HomeMy WebLinkAboutCLEARVIEW LT 8Clearview
Lot 8
#015-242-47
See the 7/9/15 letter from Garness
Engineering describing repairs done to the
system. The 2014 upgrade, was not
needed or built.
. t
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
July 9, 2015
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Rd.
P.O. Box 196650,
Anchorage, AK 99519-6650
(907)343-7904
Ref: Clearview; Lot 8 — OSP#141498 - Memo concerning recent work on Lined IDSF (Intermittent
Dosing Sand Filter), and Drainfield.
To whom it may concern:
During recent excavation work (by Wilco Contractors) to rebuild the existing lined IDSF system, it was
discovered that the IDSF was surcharged because there was no outlet pipe, after the sampling port,
providing continuity to the drainfield. It was also discovered that the inlet to the drainfield was simply
capped off, and that effluent could not reach the drainfield. In short, it did not appear that the drainfield
was ever connected to the IDSF. It should be noted that as soon as the outlet side of the sampling port
was exposed, the IDSF drained itself completely within a matter of minutes. The IDSF itself was
inspected in numerous places, and found to be free of any bio -matt material. In short, the IDSF did not
require rebuilding, and was not rebuilt.
After discussions with your department, Wilco Contractors proceeded to install a gravity feed 4" D3034
sewer line from a new sampling port, down to the drainfield. Double cleanouts were installed between the
sampling port and the drainfield, and a new monitoring tube was installed (set to the correct elevation) in
the IDSF. The flushing valves in the IDSF were found, repaired and extended above grade. Also, both
cleanouts on the tank were replaced with code compliant 4" D3034.
Please find the attached sketch of the new 4" sampling port, as approved during discussions with your
department.
If you have any questions, please contact Jeff Garness or Rob Campbell at (907) 337-6179.
I.S.
3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com
TONY KNOWLES, GOVERNOR
DEPT. OF ENVIRONMENTAL CONSERVATION
DIVISION OF ENVIRONMENTAL HEALTH
DRINKING WATER & WASTEWATER PROGRAM
555 CORDOVA STREET
ANCHORAGE, ALASKA 99501 (907) 269-7505
March 3, 1998
Mr. Tobben Spurkland
203 West 15th Ave., Suite 203
Anchorage, AK 99501
SUBJECT: Lot 8 Clearview Subdivision - 8101 Alatna; Operation Approval New On -
Site Class "C Well and Septic System Serving a Proposed Bed &
Breakfast (B&B), ADEC Project Nos. 9821 -WW -318-120, 9821 -DW -318-
065, 9821 -WV -318-046.
Dear Mr. Spurkland:
This letter is in response to the information received in this office March 3, 1998,
requesting operation approval of the recently constructed on-site water and wastewater
disposal systems serving a proposed bed and breakfast operation. The Department
has completed its review of the submitted information which included an as -built of the
completed water system, wastewater disposal system, site plan, and water sample
analysis for total coliform bacteria and nitrate. Based upon this review the Department
has the following comments regarding operation approval of the recently constructed
water and wastewater disposal systems:
Public Water System:
From the submitted information concerning the water system including the reported well
flow test results it appears that the water system was constructed substantially in
accordance with State Drinking Water Regulations (18 AAC 80.300). Results from the
submitted water sample analysis for both total coliform bacteria and nitrate were
satisfactory, and meets the requirements as a sanitary source of water. Assuming that
the change in status from a single family residence to a proposed Bed and Breakfast
does not significantly change the demand for water use within the residence, this water
system meets the concerns of this Department. Therefore, in accordance with 18 AAC
80.300 approval to operate is granted by this Department subject to the following
comments and conditions:
This water system has been assigned the following public water system
identification number (PWSID no.) 218552. Class "C" water systems are
not required to routinely sample the water. However, to assure the
owner/operator that the water provided to both the guests and residents
from this water system meets sanitary requirements, this Department
recommends routine annual sampling for both total coliform bacteria and
nitrate.
Attached is a copy of the completed Construction and Operation Certificate for
Public Water Systems with the Approval to Operate section completed verifying this
Department's approval to operate the water system.
Wastewater Disposal System:
From the submitted information it appears that the on-site wastewater disposal system
which includes a deep trench receiving treated effluent from an intermittent sand filter
was constructed substantially in accordance with the plans previously reviewed and
approved by this Department. Therefore, in accordance with State Wastewater
Disposal Regulations (18 AAC 72.200) approval to operate is granted. Attached is a
Construction and Operation Certificate for Domestic Wastewater Disposal
Systems with the Approval to Operate section completed verifying this Department's
approval.
Thank you for your cooperation with this Department, if there are any questions
regarding the above please do not hesitate to call.
Sincerely,
Michael Lu
g:lawdoMluklrvw18.ltr Environmental Engineer
cc: Jim Cross, MOA/DHHS/On-Site Services
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01/20/98 16:26 FAX 907 343 4220 Community Planning
0 •
MUNICIPALITY OF ANCHORAGE
PLATTING AUTHORITY RESOLUTION NO. 97-29
ANCHORAGE
DISTRICT
ild1002
A RESOLUTION APPROVING THE PLAT NOTE MODIFICATION TO ALLOW A 10 FOOT
ENCROACHMENT INTO THE 100 SEPTIC SYSTEM SETBACK NOTE ON THE PLA
LOT 81ONLY CLEARVIEW SUBDIVISION ZOCATED WITHIN THE SW 1/4 OF SECTION 24,
T12N, R3W, S.M., ALASKA.
WHEREAS, a petition has been received from Michaelson and Daughter to alter the
existing plat note number 1 concerning septic system setback from the creek, located
within the SW 1/4 of Section 24, T12N, R3W, S.M.; Alaska, and
WHEREAS, notices were published, posted and mailed and a public hearing was
held December 3, 1997,
NOW, THEREFORE, BE IT RESOLVED by the Platting Board that:
1. The Board makes the following findings of fact:
a. The original plat note can be modified for Lot 8 because the State
Department of Environmental Conservation has approved the
encroachment for Lot 8 only.
b. The Municipal Department of Health and Human Services had no .
objection.
C. The type of septic system installed is of such high quality quality that
State Department of Environmental Quality indicates it will have
minimal impact on the creek.
2. The Board APPROVES the request subject to filing a resolution with the State
District Recorders Office.
PASSED AND APPROVED by the Anchorage Platting Authority this 3rd day of
December, 1997.
Sheila Ann Selkregg, Ph.D., Henry D. Penney,
Secretary Chair
Case S-10189
Return to: Municipality of Anchorage
Dept. Community Planning & Development
P.O. Hoz 6650
Anchorage, AK 99519-6650
Attn: Margaret O'Brien
c J:T5RES01P9HE609M7-1a.1)0C
DEPT. OF ENVIRONMENTAL CONSERVATION
DIVISION OF ENVIRONMENTAL HEALTH
DRINKING WATER & WASTEWATER PROGRAM
555 CORDOVA STREET
ANCHORAGE, ALASKA 99501
Mr. Tobben Spurkland
203 West 15th Ave., Suite 203
Anchorage, AK 99501
i
TONY KNOWLES, GOVERNOR
RECEIVED
DEC 8 1997
Municipality of Anchorage
Dept. Health"TIMeffta
December 2, 1997
SUBJECT: Lot 8 Clearview Subdivision - 8101 Alatna; Construction Approval New
On -Site Class "C" Well and Septic System Serving a Proposed Bed &
Breakfast (B&B), ADEC Project Nos. 9821 -WW -318-120, 9821-DVV-318-
065, 9821 -WV -318-046.
Dear Mr. Spurkland:
This letter is in response to the information received in this office November 14 and 17,
1997, requesting construction and operation approval for a proposed Class "C" public
water and on-site wastewater disposal system. From the information submitted and
previous discussions regarding this project it appears that due to the soil conditions and
physical constraints of this site there are limited areas in which to place an on-site
wastewater disposal system. The Department has completed its review of the
submitted information which included a cover letter, site plan, engineered design
drawings, well logs, soils logs, hydrogeologic studies and wastewater treatment design
calculations. Based upon this review the Department has the following comments:
Horizontal Separation Distance Waiver:
A review of the submitted information indicates that the proposed absorption trench for
the on-site wastewater disposal site is constructed within the required 100 -foot setback
requirement from a surface water body. After careful review of the submitted
information including soils logs, and surrounding well logs, it appears that the
separation distance of 90 feet as reported, should present minimal threat of
contamination of the surface water body (South Fork Little Campbell Creek) flowing
through this property. A site inspection conducted December 1, 1997, found a
separation distance of 92.5 feet from the creek to the middle of the absorption trench
cleanout. Therefore, in accordance with State Wastewater Disposal Regulations (18
AAC 72.015) approval of a lesser horizontal separation distance of 90 feet between a
wastewater disposal system and a surface water body is approved.
Public Water System:
When a single family residence is used for the purpose of a Bed and Breakfast, the on-
site private water system is reclassified to a class "C" public water system. The
submitted site plan indicates that a separation distance of 110 feet is requested
between the septic tank and the on-site well, which is less than the required 150 feet for
a class "C" source well. A site visit found that the sand filter which is under construction
is approximately 124.5 feet from the well casing. After careful review of the submitted
information it appears that for the intended usage of this well the lesser separation
distance of 110 feet requested to a septic tank will present minimal threat of
contamination assuming that demand on the well for a Bed and Breakfast does not
significantly differ from a single family residence.
Operation approval of this water system will require submittal of a well flow test, design
calculations verifying system will meet both peak and daily demand requirements, and
satisfactory analysis for total coliform bacteria and nitrate. Attached is a copy of the
completed Construction and Operation Certificate for Public Water Systems with
the Approval to Construct section completed verifying this Department's approval to
complete construction of the water system.
Wastewater Disposal System:
For the intended usage of this residential dwelling (four bedroom single family
residence) and the in -site soil conditions as detailed in the submittal, it appears that the
soil absorption trench (150 square feet) is adequately sized based upon the intermittent
sand filter system proposed for this site. Therefore, in accordance with State
Wastewater Disposal Regulations (18 AAC 72.200) approval to construct is granted
subject to the following conditions:
1. All installation activities will need to be monitored under the supervision of
a Professional Engineer (P.E.).
2. The monitoring tube for the soil absorption trench should be placed at the
end of the trench.
Operation approval will require that s -built drawings under the stamp of a
P.E. be submitted to this office within 90 days of completion of this project
verifying soil conditions, water table, and impermeable strata separation.
Attached is a Construction and Operation Certificate for Domestic Wastewater
Disposal Systems with the Approval to Construct section completed verifying this
Department's approval.
While routine sampling of Class "C" public water systems are not normally required, this
Department recommends that annual sampling for total coliform bacteria and nitrate be
conducted to assure users of this facility that this well is producing a sanitary source of
water. Please reference the assigned public water system identification number
(PWSID no.) 218552, when submitting future water samples so that this system maybe
properly credited.
Thank you for your cooperation with this Department, if there are any questions
regarding the above please do not hesitate to call.
Sincerely,
;1%44
Michael Lu
g:WwtloMlulGrvwlB.ltr Environmental Engineer
cc: Jim Cross, MOA/DHHS/On-Site Services
T.SPURKLAND P.E.
203 W. 15th. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Municipality of Anchorage
Department of Health and Social Services
820 I Street
Anchorage, Alaska 99501
Subject: SW950155
PID # 015-242-47
Gentlemen;
RECEIVED
SEP 19 1997
Municipality of Anchorage
Dept. Health & Human Services
September 19, 1997
LOT 8 CLEARVIEW S/D
TODD CHRISTIANSEN I �, a, j �r t t, y q ""'WSeR r, 0)
A permit for a well and septic system installation was issued for this property on July 13, 1995. The
well and drainfield were installed in 1995, however the intended Orenco Intermittent Sandfilter was
not.
In order to develop this lot the owner had to place a substantial structural fill to create a building
site. Retaining walls were supposed to prevent this fill to encroach onto the absorption field area.
The owner neglected to build the called for retaining walls with the result that the installed drainfield
is covered with approximately 12 feet of fill. The cleanouts and monitor tubes extend through the
fill. Likewise is the required replacement site covered by a substantial fill.
The permit has expired, and because of the extent of the fill, a redesign of the ISF is required. We
are submitting a revision to the original proposal, showing a 10x36 feet sandfilter placed in the fill.
Please review this submittal and issue a new permit.
Yours
Tobben urkland P.E.
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ANCH. AK. 99501
8101 ALATNA
DATE:
SEPT. 19, 1997
279-3916
TODD CHRISTIANSON
SHEET:
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IPERMIT NO SW97XXX P1D015-242-47 CLV00082.DWG I
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DATE: SEPT. 19, 1997
279-3916
TODD CHRISTIANSON
SHEET: 314 GRID: 2740
PERMIT NO SW97XXX
PID j 015-242-47 CLV00084,DWG
DRAINFIND
2 FT WIDE
30 FT LONG
2.5 FT OF ROCK
6.6 FT TOTAL DEPTH
4 FT OF COVER
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IlV6OL/Y J!"VItftLH/YU r. t. I I LOT 8, CLEARVIEW SID I I SEPTIC SYSTEM DESIGN I
A W15th Ave 8101 ALATNA DATE: SEPT 19, 1997
Anchor qe Ak 99501
2Z9-3916 TODD CHRISTIANSON SHEET 4/4 GRID: 2740
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW950155
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:CHRISTIANSON TODD R
OWNER ADDRESS:7801 KLATT RD
ANCHORAGE, AK
PARCEL ID:01524247
LEGAL DESCRIPTION:
bt,"a RVI'w`k -:8
LOT SIZE: 65995 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 1
DATE ISSUED: 7/12/95
EXPIRATION DATE: 7/12/96
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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL
RECEIVE
ISSUED
DATE: 713 /Ll`�
DATE:—
Z_
4,1
T. SPURKLAND P.E.
203 WEST 15TH. AVENUE SUITE 203
ANCHORAGE, ALASKA 99501
(907)279-3916
Fax (907)-276.6013
Jim Cross
Municipality of Anchorage
Department of Health and Human Services
On -Site Service Section
820 L Street
Anchorage, Alaska 99501
Subject: Lot 8 Clearview S/D PID 015-242-47
Gentlemen;
�y
RECEIVED
JUL 51995
Municipality of Anchorage
Dept. Health & Human Services
July 3, 1995
In response to your letter of May 8, 1995, I checked the water levels in the two testholes on May 27, 1995. TH #I had
33 inches of water which puts the water level at 11 feet below ground surface. Testhole #2 was dry to 8 feet below
ground surface.
A standard septic system is not appropriate for this lot. In order to develop the lot the owner intend to place
approximately 5000 yd of fill . Several retaining walls are planned in order to keep the slopes at a reasonable level.
The resulting slopes will be from 1:2 to 1:3 which is too steep for a trench or a bed. A retaining wall will be built to
specifically maintain a level slope at the suggested drainfield location. A revised siteplan, showing the proposed final
grades are included for your benefit.
The Building Department will not review the construction plans without a well and septic permit. Please issue the
permit at your earliest convenience.
Yours
Tobben Sburkland P.E.
T.SPURKLAND P.E.
203 W. 15th. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Municipality of Anchorage
Division of Environmental Health
Department of Health and Social Services
820 I Street
Anchorage, Alaska 99501
Subject: Well and Septic System Permit
Lot 8 Clearview S/D PID # 015-242-47
Todd Christianson
Gentlemen:
April 5, 1995
We are applying for a well and septic system permit for this property. A permit was issued in 1990
but the lot was not developed.
This is a problem site and conventional septic systems ( trench, bed, or mound) would not perform
well. The problems with the site are:
The east 1/3 of the lot is wet with standing surface water in several locations.
2. Corwin observed high groundwater levels ( 4.7 ft) in the center portion of the
lot in March of 1989.
3. The creek along the north lot line eliminates the north portion of the lot for
septic systems.
4. The natural groundslope exceeds 25% in some places in the southeast section
of the lot.
5. The basement elevation of the proposed residence will be at 1120. This will
require an access road to the septic tank for maintenance. The tank can not be
pumped from the drive and parking which is at elevation 1130. An access road is
indicated on the siteplan.
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We are applying for a well and septic system permit for this property. A permit was issued in 1990
but the lot was not developed.
This is a problem site and conventional septic systems ( trench, bed, or mound) would not perform
well. The problems with the site are:
The east 1/3 of the lot is wet with standing surface water in several locations.
2. Corwin observed high groundwater levels ( 4.7 ft) in the center portion of the
lot in March of 1989.
3. The creek along the north lot line eliminates the north portion of the lot for
septic systems.
4. The natural groundslope exceeds 25% in some places in the southeast section
of the lot.
5. The basement elevation of the proposed residence will be at 1120. This will
require an access road to the septic tank for maintenance. The tank can not be
pumped from the drive and parking which is at elevation 1130. An access road is
indicated on the siteplan.
In 1989 Corwin obtained a permit to install a bed system on this lot. Based on the topographical
information available, the lot is too steep for a bed or a mound. The presence of groundwater
precludes the installation of conventional trenches, unless the upper portion of the sidehill is utilized.
This will conflict with the building site, and will most likely conflict with AMC 15.65.060.A.2a.
A short trench, and a replacement trench, can be installed uphill from testhole #1. This location does
not conflict with AMC 15.65.060.A.2.a, and will be above the high groundwater elevation.
We request that an Orenco intermittent sandfilter be installed on this lot. The monitoring of the
systems presently installed in Anchorage shows that the systems are working satisfactory when
installed with air supply and small dosage discharge. This system should perform well on this lot,
and will in the long run protect both the groundwater and the surface waters.
Yours
umesyrcmoenpn
0- PUTUAND Pew
:W?m]m
..V).3D i 9916
F.. 009F2eHnO
SERTIC SYSTEM DESIGN -
LOT B CLEARVIE W
TODD CFDLSTLANSON
Grnundwi 12fr.
use Omnco.Sand Fllmr
Soil Rmi Form ml Febnary f6. 1995
4 mi,A6 4gal /sq, fl.
No of Sediment 4
RequuedAmper BMronm: 150/4= 39.5eq.R.
Tmnlamarequired4x]25=I50 sq L
Fioa Floor Elevation 120.00
Grund Elevation at Alempdcn Field 1W.W
"Ro-[M1ole Todl Oept5
14k
Gmundwatvn. 12 R.
Install tock between and 6.5 feet
LengmoFTrench 1501(2.25)—)G (FE]
SYS IEM CONFIGURATION
ORENCO SAND FILTER
STEPTANK 1500 GAL.
ABSORPTION TRENCH:
TOTAL DEP1H'.
6.5 FEET
EFFECTIVE ROCK DEPTH:.
25 FEET
COVER:
4.0 FEET
The in.Re"Reion of dis optic system will not prevent WRIS from he imtilled or he adaam lots,
There art no developed m nmwel Smfm.'e t sob surface crooner, courses on Nu or the rejnunt Ins;
The proposed Sister rystw will not rouge the gmaal alone of We a ea. Pending aii
rancenueenn ofmrkce mnoffwill navendt from Hds froallmion.
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TOBBEN SPURKLAND P.E.
LOT 8 CLEARVIEW SID
SEPTIC SYSTEM DESIGN
203 W 15TH.
ANCH. AK.
AVENUE
99501
8101 ALATNA
DATE: JANUARY 12, 1995
TODD CHRISTIANSON
SHEET: 1/4 GRID: 2740
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ITOBBEN SPURKLAND P.E. I I LOT 8 CLL,ARVIL,W SID I I SEPTIC SYSTEM DESIGN I
203 W 15TH. AVENUE DATE: JANUARY 12, 1995
ANCH. AK. 99501 8101 ALATNA
�,,,,,� „�_,a,G TODD CHRISTIANSON SHEET: 114 GRID: 2740
IFrom STEP
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u
SAMPLING WELL
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t
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Central Paving
Products
5'
SIDE VIEW
I iudtj L. IN 'r"7LANu r.c. I I IWO SAND FILTER I I SEPTIC SYSTEM DESIGN
UE I
203 W 15TH. AVEN
CDT 8 CCEARVIEW DATE: APRIL 5, 1995
ANCH. AK. 99501 TODD CHRISTIANSON SHEET: 3/4 GRID: e740
l9m1 979-391 F
2 FT WIDE
30 FT LONG
2.5 FT OF ROCK
6.6 FT TOTAL DEF
4 FT OF COVER
30
O
Sample Access.
8—Inch Sump
1500 GAL STEP TANK
WITH 4 -INCHES OF INSULATION
NO SCALE
F01%
"00000000000`10000
24" Sewer Rock —
4" Distribution Pipe
Mirati 140 -
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1088 GW 2/16/95
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BASEMENT F. F.
ASSUMED ELEV. 1120.00
I 203 W th AveNU r. L. I I LOT 8, CLEARVIEW SID I I SEPTIC SYSTEM DESIGN I
203 W15th Ave 8101 ALATNA DATE: APRIL 5, 1995
Anchoraqe Ak 99501
97_q_,ig76 TODD CHRISTIANSON SHEET' 414 GRID: 2740
''}—' AA
1 (ENGINEER'S SEAL)
IA
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
nom% //SOILS LOG — PERCOLATION TEST
PERFORMED FOR:}L'1GfCG'C® (�L1ai$K ALO-✓rM DATE PERFORMED:
LEGAL DESCRIPTION: L414 -16B Township, Range, Section:
1
SLOVE
AN It
2
ley 5°l�
5 c'
s cX
[a ra t/
6
8 ` VV
s;
9
10
' WAS GROUND WATER
t
ENCOUNTERED? E.
IF YES, AT WHAT L
DEPTH? O
12 ., P
E
r" )
Depth to Water Ag
13er
MongeringT � gate: 3
14 a
BOT 1 b o r
15
(r} tl t_ ENL
16-
17
18-
19-
20-
COMMENTS
81920
COMMENTS
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
PERFORMED BY: �J -� I r CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
e Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
(ENGINEER'S SEAL)
1��1
PERFORMED FOR: I li' ceoo l�lil.rt g {.�,pty(�(.V7 DATE PERFORMED: 2 lto
E q
1 1 D F
LEGAL DESCRIPTION: h0 L (0 ���Qav, ✓ i -eAAr Township, Range, Section:
4 ET
1
F
3 ILII II �i�
4
5
10
D u
d
6-
7
7
o
H •r
9
b
�r
J J
10
L
1BOT 1 OWl O r
11
LA 0 _ �_=
12
13-
14-
15-
16-
17-
18-
19-
20
314151617181920
COMMENTS
SLUYE
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT L
DEPTH? O
P
E
Depth to Water After
Monitoring? _ Date: a Z 2 ZIS
PERCOLATION RATE tminutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
PERFORMED BY: T-1 I -Q. CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: AltJ j q q
72-008 (Rev. 4/85)
615--2v2-q7
10019
M -W DRILLING, Inc.
P.O, Sox 110378 • 10330 Old Seward Highway -
(907) 349-8535
ANCHORAGE, ALASKA 99511
DRILLING LOG
Well Owner TODD CHRISTIAN58mN®
Use of Welt DOMESTIC
Location (address of: Township, Range, Section, if known; or distance main road
10T A fl FARtlTFW SIIRDTVTSTON• 8101 AI ATNA
ANCHORAGE, ALASKA
Sized casing 6" Depth of Hole a feet Cased to 80.60 Leet
Static water level 7 ft, (Rft) (below) land surface. Finish of well (check one) open end ( X ) ;
Screen ( ); Perforated 1 ),
Describe screen or perforation Ny/A
Well pumping test at __G+ gallons pe$ ( g) (minute) for 1 hours with 100% ft.
of drawdown from static level.
Date of completion 71 SFPTEMRFR 1 Qqq
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
----a—TO 2 CASING STICK UP
Z TO 4 ROAD BASE GRAVEL
----4.--TO—A--
8
TO B
8 TO 25
--i5—TO--i—l-
31
5TO31
31 TO S4
34 TO 73
73 TO L1
TO
TO
TO
TO
TO
TO
TO
wF+anry 0
Dept. Health &Human ServicQQ
3r CONTRACTOR
MUN1t_1KAL11 Y O1 .. AI'll t,HOHAGE
Department of Health & Human Services
825 L Street, Anchorage, Alaska 99501 343-4720
ON -SITE SEWER PERMIT
Permit Number: 900051
Date Issued: (/3/16/90 Engineer Designed
'
Owner Name: SECURITY NATIONAL TRUST Day Phone:
�wner Address: P.O. BOX 240367 345-2122
ANCHORAGE, AK 99524
Parcel Id: 015-242-47
Lot Legal: Subdivision: CLEARVIEW SUBD. Lot: 8 Block: -
Section: 24 Township: 12N Range: 3W
Lot Size 65995 (sq.ft. or acres)
Max Bed'ooms: lnis Perm1t: 4 Total Capacity: 4
%P|]C [AHK: Minimum total septic tank capacity: 1,250 gallons. Each septic
Lank must have at least 2 compartments. Depth to top of septic tank(s) { 4.0
teet requzres insulation over tank(s).
INFORM D.H.H.S. PRIOR TO INSPECTIONS BY ENGINEER, IF AFTER
OFFICE HOURS, CALL 343-4681 AND LEAVE A MESSAGE,
CUNS[RUCT PER ENGINEERS ATTACHED DESIGN.
[HlS PERMIT EXPIRES 12/31/90 AND VALID FOR A SINGLE-FAMILY HOME.
RE!^LACE THE 2 FEET OF PEA7 WITH 2 FEET OF SAND AND PLACE GRAVEL
AND PERFORATED PIPE ON TOP.
l CERTIFY THAT:
1, l am familiar with the requirements for on-site sewers and wells as set
forth by the Municipality of Anchorage (MOA) and the State of Alaska.
2, l will install the system in accordance with all MOA codes and regulatzons,
and in compliance with the design criteria of this permit.
3. l will adhere to all MOA and State of Alaska requirements for the set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. l understand that this permit is valid For a maximum of 4 bedrooms. l
also understand that the capacity of the total system is 4 bedrooms and
any enlargement will require an additional permit.
Signed: DATE:
lssue'd Uy:
��.... .... .*�___________
-
PROPOSED BED
46DRP'I��ISUs��a�li.s�= 9o0tr{t•
4 3' = 9035t B E D
REMOVE EXIST. PEAT LAYER 2'±
?FOP.
-RE-PLACE W/ 0" OF I M PO U E D WEL-L
QUA L I TY SA N D SAT E R AT .150,e -r,
CONSTRUCT BED -OKI SAND
Z'- MOUND FILL ALATNA
2-
0 \'
_ '4_GKADE
2' PEAT -
o . RMOVE zK 4 _PE eF PIPE TYP.
o.o Sw zv IMPOPTED
SAN D
o�
SW
J
43'
FEOM.10
TAU K O N
>n
M6W=4Oe PIPE
*QAlL � p�A1NAGE
SM 7' !o'
GEgEK pgAl(`� ES►'�
1
TEST HOLE
PEOP. J'z:zoyl PEOP BED Zf'r43'
TAN K�
I , oA PES EKV E
A-ZEA
C P to P. 4000,&
148DeM� \�
o
1 �
-0-7
-•SEWER. SYSTEM .. LOCATION -PLAN -
LOT BLOCK SUBDIVISION
CLEARVIEW SUBO.
r
Of A®� SECTION/TOWNSHIP/RANGE
.�! ®®�,ar�e• e• �8- S W Y4 5 Z 4- T lz tq I` 3W
•
••
SCALE s NOTE THE ACCURACY OF LOCATION OF EXISTING
�I = /OO, PROPERTY CORNERS, WELLS, AND SEPTIC
i e q e e®e e•e*ea r' DRAWN BY. SYSTEMS INDICATED IS NOT EXACT.
i• J�eel KeESS DIMENSIONS INDICATED HAVE BEEN
NORTH
® " DETERMINED BY USE OF CLOTH TAPE AND
e •
NOT BY SURVEYING TECHNIQUES.
eeeee ea e•e a- a y+ ;o:...••nw:..:.,....
•.,�. .w�.>�>Mk�•n• ^� •�^"-' ^^"" '" ''
ru I Corwin W
CFr5:89 PREPARED FOR -
5 Y.STEII S
`S4!`
SHEET I OF I
• I� C
>R
• ..r
Municipality of Anchorage
T DEPARTMENT OF HEALTH &HUMAN SERVICES f.�
825 "L" Street, Anchorage, Alaska 99502-0650
�
SOILS LOG - PERCOLATION TEST q
PERFORMED FOR: S DATE PER
LEGAL DESCRIPTION: L e �Township, Range, Section: 544
j" 2ul Su SLOPE
DEPTH
(FEET)
ra ,(E�Is7 'S SEAL)
Net
Drop
1
PERFORMED FOR: S DATE PER
LEGAL DESCRIPTION: L e �Township, Range, Section: 544
j" 2ul Su SLOPE
CW2
SITE PLAN
lO y WAS GROUND WATER
END ENCOUNTERED?
S
11 IF YES, AT WHAT - 7) p L4:_
DEPTH? / P
12 E
Depth to Water After ,
13 Monitoring? 4 - y Date:
14-
15
16-
17
18
19
Reading Date Gross
Time
DEPTH
(FEET)
Depth to
Water
Net
Drop
1
�—
OL r•�eu-+
2
3
S GI
4
Sa ncrC c� ra v� �5
5
6
e
7 K*r_ SCt nlJ�
7
0 irk0-rr 2 4 -7'
8
9
CW2
SITE PLAN
lO y WAS GROUND WATER
END ENCOUNTERED?
S
11 IF YES, AT WHAT - 7) p L4:_
DEPTH? / P
12 E
Depth to Water After ,
13 Monitoring? 4 - y Date:
14-
15
16-
17
18
19
Reading Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
20
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEQN FT AND FT
t
COMMENTS St
PERFORMED BY:P�7�p ?1N
y �OERTIFY THA THI TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINFE ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904 s A f C T_V
Certificate of On -Site Systems Approval
Parcel I.D. 015-242-47 Expiration Date: O.lj
1. GENERAL INFORMATION:
Complete legal description CLEARVIEW; LOT 8
Location (site address) 8101 Alatna Ave. *Anchorage
Current Property owner(s) Jacob & Jennifer Dickinson Day phone 301-0230
Mailing address
Real Estate Agent
Z. TYPE OF DWELLING:
Single Family (w/wo, ADU)
❑ Duplex
F-1 Multiple Dwellings (Single Family and/or Duplex)
Day phone
1
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual
N
Individual Water Storage
E71
Holding Tank
1771
Community Class Well
D
Community
1771
Public Water System
1-71
Public Sewer
El
WaiverNariance request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 550
Date of Payment 19 a o 2 i
Receipt Number 6a 50
COSA# OSC211006
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
H
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: I z l
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG, Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
6. DSD SIGNATURE
System #1 Approved for bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms, with the
J re A. Gar ess;
CE n3
y�t�pro (essia�°Qa
#AECC884
01
`��(may �rrr,_
ipUlX!V'1AP ER o
>L
—Rd 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
Nitrate Advisory
Arsenic Advisory
Other (T� Clc�v S
COSA Checklist
Legal Description: CLEARVIEW; LOT 8
Parcel ID: 015-242-47
If more than 1 septic system on lot: COSA Checklist # —'of _1 Structure served by this system I
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 9125195
Total depth 81 ft
Cased to 80.6 ft
Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 12+ in.
Date of flow test for COSA 1711/20
Static water level at beginning of test ft.
Comments 'THERE IS A PACKER IN THE WELL
B. TANK DATA
Age of tank(s) 22 years
Tank type/material """.
Measured operating fluid level in septic tank .42"
❑ Standpipes/foundation cleanout per record drawing
Date of pumping 12/11/20
D. ABSORPTION FIELD DATA LINED IDSF WITH TRENCH
Which system tested (date installed) 1998
01 ALL standpipes present per record drawing
Total measured depth from grade 11.16 ft (max)
Measured depth to pipe invert from grade 10.9 ft (min)
❑ N/A – pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective12"
Well production at time of test 7.4+ gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes No
X Coliform bacteria is Negative
Nitrate 2.18 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/LArsenic less than MRL (ND)
Collected by GEG, LTD.
Date of Sample 1211120
C. LIFT STATION
N Required maintenance completed
Age of lift station 22 years
Lift station material STEEL
Comments:
SEE ATTACHED MAINTENANCE
Adequacy test date 171'x0
Results ❑✓ Pass For 4 bedrooms
Fluid depth prior to test 2 in
Water added 1246 gal
New depth_5 in
Elapsed time 90 min
Final fluid depth _0 in
MoCode-requiredsoil cover over field
Absorption rate 600+ gpd
❑ System presoaked NONE
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months)
date of test) N/A If yes, enter date N/A
Gallons introduced _gallons —
Comments/Deficiencies: 'TESTED TRENCH ONLY; INTRODUCED WATER INTO SAMPLE PORT; IDSF DRY
COSA Checklist yellow sheet
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'
❑v
Yes
Community Sewer Manhole/Cleanout > 100'
❑✓ Yes
if No
_ ft
Yes
if No _ ft
Neighboring Tank > 100' Yes
if No
_ ft
Private Sewer/Septic Line > 25' Yes
if No _ ft
Absorption Field on Lot > 100' Yes
if No_
it
Holding Tank > 100' 0 Yes
if No _ ft
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment > 50' 0 Yes
if No ft
0 Yes
if No
_ ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' Q Yes
if No
_ ft
❑v 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 Surface Water> 100' [DYes if No ft
Property Line > 5
❑v
Yes
if No
_ it
Wells on Adjacent Lots:
Absorption Field > 5'
❑✓
Yes
if No
_ ft
Private Wells > 100' ❑✓ Yes if No _ ft
Water Main > 10'
_ ft
Yes
if No
_ ft
Community Wells > 200' 0 Yes if No _ ft
Water Service Line > 10'❑
Community Wells > 200' ❑✓ Yes if No _ It
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
**uNK ft
If absorption field is under driveway comment below
Property Line > 10'
❑v Yes
if No
_ ft
Wells on Adjacent Lots:
Water Main > 10'✓❑
Yes
if No
_ ft
Private Wells > 100' Yes if No _ ft
Water Service Line > 10'
Yes
if No
_ ft
Community Wells > 200' ❑✓ Yes if No _ It
Surface Water >' 100
_
❑Yes
if No
. 90,+
_ It
F. ENGINEER'S COMMENTS
*5'+ MET CODE AT TIME OF INSTALL
**IDSF TO TO FOUNDATION MEASURMENT IS UNKNOWN
`MEASUREMENT FROM 2016 COSA - CREEK IS APPROXIMATLEY 97' TO DRAINFIELD PER AS -BUILT
G. ENGINEER'S CERTIFICATION
1 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.
COSA Checklist yellow sheet
49T��0
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MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT • Ake 907-343-7904
On -Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite
Septic Tank Advisory
Certificate of On -Site Systems Approval # OSC211006
Subdivision: Clearview Lot:8
The septic tank for this property is 22 years old. The average life for a steel septic
tank is 20 years. Typical replacement costs range from $7,000 to $11,000.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
12/29/2020 13:25 8686770 APLUS PAGE 01
G I tkr �'►'ems
il 1
NMICIPALM C r ANC140RAf9E - Community Development Departzn mt - On -Site Water & Wwtewater Program
P:907-343-7904, F: 907.343.7997 • P,O. Box 1966SOAnohomgc.AK99S19-6650,littp;//www.muni.org/building
(PAolp
�o��c c�tc 5'i0 Intermittent Dosing Sand Filter
Maintenance Log
Owners e, A, i Street Address—R-10 i A10 r) a 6Y
Phone Legal Desc. _ PID
Septic 7a��r
-Sludge level 0
inches -Pumping: required es -pumping completed e o
qb� Sor tion Umri
12 I. Zo
-Liquid level inches -Flushing valves per approved design es o
-All flushing valves t pened, distribution lines flushed, and flushing valves closede_ o
Lift Station:
-Pump basket clean ad 're o . •131otube effluent filter cleaned 9 ou
-Timer float setting' cinches •High level float setting_� _inches -Reference paint 0 erg
-pump on _ _seconds -Pump off_„^ —minutes
•cumulative lifetime cycles�'��yl_/ 9S -Cumulative run time hours
•Operation satisfact pry- es no
A. System:
-Air pump filter clew lederno -Air pressureSi
-Gate of latest insta I or re uild 1,11,1A •Air system operation �*lsf ctory not sa 'sfactom
Warn S atem�
.Dedicated electrics I circuit 4�n— -Audible and visual alarm inside dwelling no
-Float setting —inches •Alarm system operation A sfacto
, — of satisfactory
Comments:
.....,..... I ............. .................... ....... •. ... , ........ I , ....... ............................ , .................. ..
M_alntenance Proti Ider.
Technician k e oc �� eS -G _ Date of maintenance � �%t
Company.
Signature�l'✓ Data 2
Maintenance Lol �04031'3.doc
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
% �Da of December',
entered into as of this y of 2Q 20 , by and between
Nicholas and Ashley Hill , herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Svstems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as - > S F
located at (legal description) Lot 8, CLEARVIEW SUBDIVISION, Plat No. 80-178,
Anchorage Recording District, Third Judicial District, State of Alaska
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.
c��LIt 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).
G 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) Pagel of 3
(� Owner acknowledges that the Municipality may request records of maintenance and
,-4-epairs 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.
/li Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
wner 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.
r 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 Lay. 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:
By:� jf r r (signature)
0 e, (A-V 14-,r (print name)
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
Date:
r-►.
The foregoing instrument was acknowledged before me this day of Dec�-J-;
2028 by, 1Q,%!�-
NOT,kWt PUBLIC FOR ALASKA
My•Cth.inission expires:
MUNICIPALITY:
By: �� (signature)
(print name)
Date: 111,t120,21
Title:
(rev. 05/18/2018) Page 3 of 3
ALA TNA
DRIVE
P�
�0:-' 49 1H
-
r
q�q,! SHANE A. HOLT
Jp a LS -6914 o` O
p . . ...... .
a o
K10' fes siona\ �-oo
THE INFORMATION HEREON I5 FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS: AND IS
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN
HEREON (UNLESS INDICATED)
NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
PROPERTY LINES OR P05ITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE.
AS -BUILT SURVEY 1" =40'
NO CORNERS SET THIS DATE
S
I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
LOT B, CLEARVIEW SUB.
ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE,ALASKA THIS _ 5 TH_ DAY OF
_JANUARY , 2021
HOLT LAND SURVEYING
9309 &ROVER DRIVE
12707, F8 168-25 ANCHORAGE,AK 99507
907.223.8615
Municipality of Anchorage
On -Site Water & Wastewater Program
(907)343-7904
Certificate of On—Site Systems
Approval
As -I SS-Uz�j C,&
Parcel I.D. 015-242-47 Expiration Date: �9- I I
1. GENERAL INFORMATION
Complete legal description CLEARVIEW; LOT 8
Location (site address) 8101 ALATNA AVE.
Current Property owner(s) HAL INGALLS Day phone 562-2312
Mailing address
Real Estate Agent
8101 ALATNA AVE.
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY:
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
CommunityClassWell
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
Wai,narNadanw
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ 5>-%-r 2:2 Ra- Waiver Fee $ _
Date of Payment a ` �( L ki Date of Payment
Receipt Number. C4 t3 `J (a Receipt Number
COSA# IYWaiver#
Distance:
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my
investigation, based on procedures outlined in the Certiricate 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. 1 further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm _ GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK, 99507
Engineer's Printed Name JEFFREYA. GARNESS, P.E.
Engineers Comments:
In wnduc ftft evaluadan, GEGpmvldedan engineedag evaruagon of Ne wallandrorseph'csyzl=in accomance wdh me
guidelines andmgulagons establishedbythe MunicipaldyorAnchorage sadindusbypmcgres. The mpmedmsul(sdesodbe the
tonddion of(he systeMson gm Balers 010e emfualf0n. Sepemlion dslamas wommeasumd tomaddyidenglable realums.
Hidden defects menwachmentsmayerisl'hat wemnol idenVIeddudng ft evaluab'MAO operagonallire ofallwdlsand seplk
sysfemsdependon a vadefyofvadables Induding, bul nollimifedto, sol condikos, gmundwzferlevals l(hatmaygucmale dunhg
the year), quardyofwnshucgon (mdedals andwadonanship), aMlhe walerusage ofuw famiyuNizing the systews. These
condb=can vary, mdam ouklde the cnmmlefGEG. Sagsfaclmytest msulls do nolguardnlee ruhm p81k=nce offhe
syslaWs, lhererom, GEG makesm w vvnfy(e*mu wimplfed)mgarding the Mwe performance arhe wegorseplicsyslem.
GEGmakwnompmsentab'an wh&arsn allemarrve wellmsepli0system wabeinslagedw @e pW04in the event eimeroffhe
tartan! sys(emsfail. The conimtofthismpodis krihe sokbenefdoflhepemonlpadywhorebinedGEG. Rermw upon the
infarmab'an pmvidedln fh1smpMby&0, otherpemon orpady,indudngbut not hmded to subsequeapmpedypumheaem, isnat
aulhodzed. In shoji, GEG disavows anylegaldulylo anyone olherlhan IhoperWpartywhopoldforlhumpod.
6. DSD SIGNATURE
System #1 Approved for 4 bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
bedrooms.
Date
337-6179
-7/zs1,b
-07 A64 3 S (-
bedrooms, with the following stipulations:
Original Certificate
The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of on-site Systems
upon the representations given in paragraph 5 by an independent professional civil engineer registered In 1
The Municipality of Anchorage is not responsible for errors orcmisslons in the professional engineer's work.
7. ATTCHMENTS-
COSA Checklist
Septic System Advisory
Well Flow Advisory
(Rev. 10112112)
—>�_ Nitrate Advisory
Arsenic Advisory
Other
(COSA) based
r•SrRVICF`'
GARNESS ENGINEERING GROUP. Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
July 29, 2016
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Rd.
P.O. Box 196650,
Anchorage, AK 99519-6650
(907)343-7904
Ref: Clearview; Lot 8 — Documentation of Repairs to Lined IDSF and Release of Conditional
COSA
To whom it may concern:
A conditional COSA was issued for the subject property on 2/4/2016. The following tasks were to be
accomplished prior to issuance of a non -conditional COSA:
1. Bury the well wires
2. Expose the ISF flushing valves and flush all of the pressure lines
3. Get the as -built survey updated to show the flushing valves.
In the spring of 2016 the new property owners noted sewage surfacing out the ground between the STEP
tank and the IDSF. After some investigation it was discovered that the pressure line between the STEP
tank and the IDSF was broken. The line was repaired and the problem rectified. In addition it was
discovered that the air line for the ISF was stubbed into the ground and not connected to the ISF and that
all but one of the pressure distribution lines in the ISF were damaged. The owners retained A+ Home
Services to reconnect the air line and replace all of the pressure lines in the Lined ISF. A+ Home
Services also installed new monitoring tubes in the lined IDSF. All of the repairs were done without
engineer oversight or inspections; however, the work was done by one of the most experienced
contractors in Alaska with IDSFs (A+ Home Services).
The well wires have been buried. The asbuilt survey was not updated to show the flushing valves;
however, attached is a photo showing the flushing valves. Given that the flushing valves are present, I am
requesting that you waive the requirement for an updated asbuilt survey. At this time we are requesting
that a non -conditional COSA be issued for the property.
If you have any questions, please contact me
M.S.
3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com
BL "i L
n � . 0 iv
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BL "i L
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Municipality of Anchorage
On -Site Water & Wastewater Program
(907)343-7904
� eV
4 " A
k3'=a
Viso
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 015-242-47 Expiration Date:
1. GENERAL INFORMATION
Complete legal description CLEARVIEW• LOT 8
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
8101 ALATNA AVE.
HAL INGALLS Day phone 562-2312
8101 ALATNA AVE.
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
4
Receipt Number
4. TYPE OF WATER SUPPLY:
("10 2 <{
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
■
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
Waivervariance request for: NSA Distance:=
Received by: 61P Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
—gyp�
COSA Fee $ �02 S� % ja tt q_ 3 Waiver Fee $
-! 4
Date of Payment �I U t (o n!�: Date of Payment
Receipt Number
Ol3S_-2)
Receipt Number
COSA # o -D
("10 2 <{
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone
Address 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK, 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG provided an engineering evaluation of the well and/orseplic system in accordance with the
guidelines and regulations established by the Municipality of Anchorage and industryprocfices. The repored results describe the
condition of the sysfeMs on the dafels of the evaluation. Separation distances were measured to readilyideiddeble features.
Hidden defects or encroachments may exist that were nol identified during the evaluation. The operational fife of all wells and septic
systems depend on a widely of variables including, but not limited to, soil conditions, grpundwaterlevels (that may flucluate during
the year), quality of consinuction (materials and workmanship), and the water usage of the family utilizing the syslernis. These
conditions can very, and are outside the control of GEG. satisfactory test results do not guaranies future performance of the
syslemisi IherePom, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system.
GEG makes no representation whefher an alternative well or septic system can be installed on the property in the event either of the
current systems fad. The content of this report is for the sole benefit of the persoNparty who retained GEG. Reliance upon the
Information provided in this report by any other person or party, including but not limited to subsequent propedy purchasers, ismrol
authorized. In short, GEG disavows any legal duty to anyone other than the persoNparty who paid for this report.
6. DSD SIGNATURE
0
System #1 Approved for bedrooms.
System #2 Approved for bedrooms.
VA
337-6179
Date Ib
a
�Vfyt.Carness .i m
CE -7953
�CD
pROFESSt4 it TA IL Im,01
P• �•
oN
Disapproved.
KConditional approval for A— bedrooms, with the following stipulations:
1
�cR MAO
Original Certificate Date: Z — Lr— 1(,2
The Municipality or Anchorage Deve is emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenatations given in pa graph 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. ATTCHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
(Rev. 10/12/12)
Nitrate Advisory
Arsenic Advisory
Other
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: CLEARVIEW; LOT 8 Parcel ID: 015-242-47
A. WELL DATA *TO BE FIXED IN SPRING OF 2016 **THERE IS A PACKER IN THE WELL
Well type PRIVATE If A, B, or C provide PWSID# N/A
Date completed 9/21/1995 Sanitary seal (Y/N) YES
Total depth 81 ft. Cased to 80.6 ft.
FROM WELL LOG
Date of test 9/21/1995
Static water level 7 ft.
Well production 8+ g.p.m.
WATER SAMPLE RESULTS:
Coliform � colonies/100 ml. Nitrate ND mg./L.
Well Log (Y/N) YES
Wires properly protected (Y/N) *NO
Casing height (above ground) 12 in.
AT INSPECTION
1/8/2016
**UNK ft.
***8.0+ g.p.m.
PUMPED 1,132 GALLONS FROM
THE WELL IN 125 MINUTES
Collected by: GEG. Ltd.
Arsenic: ND ug./L. Date of sample: 1 /6/2016
B. SEPTIC/HOLDING TANK DATA *CONTROL PANEL IS LOCATED INSIDE THE
HOUSE SUFFICIENT AS INDOOR ALARM
Tank Type/Material S.T.E.P./STEEL Date installed 1998 (APPROXIMATE)
Tank size 1500 gal. Number of Compartments E Cleanouts (Y/N) IYES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) *YES
Date of pumping N/A Pumper SEE A+ INSPECTION REPORT
C. 'ABSORPTION FIELD DATA
Date installed 112s 16EEE29FE) Soil ratingg.p.d. of ft /bdrm) 4 System type ISF/TRENCH
Length **30 ft. Width 2 (ASSUMED) ft. Gravel below pipe **2.5 ft.
Total depth *11.1 ft. 'Eff. absorption area 150 ft2 Monitoring tube YES Depression overfield NO
Date of adequacy test 1/8/2016 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test **2 in. Water added 1132 gal. New depth **2 in.
Elapsed Time: = min. Final fluid depth **2 in. Absorption rate >= 600+ g,p.d,
Any rejuvenation treatment (past 12 mo.) (YIN & type) INONE KNOWN If yes, give date —
***MONITORING TUBE WAS FOUND TO ONLY EXTEND APPROXIMATELY 0.98' INTO 2.0' EFFECTIVE
DEPTH. AFTER 1" LIQUID LEVEL WAS ESTABLISHED, 600 ADDITIONAL GALLONS WERE ADDED WITH NO
CHANGE IN LIQUID LEVEL.
**PER TOBEN SPURKLAND, P.E. RECORD DRAWINGS (ATTACHED) DATED
MARCH 2, 1998.
*SECOND COMPARTMENT OF 1500 GALLON STEP TANK
D. LIFT STATION -INSPECTED BY A+ HOME SERVICES
Date installed 1998 (APPROXIMATE Size in gallons *500 Manhole/Access (YM) YES
"Pump on" level at TIMER ;n. "Pump off- level atTIMER in. High water alarm level at 46"
Datum BOTTOM OF BASKET Cycles tested Meets alarm & circuit
requirements? UNK
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAht station on lot 1001+ On adjacent lots 1001+
Absorption field on lot 10'*
Public sewer main 75'+
On adjacent lots 1001+
Public sewer manhololdeanout 1001+
Sewer /septic service line 25'+ Holding tank
75'+
Animal containment areas 50'+ Manure/animal excrete storage areas 1001+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5µ Property line 51+ Absorption field 5'+
Water main 10+ Water service line WOM Surrece water, 1001+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Building foundation
*1o'+
Water main 101+
.K,
Water service line *12*—
Surfacewater
90'+
Driveway, park!ng/Vehide storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
FLUSHING VALVES FOR ISF TO BE EXPOSED AND LINES FLUSHED IN SPRING OF 2016
*EDGE OF LINED ISF TO FOUNDATION IS UNKNOWN, BELIEVED TO BE 10'+ IDSF WAS NOT TESTED ( SEE ATTACHED
LETTER DATED JULY 9 2015"
G. ENGINEER'S CERTIFICATION
I car* that I have determined through field inspec9ons.and
review of Municipal records Mat Me above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineers Printed Name JEFFREY A. GARNESS
Date
(Rev. 10/1212)
F
y
w
ALA TNA
DRIVE
RJ 4 CHl �d0
p
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...4.....__ ......; .. Q
1 SHANE A. HOL
QONl LS -691 11 4' O
2,83 46 35 ' w
TRAIL & OqA/NAGE
EASEMENT
,9W)f(7XliuATE LOUATIoM
�ar Fiusi+i(vb V6A(vE5
LIFT
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N 89 53'55" E
110.60
I
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,
FAMILY
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FRAME
HOUSE
£RE
CH
G
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WEU.
ANY
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND
is
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINE5.
EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN
HEREON (UNLESS INDICATED)
NOTE: FENCELINE5 THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE.
AS -BUILT
1" =40'
NO CORNERS SET THIS DATE
/I HEREBY CERjTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
LOT 8, CLEARVIEW SUB.
ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EXIST OTHER ;THAN NOTED.
DATED AT ANCRORAGE,ALASKA THIS _IOTH_ DAY OF
_OCTOBER , 2014.
I
HOLT LAND SURVEYING
12707, FS 600 HIGHVIEW DRIVE
158-25 ANCHORAGE,AK 99515/
345-5513
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
93M
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
Day of Fe_of20�Lgbyand between�L- ,� �`�k;�Sc✓�
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
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 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 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 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 AW WTS, 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 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 AWWTS.
C. Upon request by the Municipality, the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor, the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an 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
AWAITS 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.
C
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.
I. Owner agrees to provide and maintain a telephone connection to the AW WTS as
required by the AW WTS 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: VIP—
'�
a. Owner: 1 I G.. VIP �J
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: ignature) Date:
�Zco� L7 Pcfc rYisoil (print name)
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoin instrument w ac�1Tl
20L(,byFy1FICA{�1Q1 n
�(�pw,Jl�,e�dged before me this 1 day of
4
1 U
a
1
NOTARY PUBLIC "k
ALAS
My Commission expires:
NOTARY PUBLIC
STATE OF ALASKA
BRIWANEY GRIFFITH
COMMISSION NUMBER: 15051111115
MY COMMISSION EXPIRES: MAY 11, 2019
MUNICIPALITY:
By: (signature) Date:
(print name) Title: