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Home My WebLink AboutFESLER LT 1ALot 1 A kV AW ta A(SLOIS S" MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241150 Work Type: Septic Upgrade Tax Code Number: 09002174000 Site Legal Address: FESLER LT 1A GA759 Site Mailing Address: 127 STELLER'S JAY LN, Indian Owner: LATTIMORE CLARE Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: r t)c•partm�:��nt 6/27/2024 6/27/2025 74508 Q Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: The designated reserve field will be to rebuild the proposed field. Received By: 15 5 C', E_ q Date: _ Issued By: ` �' _ Date: `I 2 � �` `� � ` 3 ON -SITE SEPTICMELL PERMIT APPLICATION Parcel I.D. 090-021-74 Property owner(s) CLARE LATTIMORE Mailing address 129 STELLAR JAY LANE -BIRD CREEK, AK Site address 129 STELLAR JAY LANE -BIRD CREEK ,AK Day phone 907-359-2225 Legal description (Sub'd., Block & Lot) FESLER SUBDIVISION; LOT 1 A Legal description (Township, Range & Section) Lot Size 'Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field nx Initial El Single Family (SF) nx (w/wo ADU) Septic Tank nX Upgrade nX Duplex (D) EJ Holding Tank EJ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 9 Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. Waiver No. GADevelopment Services\Building Safetyk0n Site Water and WastewaterTorms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241150, Curtis Townsend, 06/27/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241150, Curtis Townsend, 06/27/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241150, Curtis Townsend, 06/27/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241150, Curtis Townsend, 06/27/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241150, Curtis Townsend, 06/27/24 (Z 0 0 Cb Mrr fi Z CO W If T F- x 10' F- Cb.". LIJ Z Cf) .............. 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Box 196650 Anchorage, AK 99507 www.muni.orq/onsite (907) 343-7904 Well Drilling Permit Number: SW, Pump Installation Log Parcel Identification Number: Date of Issue: Legal Description ?Msp 3ET AT: r Es i_ i z R s,ru,,aui;,ype pp Sit4Cieuni4' 1— ' f� 995tfo Property Owner Name & Address: ail lee Lpv., , 1 ear{ t . lVi) 1a1 .Nevh5 f"L19L,i$.Dr 6032-fg. ratch®vzMg4t )4sc. 49508 -M113 Pump Installation Date: '7 _8_55" Pump Intake Depth Below Top of Well Casing: Y6 feet Pump Manufacturer's Name: R e ;) 7ACk C Pump Model: 6c' ss' -- Pump Size 1 J;: --hp Pitless Adapter Burial Depth: 1 0 feet Pitiess Adapter Manufacturer's Name: Pitless _Adapter Installer: I , Well Disinfected Upon Completion'? i'? L—ji No Method of Disinfection: c14Lcse%nit_ PES WTS Comments: Pump Installer Name: A t, v e5 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 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 .23d 1. Day of S c )ra--- of 20 2 0 , by and between , 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 (A)MTS), lµ? described as JAVi i C located at (legal description)' Jam, 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. 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). 161—" 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. i Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Pagel of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. ( Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed 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 OVVNi�Ew� By - (signature) Date: rint name) STATE OF ALASKA ss. THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this 24 day of 20 Z'f, by C lot i(e L a-t-f-^Ore- NOTARY PUBLIC FOR ALASKA My Commission expires: MUNICIPALITY - By:__, (signature) U 0--n3 T 0 L-— S i�—O (,print name) 01w Date: z Title: I V I C- En, (",—r r- rL (rev. 05/18/2018) Page 3 of 3