Q Original Certificate Date: A_X? D.� 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other r Legal Description: Spendlove View aiRd Heights; Block 2, Lot 4 Parcel ID: 021-021-29 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) Well production at time of test 5.2+ gpm Date drilled 10130705 Water storage tank volume N/A gallons Total depth 106 ft Well disinfected for coliform test? ❑ Yes ❑ No Cased to 52 ft ❑ Coliform bacteria is Negative On Sanitary seal is functioning correctly Nitrate 2.35 mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 18+ in. Collected by GEG Date of flow test for COSA 12/23/21 Date of Sample 1/3/22 Static water level at beginning of test 21.7 ft. Comments B. TANK DATA Age of tank(s) 16 years Tank type/material FIBERGLASS Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping "SEE MAINTENENCE LOG D. ABSORPTION FIELD DATA C. LIFT STATION ❑ Required maintenance completed Age of lift station 16 years Lift station material "Fla fSs Comments: Which system tested (date installed) 2017(?) Adequacy test date 12/23/21 ❑ ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade * ft (min) Water added 604 gal ❑ N/A — pressurized field New depth 2 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 120 min depth into effective ' RNCode-requiredsoil cover over field Final fluid depth 0 in Absorption rate 600+ gpd ❑ System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) N/A Gallons intrto�duced N/A gallons If yes, enter date Comments/De I �ciencies : 'MT 5 AT TIME OF TEST WERE SET TO THE SAME ELEVATION AND ASSUMED TO BE FUNCTIONAL -NEW MTS HAVE BEEN INSTALLED AFTER THE ADEQUACY TEST COSA Checklist yellow sheet �_1�7��1tL�7ii111-1 r-,1R4q-;&J 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 Community Sewer Manhole/Cleanout > 100' Q✓ Yes if No ft f 7., Yes if No ft Neighboring Tank > 100' M Yes if No ft Private Sewer/Septic Line > 250 Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' Fv�, Yes if No ft Neighboring Absorption Fields > 100' ft Water Main > 10' Animal Containment > 50' Yes if No ft Q Yes if No ft ft Water Service Line > 10' F11 Yes if No ft Manure/Animal Excreta Storage > 100' comment below Community Sewer Main > 75' R Yes if No ft E] Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *5'+ ft Surface Water > 100' El Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100'✓❑ Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' F11 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 If absorption field is under driveway comment below Property Line > 10' ❑✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' El Yes if No ft Water Service Line > 10' ❑ Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS 'CODE AT TIME OF INSTALLATION - SEPARATION TO DECK PILE UNKNOWN —APPROXIMATELY T FROM DECK POST ***SEE ATTACHED RECORD DRAWINGS AND LETTER REGARDING THE WATER LINE LOCATION G. ENGINEER'S CERTIFICATION I certify that 1 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. COSA Checklist yellow sheet #AECC884 SGS Ref.# 1220029001 Client Name Garness Engineering Group, Ltd (GEG) Project Name/# Spendlove View Hts; B2, L4 Client Sample ID Spendlove View Hts; B2, L4 Matrix Drinking Water Sample Remarks: Printed Date/Time Collected Date/Time Received Date/Time Technical Director 01/25/2022 16:21 01/03/2022 14:00 01/04/2022 15:30 Stephen C. Ede Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Total Dissolved Solids 170 10.0 mg/L SM21 2540C B (<500) 01/05/22 NRZ Metals by ICP/MS Hardness as CaCO3 226 5.00 mg/L SM21 2340B B 01/05/22 01/10/22 DMM Waters Department Total Nitrate/Nitrite-N 2.35 0.200 mg/L SM21 4500NO3-F C (<10) 01/07/22 EBH Microbioloav Laboratory Coli - Negative 1 IOOmL SM21 9223B A 01/04/22 M.A CE. Total Coliform Negative 1 100mL SM21 9223B A 01/04/22 M.A Private Individual Analysis Chloride 21.6 2.00 mg/L EPA 300.0 D (<250) 01/24/22 01/24/22 DMM Conductivity 385 5.00 umhos/cm SM21 2510B D 01/07/22 EWW Fluoride ND 0.200 mg/L EPA 300.0 D (<2) 01/24/22 01/24/22 DMM Sulfate 21.8 2.00 mg/L EPA 300.0 D (<250) 01/24/22 01/24/22 DMM Alkalinity 153 10.0 mg/L SM21 2320B D 01/07/22 EWW Aluminum ND 20.0 ug/L EP200.8 B 01/05/22 01/10/22 DMM Antimony ND 1.00 ug/L EP200.8 B (<6) 01/05/22 01/10/22 DMM Arsenic ND 5.00 ug/L EP200.8 B (<10) 01/05/22 01/10/22 DMM Barium 26.1 3.00 ug/L EP200.8 B (<2000) 01/05/22 01/10/22 DMM Cadmium ND 0.500 ug/L EP200.8 B (<5) 01/05/22 01/10/22 DMM Calcium 66100 500 ug/L EP200.8 B 01/05/22 01/10/22 DMM Chromium ND 5.00 ug/L EP200.8 B (<100) 01/05/22 01/10/22 DMM CO3 Alkalinity ND 10.0 mg/L SM21 2320B D 01/07/22 EWW 2of6 SGS Ref.# 1220029001 Client Name Garness Engineering Group, Ltd (GEG) Project Name/# Spendlove View Hts; B2, L4 Client Sample ID Spendlove View Hts; B2, L4 Matrix Drinking Water Printed Date/Time Collected Date/Time Received Date/Time Technical Director 01/25/2022 16:21 01/03/2022 14:00 01/04/2022 15:30 Stephen C. Ede Parameter Results LOQ Units Method Container ID Allowable Limits Prep Analysis Date Date Init Private Individual Analysis Copper 11.9 1.00 ug/L EP200.8 B (<1000) 01/05/22 01/10/22 DMM HCO3 Alkalinity 153 10.0 mg/L SM21 2320B D 01/07/22 EWW Iron ND 250 ug/L EP200.8 B (<300) 01/05/22 01/10/22 DMM Lead 0.233 0.200 ug/L EP200.8 B (<15) 01/05/22 01/10/22 DMM Magnesium 14900 50.0 ug/L EP200.8 B 01/05/22 01/10/22 DMM Manganese ND 1.00 ug/L EP200.8 B (<50) 01/05/22 01/10/22 DMM Nickel ND 2.00 ug/L EP200.8 B (<100) 01/05/22 01/10/22 DMM OH Alkalinity ND 10.0 mg/L SM21 2320B D 01/07/22 EWW pH 7.8 0.100 pH units SM21 4500-H B D (6.5-8.5) 01/07/22 EWW Potassium 558 500 ug/L EP200.8 B 01/05/22 01/10/22 DMM Selenium ND 5.00 ug/L EP200.8 B (<50) 01/05/22 01/10/22 DMM Silver ND 1.00 ug/L EP200.8 B (<100) 01/05/22 01/10/22 DMM Sodium 4620 500 ug/L EP200.8 B 01/05/22 01/10/22 DMM Thallium ND 1.00 ug/L EP200.8 B (<2) 01/05/22 01/10/22 DMM Zinc ND 10.0 ug/L EP200.8 B (<5000) 01/05/22 01/10/22 DMM 3 of 6 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 3 \ Day of ' .c tw-A� Of 20_ , by and between Joshua and Rebecca Fidler , 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 Wastewatei Treatment Svstems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as 1#X located at (legal description) Spendlove Via* Heights L4 B2 2. Maintenance, Repairs and Alterations. _---40wner is required to read, understand and i I nitial 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 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 pennitted 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) Pagel of zf 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. ZOwner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are, the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed systern, 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. S. 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. Severa-hifily. 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: 2q 6ecco, S—ac- {? � (print name) STATE OF ALASKA ) )Ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me thistoday of cL 1^ > a 20z\ , by A/1 NOTARY PUBLIC FOR ALASKA `> My Commission expires -"Z3 � �OTARy MUNICIPALITY: By: (signature) I� kJ�J2C C C` CCY- r, (print name) n • � NY a O Date: a $ a 0 2 Title: (rev. 05/18/2018) Page 3 of 3 Grp Vic::, 1st Quarter Inspection Report 2021 3705 Arctic Blvd #313 Anchorage AK 99503 Email: crbioak@gmail.com (907) 274-0314 Homeowner Info Customer Name: Ron Shine Tank#: 194 Install Date: Nov. 2006 Address: 13431 Canyon Rd. Area Upper DeArmoun Initial Inspection: Alarms Tested: Air Fyj High Water FVJ Battery Tested: Yes ❑ No ❑ N/A (Please make sure alarm is on "normal", not "mute") Does system have a septic tank ? No 0 Yes ❑ (Recommend pumping tank every 2 years) Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor? Yes 0 Repaired ❑ Yes 0 Repaired ❑ Strong ❑ Mild ❑ None 0 System Inspection Filter cleaned? Yes 0 N/A ❑ Comments: Discharge line condition: Good ✓' Replaced ❑ Has emailing or mailing of form been requested? Inspected By: Chris Date: 2/24/2021 (contact office to request...) Yes � No 3705 Arctic Blvd #313 —11n Anchorage AK 99503 �-�d.•.,�7a- ���_Email: crbioak@gmail.com (907) 274-0314 2nd Quarter Inspection Report 2021 Homeowner Info Customer Name: Ron Shine Tank#: 194 Install Date: Nov. 2006 Address: 13431 Canyon Rd. Area Upper DeArmoun Initial Inspection: Alarms Tested: Air 0 High Water 0 Battery Tested: Yes ❑ No ❑ N/A (Please make sure alarm is on "normal", not "mute") Does system have a septic tank ? No 0 Yes ❑ (Recommend pumping tank every 2 years) Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor? Yes IVI Repaired ❑ Yes 0 Repaired ❑ Strong ❑ Mild ❑ None 0 System Inspection Filter cleaned? Discharge line condition: Yes N/A ❑ Good ✓, Replaced ❑ Comments: Has emailing or mailing of form been requested? Inspected By: Chris Date: 5/22/2021 (contact office to request...) Yes v— No 3705 Arctic Blvd #313 Anchorage AK 99503 Email: crbioak@gmail.com (907) 274-0314 3rd Quarter Inspection Report 2021 Homeowner Info Customer Name: Ron Shine Tank#: 194 Install Date: Nov. 2006 Address: 13431 Canyon Rd. Area: Upper DeArmoun Initial Inspection: Alarms Tested: Air 0 High Water 0 Battery Tested: Yes ❑ No ❑ N/A (Please make sure alarm is on "normal", not "mute") Does system have a septic tank ? No 171 Yes ❑ (Recommend pumping tank every 2 years) Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor? Yes 0 Repaired ❑ Yes V Repaired ❑ Strong ❑ Mild ❑ None Z System Inspection Filter cleaned? Discharge line condition: Yes [;4 N/A ❑ Good Replaced El Comments: Inspected By: Chris Has emailing or mailing of form been requested? Date: 9/23/2021 (contact office to request...) Yes v No C 3705 Arctic Blvd #313 L�b,, r, cnL) E-Allaska Anchorage AK 99503 c� Email: crbioak@gmail.com (907) 274-0314 4th Quarter Inspection Report 2021 Homeowner Info Customer Name: Ron Shine Tank #: 194 Install Date: Nov. 2006 Address: 13431 Canyon Rd. Area Upper DeArmoun Initial Inspection: Alarms Tested: Air 0 High Water 0 Battery Tested: Yes ❑ No ❑ N/A (Please make sure alarm is on "normal", not "mute") Does system have a septic tank ? No 0 YesE] (Recommend pumping tank every 2 years) Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor? Yes 0 Repaired ❑ Yes F/I Repaired R StrongE] Mild R None Z System Inspection 7.1 Pump float operating? Yes 0 Replaced 1:1 M Alarm float functioning? Yes 0 Replaced r-] am Any buildup of solids? YesEj No 0 Filter cleaned? Discharge line condition: Yes [;Vj N/A ❑ Good Replaced ❑ Comments: Inspected By: Chris Date: 12/30/21 Has emailing or mailing of form been requested? (contact office to request...) Yes FV No I