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Home My WebLink AboutUS SURVEY 3042 LT 81AUS Survey 3042 Lot 81A #075 - 132 - 68 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage St l Z Community Development Department Page On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121390 PID Number: 075-132-68 ❑ New 2O14 12 — 1 of 3 Upgrade Name: Williams Schwartz ABSORPTION FIELD Address 364 Monarch Mine Rd, Girdwood, AK 99587 ❑ Deep Trench ✓ ❑ Other Shallow Trench ❑ Bed 1 Mound Phone Number of Bedrooms 4 Soil Rating 6 GPD/SF Total depth from original grade +0.5 Ft, LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot USS 3042 +1.0 Ft. 0.5Ft. 81A Fill added above original grade Gravel length Township Range Section 3.5 Ft. 25.0 R. Gravel width Beds: Number o Lines Distance between lines SEPARATION DISTANCES 5Ft. N/A N/A Ft. To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 125 Ft2 Number of trenches 1 Dist. between trenches N/A Ft Well 113.6 123.8 114.7 N/A 25 7 TANK • Septic O S.T.E.P. • Holding • Other Manufacturer Capadty Surface Water 100+ 100+ 100+ N/A Anchorage Tank / Orenco 1500GaI. Material Number of compartments Lot Line 46.2 22.8 44.9 N/A Steel 2 Foundation 97.1 97.9 89.0 N/A NA LIFT STATION Manufacturer Capacity Curtain Drain N/A N/A N/A N/A Orenco 250 Gal. Remarks Pump on level at Pump off level at High water alar at 43 M. 40 in. 45 in. Pump make and model Electrical Inspections performed by p2005 Installer PIPE MATERIAL House to tank 3034 Tank to 3034 tlrainfield A+ Home Services Drainfield 3034 CO/MT 3034 Inspector Steven R. Pannone BENCH MARK (Assumed elevation) 100ft Inspection fm 6/5/2013 a dates: 2" 8/8/2013 Location and description 3`d 8/8/2013 a" Bottom of trim - nearest house corner COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Conditional Approval: Date Engineer's Stamp ! to An -ik t e "tevien . anriarae` lie • Approved -,_./..11...., it/ ri—r //�� Date/2 /(Q / 7 r 4w a• TRACT 19-A ABANDONED EXISTING SEPTIC TANK AND DRAIN F'IELD PER CODE ~ »« 0 � v» NEW 1500g S.T.E.P. TANK ` \ AX20POD AND AUX. PUMP VAULT AA / / � � /N. � WELL (E) � � NEW 4BR DRAIN FIELD 25LFx5'vVx0.5'ED.+0.5'TD WITH 1.5'SAND \ \ 4BR RESERVE FIELD (P) -25LFx5'Mh8.5'[D'+0.5'T0 vV012�5' SAND �� `vv .,‘‘, __ • NOTES: RECORD DRA0AmG PANNONE ENG SVC, LLC ,.o.BOX l0OZl/ ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 U.S.S.PLAN 3042, LOT 81A WILLIAM SCHWARTZ 364 MONARCH MINE ROAD GIRDWOOD, AK 99587 pr. niric;..tkkiso ‘. CE 8149 if Date 6/18/2014 Scale P.I.D. NO 075-132-68 PERMIT NO. mP121ayo Sheet A B 01 100.2 95.0 71 106.7 97.1 LS1 106.5 94.0 LS2 100.5 93.5 M1 117.4 101.2 M2 142.2 127.9 /N. � WELL (E) � � NEW 4BR DRAIN FIELD 25LFx5'vVx0.5'ED.+0.5'TD WITH 1.5'SAND \ \ 4BR RESERVE FIELD (P) -25LFx5'Mh8.5'[D'+0.5'T0 vV012�5' SAND �� `vv .,‘‘, __ • NOTES: RECORD DRA0AmG PANNONE ENG SVC, LLC ,.o.BOX l0OZl/ ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 U.S.S.PLAN 3042, LOT 81A WILLIAM SCHWARTZ 364 MONARCH MINE ROAD GIRDWOOD, AK 99587 pr. niric;..tkkiso ‘. CE 8149 if Date 6/18/2014 Scale P.I.D. NO 075-132-68 PERMIT NO. mP121ayo Sheet SPECIAL PROVISIONS TO SPECIFICATIONS ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 3. SCOPE OF WORK: INSTALLED NEW 1500g S.T.E.P. TANK WITH AX20 POD, AND SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS MONITORED AT 3.5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 3.5 FEET BELOW EXISTING GRADE. g1- oz `0Z ZW of 0. 0 90.4 -2.0 TH-1 OR/ OL 0 -6.0 —ML - CLEAN OUT 0 01 1500 g S.T E.P. TANK(P)W/ AX20 POD 4 CL0. X —5.0 X91. 3 2.0 n5 — 8.3 0.5 077 .5 39.4 88.4 40 —L84.9 -3.5 (10/23/2012) w CD z w -U ~w o- RIGID INSULATION FILTER FABRIC 14" 0 DRAIN PIPE W/ 1 /8"' HOLES 18" O.C. DRAIN ROCK 6" ABOVE PIPE INV 3 1 86.4 DRAIN ROCK 6" TS&V REMOVED ORGANICS AND SILTS PLACED 25'± SAND SECTION rRIGID INSULATION / -FILTER FABRIC / / ORAIN ROCK 5" ABOVE PIPE INV / - '5' 0 DRAIN PIPE W/ / / [1/8" HOLES 18" QC 913 �/ 91.9 .4 DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (500 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD PERO RATE = <1 MPI SOIL RATING: 6.0 GPD/SF AREA ROD: 100 SF SYS. TYPE: WIDE TRENCH 0.5' E.D. MIN LENGTH: 20 LF USED: 25 LF X 5' WIDE, 0.5' E.D., +0.5' TD WITH 2.5' SAND TOTAL AREA: 125.0 SF NOTES RECORD DRAWING DESIGN DETAILS 86.4 4 W SS SEE SECTION & PARAMETERS PROFILE LEGEND WATER LINE/ WELL RADIUS NEW SEPTIC PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 U.S.S. 3042, LOT 81A WILLIAM SCHWARTZ 364 MONARCH MINE ROAD GIRDWOOD, ,AK 99587 ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT Tj' TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE Steven R. Ponnorae j • 104• 49 �TBi•• ori Date 2/15/2014 Scale NTS P.I.D. NO 075-132-68 PERMIT NO. OSP121390 OF 3 J ELECTRICLLC 6732E.99thAVE. ANCHORAGE,AK. 93507 August 10, 2013 A -Plus Home Services 7501 East 140th Anchorage,Ak.99516 RE: William Swartz 364 Monarch Mine Road August 8, 2013 This Letter is to certify that J -Electric wired the Advantex Septic System at the above property in accordance with NEC and MOA Codes. aggs - J ELECTRICLLC Contractor's Liscence No. 34469 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121390 Tax Code Number: 07513268000 Work Type: Septic Upgrade Permit Effective Dates: November 15, 2012 to November 15, 2013 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: US SURVEY 3042 Site Legal Address: US SURVEY 3042 LT 81A G:5012 Owner/Address: SCHWARTZ WILLIAM M PO BOX 413 GIRDWOOD AK 995870413 Site Mailing Address: 366 MONARCH MINE RD, Girdwood Lot Size in Sq Ft: 63201 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: alP179 Issued By: Gt/ Date: 1l/i0 / I Z. - Date: Date: gi�Z MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 075-132-68 Property owner(s) William Schwartz Mailing address P.O. Box 413, Girdwood, AK 99587 Site address 364 Monarch Mine Road Day phone Legal description (Sub'd., Block & Lot) U.S.S. 3042, Lot 81A Legal description (Township, Range & Section) Lot Size 63,201 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage Initial Upgrade Renewal TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings (SF and/or D) 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. (Signature of property owner or authorized agent) Permit/Rush Fees: 5 30 — Date of Payment: tO I aoi 1a Receipt Number: Oa (oMl Permit No. 05 P 1 a 13010 Permit App__ :• ::...:c) Waiver Fees: Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com November 5, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 5. Bragaw Street P. 0. Box 196650 Anchorage, Alaska 99519 Subject: USS 3042, Lot 81A Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system be issued for this property. The proposed systems will serve an existing two (2) bedroom house and a detached garage. The system will be designed for 4 bedrooms to accommodate future expansion to the house/ garage. Currently the lot is developed. The existing drain field is in failure and will be abandoned per code. The existing septic tank will be abandoned per code, and a new 1500g S.T.E.P. tank with AX20 Pod and Auxiliary pump vault will be installed. This lot is served by two private wells that are located over 100 feet from this system. The surrounding developed lots are also served by private wells. There are no wells within 100 feet of this system. 1. Soils. A single test hole was excavated by Pannone Engineering Services in August of 2012, and the ground water monitored for seven days. Groundwater was observed at 3.5' in the test hole monitor tube after the seven day monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 6 gallons/day/square feet should be used for a CAT III wastewater system, utilizing engineered fill to create 2' unsaturated receiving soil. 2. Soil Absorption System Design. a. See Sheet 2 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography slopes from north to south at approximately 8% in the area of the proposed drain field. There are no steep slopes in the area. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 2724218 FAX: (907) 272-8211 Page 2 of 2 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, „gyp ... • • jzp49...��1�1�•�• • • •• Steven R. Pannone i�•• • • Pkress Ott*. Steven R. Pannone, P.E. Owner/Civil Engineer Attachments -Soils Log -Septic System Design Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 TRACI f9 -A / ABANDON EXISTING SEPTIC TANK AND DRAIN FJELD PER CODE ` « � �� ( � \ SA1/AX2OPOD AND AUX. PUMP' VAULT � 86 ` 1DRDRAN FIELD (P) 25LFx5'YVx0.5'ED.+0.5'TD WITH 2.5' SAND INSTALL C.8.ONLINE WHERE RUN IS GREATER THAN 5OLF. ENSURE THAT 25'MIN. SEPARATION FROM SEWER LINE TO WELL 15 MET �q� 48R�C3ERVERELD(P)-I.:-25LFx5��O�5'[D.+O�5'TD 2.5' SAND .14� .N - - u y �� ^ -f�� \ N/ FOR CONSTRUCTION PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 PLAN U.S.S. 3042, LOT 81A WILLIAM SCHWARTZ 364 MONARCH MINE ROAD GIRDWOOD, AK 99587 CE 8149 :kj bate 11/5/2012 Scale 1^=5o' P.I.D. NO 075-132-68 PERMIT NO. Sheet SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALL NEW 1 500g S.T.E.P. TANK WITH AX20 POD, AND SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS MONITORED AT 3.5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 3.5 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 0 0 2.0 32.0'' TH-1 0.5 OR/ 0.5--A OL 4.0.I a _ L -3.5 (10/23/2012) GM -5 -6.0 5 -ML- LIFT STATION I I 4.0 1500 g S.T.E.P. TANK (P) W/ AX20 POD DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD PERC RATE = <1 MPI SOIL RATING: 6.0 GPD/SF AREA RQD: 100 SF SYS. TYPE: WIDE TRENCH 0.5' E.D. MIN LENGTH: 20 LF USE: 25 LF X 5' WIDE, 0.5' E.D., +0.5' TD WITH 2.5' SAND TOTAL AREA: 125.0 SF —5.0 RIGID INSULATION FILTER FABRIC 1/4" 0 DRAIN PIPE W/ 1/8" HOLES 18" 0.C. DRAIN ROCK 6" ABOVE PIPE INV 3 05 Lai a)0 oz w re= zU z� 0 DRAIN ROCK REMOVE ORGANICS AND SILTS PLACE 2.5'3 SAND SECTION 6" TS&V RIGID INSULATION FILTER FABRIC DRAIN ROCK 6" ABOVE PIPE INV 1.4" 0 DRAIN PIPE W/ 1/8" HOLES 18" 0.C. SEE SECTION & PARAMETERS PROFILE LEGEND W WATER LINE/ WELL RADIUS SS NEW SEPTIC w Inc - _ w KI z00a 1_ f¢ ABBREVIATIONS CU DIP TH FC T# C# M# R.I. DCO DV FS BFG OG FG TS&V COPPER DUCTILE IRON PIPE TEST HOLE FOUNDATION CLEAN OUT TANK CLEAN OUT NO. CLEAN OUT NO. MONITOR TUBE NO. RIGID INSULATION DOUBLE CLEAN OUT DIVERTER VALVE FLOW SPLITTER BELOW FINISH GRADE ORIGINAL GRADE FINISH GRADE TOPSOIL & VEGETATE NOTES: FOR CONSTRUCTION PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 DESIGN DETAILS U.S.S. 3042, LOT 81A WILLIAM SCHWARTZ 364 MONARCH MINE ROAD GIRDWOOD, AK 99587 *: 4911 P.I.D. NO i 075-132-68 ktev^enn R. Pannone PERMIT NO. CE 14 gJ'. 1.21h 9.• � 0 P1 1390 Date 11/5/2012 Scale NTS 2 DF 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 TEST HOLE 1 OR/ ORGANICS/ OL ORGANIC SILTS GM ML BOH 10/23/2012 SILTY GRAVEL 8/30/2012 SILT DATE PERFORMED: 8/30/12 SOILS LOG - PERCOLATION TEST SLOPE X TH WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -5-' DEPTH TO WATER AFTER MONITORING? -3.5'- DATE: 10/23/2012 SLOPE TH X READING DATE CLOCK TIME NET TIME WATER LEVEL READING NET DROP 1 10/23/12 <1 MPI 2 3 4 5 6 PEROLATION RATE <1 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 2 FT AND 3 FT COMMENTS: Test hole excavated by PANNONE ENGINEERING. Prec hole was presoaked. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: FOR CONSTRUCTION SOILS LOG PANNONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 U.S.S. 3042, LOT 81A WILLIAM SCHWARTZ 364 MONARCH MINE ROAD GIRDWOOD, AK 99587 .A&4 k r�P••' �- �9+1 -..t.. Steven R. Pannone %4, , CE 8149 �� Date 11/5/2012 Scale NTS P.I.D. NO 075-132-68 PERMIT NO. OSP121390 Sheet 3 OF 4 ADVANTEX 4" JIM CAPS X20 POD ADVANTEX DESIGN 24" INSULATED RISER AUXILIARY PUMP BASIN 4" PUMP—OUT-- SLIDE SECTION OF 6" PIPE OVER THIS CONNECTION TO PROVIDE SHEER PROTECTION— EXTEND TO BRIDGE EXCAVATION NOTES: FOR CONSTRUCTION PASSIVE AIR VENT PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SITE SECTION U.S.S. 3042, LOT 81A WILLIAM SCHWARTZ 364 MONARCH MINE ROAD GIRDWOOD, AK 99587 Date 1/5/2012 Scale NTS P.I.D. NO 075-132-68 PERMIT NO. OSP121390 Sheet 4 OF 4 0 m ' uct. CeL64 '. SUBJECT DATE IMESSAGE t IV t.:_at___Xeritztisc tv i ' 7 71 SIGNED REPLY (A/7 14 - r(tiEfobfbnTeii„ 45 472 SIGNED SEND PARTS 1 AND 3 WITH CARBON INTACT. PART 3 WILL BE RETURNED WITH REPLY. DETACH AND FILE FOR FOLLOW-UP DATE / 0V PM 00 1113j e.n r -`l Municipuiity of Anchorage PO.,.H 6-650 ANCHORAGE. ALASKA 99502-0650 (907) 264-4111 TONY F f:O kt'If.`: MA YOfr DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit #: 840932 January 31, 1985 TO: Permit Applicant SUBJECT: USS #3042 Lot 81 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for apy 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 and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Bandt, Supe visor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 • PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: F- Jhl I C I r -1L- I TY' OF ANCi-^ C;GE DEPARTMENT D. HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AI: 99501 264-4720 ON—s I -"E WELL- F EM I 1- 840932 84092 11/03/84 WILLIAM SCHWARTZ BOX 413 GIRDWOOD GIRDWOOD, AK 99587 783-2131 SUBDIVISION: USS 3042 SECTION: 19 TOWNSHIP: ION 1.225A (SO.FT. OR ACRES) LOT: 81 RANGE: 2E BLOCF:: NA I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. - SIGNED • Ia,liz11hL APPLICANT: WILLIAM SCHWARTZ _.9 AC ISSUED BY DATE: DATE: • :73.12:72 t1 2 lid T aa+ n POUCH 6-650 ANCIIORAGE, ALASKA 99502-0650 (90,)264-:111 f.r;ARTT'ENI 01 IU AL TI' Alt) ENVIrION'TENTAL PROTECTION (Permit #: 820168 January 31, 1983 TO: Permit Applicant Subject: USS #3042 Lot 81 A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerely Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/1jw enc: Copy of Permit SWP/057 • P1 or.; I C Ft L. I TF- r=1r-J ^.0 F:FP! GE DEPARTMENT L. HEALTH AND ENVIRONMENTAL 1•:.OTECTION 825 'L' STREET. ANCHORAGE, AK. 99501 254-4720 WELL_ F•EF FI I 1 - PERMIT NO. < 820158 APPLICANT WILLIAM SCHWARTZ BO;; 413 GIRDNOOD 78 - LOCATION MONARCH MINE FD LEGAL US SURVEY 3042 L81 LOT SIZE 55000 SQUARE _ IAP,E FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE C:'ISPOSAL SYSTEM I5 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC_ WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE I5 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOG_ ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATIONJ. F•ERref I T E: -:F• I REE' C+ECErlEE: EF' = 1 . SS' c2 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH E:Y THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. SIGNED: APPLICANT WILLM SCHWFARTZ ISSUED BY_� V4.0 .LOCAT'ON OF WELL In 8arougn 11 c DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS Street &dare.. and Ar(a el well L o i l9, / MN, Rac FrSrr l 4j � 2. WELL LOG Z/f4Y (P1.a.• complete either la, lb or lc.) Subdivision I Lot I Block / I 10 I of Section Na. li S S 3011,, 6 � - J f— Q_of_eaf--. WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling P•rmil No. A.D.L. No. Township N ❑ 3❑ Rang* co W❑ L/4S S7(0,j pn /i" Meridian Material Type 69 Fail Belo. mei Top 0,1?,, S. OWNER OF WELL: 2 f al• b r 1 Q. /9 �d_. ser CLrrsi t,C," %ai • rat 's l9 so rs /71' '73- 2 30 "5— ,ey �e .rep 41i ifb Aeons.: flR�'r 7,3 NIefL DEPTH: y� /'Inel) 5 D9TE OF COMPLETION 4241-f sr Coble tool-lYlb•Ro orf ❑Driven ❑Dug ❑ Auger ❑ ❑ 00red ❑ other: S 4.144-fz . 0 s 7. USE: ad Dom esti e 0 Irrigation 0 Public Supply 0 Recharge ❑ Teat W.II 0 other: ❑ Industry ❑ Commerical B. CASING: ❑ TT•h�read•aN OA Welded diem. —7 .In. aft. D.plh weight diem. In. to ft. D.pth Stickup Ib../ ft /t. B. FINISH OF WELLY: pli "•�7/ TY pe' ream.a 7.7 V�qrrant: .ZTI J �I J•./ Slot/Meth SID: length: Ur&sateen fl. and 11. Flackfilling Gravel pack 10. STATIC WATER LEVEL' ft. 0 Above or ❑ Oslo. lend surface Equipment used: Date %ao Wt A II. PUMPING LEVEL Delow lend aortac. and YIELD f1. alter hrs. pumping It. after Me. Pumping 12.GROUTtNO Well Grouted: ❑ Y.$ ILA No Material: ❑ N•al C.ment n 011ier: 9. PUMP: (If available) HP Length .1 Drop Pio. 0 Subm. ❑ J•t _fl. capacity ❑ C•ntrifical n Olaf g.p.m. Q 116. WATER WELL CONTRACTOR'S CERTIFICATION: l4.REMARKS: 15. Wal., Tem I/�� Y rn•s .•d lob a••'1_n unser my juriedielion ono this report is Ir • 1 In p ledge one b•11•1; � � Y O e est 01 mf know t�k A•.+yc; eiLCr///Jrr`i s .1)i /s•it-i .Qn ../e°e o 'j /. " _L• On �i...c.�ti Aar•y,l vm•s. Nam• J i;�, d. 1St! :fj;45.37Er3._ . Conrrom Useme Number A1-- `iIC/6 crated Representative Oat• cc : DC65,-yee •!?741 Coat O"N•,trhn.. *win .510,, OSGS• PINK Dialer. CANARY • Cu.tom•r P9 ige9-- / •N 10201 StSO F W Plane complete filth r lo, Ib or Ic.) WATER WELL. RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Persil Na. A.D.I. No. Li! r o.762-3 /0 r' %I J 'J Borough Subdivision Lot Block lb I/hats. —of. -of —of — Section No. Township 0 N Sp Range ED *0 Meridien J __ DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS S. OWNER OF WELL: B/// SG/il eJ dry z- Address:/ &.i y/3 //1a,.n�.G.A'(-a /a/ Slrcel Address one Ar.a o1 Well Location G,. - Jt-. trehe SIG 1195.^ 7 2. WELL LOG F..1 Below Sodas. ��a ttVV E CPT • lino /' �C.//._. It. S. DATE OF COMPLETION5 •" •7 _ I M al.rlal Type Teo Bottom n <!• /r _ `•� ?L. --et-, r�Y .1 f VI a 3 5 6. Cable tool pRolary 0 Drie.n p Dug .. . • • (.7%._ + 9 T �.5 ' /5 ■ Aag.r Q Jetted 0 Bored 0 other: -•••••• err / r%.•. .,. 3/5 •/7 7.USE: Oomeellc Er Public SUFI? O Industry 0 291/4"1-4.4..e4 ,M^ •/_ yy0 :!/ Q � 0Irrigation 0Recharge Commerical :.C Test Weil 0 Other: 0 S. CASING: O Thr.ad.d Q Welded alum. C. In. 10 2 / 11. Depth W.ignt lb../II. diem. In. to 11. Depth Stickup 11. 9 FINISH OF WELL: AftJn ,l SI Dlam.Hn 1 !/ i Type: Slot/Mesh Sls.: Length: /t 11 •/ fa of /1G,`.AV C as f -+/f-+/1./ :r. / -J-, / -- ir, S.1 between 11. and It. r ,4J — .7 ., / Gravel pack /1 / Backfilling 10. STATIC WATER LEVEL: ea -0 ft. /2.,/,c<, . Dole O Above or Below lona surface Eaulpm.nl u ! sed: �� ae 0 // D.V w n 11. PUMPING LEVEL below land surface end YIELD `^, %+ 11. Mtn/ hrs. pumping p.p.'s.fL hrs. pumping g.p.m. IZ.GROUTINO . W.II Graul.d: 0 Y.. 0 No Material: 0 N.01 Cement O Oilier: 13. PUMP: (11 available) HP Drop Pipe ft. capacity 99.n• Length of 0 Sutlers. O Jet 0 Cenlrllleal O Other • 14.REMARKS: 16. WATER WELL CONTRACTORS CERTIFICATION: IS. Water T.mDeral r. ❑ F 0 C —e This well was drilled ender In ') rlsdienon and this report 1. true to the best o1 my knowledge and 001411-4lk i u- Pc /// e r.r be, wn i°- F. 3 3 2 �7 .Reg 6rsi es. Nome Contract LIc.nt. NumD.r G y )f.r..♦. /2 �)• Tl A ✓ba-, h, r,cJ,r/4o f. .41r q 9l Cif Sign..: / /'•. . / Dal.: .3 _ 7 —85 1 __1 .51,-, ,---'69 AulhOrl,.a R.Or.unHHv. Pqa�- 2�37631 fa- ......,-,•rn furor Ca D,sl•ibuti0e: WHITE •5104 DOGS. PIN •Or:ll.r, CANARY' _ ^^ .an i) Parcel I.D. 075-132-68 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Expiration Date: / L� - ,9 1. GENERAL INFORMATION Complete legal description US Survey 3042, Lot 81A Location (site address) 3 c `' Monarch Mine Rd. Current Property owner(s) William Schwartz Day phone Mailing address PO Box 413 Girdwood, AK 99587 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. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ 4 WaiverNariance requester Distance: Received by: COSA to be released to the neer, unless otherwise requested by the engineer. Date: 7/9/26/ S COSA Fee $ 2.4o '- Date of Payment 112-115 Receipt Number 01;3Cik "t COSA # 05G S 133(4 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA 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 Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for By: bedrooms bedrooms Date 7/1/2015 l . ven •: E36ririorie ' CE -81491 Ct� err tiffefiSS ail\��'!` bedrooms, with the following stipulations: NUittliil C1/4 k OF MCt QP 0 ON-SITE WATFR AND o WASTEWATER oz PROGRAM og; d fr / NTSER��O��`,\ Original Certificate Date: Th unlfpaof_orage 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 Septic System Advisory Well Flow Advisory COSA blue sheet f .. Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served try this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: US Survey 3042, Lot 81A Parcel ID: 075-132-68 A. WELL DATA Well type Private - If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 3/3/1985 Sanitary seal (YM) Y Wires properly protected (Y/N) Y Total depth 346 ft. Cased to 346 ft. Casing height (above ground) 12+ in. Date of test FROM WELL LOG 3/3/1985 Static water level . 20 ft.- ft. Well production 1.5 g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 6/12/2015 Collected by: PES AT INSPECTION 6/19/2015 59 1.8 g.p.m. B. SEPTIC/HOLDING TANK DATA Tank Type/Material, Advantex/Steel Date installed alffiggii g/g/2013 .Tank size 1,500 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 6/18/2015 Pumper Anchorage Tank C. ABSORPTION FIELD DAT Date installed .licaal# oil rating (g.p.d./ft 2 or ft2/bdrm) 6 GPD/SF Length 25 ft'Width 5 9/2o13 Total depth 2.8 ft. Date of adequacy test Eft: absorption area 125 ft2 .,/19/2015 Results (Pass/Fail) Pass Moulded Shallow Trench System type ft. Gravel below pipe 0.5 ft Monitoring tube Y Depression over field N. Fluid depth in.atisorption field before test 0 in. Water added 600 Elapsed Time: 270 min.. Final fluid depth 0 Any rejuvenation treatment (past 12 mo.) (Y/N & type) No For 4 bedrooms gal. New depth 0 in. in.. Absorption rate >= 600+ g.p.d. If yes, give date D. LIFT STATION 918/2613 Sled Date installed "Pump on" level at 43 in. Datum Bettom of Tank Size in gallons 250 Manhole/Access (Y/N) Y "Pump off" level at 40 in. High water alarm level at 45 in. Cycles tested Unknown** Meets alarm & circuit requirements?' E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 50+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Water main 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Water Service line 10+ Curtain drain 50+ Property line 5+ 10+ Water service line On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout Holding tank 100+ Manure/animal excrete storage areas 100+ 100+. Absorption field 5+ Surface water 100+ Building foundation 10+ Surface water 100+ Wells on adjacent lots 100+ F. COMMENTS *2 rigid insulation per inspection report. Water main 10+ Driveway, parking/vehicle storage 10+ **Tested by Anchorage Tank, see maintenance log. G. ENGINEER'S CERTIFICATION I certify that l 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. Engineer's Printed Name Steven R. Pannone Date 7/1/2015 COSA canary sheet2-6-15.doc :Seim : Parini CE -8149 Engineer: -egal Description: 'ermit: 2eport Type: Municipality of Anchorage P.O Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 (907) 343-7904 Fax (907) 343-7997 http://www.muni.orcilonsite Planning and Development Services Department On -Site Water and Wastewater Program On -Site Sewer/Well Submittal Comment Sheet PANNONE ENGINEERING SERVICE US SURVEY 3042 LT 81A OSC151334 WellSeptic COSA 7/7/2015 Completed By: J.Poet 'he attached paperwork has been reviewed and is being returned for the following reasons: 1. Are both wells on property in use? YDS GC i 2. Please change date of system install to 2013 rev # JL s� i.JOti 5-1-c (7986• cv rnet- w' W \ v \ I OFAt„A /' A�P�ti r4tt 23•� Olt i\��G '/ / p Michael KHome fir rf$> No. LS -5318 ...tar: Q, £eQ' • c \ I - ,y E� .to se Sno mA— - I 79 \_ 41()11 csl I'vS, ? \f) NOTE:- 1 Bearings and distances \ are as per Plat No. 85-323. N i i Farpoint Land Services, LLC SURVEYING, MAPPING, LAND PLANNING, GIS 1 131 E. 7Gth Ave., Suite I 0 I Anchorage, Alaska 99518 FarpolntAK.com • (907) 522_7770 • survey@farpointak.com n ASBUILT SURVEY OF: Lot 81A, U.S. Survey 3042 (85-323),, Girdwood, Alaska LEGEND A'ORK ORDER No DATE: SCALE: Noy 24, 2014 1"=50' 14168 DRAWN SHEEREDGRID No: ROL ME j SE5012 FB BOOKPASE: 111/47 SURVEY CERT;FICATION: FARPOINT has conducted a physics! survey of the subject property, the improvements situated thereon are within the property lines as shown. -: <� Power Pole !EXCLUSION NOTES: it is the owners responsibility to determine Q Tree *he existence of any easements, covenants, or restrictions which Ido not appear on the Plat used for this survey. NOTE: Under no :circumstances should any data hereon be used for construction • •or or the establishing of property lines. Monument Rebar Lift Manhole •Cleanout J 06/22/2015 05:30 8686770 APLUS 240 231 ■■ ■ 1 ■■■■■ SUS In ■■A 1 1 LION ■■1S1■■ M 11 ■ ■• jJvanTexe Field Iitabntenance Report Annual Inspection Moony ownwr/eeea n t Bill Schwartz Sng Ademfs 364 Monarch Mine Road, Girdwood AK 99587 AX Sao lD AX -132335 Retrieve O&M Into Dopy flow Refire ratio Timer settings: Cowry lbs OSP121390 Perform Field Sampling/Observations NTU (15 x N1tl0 l6-7 pH ($-9) 7 00 f2-131 Odor of Semple Typical5 Musty ❑E=arthy Ncfl4ypical K,Sulfda ❑Cabbage u [] Oily AIM in PVYee Iib Faam In tank ❑Yes No Check Control Panel ❑moldy ❑ Decay :gems Amps 1 Dls1ehmgoA-me-P-S� Audible and visual alarms Did tone (telemetry only} Inspect/Clean Pump System Ricer/Lid Splice Box Float Coals Floats Pump SOK $Yee 0 N Inspect Clean Blotubaa Pita Blotube Pump Vault RedecvI3tksg Spatter Ware Comments}gust--"eA "S CI° it rises417177 PAGE 01 Ili Iran fl BIM .0 ■ ■ ■ ■ um m AnchorageTank 907-272-3543 rn wMu Mike Blakeslee pill JAL R RTU127372 Measure Sludge/Scum Sludge 1st Compartment 2nd Componmsnl Cu:It4r Pn1VlQua Prevloua Conies PI% (907) 7834224 Deli of LMt Impeellfn 10/01/2014 So um Current Previous Current Previous InapetUCtean AdvenTea Filter Inspect Clean Odor, tpNomtal ❑Pungent Laterale/Odtices 5. Biomet: i Normal ❑Excosslve Pod Baaom rY.r�. tz' Bddging/Ponding; $lone/Mlnor 0Excessive intake Vont � 5 Inopect/CIaan Discharge Pump System Inspect CleanInspect Riser/Lid � Fames Splice Box r�'Y° Pimp Float tarda .�I Inspect/Service Other System Components ins�pect Clean Disinfection Equipment '1C-'y Observmlano Additional Services Rendered ❑ Cleaned textile sheets? ❑Anplaced/Used other Rema? Parts Used: W is Warranty, B G 9INable (et appropriate Detection) w 0 item NUmbar Desorlp}ton Impact Clean Olepersal Latemis/0ripcorra —a- 0 Replaced IN Rens? i FlnaUSatety Inspection SV reinstalled ciNtaniroid reconnected; flush valves dosed &mimery/Recommendation, °Systemperforming; no further action needed ❑Tank node pumping cell far service ❑Other? Dmte --1-5-11AL-1 is baited on oirol panel reactivated •Signature mpleted form to 1-866.884-7404 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND 1-Ke,15 THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this srI Day of -s of 20 ( Cby and between pita_ tn�� herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: I . Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as 0ao-4\tQ -p-Vi c located at (legal description). Let SL r✓ ? ll>r 3oyZ / C-iiroLoceJ 19 /L 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. I. Owner agrees to provide and maintain a telephone connection to the AWWTS as required by the AWWTS approval. 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% 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: A&..+11Ck/ (signature) Date: 1 - 1 — l jC» R1rvc,L (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT _w The foregoing instrument was acknowledged before me this ?day of 20ii5-, by 4 Ri,nClc.. UBLIC 'ORA .ASKA ssionexl' _ C1'-i)lbJaOtQ) otary l searNotary Public -Mope"Jatmine opc4 • State of Alaska Canlmiseion 01404155 Exams 01/18/2018 MUNICIPALITY: By: (signature) Date: (print name) Title: