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HomeMy WebLinkAboutSAND LAKE #2 BLK 1 LT 23Sand Lake #2 Block 1 Lot 23 #011-132-02 Septic system on lot serves lot 3 Municipality of Anchorage Community Development Department Page 1 of 5 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: OSP151262 PID Number: 011-132-02 ❑ New ❑Upgrade Name: SPINELL HOMES ABSORPTION FIELD El Deep Trench ❑✓ Shallow Trench El Bed ❑Mound Address NHN Endicott St ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 6 6.0 GPD/sF 6.6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 6.1 Ft. Gravel depth beneath pipe 0.5Ft. Subdivision ----- - _-.Block- Lot SAND LAKE #2 1 23 Fill added above original grade 0 Ft. Gravel length 30 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines NIA Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 150 Ft z 1 N/A Ft. Well 103.4 114 NIA N/A 76.5 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank/ORENCO Capacity 25000,1. Surface water 100+ 100+ N/A NIA Material Number of compartments Lot Line 8.5 5.8 N/A N/A Steel "-- NA' Foundation 29.4 38.9 NIA I N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50.0+ N/A N/A ORENCO / ADVANTEX 500 Gal. Remarks ABSORPTION FIELD TO LOT LINE Pump on level at 40in. Pump off level at 36 in. High water alarm at 45in. SEPARATION DISTANCE WAIVER - 5' - Pump make and model P2005-1 Electrical Inspections performed by Fuchs Electric /rA. A TS.S Installer PIPE MATERIAL House to tank 3034 Tank to drainield 3034 Pomraning Excavation Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 96ft Inspection, dates: 1" 02/10/16 2"" 02/12/16 Location and description 3 4"' NW CORNER Bottom of trim COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp 1 kk Conditional Approval: Date�P(�G. • �4 'W� *' `STM tteve'n • . •F�annoae r� � { CE 8149 Ilk0 � Approved ,. l `moi Date—6 i (n ��"' 70FE55i � ispecuon Nepon_i-i-izooc 80th AVE \ o a/ SS SS S m 'SS SS S SS GAS GAS S GAS GASGA B S GAS SID �S SD SD — \ T 3 - 1 ABSORPTION FIELD J3:T ANTEX SEPTIC 3OLFx5.0'WxO.5'E.D., 6.6'TD / _ (EA) AX -20W/ CO & MT AT ENDS OF FIELD BEFORE AREiMOVE ABANDONED m TANKDRAIN FIELD (E) & ANYBIOMATTED MATERIAL BACKFILL W/ MOA TYPE IIA T1 FC y n 3 DCO D s Z C01 To s = RFSFRVF FIFI D ANTICIPATE REMOVE & -7p REPLACEFIELD F _������ IN EVENT OF FAILURE / \ FSEPTIC (D AREA m (See RD L19� 1 I� A —11 105.2 6 BIR �\ DUPLEX(P) iLa3.4 � LL 5 BR DUPLEX �M W� xy W_ w \ NO SEPTIC SYSTEMS W/I 1 TO EAST \ NO WELLS ON L11 OR L1 W/I 100' TO EAST WELL I w�" NOTES: PANNONE L'1`IG SVC, LLC >>�oF q` \, Oate RECORD DRAWING P,O. BOX 100217 ANCHORAGE, AK 99510 ( .•. .. 4S111 05/31/1e PHONE (907) 272-8218 FAX (907) 272-8211 /%g�P sci e 49 30 * / - / ... ... .. .. .:.. / P.1.0. NO SAND LAKE #2 31 L23 �1011-132-02 SPINELL HOMES F Steven R" Don'none /PERMIT No. DRAWN JRL / F',, CE 8149 .'�/� OSP751 NU KLAN ENDICOTT ST l/P%s r PLAN ANCHORAGE, AK 99502�lrFga'Np� Sheet l PROFESSIO ' A B FC 13.4 26.7 T1 37.9 1 37.4 T2 47.9 33.0 DCO 48.6. 41.8 c01 54.2 45.2 MT1 52.2 43.1 CO2 41.4 56.9 MT2 40.2 55.7 - 1 ABSORPTION FIELD J3:T ANTEX SEPTIC 3OLFx5.0'WxO.5'E.D., 6.6'TD / _ (EA) AX -20W/ CO & MT AT ENDS OF FIELD BEFORE AREiMOVE ABANDONED m TANKDRAIN FIELD (E) & ANYBIOMATTED MATERIAL BACKFILL W/ MOA TYPE IIA T1 FC y n 3 DCO D s Z C01 To s = RFSFRVF FIFI D ANTICIPATE REMOVE & -7p REPLACEFIELD F _������ IN EVENT OF FAILURE / \ FSEPTIC (D AREA m (See RD L19� 1 I� A —11 105.2 6 BIR �\ DUPLEX(P) iLa3.4 � LL 5 BR DUPLEX �M W� xy W_ w \ NO SEPTIC SYSTEMS W/I 1 TO EAST \ NO WELLS ON L11 OR L1 W/I 100' TO EAST WELL I w�" NOTES: PANNONE L'1`IG SVC, LLC >>�oF q` \, Oate RECORD DRAWING P,O. BOX 100217 ANCHORAGE, AK 99510 ( .•. .. 4S111 05/31/1e PHONE (907) 272-8218 FAX (907) 272-8211 /%g�P sci e 49 30 * / - / ... ... .. .. .:.. / P.1.0. NO SAND LAKE #2 31 L23 �1011-132-02 SPINELL HOMES F Steven R" Don'none /PERMIT No. DRAWN JRL / F',, CE 8149 .'�/� OSP751 NU KLAN ENDICOTT ST l/P%s r PLAN ANCHORAGE, AK 99502�lrFga'Np� Sheet l PROFESSIO ' SPECIAL PROVISIONS TO SPECIFICATIONS 1 . ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK WILL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALLED ADVANTEX 2500g SEPTIC TANK W/ 2 (EA) AX20 POD AND NEW SOIL ABSORPTION SYSTEM. INSTALLED WEI L. 4. GROUNDWATER WAS NOT OBSERVED TO A DEPTH OF 13.0' AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 13.0 FEET BELOW EXISTING GRADE. FIL H T 85.0 K BOH NO GROUNDWATER PVC PIPE AIN ROCK 5" ABOVE PIPE INV ROCK SECTION DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO, BEDROOM: 6 (900 gpd) TANK SIZE: 25009 ADVANTEX PERC RATE — 2.3 MPI SOIL RATING: 6.0 GPD/SF AREA ROD: 150 SF SYS. TYPE: WIDE TRENCH 0.50' E.D. MIN SIZE: 30 LF LEGEND —w—w— WATER LINE/ WELL RADIUS USED: 30.0' LONG X 5.0' WIDE, 0.50' E.D., 6.6' TD TOTAL AREA: 150.0 SF SS NEW SEPTIC ABBREVIATIONS 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 BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL AND VEGETATE E EXISTING P PROPOSED NOTES: PANNONE ENG SVC LLC—�oF`�`��i Date 'ORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 ,� �� �gs111 os/31 /16 PHONE (907) 272-8218 FAX (907) 272-8211 1-0.yf+ scale *; / ... . / P.LD. No SAND LAKE 42 B1 L23 — 11-132-0. Steven R. Pannone / oRAwN SPINELL HOMES PERMIT No. JRL 9,. CE 8149 .'�� OSP151262 NHN ENDICOTT ST f _ s �r DESIGN NOTES ANCHORAGE, AK 99502 till�FPRO 5S10NP sheet 3 OF 5 TEST HOLE SOILS LOG - PERCOLATION TEST SLOPE / SITE PLAN E m 6F'DU� PTEX(P) TEST 10LE � C) I WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -0--' DEPTH TO WATER AFTER MONITORING? - DRY - DATE: 02/17 SLOPE TH 1 WATER READING DATE SE --DDPI I UK TOPSOIL 1 RATE GM/GC NETTIME LEVEL NET DROP 2 ISM MIX SANDY SILTY GRAVEL 3 4 1 5 .1030 6255" 6 2 1040 GM/GC 221 7 ISM MIX SANDY SILTY 6.255" GRAVEL 8 1051 10MIN 10660" 4.43 9 5 10 6255' 11 SM FINE SAND! 10 MIN 10672" 4.42 2.26 SANDY -SILT 12 TEST RUN BETWEEN 3.5 13 HOUR, LAST THREE DATA SETS PROVIDED BOH DATE PERFORMED: 02/10/16 SOILS LOG - PERCOLATION TEST SLOPE / SITE PLAN E m 6F'DU� PTEX(P) TEST 10LE � C) I WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -0--' DEPTH TO WATER AFTER MONITORING? - DRY - DATE: 02/17 SLOPE TH 1 WATER READING DATE SE --DDPI I COMMENTS: Test hole excavated by Spinnell Homes. Test Hole was presoaked before perc test. PERFORMED BY: J.R.LAWENDOWSKI. 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 ='oF q ��lDate RECORD DRAWING P.O. BOX 102954 ANCHORAGE, AK 99510 r _�• CA0. os/31/te rAP'.'. 'f' + Scale PHONE (907) 272-8218 FAX (907) 272-8211 ir.D.- y DRAWN I JRL SOILS LOG SAND LAKE #2 31 L23 SPINELL HOMES NHN ENDICOTT ST ANCHORAGE, AN 99502 *:4 TH *'/ NTS ..... ... ...... P.I.D. NO 011-132-02 Steven R� Pannone PERMIT N0. P •, CE 8149 A Iill\\\FES"` \= Sh4eOF 5 CLOCK RATE NETTIME LEVEL NET DROP (MPI) READING 1 0210116 .1030 6255" 2 1040 10 MIN 10775' 4.52 221 3 1041 6.255" 4 1051 10MIN 10660" 4.43 2,26 5 1052 6255' 6 1102 10 MIN 10672" 4.42 2.26 PERCOLATION RATE 2.3 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3.5 FT AND 4.5 FT. TEST RUN FOR OVER AN HOUR, LAST THREE DATA SETS PROVIDED COMMENTS: Test hole excavated by Spinnell Homes. Test Hole was presoaked before perc test. PERFORMED BY: J.R.LAWENDOWSKI. 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 ='oF q ��lDate RECORD DRAWING P.O. BOX 102954 ANCHORAGE, AK 99510 r _�• CA0. os/31/te rAP'.'. 'f' + Scale PHONE (907) 272-8218 FAX (907) 272-8211 ir.D.- y DRAWN I JRL SOILS LOG SAND LAKE #2 31 L23 SPINELL HOMES NHN ENDICOTT ST ANCHORAGE, AN 99502 *:4 TH *'/ NTS ..... ... ...... P.I.D. NO 011-132-02 Steven R� Pannone PERMIT N0. P •, CE 8149 A Iill\\\FES"` \= Sh4eOF 5 TEST HOLE SOILS LOG - PERCOLATION TEST SLOPE / SIT( s= w 25, EST DUE o I � I• �I WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -0--' DEPTH TO WATER AFTEF MONITORING? - DRY 6 BR s 'LEX( SLOPE TH 1 6 —�DUP READING UN TOPSOIL 1 GM/GC 2 /SM MIX SANDY SILTY 1 17JUN15 GRAVEL 3 2 4 10 MIN 9.168, 4.908 2.32 3 5 1630 4.860" 6 1640 10 MIN 9.063" 4.203 2.38 GM/GC 7 'SM MIX SANDY SILTY 1651 GRAVEL 8 PERC HOLE DIAMETER 6 inches 9 FT AND 4.5 FT. TEST RUN FOR OVER AN 10 HOUR, LAST THREE DATA SETS PROVIDED 11 SM FINE SAND/ SANDY -SILT 12 13 BOH DATE PERFORMED: 06/17/15 SOILS LOG - PERCOLATION TEST SLOPE / SIT( s= w 25, EST DUE o I � I• �I WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -0--' DEPTH TO WATER AFTEF MONITORING? - DRY 6 BR s 'LEX( SLOPE TH 1 6 —�DUP READING DATE OK NET TIME LEVEL NET DROP (MPI) TME READING 1 17JUN15 1618 4.860" 2 1628 10 MIN 9.168, 4.908 2.32 3 1630 4.860" 4 1640 10 MIN 9.063" 4.203 2.38 5 1641 4.860" 6 1651 10MIN 8.987" 4.118 242 PERCOLATION RATE 2.4 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3.5 FT AND 4.5 FT. TEST RUN FOR OVER AN HOUR, LAST THREE DATA SETS PROVIDED COMMENTS: Test hole excavated by Spinnell Homes. Test Hole was presoaked before perc test. 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 -�oF a ��t Dole REcoRD oRAwINc ��,. .. Ggsl�l as/31/if P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 scale I y DRAWN I JRL SOILS LOG SAND LAKE #2 31 L23 SPINNELL HOMES NHN ENDICOTT ST ANCHORAGE, AK 99502 *.' TH .k 1♦/ NTS ... ...... � P.I.D. NO ,.� 011-132-02 Steven R� Pannone PERMIT NO. PF.. CF 8149 .* j OSP151262 (Sheet 5 OF Certified Drilling Log �b HILL C®LEoeeDdbn VAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Spinell Homes ADDRESS: 1900 W. Northern Lights Blvd #200, 99517 LEGAL DESCRIPTION Sand Lake #2 Block 1 Lot 23 DATE: 10-2-15 PERMIT NUMBER: OSP151262 DATE OF ISSUE: TAX IDENTIFICATION NUMBER 01113202000 Is well located at approved permit location: ❑Yes ❑No Method of Drilling: ❑air rotary ❑cable tool Depth of Well: 212' Casing Type: Steel Wall thickness ,250 inches Diameter: 6 Inches, depth 210 feet Liner type Static Water Level: 84 feet Recovery Rate 20 ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ❑ open end ❑open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ❑yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 2 4 4 82 82 90 90 110 110 160 160 185 185 190 190 198 198 205 205 212 Casing Stickup Overburden Silt & Sand w/ Gravel Silt & Sand Water Sand & Silt w/ Coal Silt & Sand Water Clay Clay & Gravel Tight Sand & Gravel 8 GPM Clay & Gravel Sand & Gravel 1'rM." Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. BILL 8. COLE OC CO d08 ULLIVAN WATER WELLS P.O. Box 670269, 9 www.suilivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW OSP151262 Parcel Identification Number: 01113202000 Legal Description Sand Lake #2 Block 1 Lot 23 Pump Installation Date: 2-23-16 Pump Intake Depth Below Top of Well Casing: 190 Pump manufacturer's Name: Goulds Pump Model: 07HS07412CL Pump Size: 3/4 Pitless Adapter Burial Depth: 10 Pitless Adapter Installer: Pomraning Excavation Disinfected Upon Completion? [E yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: PitiessManufacturer; Martinson Pump Installers Name: Sullivan Water Date of Issue 8-12-15 Property Owner Name & Address Spinell Homes 1900 W. Northern Lights Blvd #200 Anchorage, AK 995172 feet hp feet Attention: The pump installer shall provide a pump installation log to the D5D within 30 days of pump installation. Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchoraae. Alaska 99519-B6Sn • !9071 343-79nd • Fav ion71 207-7007 Development Services Division On -Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV161011 COSA#:OSC161184 Permit#:OSP151262 Legal Description: Sand Lake #2 131 L23 Engineer: Pannone Engineering Services Applicant: Spinell Homes Inc Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ® Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: �;7lG Approved by: LX U/� �A Name of Revi **** VARIANCE/WAIVER REVIEW **** Pannone Engineering Services «c Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve2l2anengak.com 24 May 2016 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P O Box 196650 Anchorage, Alaska 99519-6650 Subject: SAND LAKE #2 L1 B23 Lot Line Waiver Request Ladies and Gentlemen: We request a separation distance waiver for the absorption field to the lot line to five feet (5'). The new field was installed 5.8' off the northern lot line on 10FEB2016. Granting this waiver is not likely to affect the health and safety of this lot or the surrounding lots now or in the future. If you have any questions or concerns, please contact me at 907.272.8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 THE: STAFF', ,,'ALASKA Steve Pannone, P.E. (J(-IVFRNo R. BILL ZVAL1 FV Pannone Engineering Services P.O. Box 10-0217 Anchorage, Alaska 99510-0217 Department of Environmental Conservation Division of Water Wastewater Discharge Authorization Program 555 Cordova Street Anchorage, AK 99501 Main: (907)269-7519 Fax: (907)334-2415 November 9, 2015 Re_: _Anchorage -Sand Lake _# 2, Block 1, Lots 2 3_& 23 -Waiver of Sep aration_d starw s to the Field and2he new Septic Tank Effluent Pump (STEP)-ADEC Plan Tracking Number 15-313-W Dear Mr. Pannone, On November 6, 2015 the Department received notice the subject well was Classified as a Class "C" source well. Thus the engineering plan submittal for the waivers of separation distances to the drain field and the STEP tank, a Secondary Treatment Unit with an AX 20 Pod could now be evaluated. The well head must be protected and must still retaining it's sanitary seals. Please confirm this information with the completion of the project. The waiver requests to the soil absorption field is a reduction from 150 feet to 115 feet for lot 2, 140 feet for lot 3, and 140 feet for lot 23. The engineer has provided information and recommended this reduction. The information does indicate that this waiver would still be protective of public health. The waiver requests to the STEP Tank is a reduction from 150 feet to 105 feet for lot 2, and 120 feet for lot 3. Again the engineer has provided information and recommended this reduction. The information indicates that this waiver would still be protective of public health. Should in the future these waivers requested by the engineer be found that the site conditions endanger public health or are a public health concern, these waivers may be rescinded. This approval does not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185. Informal review requests must be delivered to the Division Director, 410 Willoughby Avenue, Suite 303, P.O. Box 111800, Juneau, Alaska 99801, within 15 days of receiving the decision. Guidance information on the informal review process may be found at htip://www.dee.state.ak.us/commisb/Review- Guidance.htm. Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Willoughby Avenue, Suite 303, P.O. Box 111800, Juneau, Alaska 99801, within 30 days of the decision. If a hearing is not requested within 30 days, the right to appeal is waived. Thank you for your cooperation. If you have any questions please do not hesitate to contact me at 269- 7519. Respectfully, -e7-' �"J'1 f '� William R. Rieth, P.E. Environmental Engineer 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: OSP151262 Tax Code Number: 01113202000 Work Type: WellSeptic Initial Permit Effective Dates: August 12, 2015 to August 11, 2016 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SAND LAKE #2 Site Legal Address: SAND LAKE #2 BILK 1 LT 23 G:2224 Owner/Address: STOLZABIGAIL 8031 WILCOX STREET ANCHORAGE AK 995024151 Site Mailing Address: 8024 ENDICOTT ST, DUPL A, Anchorage Lot Size in Sq Ft: 6750 Total Bedrooms: 6 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. Special Provisions: The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer needs to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. AMC 15.65.060.8.3 Received Issued By: �2�20)S gUj— hl h MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program ANCHORAGE A ON-SITE SEWER/WELL PERMIT APPLICATION 4-30 SIR 19 Inr Parcell.D. 011-132-02 RiUSIK Property owner(s) Spinnell Homes Day phone None e Mailing address 1900 W Northern Lights Blvd #200, Anchorage, AK 99517 Site address NHN Endicott St, Anchorage, AK 99502 Legal description (Sub'd., Block & Lot) SAND LAKE #2, B1 L23 Legal description (Township, Range & Section) Lot Size 6750 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑ (w/wo ADU) Septic Tank ❑X Upgrade F-1Duplex (D) FX Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X 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: IA5g- 0 Waiver Fees: Date of Payment: 50//S Date of Payment: Receipt Number: tm-rdq � Receipt Number: Permit No. ©5F151 14p Waiver No. Permit App__ :L:[, Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@oaneneak.com Subject: SAND LAKE #2 B1 L23 Septic System and Well Permit Request Design Narrative This is a design narrative for a permit to instal property. The proposed systems will serve a p undeveloped. The proposed system will utili pump vault and two AX -20 pods with a pres The surrounding developed lots are served b wells. There are no wells within 100' of the pi 5 August 2015 I septic system and well to be issued for this si (6) bedroom duplex. Currently the lot is P antex Wastewater System w/ a 2508 auxiliary 3i ield. This lot is to be served by a private well. rnation of Class C Community wells and private septic system 1. Soils. One test hole was performed in the vicinity of this system by Pannone Engineering Services in June of 2015, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 13.0' below the surface in the test hole monitor tube in June of 2015. Based on the results of the percolation tests and overall soils appearance; an application rate of 6 gallons/day/square feet was used for an Advantex Wastewater System in the area of these test holes. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography slopes from the west to the east at approximately 2% in the area of the septic system. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. 5. Drawing Markings: The Drawings are marked "FOR CONSTRUCTION". The proposed installation will not affect the future development of this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 M M — 20 UmEEr91 G �� prv_ Gx Gry �x� \g 1 ] U I Es1ta� a 80th AVEjj—— _ 55 SG — SS Ss — 55 95 55 5� 4— SS 55 -A— SS — SS S6 \ GPS GAS WS—GAS-GPS—GPS Gis Gq5 GPS so —�{ t so —.I, �. WELL UP ABSORPTION FIELD P 2000 ADVANTEX SEPTIC TANK P I 1 30LFx5.0'wxo.5'E.D . a 5'ro G ,� W 2509 x PUMP TANK AND 3 1.25"0 PIPE 5' O.C. ttP. W/ 2 (EA) Ax -20 PODS" O m WELL P 0.125' DRILLED HOLES 18" & MT AT\ENDS OF FIELD; O 6 BR'._ 4 fi Iw; 2 6 BR LEo0 - 1 P PLEX(P) I fi Io o DUPX(P) I! _� .._, 3 3 ; .Tp .. Q ✓1 i 1 � ' " REMOVE ADANDONED DRAIN iH ' - - � WELL ' �' I MATERIAL BACKFILL W/ MOA n - 1 7 6 E _ TYPE IIA I I fi S \ O � a DUPLE)(( -P) i �7/ n 0 I / 6 BR 2 4\ Fc DUPLEX(P) ~\ / TR TIME) '8 WELL P CONSTRUCTION) ST RESERVE FIKLD P ANTICIP REMOVE & REPIACE OF l �F FIELD EVENT OF FAILURE Lo Cf) U,\ � SF 3 BRD 6 BR ELIO / 1.�.�� 4 �, _ 1, FPTIC AREA // S. Ro .���.�. I �� )' ll9) \` ` 4/ `/fy� ltQ- 1 �'� '! X11 \\ 2 NO SEPTIC SYSTEMS W/I 1 NO WELLSTONii 1 OR L1 OA 5 "C',reLL'"""-- yyy'''''' --" -- W/I 100' TO EAST CLASS "C" WELL I I � 1 � ) '�� • t r 1YI WELL { I- f/ I WELL / !!!1111 SEPTIIfi AREAI I I fi i 20 _ � fi� T Z / 00�>� ! i. ! 19 € w / i & ELL - NOTES-DatePAMONE ENG SVC, LLC A�gsl�l08/11/15 FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510QF Cyt+ Scale PHONE (907) 272-8218 FAX (907) 272-8211 /g�P 49TH .... .. .... ..D. NO SAND LAKE #2 31 L23 .. . .•. ' /011-132-02 DRAWN JRL SPINNELL HOMES Steven �� CE . Pa no.mej 8149 PERMIT NO. NHN ENDICOTT ST I OSP151258 PLAN ANCHORAGE, AK 99502�RFD--- iP -= R soe Sheet ` \INS 1 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. - 2. ALL WORK WILL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALL ADVANTEX 20008 SEPTIC TANK W/ 2 (EA) AX20 POD AND 250g AUX PUMP VAULT (P) AND NEW SOIL ABSORPTION SYSTEM. INSTALL WELL (P). 4. GROUNDWATER WAS NOT OBSERVED TO A DEPTH OF 13.0' AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 13.0 FEET BELOW EXISTING GRADE. FILTER FABRIC 125"4 PIPE 5' O.C. TYPICAL W/ x0.125" DRILLED HOLES 18" O.C. (P) EL95.0 20009 ADVANTEX TANK W/ 2508 AUX PUMP VAULT (P) DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM -- NO. BEDROOM: 6(900 gpd) TANK SIZE: 2000g ADVANTEX W/ 250g AUX PUMP VAULT (P -- PERC RATE= 2.48 MPI SOIL RATING: 6.0 GPD/SF AREA ROD: 150 SF SYS. TYPE: WIDE TRENCH 0.50' E.D. MIN SIZE: 30 LF USED: 30.0' LONG X 5.0' WIDE, 0.50' E.D., 4.5' TD TOTAL AREA: 150.0 SF - PROFILE LEGEND --- WATER LINE/ WELL RADIUS NEW SEPTIC r ABBREVIATIONS CU COPPER ROCK - DUCTILE IRON PIPE TH TEST HOLE H IZZDRAIN FOUNDATION CLEAN OUT -3.5 TANK CLEAN OUT N0. -C# CLEAN OUT NO. M# MONITOR TUBE NO. —s.o— T RIGID INSULATION - OCO m/ 6 DIVERTER VALVE FS v mi BEG BELOW FINISH GRADE -10.a ORIGINAL GRADE A ISECTION FINISH GRADE TS&V M E EXISTING -13.0 PROPOSED — BOB o z w z > m 1 25"6 PIPE 5O.C. w r o a 0 11 O.I t25'DRILLED h'OLES iB"O.G(P)¢ 0 _ e GRAIN ROCK 6" ABOVE 20009 ADVANTEX TANK W/ 2508 AUX PUMP VAULT (P) DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM -- NO. BEDROOM: 6(900 gpd) TANK SIZE: 2000g ADVANTEX W/ 250g AUX PUMP VAULT (P -- PERC RATE= 2.48 MPI SOIL RATING: 6.0 GPD/SF AREA ROD: 150 SF SYS. TYPE: WIDE TRENCH 0.50' E.D. MIN SIZE: 30 LF USED: 30.0' LONG X 5.0' WIDE, 0.50' E.D., 4.5' TD TOTAL AREA: 150.0 SF - PROFILE LEGEND --- WATER LINE/ WELL RADIUS NEW SEPTIC r ABBREVIATIONS CU COPPER DIP - DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT N0. -C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION - OCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BEG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL AND VEGETATE E EXISTING P PROPOSED NOTES: ��� "� Date FOR CONSTRUCTION PA g�XO10102 7 ANC ANCHORAGE, AK NG SVC, 99L0 F A�gs�l� 08/11/15 PHONE (907) 272-8218 FAX (907) 272-8211 /1�g�p �yf) Scale j*:4971 *1/ I Io' ...... .. � P.I.D. NO SAND LAKE #2 B1 L23 .. ...... .. —132-02 SPINNELL HOMES Steven F. Pannone PERMIT N0. DRAWN ,1RL NHN ENDCOTT ST CE 8149 OSP151258 DESIGN NOTES ANCHORAGE, AK 99502 1'I�PF�R?OFESSIONP �r sheet 2 OF 4 ADVANTEX TANK SYSTEM WITH AX20 POD NOTES: PAMONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 T .."" PHONE (907) 272-8218 FAX (907) 272-8211 /Ar C j *: 49 TH SAND LAKE #2 B1 L23�y SPINNELL HOMES � S'teven DRAWN JRENHN ST � 9%.'��ll%CE 8149 DESIGN NOTES ANCHORAGE, AKT99502 ��o ssiosa 08/11/15 Scale NTS P.I.D. NO 311-132-0 'ERMIT NO. OSP151258 Sheet 3 O 4 TEST HOLE SOILS LOG - PERCOLATION TEST SLOPE TEST SITE PLAN IE 2 U6R(P) �O I r 6 DUPI TH-2' AT TIME OF CONSTRUCTION) WAS GROUND WATER UR TOPSOIL 1 IF YES, AT WHAT GM/GC - - TH 1 2 /SM MIX SANDY SILTY DEPTH TO WATER AFTER GRAVEL 3 MONITORING? - DRY - 4 DATE: 06/25/15 - 5 6 READING GM/GC NETDROP (M 7 5M MIX SANDY SILTY GRAVEL 8 9 1628 10MIN 9.168" 4.308 2.32 10 3 1630 4.860" 11 SM FINE SAND/ 1640 10MIN 9.063" 4203. 2.38 SANDY -SILT 12 1641 4860" 13 6 1651 10111 8987" 4.118 2.42 BOH PERCOLATION RATE 2.4 (min/inch) PERC HOLE DIAMETER 6 inches DATE PERFORMED: 06/17/15 SOILS LOG - PERCOLATION TEST SLOPE TEST SITE PLAN IE 2 U6R(P) �O I r 6 DUPI TH-2' AT TIME OF CONSTRUCTION) WAS GROUND WATER SLOPE ENCOUNTERED N IF YES, AT WHAT - - TH 1 DEPTH? -0' DEPTH TO WATER AFTER MONITORING? - DRY - DATE: 06/25/15 - OK WATER READING DATE TIME NETTIME LEVEL NETDROP (M READING 1 17JUN15 1618 4.860" 2 1628 10MIN 9.168" 4.308 2.32 3 1630 4.860" ' 4 1640 10MIN 9.063" 4203. 2.38 5 1641 4860" 6 1651 10111 8987" 4.118 2.42 PERCOLATION RATE 2.4 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3.5 FT AND 4.5 FT. TEST RUN FOR OVER AN HOUR, LAST THREE DATA SETS PROVIDED COMMENTS: Test hole excavated by Spinnell Homes. Test Hole was presoaked before perc test. 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: PANN N N - _����Date FOR CONSTRUCTION p•Q vBOX O102954 1�NC ANCHORAGE, CK 995I1J0 ^: '��OF•ACgskl' 06/11/15 PHONE (907) 272-8218 FAX (907) 272-8211 %g�p �y+) Scale 49 ,t l� NTS /.. .. .... / P.I.D. NO SAND LAKE #2 31 L23 11-132-02 DRAWN JRL SPINNELL HOMES / Steven R. nnone j PERMIT NO. ��P�. CE 8149 r% OSP151258 NHN ENDICOTT ST f SOILS LOG ANCHORAGE, AK 99502 ���1f'9 -0..S... Sheet Parcel I.D. 011-132-02 +S ti RUSH! ri0ou 5/Ad/do r(0 MAY 2 X2016 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Expiration Date: /-z-1 (o 1. GENERAL INFORMATION ' Complete legal description Sand Lake #2, Block 1, Lot 23 Current Property owner(s) Spinell Homes Inc Day phone Mailing address Real Estate Agent 1900 W Northern Light Blvd. #200 Anchorage, AK 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) 0 Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: Individual Well El Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request Received by:L � COSA to be released to the engineer COSA Fee Date of Payment Gll _3I1 Receipt Number OtLA22,1�&f COSA # (' 5o �o `I X -! requested by Day phone 99517 TYPE OF WASTEWATER DISPOSAL Individual Q Holding Tank ❑ Community ❑ Public Sewer ❑ Date: I E 1.(0 a Waiver Fee $ Date of Payment Receipt Number Waiver # I `- a ., @ • R:; ie 5. STATEMENT OF INSPECTION BY ENGINEEf3 M' a>01 9" As certified by my seal affixed hereto and as of the validation date shown below;l 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. f In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordant with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at th. time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depenc film he focal soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. Theses ngffoa are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantezf}�tur@ performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warMhFn for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 5/20/2016 OF 'ieco*: asp •*dd 6. DSD SIGNATURE System #1 Approved for __clrl bedrooms §even R.'0annone. System #2 Approved for _ bedrooms b� �gs �-, CE -8149 Disapproved ���a�OFE55ti0NP�.s Conditional approval for bedrooms, with the following stipulations: By. 1 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 Septic System Advisory Well Flow Advisory COSAbluesheet_f '- c X Nitrate Advisory Arsenic Advisory - Other If more than 1 septic system is on the lot: COSA Checklist # I of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Sand Lake #2, Block 1, Lot 23 Parcel to: 011-132-02 A. WELL DATA Well type Private if A, B; or C provide PWSID # Well Log (Y/N) Y 6 1 nrnnAc - v .1 Total depth f ' ` ft. Cased to ' ft. Casing height (above ground) I D+ in. FROM WELL LOG AT INSPECTION Date of test 8/12/2015 New " Static water level 84 - ft, New ft. Well production 20 g.p.m. New 9 - p.m -WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic 66.8 ug/L Date of sample: 4/26/2016 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Typ / atb Steel Tank Type/Material' Date installed 2/10/2016 Tank size 2,500 gal. Number of Compartments � a Cleanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (YIN) Y Date of pumping New Pumper N/A C. ABSORPTION FIELD DATA Date installed 2/12J2016 Soil ratingd./ft2 or felbdrm 6 0 GPD/SF Shallow Trench (g•P• ) - • System type Length 30 ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth 5.6 ft. Eff: absorption area 160 ft2 Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) PASS For 6 bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth New in. Elapsed Time: New min. Finalfluid depth New in. Absorption rate. >= 900+ g.p_d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date - D. LIFT STATION Date installed 2/10/2016 Size in gallons 500 Manhole/Access (WN) Y "Pump on" level at 40 in. "Pump off' level at 36 in. High water alarm level at 4in. Datum Bottom Of Tank Cycles tested NeW Meets alarm & circuit requirements? Yes E. SEPARATION DISTANCES WELL ON LOT TO: Septic tanM!ft station on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manholelcleanout 100+ Sewer /septic service line 25+ }folding tank 100+ Animal containment areas 50+ Manurelanimal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: /%%J///y!!!p'n Building foundation 5+ Property` fine S"f Absorption field 5+ Water main 10+Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 5 Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehrcigstorage 10+ Curtain drain 50+ Wells on adjac8nt lots 100+ F. COMMENTS *See +attached waiver 1) ] 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. Engineer's Printed Name Steven Pannone Date - 5/20/2016 COSA canary sheet_2-6-15.doc Pde0 Municipality of Anchorage a Development Services Department n, Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # OSC161184 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 1, Lot 23 of Sand Lake #2 Subdivision. This inspection revealed an arsenic concentration of 66.8 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/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. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.or /og nsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. m 0 i M ry Uco O U3 4�J o -� z DECK i OELK � 20.0' 20.0' 3.0' 0 S CAKT = m a s.a' $ � ],0' � u w e � o 5.0' 20.0' i 20.0' 5,0' N c N W"UU'UU" t 50.00' o A 9 ENDICOTT STREET I X 0 i M � Uco O U3 4�J o -� z I X ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND /Wz) ^j /l%t e v SIn r e c r7 {\l THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 2 S Day of A of 20 1C by 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 6 ;- � ebt'j' e e a located at (legal description). 2. Definitions. 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 AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations. Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance Provider approved by the municipality and the manufacturer of the AW WTS for the entire term 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 AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. I. Owner agrees to provide and maintain a telephone connection to the AWWTS as required by the AWWTS approval. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: ire c yz b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: (signature) Date: 12 /VI C a l -F Swe e r (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instryment was acknowledged before me 2oAo, by 8 EWE NOTARY PUBLIC FOR ALASKA My Commission expires: LR //- MUNICIPALITY: B k(signature) Vw l << ( ✓ tic a/ (print name) thisG day of Notary Publ— ALICIA ISAACSON State ofAlaska C°mmlesion Expires June 1, 2017 Date: 5 -Z(l -/ (' Title: or P�/