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HomeMy WebLinkAboutPOTTER HIGHLANDS PH 1 BLK 1 LT 2Potter Highlands Ph 1 Block 1 Lot 2 #020-281-54 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: OSP141492 PID Number: 020-281-54 ❑✓ New ❑ Upgrade Name: John Hagmeier Homes LLC ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench E] Bed E] Mound Address 6172 Greece Cir. Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 2GPD/SF - - 12 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4 Ft, Gravel depth beneath pipe 8Ft. Subdivision Block Lot Potter Highland Phase 1 1 2 Fill added above original grade 0 Ft. Gravel length 26.6 Ft. Township Range Section Gravel width 3Ft. Beds: Number of Lines NIA Distance between lines N/A pt_ SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 425 Fe 1 N/A Ft, Well 172.6 201.4 N/A N/A N/A TANK ❑ Septic ❑ S.T.E.P. ❑ Holding [] Other Manufacturer Advantex Capacity 1,5000al. Surface Water 100+ 100+ N/A N/A Material Number of compartments Lot Line 66.2 51.4 N/A N/A Fiberglass 2 NA Foundation 57.7 85.1 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain N/A N/A N/A N/A Orenco 500 Gal. Remarks Pump on level at 44 in. Pump off level at 42 in. High water alarm at 45 in. Pump make and model Orenco P2005 ical Inspections performed by Dependable Services Installer PIPE MATERIAL House to tank 3034 rank to drainfield 3034 John Hagmeier Homes LLC Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100ft Inspection g/5/2015 dates: 2- 8/5/2015 Location and description Td 8/5/2015 4'" Top of Finished Bottom Level Floor COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date `fiG.•• .9 TH even'onnome Approved Date .► ispection Re ort rr1¢.co¢� LOT VACANT NO WELLS OR SEPTICS LOT VACANT A B POD 79,0 64,0 LS2 83.5 69.0 DC 87,0 750 C I 95.n 88.0 C2 106.0 87.0 10 M2 106,5 8 PAMONE ENG SVC, LLC P,O, BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 It Ar TH Date RECORD DRAWING Scale DRAWN BY: 6172 GREECE CIP. ANCHORAGE, AK 99516 OSP1 41492 PLAN SPECIAL PROVISIONS TO SPECIFICATIONS 1. 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 AND ATTACHED SPECIAL PROVISIONS. 2. SCOPE OF WORK: INSTALLED NEW 1500g ADVANTEX TANK WITH AX20 POD AND DOUBLE CLEAN OUT AND SOIL ABSORPTION SYSTEM. INSTALLED NEW WELL. 3. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 17 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. NO APPARENT WATER TABLE WAS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 17 FEET BELOW EXISTING GRADE.[IF-4 FILTER FABRIC "0 DRAIN PIPE TH-2 84.5 pRAIN ROCK 6" ABOVE PIPE INV -1.0 4.0 80.5 DM ROCK 79.8 I. 1500g ADVANTEX TANK NEW DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4(600 gpd) TANK SIZE: i500g ADVANTEX W/ AX20 POD AND DCO PERC RATE: 51 MPI SOIL RATING: 2 GPD/SF AREA ROD: 3CO SF SYS. TYPE: DEEP TRENCH 8.0'ED MIN LENGTH: 19 LF USED: 26.6 LFx3.0'Wx8.0' E.D., 12.0' TD TOTAL AREA: 425 SF PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC — = 72.5 L!° Lt7 72.5 Date a/27/2ot5 CU COPPER DIP SECTION TH TEST HOLE FC FOUNDATION CLEAN OUT 6.0 TANK CLEAN OUT NO. C# CLEAN OUT NO. M# � R. 1. RIGID INSULATION DCO -18.0 c6ro DIVERTER VALVE FS z BEG BELOW FINISH GRADE w ORIGINAL GRADE FG FWSH-GRADE TS&V TOPSOIL AND VEGETATE I�- zz Omz o m a: 0 �w z ,n �w ~ z o o z 4U Q DU J O - UZ < B a nn 79.8 I. 1500g ADVANTEX TANK NEW DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4(600 gpd) TANK SIZE: i500g ADVANTEX W/ AX20 POD AND DCO PERC RATE: 51 MPI SOIL RATING: 2 GPD/SF AREA ROD: 3CO SF SYS. TYPE: DEEP TRENCH 8.0'ED MIN LENGTH: 19 LF USED: 26.6 LFx3.0'Wx8.0' E.D., 12.0' TD TOTAL AREA: 425 SF PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC — = 72.5 ABBREVIATIONS Date a/27/2ot5 CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BEG BELOW FINISH GRADE OG ORIGINAL GRADE FG FWSH-GRADE TS&V TOPSOIL AND VEGETATE NIC NOT IN CONTRACT NOTES:PAMONE "751`IG SVC LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 �� `"\�� (��F'A�gSlrj %6jX`P �yj� *; QCJ TH *�/ ... .. ... ..... teveCER 8149 n�Q, ,jjlF�FaR?pFES510NP� Date a/27/2ot5 RECORD DRAWING Scale NTS DRAWN BY: POTTER HIGHLANDS PHASE I, BLOCK 1, LOT 2 JOHN HAGMEIER / HAGMEIER HOMES 6172 GREECE CIR.Fcs� ANCHORAGE, AK 99516 NJC� P.I. 020-281-54 PERMIT N0. osRlalasz DESIGN DETAILS Sheet Ali-.ne Drilling & Enterorls...s Well Log Permit Number: #SW 141492 Date of Issue: 11-26-14 Parcel Identification Number: 02028154000 Date Started: 3-01-15 Date Completed: 3-02-15 Is well located at approved permit location? x Yes ❑ No Legal Description: Potter Highlands Phase 1 Block 1 Lot 2 Property Owner Name & Address: Potter Creek Development LLC 3230 C Street First Floor Anchorage, Alaska 99503 Borehole Data: Depth (ft) Method of Drilling Z air rotary ❑ cable tool Soil Type, Thiclaiess & Water Strata From To Casing type: steel Stick-up 0 2 Wall Thickness:.250 inches Ornanics & silt 2 3 Diameter: 6 inches Depth: 90 feet Liner Type: Gravelly sill 3 9 Diameter: inches Depth: feet silty gravel 9 1? Casing stickup above ground: 2 feet Static water level (from ground level): 95 feet gravelly silt 17 42 silt 42 45 Pumping level: 260 feet after gravelly silt 45 78 2 hours pumping 8 gpm Recovery Rate: 8 gpm sanclvgrrrvel 78 84 Method of Testing: air lift bedrock 84 266 Well Intake Opening Type: f ❑ Open End x Open Hole I ❑ Screened Start ^ feet Stopped feet ❑ Perforations Start feet Stopped feet H2O 230 245 Trout Type: henioniie granules v'oluine: De the Start 0 feet Sto ed ? feet Pump: Intake Depth_ feet Pump size lip Brand Name Well Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: chlorine tablets C1emments, 11 �1 11 13 Well Driller: Alpine Drilling & Enterprises PO Box 110496 - 1 n';7C L -rage, n"laika i>✓ii A 7;— I Development Services Department Building Safety Division On -Site Water & Wastewater Program "r 4700 Elmore Road PA. Box 196650 MarkBegich Anchorage, AK 99507 Mayor www.muni.org/onsite - (907)343-7904 Pump Installation Lag Well Drilling Permit Number: SW 141492 Parcel Identification Number: 02028154000 Date of Issue: 11126/2014' Legal Description operty Owner Name & Address: Patter FlSohlands Phase 1 iter Creek Development LLC/HagmeieT Homes - FA BlocK 1, Lot 2 30 C St.. First Floor chorage. AK 90503 Pump Installation Date: 721(2015 Pump Intake Depth Below Top of Well Casing: 254 feet Pump Manufacturer's Name: Goulds I Pump Model: 7SE10 Pump Size 1 hp I Pitless Adapter Burial Depth: 12 feet Pitless Adapter Manufacturer's Name: Martinson Pitless Adapter Installer: Aarow Pump & well Service, LLC Well Disinfected Upon Completion' © Yes [:1 No Method of Disinfection: Chlorine Tablets Comments: Installer Name: Aarow Pump & Well service, LLC P.O. Box 110496 Anchorage, AK 09511. Please save for your engineer. This is needed for your COSA. Attention: The pump installer shall provide a pump installation log to the DSI) within 30 days of pump installation. nuy co 10 w:L i p uependable Services 907-677-1372 p.2 DEPENDABLE SERVICES ELECTRICAL PO BOX 4357 Palmer, AK 9964x5 Aug 25, 2015 To Whom It May Concern, 4�E y This letter is to confirm that the lift .station at 2/1 Potter Highlands, has been wired accordmgto N.E.C. standards by Dependable Services with the license No_34242. Sincerely, Andrew Wessel (907)317-9354 okce (907)677-1372 fax . okdepen dabteservlces@gmail, mm 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: OSP141492 Tax Code Number: 02028154000 Work Type: WellSeptic Initial Permit Effective Dates: November 26, 2014 to November 26, 2015 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: POTTER HIGHLANDS PH 1 Site Legal Address: POTTER HIGHLANDS PH 1 BILK 1 LT 2 G:3638 Owner/Address: POTTER CREEK DEVELOPMENT LLC 3230 C ST FIRST FLOOR ANCHORAGE AK 995030000 Site Mailing Address: 6172 GREECE DR, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank All construction must be in accordance with: Lot Size in Sq Ft: 67692 Total Bedrooms: 4 N Privy Y Private Well N Water Storage 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 By: Date: / ' ZGl7 Date: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-281-54 Property owner(s) John Hagmeier Homes LLC Day phone Mailing address 2204 Cleveland Avenue #201, Anchorage, AK 99517 Site address Greece Cir Legal description (Sub'd., Block & Lot) Potter Highlands Phase I, Block 1, Lot 2 Legal description (Township, Range & Section) Lot Size 67,692 Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field ❑X Septic Tank ❑x Holding Tank ❑ Privy ❑ Private Well ❑X Water Storage ❑ Number of Bedrooms 4 APPLICATION IS AN: TYPE OF DWELLING: Initial FK Single Family (SF)_. ❑X (w/wo ADU) Upgrade F-1Duplex (D) F-1Renewal ❑ 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. Permit/Rush Fees: Waiver Fees: Date of Payment: ((/S�/� Date of Payment: Receipt Number: 6/5_U; G Receipt Number: Permit No. 6S2118W9 Waiver No. Permit App__ :. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steveCfoaneneak.com November 20, 2014 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Potter Highlands Phase I, Block 1, Lot 2 Septic System Permit Request Ladies and Gentlemen: I am writing to request a permit to install a new septic system be issued for this property. The proposed systems will serve a proposed four (4) bedroom house. Currently the lot is undeveloped. The proposed system will utilize a 1500g S.T.E.P. tank with AX20 Pod and auxiliary pump vault. The surrounding developed lots are served by private wells. There are no wells on surrounding lots within 100 feet of this system and there are no septic systems installed on the surrounding lots within 100 feet of the proposed well. Soils. Two test holes were performed on this lot by Pannone Engineering Services in October of 2014, and groundwater was monitored for seven days. Ground water was not observed below the surface in the test hole monitor tube in October of 2014. 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 2.0 gallons/day/square feet should be used for a CAT III wastewater system. 1. Soil Absorption System Design. a. See Sheet 2 of the design package. 2. 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. 3. Topography: The existing topography slopes from the east to west at approximately 20%-25% in the area of the proposed drain field. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 4. 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 surrounding wells within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer 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 W� LOT VACANT NO WELLS OR SEPTICS rc 14\ TH— I 'Z LOT 2 PRIMARY RESERVE DRAINFIELD (P) 2nLF x 3'W x 8'ED x I 2'TD 4BR H U OUSE DRIVEWAY I (P ss (P) 12 3.6 WE L L (p) TH- 2 I 5OOg S.T.E.P. TANK WITH AX20 POD AND DCO P) 47�2 50 1 A/0 /1//v 200 s LOT VACANT NO WELLS OR SEPTICS Z 'Z 'V 2 0 LOT VACANT 3� //NO WELLS OR SEPTICS NOTES PANNONE ENG SVC, LLC Dote FOR MoA REVIEW ONLY P.O. BOX 100217 ANCHORAGE, AK 99510 ....... 11 /04/1 . . I Scole PHONE (907) 272-8218 FAX (907) 272-8211 0 *.-'49 TH 0j, I"=50' .... .. P.I.D. No POTTER HIGHLANDS PHASE 1, BLOCK 1, _("T ... ..... . ... 00-281-54 JOHN HAGMEIER / HAGMEIER HOMES Ste n R. P nnone PERMIT NO. A CE 8149 GREECE CIR, Ospxxxxxx PLAN ANCHORAGE, AK 99516 Sheet 0 s I OF 4 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 AND ATTACHED SPECIAL PROVISIONS. 2. SCOPE OF WORK: INSTALL NEW 15008 S.T.E.P. TANK WITH AX20 POD AND DOUBLE CLEAN OUT AND SOIL ABSORPTION SYSTEM. INSTALL NEW WELL 3. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 17 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 17 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. ( THyYa FILTER FABRIC 4.01 4" a DRAIN PIPE AIN ROCK 6' ABOVE PIPE INV ES.'P• cM 8.0 DRAIN ROCK F SECTION z w �0 o S0 m m Qo 00 ? I z i > C, ZW W 0 wW z O O Z DU U y_ UU Q Z Z Q NOTES: PANNONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 POTTER HIGHLANDS PHASE I, BLOCK 1, LOT JOHN HAGMEIER / HAGMEIER HOMES GREECE CIR. DESIGN DETAILS ANCHORAGE, AK 99516 OF AQill 1 /20/14 NTS . ......i... .. . .. P.LD. NO 020-281-54 Steven R. onnone j PERMIT NO. +PCE 8149��/ OSP141492 r SIONPz� Sheet 0 S 2 OF 5 AHLIKLVIAIIUNS CU COPPER DIP DUCTILE IRON PIPE DESIGN PARAMETERS TH TEST HOLE PRIMARY SEPTIC SYSTEM FC FOUNDATION CLEAN OUT NO. BEDROOM: 4 (600 gpd) LEGEND T# TANK CLEAN OUT N0. TANK SIZE: 150og S.T.E.P. C# CLEAN OUT N0. W/ AX20 POD AND DCO W WATER LINE/ PERC RATE: 51 MPI WELL RADIUS MONITOR TUBE NO. SOIL RATING: 2 GPD/SF R. . RIGID INSULATION AREA ROD: 300 SF SS — NEW SEPTIC DCO DOUBLE E CLEAN OUT SYS. TYPE. DEEP TRENCH 8.0'ED DV VALVE MIN LENGTH: 19 LF FS FLOW SPLITTER BFG BELOW FINISH GRADE USE: OG ORIGINAL GRADE 25 LFx3.0'WxB.O' E.D., 12.0' TD FG FINISH GRADE TOTAL AREA: 400 SF TS&V TOPSOIL AND VEGETATE NIC NOT IN CONTRACT NOTES: PANNONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 POTTER HIGHLANDS PHASE I, BLOCK 1, LOT JOHN HAGMEIER / HAGMEIER HOMES GREECE CIR. DESIGN DETAILS ANCHORAGE, AK 99516 OF AQill 1 /20/14 NTS . ......i... .. . .. P.LD. NO 020-281-54 Steven R. onnone j PERMIT NO. +PCE 8149��/ OSP141492 r SIONPz� Sheet 0 S 2 OF 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 TEST HOLE/ I Per-C.f. GM BOH GRAY SILTY GRAVEL DATE PERFORMED: 10/24/14 SOILS LOG - PERCOLATION TEST SLOPE X TH SITE PIAN .I ro cc TH-1� WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -DRY DEPTH TO WATER AFTER MONITORING? -DRY DATE: 10/31/14 SLOPE TH X / L 4BR HOUSE (P) READING DATE CLOCK TIME NET TIME WATER LEVEL READING NETDROP 1 10/24/14 11:50 --- 6.62 --- 2 12:20 30 MIN 7.75 1.13 3 12:20 --- 6.62 --- 4 12:50 30 MIN 7.31 .69 6 12:50 --- 6.62 --- 1:20 1 30 MIN 1 7.266=64 PEROLATION RATE 47 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS: Test hole excavated by JOHN HAGMEIER HOMES LLC. Prec hole was presoaked. Test run for at least one hour. Last 3 readings reported 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:PANNONE ENG SVC LLC _ Date FOR CONSTRUCTION ' �(G OF A`q �l,� 11/20/14 P.O. BOX 102954 ANCHORAGE, AK 99510 J S PHONE (907) 272-8218 FAX (907) 272-8211 %rj�P �y+� Scale 9TH NTS "' • • • • "" P.LD. NO POTTER HIGHLANDS PHASE I, BLOCK 1, LOT 2 •, 020-281-54 JOHN HAGMEIER / HAGMEIER HOMES // •,teVen R. nnone /PERMIT No. r,P�„c� CE 8149 .'�� OSP141492 GREECE CIR. I _ SOILS LOG ANCHORAGE, AK 99516 111F�Fa ROfE5S0���r Sheet 3 OF 5 1 2 3 4 5 6 7 s 9 10 11 12 13 14 15 16 17 18 19 TEST HOLE ORfOL ORGANICS/ ORGANIC SILTS GM GRAY SILTY GRAVEL BOH DATE PERFORMED: 10/24114 COMMENTS: SOILS LOG - PERCOLATION TEST SLOPE WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -DRY DEPTH TO WATER AFTER MONITORING? -DRY DATE: 10/31/14 Off'. ' Co N Ci p C TH-1/ LOT 2 TH-2 / I ; SLOPE TH X L 4BR HOUSE (P) READING DATE CLOCK TIME NETTIME WATER LEVEL READING NETDROP 1 10/24/14 12:40 --- 2.10 --- 2 1:10 30 MIN 2.74 .64 3 1:10 --- 2.10 --- 4 1:40 30 MIN 2.70 .60 5 1:40 --- 2.10 -- 6 2:10 30 MIN 2.69 .59 PEROLATION RATE 51 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4 FT AND 5 FT _ 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: n�7�T7�� 7�7�� _����\� Date R CONSTRUCTION A NOON 4 ENG 9LL10 � (F OF A4 4�llt� 11 /20/14 P' PHONE (907) 272-8218 FAX (907) 272-82110#Scale ig, 9 , POTTER HIGHLANDS PHASE I, BLOCK 1, LOT JOHN HAGMEIER / HAGMEIER HOMES GREECE CIR. SOILS LOG ANCHORAGE, AK 99516 *. 4 TH '* /I NT P.I.D. NO .. 020-281-54 Steven R. Gnnone� PERMIT N0. P CE 8149 OSP141492 ��LrFRe.: •......'.. Sheet 4 O 5 4' JIM CAP 4" PUMP—OUT SLIDE SECTION OF 6" PIPE OVER THIS CONNECTION TO PROVIDE SHEER PROTECTION— EXTEND TO BRIDGE EXCAVATION ADVANTEX DESIGN ADVANTEX AX20 POD 24 INSULATED RISER PASSIVE AIR NOTES: PANNONE ENG SVC, LLC --SOF ; FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 �Q'��'""' PHONE (907) 272-8218 FAX (907) 272-8211 iq.'' j*:49TM .. ../.l.To., POTTER HIGHLANDS PHASE I, BLOCK 1, LOT JOHN HAGMEIER / HAGMEIER HOMES / Steven 'R. 'Par i GREECE CIR. ++Psr CE 8149 SITE SECTION ANCHORAGE, AK 99516 t�h�FOpknvFesioNP` 11/20/14 NTS P.I.D. NO 020-281-54 PERMIT NO. OSP141492 Sheet 5 OF 4770 04- T10W=1'i14 Development Services Department On -Site Water & Wastewater Section Certificate of On -Site Systems Approval Parcel I.D. 020-281-54 1. GENERAL INFORMATION Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: Complete legal description POTTER HIGHLANDS PHASE 1, BLOCK 1, LOT 2 Location (site address) 6172 GREECE DRIVE, ANCHORAGE, AK 99516 Current property owner(s) CHRISTOPHER SHUMATE & SHANNON CUSANO Day phone Mailing address Real estate agent 6172 GREECE DRIVE. ANCHORAGE. AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ -550 Waiver Fee $ Date of Payment '-1 AZl AZ j Date of Payment Receipt Number (25S Receipt Number COSA # 05 C 21 1 ��12 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY ANCHORAGE AK 99516 Engineer's Printed Name CURTIS HUFFMAN PE Date 4/21/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the • �1�� well and septic system. Therefore, any estimate of how long a system will function satisfactory ��®��Q: • . �� ��� for current or future occupants or guarantee that no unseen encroachments, deficiencies or 49 discrepancies exist can be given by First Water Consulting & FKS TM , •� 6. DSD/ SIGNATURE Curtis Huffman System #1 Approved for bedrooms ¢�c/sT . •CE 128991 System #2 Approved for bedrooms �® ESS�� Disapproved Conditional approval for bedrooms, with the following stipulations: Jai J OF y �;TE �1P ��ra� � WATER AND MAST v .'A o .ASA ld C0�,��� �jFA( SERV ',, By: P Original Certificate Date: ,� -Ila 01;? 1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: POTTER HIGHLANDS PHASE 1, B1, L2 Parcel ID: 020-281-54 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 3/2/2015 Total depth 245 ft Cased to 90 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 4/17/2021 Static water level at beginning of test 101 ft. Well production at time of test 4.16 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 2.16 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 4/15/2021 Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) 6 years Tank type/material ADVANTEX / FIBERGLASS Measured operating fluid level in septic tank * Standpipes/foundation cleanout per record drawing Date of pumping *SEE MAINT. REPORT C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/5/2015 ALL standpipes present per record drawing Total measured depth from grade 13 ft (max) Measured depth to pipe invert from grade 5 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 4/17/2021 Results Pass For 4 bedrooms Fluid depth prior to test 29 in Water added 750 gal New depth 51 in Elapsed time 1400 min Final fluid depth 29 in Absorption rate 750+ gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: 4BR SYSTEM – 5BR VOLUME OF 750 GALLONS INJECTED / TESTED. E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 4/22/21 0312612021 12:32 Anchorage Tank TAX)907 277 3715 P.0011001 37,5256 R■ ■■■IIs IOOr,O ■■■■■■ R ■ ■■■ ■ ..rr as ■ ■ loss ■ s ■ on N no I loss si ■ R■■ ER■ ■ ■ NINON on ■ NINE NR■ *varffWe Flold Mainteimence Report Anchors eTank Annual Inspection 907-272-3543 Property 4wnerI teoking N Currey 1 Opsrawr Currant Chris Shumate & Shannon Cusano 2nd Compartment Larry Betts Previous 814 Addrns Previous Cont&d Phone 6172 Greece Drive, Anchorage AK 99616 (907) 360-0160 AX Site to N County ID N Pad N RTU N/UL N paps of Lest Inepeouon AX -137337 OSP141492 420968 RTU131799 08126/2019 Retrieve O&M Info Dally flow Reolrc ratio_ Timer OWngs: Please call ahead Dogs In the yard Perform Field Sampling/Observations NTU (16 r NTUs) pH (B -g) 1)0 (2-6) irq ', Odor of Sample Typical Vkusty ❑ Earthy ❑ Moldy Non -typical Ifldr ❑ Cabbage ❑ decay Oily elm in PVU ❑ yea XNQ Foam In tank ❑ yrs a Check Control Panel Rani reAmps pih�pe f+ Audible and visual alarms OK Dial tone (telemetry only) yes ❑ N. Inspect/Clean Pump System Inspect Clean Rlaar/Ud ..................... Splice Box .................... Float Gorda ................... Floats ......... . ....... . Pump........................ Biotubee Fllter................. Blotube Pump Vault ............ Recirculating Splitter Valva...... . Comments Measure Sludge/Scum Sludge Scum 1ItCompartment Currey 1 Previous Currant Previous 2nd Compartment Current Previous Current Previous Inspect/Clean AdvanTex Filter Odor: A,�,*�rrnal E) Pungent Blomat: 1a414ormal El Excessive Bridging/Ponding: �one/Mlnor ❑ Excessive Inspect/Olean discharge Pump System Inspect Riser/Lid ❑ 6pllce Box ❑ Float cards ❑ Inspect Clean Lateralsl0riflces .Al Pod Bottom Intake Vent Inspect Clean Floats ❑ ❑ Pump ❑ ❑ Inspect/Service Other System Components Inspect Clean Inspect Clean nlrtinfnr:tlnn FrfrdmmAnt .'_ A_ nitr,.al i oi..wnrifi,J2,- -er Observatlona _. Additional Services Rendered ❑ Cleaned textile sheets? ❑ Replaced UV Items? ❑ Replaced/Used other Items? Part$ Used; W = Warranty, B . Billable (,% appropriate selection) w B Item Number Description Fin /Safety Inspection RSV reinstalled meld reconnected; flush valves closed Summary/Redommendations &stem performing; no further action needed ❑ Cell for service lids balledon rrtrol panel reactivated ❑ Tank needs pumping ❑ Gthel? Rax completed folrm to 1-866-584-7404 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this _ Day of /'i I of 20 2I , by and between p/ar1A Xtra a6t , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) AN ADVANTEX SYSTEM POTTER HIGHLANDS PHASE 1, BLOCK1, LOT 2 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. 1Llr It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of OLOwner 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. D& Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. DOwner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AW WTS 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: q 2 By:%��a(signature) Date: Z- 111 RA (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this IiNay of, 20A f by — NOTARY PUBLIC FOR ALASKA My Commission expires:f y BRANDALYNN E. BREWSTER a" , ��'� . Notary Public State of Alaska My Commission Expires Jun 16, 2024 MUNICIPALITY: By:� �' (signature) Date: L% 024 O�`� k6Leccat l 4r0 L l (print name) Title: (rev. 05/18/2018) Page 3 of 3 AV, Parcell.D. 020-281-54 .. 0 ! Municipality of Anchorage° ; $� ` On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1. GENERAtaNFORMATION Complete legal description Location (site address) Expiration Date: Potter Highlands Ph 1, Block 1, Lot,5l2 6172 Greece Dr.. Current Property owner(s) John Hagmeter Homes LLC Day phone Mailing address 2204 Cleveland Ave. Suite 201 Anchorage, AK Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 99517 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well F Individual Fx1 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance Received by:N U" Date: / to S COSA to be released tothe ngineer, unless otherwise requested by the engineer. COSA Fee $ G�q�-1' �ti �• Waiver Fee $ Date of Payment s 5 r& Date of Payment Receipt Number �l yq� Receipt Number COSA# o'C)C151g13 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 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE L System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Phone (907)272-8218 sq - Date 8AV/2015 Conditional approval for bedrooms, with the following stipulations: rVninal Certificate Date:10C I The- u " iN nchorage 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. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSAbluesheet f .., c Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Potter Highlands Ph 1, Block 1, Lot 2 Parcel ID: 020-281-54 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 3/2/2015 Sanitary seal (Y/N) Y Wires properly protected (YIN) Y Total depth 245 ft. Cased to 90 ft, Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 3/2/2015 _ New Static water level 95 ' ft. New ft. Well production 8 g.p.m. New g p.m WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 1.57 mg/L Arsenic ND ug/L Date of sample: 8/5/2015 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Advantex/Fiberglass Date installed 8/5/2015 Tank size 1,500 gal. Number of Compartments 2— Cleanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) Y Date of pumping New Pumper N/A C. ABSORPTION FIELD DATA Date installed 8/5/2015 Soil rating (g.p.d./ft2 orftz/bdrm) 2 GPD/SF System type Deep Trench Length -26.6 ft. Width 3 ft. Gravel below pipe 8 ft. Total depth 12 ft. Eff. absorption area 425 ft2 Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test New in. Water added New gal New depth New in. Elapsed Time: New min. Final fluid depth New in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed 8/5/2015 "Pump on" level at 44 in. Datum Bottom of Tank E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons 500 "Pump off' level at 42 Cycles tested New Septic fank/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 in. Manhole/Access (YIN) Y High water alarm level at 45 in. Meets alarm & circuit requirements? Yes On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ +Holding tank 100+ Manure/animal excrete storage areas 100+ Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 1.00+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage_ 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS 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 Steven R. Pannone Date 8/27/2015 COSH canary sheet 2-6-15.doc GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. >_000 E. DOWLING RD., SUITE E ANCHORAGE, ALASKA 99507 PHONE 248-5454 PLAT NO. 2013-113 POTTER HIGHLANDS SUBDIVISION, PHASE 1 LOT 2, BLOCK 1 1.554 ACRES AI ROoSi.1F-17 Ar.R 7S• I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA effery—K.—Gastaldi AF LS -6091 : ,yam AV "0fessiono� kpe toalilt • 111=40' BUILDING DETAIL SCALE: 1 "=20° ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND SInn l�,S" THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this i Day of Lt' of 20by and between 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: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as 2. ueuaiuuus. located at (legal description). Alteration. Any change to the design or function of an AW WTS 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 AW WTS that were included in the original design which would allow the AW WTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AW WTS. 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 AW WTS 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 AW WTS 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 AW WTS service and maintenance provider approved by the munici a�Iity and the manufacturer of the AW WTS for the entire tern of the AW WTS 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 AW WTS. 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 AW WTS 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 AW WTS installation and maintenance requirements as provided by the AW WTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AW WTS. 1. Owner agrees to provide and maintain a telephone connection to the AW WTS 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 arty 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: b. Municipality: Director Community Development or designated authority V 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. OWNEI By. jgnature) Date: I �� ` Q vi v\ oj� C CCt n O (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 3 20_L�, by NOTARYYXBLIC FOR ALASKA My Commission expires: J l�L 1 ),pl '1 MUNICIPALITY• By: (signature) Date: name) Title: day of%�i pWSMAIV r v�