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MOUNTAINSIDE VILLAGE #1 BLK 5 LT 1
Mountainside Village #1 Block 5 Lot 1 #020-172-35 31/13,'2P15 00:44 907--345-3202' ALPINE DRILLING PAGE OG/Oo Alpine Drilling & Enterprises Permit Number: #SW_1,61035 Date of Issue: 3-29-46 Parcel Identification Number: Q201723500U Date Started: 4:L -w Date Complettd: 4 3-16 Is well located at approved pertnit location? x Yes ❑ No Legal Description: Wlouniairlslde Village #1 dock .5 Lot 1 Property Owner IName & Address: Richard Fraetpcan 5,538 Woodshne Circle HoreholeDuta: Depth (ft) Soil Type, Thickness & Water Strata Frotr, To stick-itp organics & sdr gravelly silt bedrock ON 0 2 2 3 x 16 16 286 Method of Drilling x air mtary [7] cable tool Casing tyrpe: steel Nall Thickness; .025 inches lliameter: 6 inches Depth: 20 feet [12 Linter Type: Diameter 4 inches Depth: JQ feet Casing stickup above ground: 2 feet Static water level (from ground level): 21 feet Pumping level: ZB6 feet after hours pumping 3 epm Recovery Rate: 3 gpm Method of Testing: Well Intake Opening Type: — ❑ Open End x Open hole ❑ Screened Start —� feet Stopped feet ❑ Perforations Start,--- feet Stopped T_ feet Grout Type: benton_ ite vranules Volume: 4 bzs Pump: Intake Depth— feet Pump size — hp Brand Name Well Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: chlorine tablets comments: WtIl Driller: Alpine Chilling & Enterprises PO Box 110496 Anchorage AK 99511 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: OSP161035 Tax Code Number: 02017235000 Work Type: Welseptic Renewal Permit Effective Dates: March 29, 2016 to March 29, 2017 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Subdivision: MOUNTAINSIDE VILLAGE #1 Site Legal Address: MOUNTAINSIDE VILLAGE #1 BLK 5 LT 1 G:3439 Owner/Address: FREEMAN RICHARD 5538 WOODSHIRE CIR ANCHORAGE AK 995160000 Site Mailing Address: 17793 MOUNT MC KINLEY DR, Anchorage Lot Size in Sq Ft: 70840 Total Bedrooms: 4 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. 1. The Engineer needs to do an additional percolation test in the GM layer 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.B.3 2. The Inspection Report is to show that the cover was built per the design. See the section view. C6#2 MALA c6 Td (oca{o'n ©� we(f. Co 3 PGs CAa77 d locahb.} o'' ScA'C' Received By: Issued By: IOUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. (92 V _17 z - "S 5' Property owner(s) Mailing address _ Day phone qLq() - of 19 5 Site address_ r -A uv n Vn, r e , X e. Lit I ( a f a #4 ( R 4;;' Gy t - Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size "7 Srit0 Sq. Ft. Number of Bedrooms _ APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field EZ\ Initial ❑ Single Family (SF) [� (w/wo ADU) Septic Tank 1ZL Upgrade ❑ Duplex (D) _ El Tank ❑ Renewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 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. (Signature of property owner or Permit/Rush Fees: -:— MG✓ Date of Payment: Receipt Number: Permit No. G5 63s Permit App_9-1-12.doo Waiver Fees: Date of Payment: Receipt Number: Waiver No. 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: SW2003031853 Tax Code Number: 02017235000 Work Type: WellSeptic Initial Permit Effective Dates: February 06, 2015 to February 06, 2016 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: MOUNTAINSIDE VILLAGE#1 Site Legal Address: MOUNTAINSIDE VILLAGE #1 BLK 5 LT 1 G:3439 Owner/Address: NEDDEAU KRISTIE 17801 MT MC KINLEY DR ANCHORAGE AK 0000 Site Mailing Address: 17801 Mount Mc Kinley DR, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: Total Bedrooms: Y Private Well N Water Storage 70840 4 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: 1. The Engineer needs to do an additional percolation test in the GM layer 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 2. The Inspection Report is to show that the cover was built per the design. See the section view. Received Issued By 315115 co *l V{;(.'U5 A QtnaniLs SYSfen, By: Date: Fit 6-yy Date: s �� MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-172-35 Property owner(s) Kristie Neddeau Mailing address 7151 Oakwood Drive, Anchorage, AK 99507 Site address Mt. McKinley Drive q7 -Z, y2 Day phone 2y Z- U6 9 Legal description (Sub'd., Block & Lot) Mountainside Village #1, Block 5, Lot 1 Legal description (Township, Range & Section) Lot Size 70,840 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field FXJ Initial Single Family (SF) Q (w/wo ADU) Septic Tank Upgrade ElDuplex (D) El Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Drain field to Slope Distancex 2 `I I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. of property owner or authorized Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. Permit App__- : Waiver Fees: -0 Z 1 S Date of Payment: Z A Receipt Number: Waiver No. QSP15/02L{ co #-5 Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve0panengak.com 9 August 2016 - - Subject: Mountainside Village #1, Block 5, Lot 1 - Well and Septic System Install Permit Request Design Narrative This is a design narrative for a permit to install an initial septic system and private well to be issued for this property. The proposed system will serve a proposed four-bedroom (4BR) house. Currently the lot is undeveloped. The surrounding lots are served by private wells. There are no wells within 100' of this system. 1. Soils. One test hole was performed in the area of the proposed drain field by PES in July of 2016, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 12' below the surface in the test hole monitor tube after the 7 -day monitoring period. Bedrock was not encountered in the test hole. Based on the results of the percolation tests and overall soils appearance; an application rate of 5 gallons/day/square feet was used for an advanced wastewater system in the area of the test hole. 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 property slopes from the south to the north at varying slopes. The area surrounding the proposed system slopes from south to north at an approximately 16% slope. The proposed system is not within 50' of any steep slopes. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells within 100 feet of the proposed septic location. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907)272-8218 FAX: (907) 272-8211 Hil co � NOTES: 1. HOUSE & GARAGE LOCATION APPROXIMATE; HOUSE TO BE LOCATED IN ACCORDANCE WITH TITLE 21 - BY OTHERS!! 2. THIS DESIGN IS FOR THE SEPTIC 68 SYSTEM & WATER SYSTEM ONLY SITE FO DESIGN FOR HOUSE & GARAGE BY _ 72 / / Oil Qqq ' \ OTHERS - 76 coq Oiv / _ LOT VACANT \i / / -ty \ - -- NO WELLS OR SEPTICS/ I /lig lPrpt c1tC�ecls / �F,��, 02 LyF,��' -96 �P-1 WELL (E) \� i J1 SOOg ADVANTEX TANK WITH � 1 z- �AX20 POD & AUX. PUMP VAULT(P) _10C— INSULATE LINE UNDER DRIVEWAY -z 03.3 \ - 1LOT 1 0o• — � TH-2 104 S USE HOUSFA ��(PES 2016) 4TC �E \ Yi 1 (P) TH-1 DRIVEWA SEE NOTES 1&2 S' (PES 2 —10.0. _ PRIMARY / RESERVE DRAINFIELD (P) - 2CLF x 5•W x 2.0•ED x 6•TD\ 7\ '116_ INSTALL MT AT EACH ENDi — _ \_128, / \ � 00/v NTq/N \_132 R7�F/� cl \ — 4 OOV� \ Q' X BOO NOTES: - PANNONE ENG SV( CHANGE ORDER P.O. BOX 100217 ANCHORAGE„ PHONE (907) 272-8218 FAX (90 LLC 99510 272-8211 MOUNTAINSIDE VILLAGE #1, BLOCK 5, LOT RICHARD FREEMAN 17793 MT. McKINLEY DRIVE PLAN ANCHORAGE, AK 99516 OF A/ -A' j, 18/8/2016 ..... . . .... .. P.I.D. NO -172-35 Steven R. Pannone PERMIT NO. ' P�•, CE 8149 OSP161035 's� •� '+tliF0 80FES51pNP.� Sheet e0F 4 - � z 0 0 a ¢ W N J U � A � 1500g ADVANTEX TANK (P) DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4(600 gpd_)- TANK SIZE: 1500g S.T.E.P. W/ AX20 POD AND AUX PUMP VAULT PERC RATE: 3.9 MPI SOIL RATING: 5 GPD/SF AREA ROD: 120 SF - SYS. TYPE: WIDE TRENCH 2.0'ED RF: 0.70 MIN LENGTH: 16.8 LF USE: 20 LFx5.0'Wx2.0' E.D 6.0' TD TOTAL AREA: 143 SF PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS NEW SEPTIC NOTES: PANNONE ENG SVC, LLC CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 MOUNTAINSIDE VILLAGE #1, BLOCK 5, LOT RICHARD FREEMAN 17793 MT. McKINLEY DRIVE DESIGN DETAILS ANCHORAGE, AK 99516 C C) FILTER FABRIC 1,25" 0 PERE PIPE WITH A HOLES DRILLED 18" O.C. -DRAIN ROCK 6' ABOVE PIPE INV w m s 0 z 0 iH-2 � (PES 2016) 4'0 -t.$ 12.0 GM 6.0 1 -12A ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH -TEST HOLE FC FOUNDATION CLEAN OUT, T# TANK CLEAN OUT NO. C# CLEAN OUT N0. 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 NIC NOT IN CONTRACT Date qI� NTs ...... ... .. � .. � P.I.D. NO 172-35 Steven R. Pannone PERMIT N0. I�P�cS CE 8149 ..��� OSP161035 �l tFRn,' � ..... •_:, F�'� Sheet 2 opo cc) SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: INSTALL NEW ADVANTEX AND SOIL ABSORPTION SYSTEM. �. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 12 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN -A 2 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED.• 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK.- ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED -LINE AS -BUILT DRAWINGS TO THE ENGINEER. THE RED -LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS - 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN -OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 1 1. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS -BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: m NOTES: CHANGE ORDER SITE SECTION TITLE: PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 MOUNTAINSIDE VILLAGE #1, BLOCK 5, LOT 1 RICHARD FREEMAN 17793 MT. McKINLEY DRIVE ANCHORAGE. AK 99516 8/8/2016 # ¢g TH *I! NTS ... ... .. .........� P.I.D. NO 020-172-35 Steven R. Pannone lw PERMIT N0. AF•, CE 8149 Al OSP161035 � Sheet 4 OF 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 TEST HOLE 2 OR ORGANICS/ TOPSOIL ML BROWN SILTS POORLY GP GRADEDSANDS AND GRAVELS 2002 GM I SILTY GRAVEL SOILS LOG - PERCOLATION TEST SLOPE —SITE PIA / /• --------------- \ c�-104 TH-1 (PES 2002) \ \ SLOPE x TH y WAS GROUND WATER BOH 11/19/2014 ENCOUNTERED? N IF YES, AT WHAT DEPTH? -DRY DEPTH TO WATER AFTER MONITORING? -7'-2" DATE: 11/05/2002 DEPTH TO WATER AFTER MONITORING? -13'-5" DATE: 11/19/2014 DATE PERFORMED: 10/2912002 TH' X READING DATE CLOCK NET TIME WATERTIME LEVEL READING NETDROP 1 10/26/02 12:15 --- 6" --- 2 12:25 10 MIN 4-3/4" 1-1/4" a 12:25 --- 6-1/4" 4 12:35 10 MIN 5" 1-1/4" 5 12:35 --- 6-1/8" --- 6 - 12:45 10 MIN 4-7/8" 1-1/4" PEROLATION RATE 8 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 2.5 FT AND 3.5 FT COMMENTS: Test hole excavated by BEEKS CONTRACTING. Prec hole was presoaked Test run for at least one hour. Last 3 readings reported PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATF, OF THTR TFRT NOTES: PAMNE EN P.� vBOXO1012 54 ANCHORAGE, CK 998I10 PHONE (907) 272-8218 FAX (907) 272-8211 _v`��V �. '��OF'A�,gg k1' /i*� TM �y +' / TH '• / / S'teven R. PannonePERMIT CE 8149 .'� j 10 r��...... r (i�ip� Date 1/14/2015 FOR CONSTRUCTION Scale NTS P.LD. NO 020-172-35 MOUNTAINSIDE VILLAGE #1, BLOCK 5, LOT 1 KRISTIE NEDDEAU MT. McKINLEY DRIVE ANCHORAGE, AK 99516 N0. SW2003031853 SOILS LOG Sha eOF 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 SOILS LOG - PERCOLATION TEST TEST HOLE 2 SLOPE —_ / T$ )LAN Q OR ORGANICS/ ) TOPSOIL -100— 4— TH_2 —104 / (PES 2016) 4BR HOUSE GM SILTY GRAVEL x \ (P) TH- TH-1 �,pRIVEWAY S 2 SEE N 112 I, \70, 116— _120- 24- 128 16__120-24- 128 BOH ^` � 1 DATE PERFORMED: 7/20/2016 WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -DRY DEPTH TO WATER AFTER MONITORING? -DRY DATE: 7/27/2016 SLOPE TH X READING DATE CLOCK NETTIME WATERTIME LEVEL READING NET DROP 1 7120/16 2:40 --- 7.49 --- 2 2:50 10 MIN 10.13 2.64 3 2:50 --- 7.49 --- 4 3:00 10 MIN 10.09 2.60. 5 3:00 --- 7.49 --- 6 3:10 10 MIN 10.08 2.59 PEROLATION RATE 3.9 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS: Test hole excavated by LOT OWNER. Prec hole was presoaked. Test run for at least one hour. Last 3 readings reported PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: ��+�� ���\� Dote CHANGE ORDER PANNOoNE4 ENHOR S C, 99510LC OF A/-.,, 8/8/2016 PHONE (907) 272-8218 FAX (907) 272-8211 %g�P �y++ Scale *; TH .*�/ NTS ... .. ... . ... ..... P.I.D. NO MOUNTAINSIDE VILLAGE ##1, BLOCK 5, LOT 1 ...... .. 020-172-35 RICHARD FREEMAN S't even R. P nnone PERMIT NO. PF.•, C.'F�� 17793 MT. McKINLEY DRIVE OSP161035 t♦ � E 8149 .•ear SOILS LOG ANCHORAGE, AK 99516 +��\F°F° wossap`_: Sheet ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND /?d C�h-14/ T Y�°�lituri THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 2 5 Day of /NAYG k of 20 16, by and between �j C�Ahd rre -4141$ 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 k1Yj located at (legal description). /'1'1 o un -16A SWo U/ A 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems 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 �_bT / 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 AWWTS for the entire term of the AWWTS. 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 AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 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: �i C 4 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. &. 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: ZJ� R1 C AeAK-d Fre e-rK 4 n (print name) STATE OF ALASKA } ) ss. THIRD JUDICIAL DISTRICT ) The foregoing uatrument was acknowledged before me 20_k*, by if WKbk iTe2~ NeTARY PVBLIOR ASKA My Commission expires: ;k jt MUNICIPALITY: BY AeA- (signature) ah (A)04_"4(print name) day of rh*" tAOTgR ,�'0�6LIC Date: Title: C C