HomeMy WebLinkAboutSOUTHPOINTE BLK 3 LT 3outhpointe
Block 3
Lot 3
#020-311-61
Municipality of Anchorage
Community Development Department Page 1 of 3
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: OSP131336 PID Number: 020-311-61 ✓❑ New ❑ Upgrade
Name:
Crown Pointe, Inc.
ABSORPTION FIELD
❑ Deep Trench ❑✓ Shallow Trench ❑ Bed ❑ Mound
Address
P.O. Box 112313 Anchorage, AK 99511
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
5
4.0GPD/SF
1 ' Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
+3.5 Ft.
Gravel depth beneath pipe
.5 Ft.
Subdivision Block Lot
Southpointe 3 3
Fill added above original grade
6-7 Ft.
Gravel length
1 40 Ft.
Township Range Section
Gravel width
5Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
200Ft2
Two
10Ft.
well
>100'
>100'
N/A
N/A
>25'
TANK [71 Septic ❑ S.T.E.P. ❑ Holding +❑ Other
Manufacturer
Advantex/AnchorageTank/Orenco
Capacity
I 2,000Gal.
Surface water
>100'
>100'
N/A
N/A
Material
Number of compartments
Lot Line
>5'
>10'
NIA
NIA
Steel
Two
NA
Foundation
4.4"•
>10'
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
None
Noted
Gal.
RemarksGravity Flow from Tank to Absorption Trenches.
Pump on level at
in.
Pump off level at
High water alarm at
"See Waiver - Foundation to Septic Tank.
in.
in.
Pump make and model
Electrical Inspections performed by
Dependable Services Elec.
Installer
PIPE MATERIAL House to tank D3034 Tank to D3034
drainfieltl
Sanders & Sanders
Drainfeld F810 CO/MT D3034
Inspector A. Harala
BENCHMARK (Assumed elevation) 100.Oft
Inspection „
dates: 11/5/13 2m 11/6/13
Location and description
s" 11/7/13 4'"
Bottom Floor Slab.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
OF
Conditional Approval: Date
iW �r• ..... y' �
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............®
• MICHAEL E. ANDERSON •- 2
i'. CE -4381 =moo
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Approved
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Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit No.: OSP131336
Page 3 of 3
PID No. 020-311-61
1 Existing Grade
N�
U �
/99.0
J
Finished Grade
Geotextile Fabric & 2" Insulation
i 92.6
Coarse SandL — — — — — — — — — —
91.6 /
20' Trench Length
N SOUTHEAST TRENCH
U g
98.9
Finished Grade
Geotextile Fabric & 2" Insulation
N
Coarse Sand
Existing Grade —
91.6 20' Trench Length
98.6
Bedrock @ 89.1'
No Groundwater
10-14-13
99.4
89.1 No Groundwater
NORTHWEST TRENCH 10-14-13
PROFILE AS -BUILT
Scale: NONE
N
P
U
96.1
Existing Grade
96.6
Existing Gmde
I pr 21
1510:01a Dependable Services
-DEPENDABLE
Palmer, AK 99645
To Whom It May Concern,
907-677-1372 p.1
Apr 21, 2015
This letter is to confirm that the lift station at 6450 South Pointe, has been wired
according to N.E.C. standards.
Sincerely,
Andrew Wessel
(907)317-9954 office
(907)677-1372 fax
akdependableservices@gmaii.com
06/26/2014 21:25 907-345-0202 ALPINE DRILLING
felt-flower-template.pdf - Google Drive
Alpine Drilling & Enterprises
Well Log
PAGE 01/02
Page 2 of 6
Permit Number: #SW 131338 Date of Issue: 9-23-13 Parcel Identification Number: 2081181000
Date Started: 11-3-13 Date Completed: 11-4-13 Is well located at approved permit location? x Yes ❑ No
]Legal Description: Southpointe Block3 Lot 3
Property Owner Name & Address: Crown Pointe
PO Box 112313
Anchorage, Alaska 99511
Borehole Data: -
Soil Type, Thickness & Water Strata
Depth (ft)
From To
Method of Drilling x air rotary ❑ cable tool
Casing type: steel
Stick-up
0 2
Wall Thickness:.250 inches
Gravelly silt
bedrock
2 4
4 246
Diameter: 6 inches Depth: 48 feet
Liner Type:
Diameter: inches Depth: _ feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 51 feet
M0 210 216
Pumping level: 24S eet after
hours pumping 4 gpm
Recovery Rate: 4 gpm
Method of Testing. air li
Well Intake Opening Type.-
ype:❑
[]Open End x Open Hole
❑ Screened Start _ feet Stopped _ feet
❑ Perforations Start _ feet Stopped _ feet
Grout Type: hetntonite chips Volume: 6 bgs
Det ' Start 0 feet Stopned 48 feet
Pump: Intake Depth feet
Pump size ^ hp Brand Name
Well Disinfected Upon Completion? x Yes ❑ No
Method of Disinfection: chlorine tablets
Comments:
Well Driller: Alpine Drilling & Enterprises
,PO Boz 110496
Anchorage AK99511
https://docs.google.com/file/d/OBSD 1McxM8EZZNzA2MDBmZTYtNTQOMS00NTE0LT... 114/2013
06/26/2014 21:25 907-345-0202 ALPINE DRILLING PAGE 02/02
Development Services Department
Building Safety Division
g On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Mark Begich Anchorage, AK 99507
Mayor www.muni.oro/ongite
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW 131338 Date of Issue: 9-23.13
Parcel Identification Number: 2081181000
Legal Description
Southpointe Block 3 Lot 3
Pump Installation Date: 4129/14
Pump Intake Depth Below Top of Well Casing: 235 feet
Pump Manufacturer's Name: Goulds
Pump Model: 10GS15423CL
Pump Size 1.5 hp
Pitless Adapter Burial Depth: N/A feet
Pitless Adapter Manufacturer's Name: nun
Pitless Adapter Installer: N/A
Well Disinfected Upon Completion? 0 Yes ❑ No
Method of Disinfection:
Comments:
Pump Installer Name: Aamw Pump & Well Service, LLC
P.O. Box 110496
Anchorage, AK 99511-0496
Property Owner Name &
Crown Pointe Homes
PO Box 112313
Anchorage, AK 09511-2313
pAeb
��i
-In`x
t
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
am
Municipality of Anchorage
P.O. Box 196650 • 4700 Elmore Road
Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 Deparrment
http://www.muni.org/Onsite
Development Services Division
On -Site Water and Wastewater Prooram
**** VARIANCE/WAIVER REVIEW ****
Waiver#: OSP131456 COSA#: Permit#:OSP131336
PID#: 020-311-61
Legal Description: Southpointe. Block 3. Lot 3
Engineer: Anderson Engineering
Applicant: Potter Creek Land Co.
Your request for a waiver of the required 50 feet horizontal separation from the absorption field
to the 25% or greater slope has been approved. The approved separation distance is 30.0 feet.
This waiver approval applies to the proposed 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.
Proposed septic tank approved to be 4 feet from the foundation.
Proposed absorption field approved to be 9 feet from the foundation.
❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected
adjacent property.
® Adjacent properties are not affected by this waiver.
..............................................................................1
Waiver is Granted: x Waiver is not Granted:
Date: O < Approved by,L
Name of Reviewer
..............................................................................
October 14, 2014
Municipality of Anchorage
Development Services Department
Building Safety Division
4700 Bragaw Street
Anchorage, AK 99507
Attention: Plan Review Engineer
On -Site Water and Wastewater
Subject: Lot 3, Block 3, Southpointe Subdivision
Foundation to Septic Tank Waiver
Dear On Site Engineer:
Lot 3, Block 3, Southpointe Subdivision has subsurface bedrock over much of the usable area at
shallow depths. The placement of both the house foundation and the septic tank required the
blasting of bedrock to allow placement of the tank at sufficient depth to accommodate sewage
flow from the lower levels of the house. The removal of the bedrock was difficult and
construction challenges resulted in placement of the septic tank 4.4' from the edge of the
foundation wall. Since the separation distance is less than 5' a waiver is required to meet
Municipal Code. It is important to note both the house foundation and the septic tank are
constructed in close proximity to bedrock which will continue to provide excellent structural
support in the future and should result in little or no settlement to either the house or the tank.
The attached drawing illustrates the septic tank and it location in relation to the house foundation.
The influence line of the footing and foundation when projected down at a 1:1 slope does not
encroach into the septic tank. It is unlikely that the location of the tank will have any influence
on the foundation. The presence of bedrock further insures that any settlement to the house that
may occur will not be a result of the location of the tank. We hereby request a waiver be issued
allowing the septic tank to be 4.4' from the edge of the foundation.
Sincerely,
Michael E. Anderson, P.E.
Attachments
:•.S14
,rTe�
49TH ;
:„ MICHAEL E. ANDERSON �?
" • CE -4381 : _
October 27, 2014
Municipality of Anchorage
Development Services Department
Building Safety Division
4700 Bragaw Street
Anchorage, AK 99507
Attention: Plan Review Engineer
On -Site Water and Wastewater
Subject: Lot 3, Block 3, Southpointe Subdivision
Foundation to Absorption Trench Waiver
Dear On Site Engineer:
Lot 3, Block 3, Southpointe Subdivision has subsurface bedrock over much of the usable area at
shallow depths. The placement of the house foundation required the blasting of bedrock to allow
level placement. The removal of the bedrock was difficult and construction challenges resulted
in placement of the southerly 5' of the easterly absorption trench 9' from the edge of the
foundation wall. Since the separation distance is less than 10' a waiver is required to meet
Municipal Code. It is important to note the house foundation is constructed in close proximity to
bedrock which will continue to provide excellent structural support in the future and should
result in little or no settlement to the foundation.
The attached drawing illustrates the absorption trench and its location in relation to the house
foundation. The influence line of the footing and foundation when projected down at a 1:1 slope
does not encroach into the absorption trench. It is unlikely that the location of the trench will
have any influence on the foundation. The presence of bedrock further insures that any
settlement to the house that may occur will not be a result of the location of the trench. We
hereby request a waiver be issued allowing the small segment of the absorption trench to be 9'
from the edge of the foundation.
Sincerely, D
.q
4,s
;' 49rH
Michael E. Anderson, P.E. �.....a..„.,..,,. 0,,,,,,,q,,,;
------------
Attachments .MICHAEL E. ANDERSON
I`!r•. CE -4381
1��?ROFfSS10Na�w�
SOUTHPOINTE SUBDIVISION
BLOCK 3, LOT 3
:'WAY OF A<q 9o®
+...D.., 0.. . �. ..n....
IASL E. ANDERSON
GE
••......• ' 0
PROFESSIONa e �
FOUNDATION TO SEPTIC
TANK WAIVER
SCALE 1" = 3'
SOUTHPOINTE SUBDIVISION
BLOCK 3, LOT 3
Lower I 1 9.0'
4-1-1
!eo
491H Y
m
w' Esf...:... QUNDATION TO ABSORPTION
IA€I E.RSON
CE -438]4381 TRENCH WAIVER
• ` ''`•'� `���
41� SCALE 1" = 3'
� ilk, �
-DEPENDABLE SERVICES ELECTRICAL
PO BOX 4357
Palmer, AK 99645
To Whom It May Concern,
Apr 21, 2015
This letter is to confirm that the lift station at 6450 South Pointe, has been wired
according to N.E.C. standards by Dependable Services with the license No.34142.
Sincerely,
Andrew Wessel
(907)317-9954 office
(907)677-1372 fast
akdependableservices@gmall.com
On -Site Water & Wastewater 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: OSP131336
Tax Code Number: 02031161000
Work Type: Welseptic
Permit Effective Dates: September 23, 2013 to September 23, 2014
Design Engineer: ANDERSON ENGINEERING
Subdivision: SOUTHPOINTE
Site Legal Address: SOUTHPOINTE BILK 3 LT 3 G:3738
Owner/Address: POTTER CREEK LAND COMPANY 50%
& POTTER CREEK LAND PARTNERSHIP 16420 ST JAMES CIR ANCHORAGE AK 995165340
Site Mailing Address: Lot Size in Sq Ft: 70479
Total Bedrooms: 5
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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
Issued By.
• Waivtr OSP15149,G 4-64 3o"4 t" �roe
MUNICIPALITY OF
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
AON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D.
W
j 020-311-61
/
Property owner(s) Crown Pointe, Inc. Day phone 229-1886
Mailing address P.O. Box 112313 Anchorage, AK 99511
Site address Southpointe Ridge Drive Anchorage, AK 99516
Legal description (Sub'd., Block & Lot) Southpointe, Block 3, Lot 3
Legal description (Township, Range & Section)
Lot Size 70,479 Sq. Ft. Number of Bedrooms Five (5)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field [K]
Initial El Single Family (SF)
Septic Tank 0
Upgrade ❑ (w/wo ADU)
Duplex (D) ❑
Holding Tank ElRenewal
❑ Multiple Dwellings ❑
Privy ❑
(SF and/or D)
Private Well 0
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number: 0x999 G
Permit No.
Permit App_9-1-12.doo
rN tri
Waiver Fees: d
Date of Payment: a hol
Receipt Number:
Waiver No. — /.�/�� P
September 15, 2013
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 3, Block 3, Southpointe Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 3, Block 3, Southpointe Subdivision intends to construct a five -
bedroom home on the lot. We are therefore requesting a permit be issued for
construction of a new well and septic system to serve the new home. The size of the
septic system and the proximity of bedrock to the ground surface in the subdivision limit
the available area for the sewage disposal system and make it difficult to place a
conventional septic system. We have therefore decided to place an Advantex
Treatment System on the lot in conformance with subdivision plat notes to provide the
most effective treatment of the septic effluent prior to discharge into the surrounding soil
strata. The location of the absorption system is shown on the attached Site Plan.
Drainage patterns are also shown on the plan and will not be modified as a result of the
proposed construction.
The test holes placed on this lot revealed silty sand with gravel soils with some sand
(SM/SP) underlain by bedrock. The percolation rate in the materials encountered in
the area near the new system was 7.5 minutes per inch. No groundwater was found
and no bedrock to 3.5'. The entire length of the new absorption area was verified to be
a minimum of 3.5' to bedrock. Our design provides for the bottom of the absorption
trenches to be 6' above the bedrock layer. We are therefore proposing to place a five -
bedroom Advantex Treatment System. The absorption trenches will each be 20' long x
5' wide with no effective depth. The distribution line in the trenches will be placed at
3.5' above the existing ground level. The total depth of the trenches will be 1' to
remove the organic material. The organic material will be replaced with coarse sand
which will also be used to raise the trenches 3' above existing ground. A minimum of 2'
of fill will be placed above the trenches along with 2" of insulation. A minimum of 4' of fill
will be placed over the septic tank to meet Municipal Code and prevent freezing.
Lot 3, Block 3, Southpointe
Page Two
September 15, 2013
The ground surface of the lot slopes at 15% to 20% to the northwest, but is virtually flat
near the location of the primary absorption trench site. The trenches will be constructed
parallel with the contours of the slope as much as possible in conformance with
Municipal requirements. All components of the new septic system will be constructed
a minimum of 100' from any surface water and 100' from the well currently on the lot.
No conflicts exist between the proposed well and septic system and those in the area.
All adjacent lots are vacant.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely, aL�
Michael E. Anderson, P.E.
Attachments
't, _. *
MICHAEL E. ANDERSON
Col
December 10, 2013
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 3, Block 3, Southpointe Subdivision
Absorption Trench to Slope Waiver
Dear Onsite Services Engineer:
Lot 3, Block 3, Southointe Subdivision has limited area for construction of a septic
system due to a steep slopes to the west and the presence of bedrock. The developer
of the lot has located the house on the flattest area of the lot further reducing the area
available. We have located an area with acceptable soils, but the distribution pipe
must be raised 3.5' above existing ground to provide 6' separation from bedrock. Fill will.
be required to provide a minimum of 30' from a break in grade greater than 25%. We
are therefore applying for a waiver allowing placement of the absorption trench at this
location. The soil encountered in the test holes is clean well graded sand (SM/SW)
which is very good for the absorption of septic effluent. In addition, an Advantex Nitrate
Reducing Treatment System is proposed for installation on the lot. No migration of
effluent is expected to occur to the steep slope.
Sincerely,
Michael E. Anderson, P.E.
.' 49th
MICHAEL E. ANDERSON
. No CE -4381
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SOUTHPOINTE
LOT 3, BLOCK 3
DESIGN FACTORS: SYSTEM REQUIREMENTS:
5 Bedroom Home Shallow Trench System
Pere. Rate: 6-15 Min./Inch Advantex Treatment System
Application Rate: 4 GPD/SF .5' Effective Depth
5 Bedrooms X 150 GPD/Bedroom = 750 Gallons
750 Gallons/4 GPD/SF/5 LF (Width) = 37.5 LF Trench Length
THEREFORE: Construct 2 - 20' Long by 5' Wide by No Effective Depth Absorption Trenches at the
Location Shown on the Site Plan. Distribution Pipe to be Placed at 3.5' Above Existing Ground. Place
2" of Insulation and 2' of Cover Over Absorption Trenches. Maintain 100' Separation From Private
Well on the Lot.
Place 6" Topsoil and Seed to
Revegetate Mound to
Prevent Erosion
Natural Backfill
2'
2" Insulation and
Geotextile Fabric
5' O
1 5' Drainfield Rods
3' 1 1 -T— 3' Coarse Sand
Existing Ground I I �1' Coarse Sand
1'
In Situ GM Soil
5' 10'
11
NOTE: TYPICAL TRENCH SECTION
(NO SCALE)
�1
—1" PVC\
3/16" Diameter Holes
(d 3' Spacing -10 Each Lateral
Existing Ground
Grade Area Surrounding Bed to Drain Away. '49th
Minimum 6' Separation From Bedrock. i,,,,;
Minimum 4' Separation From Groundwater.
P �
Minimum 100'Separation From Private Wells in the Area 1V"$�"t':..... "***"" """""""'•"
Minimum 100' Separation From Surface Water or Streams.. SIL,', Wheel E. Anderson
Minimum 10' Separation From Water Service Line. No. c —3
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
DEPTH
(feet)
1-
2-
3-
4-
5-
6-
7-
8-
9-
11
12
13
14
15
16
17
18
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: Lot 3, Block 3, Southpointe Subdivision
PERFORMED FOR: Crown Pointe Homes
DATE: 8/30/13 PROJECT No.:
PARCEL ID#: TECHNICIAN: MEA
TEST HOLE i
OB/OG
SM/SW
SAND W/SILT
B.O.H.
Bed Rock
SLOPE
WAS GROUND WATER ENCOUNTERED? NO C
IF YES @ WHATDEPTHS
DEPTH OF WATER AFTER MONITORING: None
DATE OF MONITORING: 9/11/13
SITE PLAN
SEE SITE PLAN
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
9/2/13
TEST HOLE PRESOAKED PRIOR TO TESTING:
1
2:14
2.38^
2
2:44
30
6.50"
4.12"
3
2:46
2.50^
4
3:16
30
6.50^
4.00"
5
3:17
2.25"
6
3:47
30
6.25^
4.00"
PERCOLATION RATE: 7.5 (MIN/INCH) PERC. HOLE DIA. 6__fINCHES)
TEST RUN BETWEEN: 1 FT. and_2_FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 9/15/2013
o rG£ BGf
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 020-311-61
1. GENERAL INFORMATION
Complete legal description Southpointe Block 3 Lot 3
Expiration Date: F" 2 _1 Z /
Location (site address) 6450 Southpointe Dr. Anchorage, AK
Current Property owner(s) Randal Buckenforf _
Mailing address
Real Estate Agent
6450 Southpointe Dr. Anchorage. AK
2. TYPE OF DWELLING:
M Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
M
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
WaiverNariance request for:
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual
M
Holding Tank
❑
Community
❑
Public Sewer
❑
Received by: - _ Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
stance:
COSA Fee $ .6 _ Waiver Fee $
Date of Payment 5 I % �o� 1 _..___ Date of Payment
Receipt Number __-_ 0 1 0 9 OG Receipt Number -__-
COSA#OSG2_l-�2�' — ---- - 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.
Name of Firm ARCTERRA CONSULTING, INC. _ _ Phone 696-6111
Address 120441 PTARMIGAN BLVD., EAGLE_RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS _,- Date
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. 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 well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future '%�
occupants or can ArcTerra guarantee that no unseen .m. 01i
encroachments, deficiencies or discrepancies exist. �- ,
6. DSD SIGNATURE���
System #1 Approved for bedrooms. KIEN`crTt ;' y '>:F"
System #2 Approved for bedrooms. F7, E1,�l+ryJa, <1 Aw
Ar
Disapproved.
Conditional approval for _ bedrooms, with the following stipulations:
�,
ri
r �l
_ _ J ON -fit I M �
o ��IAST'�'v-'ATER off—
�r
B Original Certificate Date:._?-__��
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 10-10-12 doc
Legal Description: Southpointe Block 3 Lot 3 Parcel ID: 020-311-61
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 3.8 gpm
Date drilled /4/13 Water storage tank volume gallons
Total depth 246 ft Well disinfected for coliform test? ❑ Yes No
Cased to 48 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 33 in.
Date of flow test for COSA 4/27/21
Static water level at beginning of test 56 ft.
Comments
B. TANK DATA
Age of tank(s) 8 years
Tank type/material Steel/Septic*
Measured operating fluid level in septic tank
Standpipes/foundation cleanout per record drawing
Date of pumping *Advantez
D. ABSORPTION FIELD DATA
Which system tested (date installed) 11/7/13
ALL standpipes present per record drawing
Total measured depth from grade 3.4 ft (max)
Measured depth to pipe invert from grade 3 ft (min)
❑ N/A —pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
Coliform bacteria is Negative
Nitrate 7.70 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Arcterra Consulting
Date of Sample 4/27/21
STATION
❑ Requ'lllt4Qaintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date 4/27/21
Results Q Pass For 5 bedrooms
Fluid depth prior to test 0 in
Water added 750 gal
New depth 0 in
Elapsed time 1 min
Code -required soil cover over field Final fluid depth 0 in
❑ System presoaked Absorption rate 750+ and
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) _
date of test)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies:
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
❑ Yes
if No 4.4*
Septic Tank/Lift Station on Lot > 100'
Surface Water > 100'
® Yes if No ft
Community Sewer Manhole/Cleanout > 100'
® Yes
® Yes
if No
ft
7 Yes
if No
ft
Neighboring Tank > 100' ® Yes
if No
ft
Private Sewer/Septic Line > 25'2] Yes
if No
ft
Absorption Field on Lot > 100' ® Yes
if No
ft
Holding Tank > 100' ® Yes
if No
ft
Neighboring Absorption Fields > 100'
ft
If septic tank is under driveway comment below
Animal Containment> 50' ® Yes
if No
ft
® Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ® Yes
if No
ft
® Yes
if No
ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
❑ Yes
if No 4.4*
ft
Surface Water > 100'
® Yes if No ft
Property Line > 5'
® Yes
if No
ft
Wells on Adjacent Lots:
® Yes
Absorption Field > 5'
Yes
if No
ft
Private Wells > 100'
® Yes if No ft
Water Main > 10'
® Yes
if No
ft
Community Wells > 200'
® Yes if No ft
Water Service Line > 10'
® 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'
0 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'
® Yes
if No
ft
Private Wells > 100' ® Yes if No ft
Water Service Line > 10'
® Yes
if No
ft
Community Wells > 200' ® Yes if No ft
Surface Water > 100'
® Yes
if No
ft
F. ENGINEER'S COMMENTS
x Per Inspection Report approved with waiver # OSPI31456
G. ENGINEER'S CERTIFICATION
/ certify that / 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.
CASA Checklist yellow sheet
49 IH
4ETH M. Dl.lEF,{ p e"
CE 7116 ��
MUNICIPALITY
DEVELOPMENT SERVICES DEPARTMENT a 907-343-7904
On -Site water and wastewater Section Fax: 343-7997
www.muni.org/onsite
Nitrate Advisory
Certificate of On -Site Systems Approval # OSC 211238
Subdivision: Southpointe Block 3 Lot 3
A water sample revealed a nitrate concentration of 7.79 milligrams per liter (mg/Q.
The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. Please see the attached "Nitrate Fact Sheet" for important
information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
�' "�Ma�hng Address P�`O �gBox 196650 *'Anchorage, Alaska 99519 6650 *www mu i`org�
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate
is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of
ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the
oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners,
food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years but is
associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of
young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood
stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the
concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered
from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home
water treatment systems such as softening, or iron filtration does not readily remove nitrate. The best
method for limiting nitrate in well water is source control. This can include avoiding overdosing of
fertilizer near the well and maintaining good separation distances between septic tank leach fields and
the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged
ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a
spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect
the activity of nitrate in water. This laboratory uses several different wet chemical methods approved
under the public water supply laboratory certification program. They also have test kits available, which
the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test kit results
against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend
using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples.
� r Mad�ng Address P O Box 196650 ; � Anchorage, blasica 99519 6650 *www muni org
396393
OHIO M Boom No OEM as on m Is 3
Um Ring 0 on HE 0 0 a R 0 0 No I 'R
WE 0 1 IN K 11 m 1 3 Bull 0 R Room 111 2
-.-1 vanTex I Field aid ail RePOrt
Annual Inspel -.tion
pworty ownartriucRing 0
Randal Duckendorf
Opyrntor
Larry Betts
SIte Addrasn
6450 Southpointe R Ige Drive, Anchorage AK 99516
AY Site ID 9 couvay 10 9 Pod 0 RTVI OAIUJL
TUJ
AX -153887 O�S P �1:31 3 36 418063 418062 =RTU 12 8 59 3
Retrieve O&M info
Deity flow�_
Roclre ratio—.
Timor savings;
Perform Field Sampl ig/Observations
NTU (15* NTUs) P, (6-9) DO (2^6)
odor of Samplo
1-7
Typical 1 Must U)rthy L^i Moldy
Non -typical Sulfic n Coblmge El 00GaY
-- I Y -'s
O;IY (Ilm In YNo
No
Foam In tark Yes.
Check Control Pane
R"Irc Amps DI charge Amps
U / D-- -
Audible and visual de = X OK
DJAI tone (toletmetry a ly) Yos, 7-J No
Inspect/Clean N11141 System
lnnpv,l Clean
..... ..........
Splice Box ...... ............. 4J,
Float Cards ...................LI
Floats ........... .......
PUMP....... .... .......
BjQ-tubei' Filter ..... .
Biotube Pump Vault ...........
Recirculating Splitter ' IaIVG .... . - -
Measure Sludge/Scum
C'.'A..
AnchorageTank
907-272-3543
Contact Pham
(907) 632-9397
Dal" of L03t Iflwe"10"
07113/2020
Scum
ist Compartment
Cu t
"rela
Previous
Current
prsvlous
2nd Comportment
Current
Previous
Current
Previous
Inspect/Clean AdvanTex Filter
odor! fj Normal
f�pungent
Biomet Normal
LI Excessive
Bridging/Ponding: Mono/Mlnor
0 Exce-Relye
Inspect/Clean Discharge PUIVII)
SYSteM
lnepet1
Ri-mr/Ud
splice Bar. L -j
Float Cards 0
Inspect/Seirvice Other System Component-'
inspect
Clean
—f
Disinfection EquIpmont
7r, Disp
Inspect Clean
Pod Bottom
Intake Vent V -j
Inspect GIOAM
Floats
Pump ❑
InSPOCI Clean
emal LitoraIn/Oki(lcP.ztzT
Obtarvatlons-
-
Additional Services Rendered
1� Cleanod textile shoots? rl Floplaced UV Itoms?
❑ Replacod/V,,ed other items?
Parts Used: W = Warranty, 5;= Sillabli,- (V appropriate selection)
W - B Item Nutnb,,,-r 0,escrlptlon
Firiall/Safaty Inspection
RSV mInstalled I (.ids bolted on
Manifold reconnected; fluah vatY*s Closed Control panol re. ctivated
Summary/Rear;xmmendations
7� System pprforming; no further iaan needed C,Tank needs pumping
commpnta — \-.,, e- I I GalIf0eZtrvIr-e wine --�
Signature —,-
Fax completed form to
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 -1110 Day of �_I__ of 20 V , by and between
(rI ell 11-3u,11 . herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Svstems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as Advantex AX
located at (legal description)
South Pointe Block 3 Lot 3, 6450 Southpointe Ridge Dr. Anchorage
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
�� Throughout the term of this Agreement; the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
Az, ---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).
,him ,Owncr agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Pagel of3
)I— 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.
Ia.– Owneragreesto grant the Municipalityreasonableaccess 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 anew
Certificate of On -Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. 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: r�nn
By: �„ Vr{� � (signature) Date:-Zol-LOZl
6-1 C A �0 r wt',C,tt_ (print name)
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
The foregoing instrument was a
24A, by &T ---,v_cNc ,A
ss.
cnowledged before me this /U6 of M`
�A�.
y
KATHERINE
A. HALVORSON
Notary Public
NO ARY I'U L10FOR A ASKA State of Alaska
My .omm issi n expires: a My Commission Expires Dec 7, 2021
MUNICIPALITY:
By: \ [��JY (signature) Date:
(print name) Title:
(rev. 05/18/2018) Page 3 of 3
*GL 9V
• Municipality of Anchorage
�<
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I.D. 020-,311-81 Expiration Date: 7 - 02 2-- 15�
1. GENERAL INFORMATION
Complete legal description SOuthpointe, Block 3, Lot 3
Location (site address) 6450,Southpointe Ridge Drive Anchorage, AK 99516
Current Property owner(s) Crown Pointe Inc. Day phone
Mailing address P.O. Box 112313 Anchorage, AK 99511
Real Estate Agent
2. TYPE OF DWELLING:
[D Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Five
4. TYPE OF WATER SUPPLY:
Individual Well
F.
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual
_E
Holding Tank
❑
Community
El
Public Sewer
❑
WaiverNariance request for: "'-""
Received by: Date:
COSA to be released to the engineer. unless otherwise requested by the engineer..
COSA Fee
Date of Payment _
Receipt Number
COSA#
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.
Name of Firm Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
6. DSD SIGNATURE
_,,��System #1 Approved for bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for
Phone 522-7773
Date
bedrooms, with the following stipulations:
In
Original Certificate Date: `T - �_,? a J
The Mal' o?Vions
rage Development Services Division (DSD) Issues certificates of On -Site Systems Approval (COSA) based only
upon the represeniven in paragraph 5 by an Independent professional civil engineer registered in the State of Alaska. TheMunicipality
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_( :A 0
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: Southpointe, Block 3, Lot 3
A. WELL DATA
Well type P
If A, B, or C provide PWSID # _
Date completed 11/4/13
Sanitary seal (Y/N) Y
Total depth 216 ft.
Cased to 48 ft.
FROM WELL LOG
Date of test
11/4/13
Static water level
51 ft.
Well production
4 g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100
mL Nitrate 2.59 mg/L
Arsenic N/D ug/L
Date of sample: 10/15/14
Parcel ID: 020-311-61
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) >18 in.
AT INSPECTION
ft.
I$J!W
Collected by: JA
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel/Advantex Date installed 11/5-8/2013
Tank size 1,500 gal. Number of Compartments 2 Cleanouts (Y/N)
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N)
Date of pumping New Pumper Construction
C. ABSORPTION FIELD DATA
Y
Y
Date installed 11/8/13 Soil rating (g.p.d./ft2 or ft2/bdrm) 4 GPD/SF System type 5'Wide
Length 2@20 ft. Width 5 ft. Gravel below pipe .5 ft.
Total depth 2-3 ft. Eff. absorption area 200 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 Size in gallons _
"Pump on" level at in. "Pump off' level at
Datum Cycles tested _
E. SEPARATION DISTANCES
WELL ON LOT TO:
Manhole/Access (YIN)
in. High water alarm level at
Meets alarm & circuit requirements?
Septic tank/lift station on lot On adjacent lots
Absorption field on lot >1 00' On adjacent lots >1 00'
Public sewer main N/A Public sewer manhole/cleanout
Sewer /septic service line >25' Holding tank N/A
Animal containment areas >50' Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOTTO:
Building foundation Property line >5'
4.4,**
Water main N/A Water service line >10'
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >10'
Water Service line >10' Surface water >100'
Curtain drain None Noted Wells on adjacent lots >100'
N/A
F. COMMENTS
**See Waiver - Foundation to Septic Tank.
G. ENGINEER'S CERTIFICATION
I certify that t 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 Michael E. Anderson, P.E.
Date 10/23/2014
COSA brown sheet 10-10-12.doc
>100'
Absorption field >5'
Surface water >100'
Water main N/A
Driveway, parking/vehicle storage >10'
1AEL E. ANDERSON ,
GE -4381
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A,l irs.NCEI'sWASTE VA,TFTt iRF, TPrENTSX'Sa'Llis.
1N[Ali\TENANCE AND REPA R AGREEMENT
B ETWKEN hTUNICI:I'ATATY OF ANCHORAGE
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AND �L e � e2r6 1.3dGCE.de�re?
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of thisC 40 Day of !b of 20Lf, by and between jeghaj
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, .he
parties to this Maintenance and Repair Agreement agree as follows:
1. A dvsrnced 1i'asieu atcr Treatment SYs4ems. Municipality grants permission to
Owner to utilize and operate an Advanced Wastewater Treatment System
(AWWTS), described as
.14 eA,,v rEx �y�r�H
located at (Iegai description).
Zor
2. Da!'dnitious.
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 Approvsl (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 !hat would inhibit
the system from performing as designed.
Maintenance and R.apair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included
in the original design which would a'.low 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.
I 2:Effi. 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. ti3tett,tiuna, lu.stutla#itta anti 1temG's &1 af.Additionsi rauinmeu L 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. iV,iriintenaxice•a.ud ftairs.
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
servide and maintenance provider approvedb the comic peili'v and the
manufacturer of the AWWTS for the entire term of the AW'-'-- 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.
13. 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.
14, Owner agrees that the AWWTS installation and maintenaice requirements as
provided by the AWWTS vendorlinstaller and approved by the Municipality are
the governing guidelines for the construction, maintenance and repair of the
Owner's AWWTS.
1. Owner agrees to provide and maintain a telephone connection to the AWWTS as
required by the AWWTS approval,
6. Nonivaiver•. The failure of either party at anytime 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. Ameud'raeat.
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:
P
a. Owner:
b. Municipality: Director, Community Development or designated authoriri
C. Any attempt to amend, modify, or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8.-ratisdictlon: Cholee of Lmy. 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 parses wider this Maintenance and Repair
Agreement,
4. 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.
By: (signattve) Date: 04' r" ZOIC
gvse{a . tw�0!'lTlnt name)
STATE OF ALASKA
TI-IIRD JUDICIAI. DISTRICT
The forego'instrument
211 , by k.' 1 i
My Commission expires:
M'rJNICI: E�ALI'IN:
) ss.
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By:. _--- (signature)
me this o day of i
UT
Date:
_ (print name) Title:
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