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Home My WebLink AboutPOTTER HIGHLANDS PH 1 BLK 1 LT 3Potter Highlands Ph ! Block Lot 3 #020-281-55 Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP161206 PID Number: 020-281-55 ❑✓ New ❑ Upgrade Name: Potter Creek Development LLC ABSORPTION FIELD Address ❑ Deep Trench ❑✓ Shallow Trench n Bed 111 Mound 6194 Greece Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1 GPD/SF 8.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4.0 Ft. 4•0Ft. Potter Highlands Phase 1 1 3 Fill added above original grade Gravel length Township Range Section 0 Ft. 60.0 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 5.0Ft. N/A N/A Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 600 Ft' 1 N/A Ft. Well 127.1 136.3 127.1 N/A 25+ TANK ❑Septic ❑S.T.E.P. ❑ Holding El Other Manufacturer Capacity Surface Water 100+ 100+ 100+ N/A Anchorage Tank/Orenco 1500Gal. Material Number of compartments Lot Line 76.1 52.4 76.1 N/A Fiberglass 2 NA Foundation 42.5 58.6 42.5 N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ 50+ N/A Orenco 250 Gal. Pump on level at Pump off level at High water alarm at Remarks 43 in. 40 in. 45 in. Pump make and model Electrical Inspections performed by P2005 MoA PIPE MATERIAL House to tank 3034 drainfield tod 3034 Installer Hagmeier Homes Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100.0ft Inspections, Location and description dates: 1 4/14/17 2" 4/14/17 3`d 4/14/17 4th First Floor FF COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date �i 9F A/.."i �' .01.• ,I` :�'1 *. •49TH !`_IQ ..:*9 4,4 •. iteven V: f5annorae.ire • Approved Date 1-('-a:9147a4 11k, 0 ..- Inspection Report_1-1-12.doc — . --- . --- . — . . — . — . — . — .,71-77,„7 , . ly g'' ***** �- _ A B R" ' � .'•.'•i/ Ti 46.5 65.6 `:' C2 61.6 101.9 ~ y'-� —� TRUE NORTH _ CAI,��1."�•' WELL (E) /14 // /i SEPTIC AREA , - K ,' / It- /I . 1 / �� / \\AGf w r . % �� WELL (E) 1 i ‘,0 G INSTALLED NEW DRAIN FIELD1� 60.OLFx5.0'Wx4.0'E.D., 8.0'T.D. 136.3 I \ B ' - DRIVEWAY, RESERVE AREA NIC M 1 Cl / • 127.1 �- " M /\ M NEW / 1 \ LS � / ..... _ Jr_ T1 /�HOUSE / / / FCO / / \--• TH-1 ----...1. ..0 I\ .1_T.1: J , , -.-. W SECTION .4 4111111141111P122.8 / / , W r M2 / I r C2Nil126.2 • = r NEW 1500q ADVANTEX WITH AX20 PT507 / WELL (E) N ( / \ / / \ \ - ./ /I . 1 \ \ / . / \ /\\ / / /, . \ // I \ \ . \ 1//I /4/,/ I IT \ \. 4° � I NOTES: PANNONE ENG SVC, LLC �, - Date RECORD DRAWING P.O. BOX 102954 ANCHORAGE, A99510 P9t: � 04/18/2017 QeV( - PHONE (907) 272-8218 FAX (907) 272-8211 �1._ .C� Scale */49 • /;\ %.* 1" = 50' Zt • P.I.D. NO POTTER HIGHLANDS PHASE I B1 L3 ' 620-281-55 POTTER CREEK DEVELOPMENT LLC : even �: 'annope PERMIT NO. DRAWN DRM z,•, CE 8149, OSP161206 3230 C ST FIRST FLOOR ; •., SITE PLAN ANCHORAGE, AK 99503 '-any Sheet 2OF3 DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4(600 gpd) ABBREVIATIONS TANK SIZE: 1500g ADVANTEX PERC RATE: 62.5 MPI TH TEST HOLE SOIL RATING: 1.0 GPD/SF w w — WATER LINE / (P) PROPOSED AREA RQD: 600 SF WELL RADIUS (E) EXISTING REDUCTION FACTOR: 0.5 (=300SF) ss ss — NEW SEPTIC CO CLEAN OUT NO. SYS. TYPE: WIDE TRENCH 4.0 ED MT MONITOR TUBE NO. MIN LENGTH: 60 LF TYP TYPICAL USED: 60.OLFx5.0'Wx4.0' E.D., 8.0' TD TOTAL AREA: 300 SF • SECTION 25%1�F1+T jS1 GO-) ��ONcm otlE `�N�l 40 RESERVE ASSUME-`HSG 0 WOR �NF��ZRP (NIC) fig% N,jG '' 5.0 I 10.0 49.3 Oj ZO D o Z o ¢ La Z w FILTER FABRIC w �6 a v) 22A r / 4øDRAiNPIPE m I- - , _00 O DRAIN ROCK p O 88.4 AX20 ~ - a O 6�ABOVE PIPE INV Lu O J POD V m U _ 86.5 [.._ \ 84.6 _ TH-1 ....___._.---__-..-.— NEW �� NEW 15008 �� _ -t.o Gm/sm 84'8 ADVANTEX TANK cM/sM (FULLY ASSEMBLED -2.0 cM/sM —80.6 -4.0 PACKAGE) PROFILE 766 GM/SM -14.0 - 70.6 c+��c (DRY 7/21/16) NOTERECORD DRAWING S. PANNONE ENG SVC, LLC Date 04/18/2017 - P.O. BOX 102954 ANCHORAGE, AK 99510 P'�••""'••. PHONE (907) 272-8218 FAX (907) 272-8211 4t••'. � • Scale *:' ,.• r'. •* 1" = 10' •.. • • �1 •. •••• P.I.D. NO POTTER HIGHLANDS PHASE I B1 L3 ; „ _ — 020-281-55 POTTER CREEK DEVELOPMENT LLC 41- . •*It.IO""O"°• PERMIT NO. DRAWN DRM CE 8149, OSP161206 3230 C ST FIRST FLOOR SECTION ANCHORAGE, AK 99503 '.oi Sheet 3OF3 Alpine Drilling & Enterprises Well Log Permit Number: #SW161206 Date of Issue: 9-21-16 Parcel.Identification Number: 02028155000 Date Started: 10-22-16 Date Completed: 10-23-16 1s well located at approved permit location? x Yes ❑ No Legal Description: Potter Highlands Ph 1 Block 1 Lot 3 ) 1'161 € I Property Owner Name&Address: Potter Creek Development LLC 3230 C St First Floor Anchorage, Alaska 99503 Borehole Data: Depth (ft) Method of Drilling x air rotary ❑ cable tool Soil Type,Thickness &Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .250 inches gravelly silt 2 54 Diameter: 6 inches Depth: 61 feet Liner Type: bedrock 54 186 Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level(from ground Ievel): 71 feet Pumping level: 180 feet after 2 hours pumping 7 gpm Recovery Rate: 7 gpm Method of Testing: air lift Well Intake Opening Type: ❑Open End x Open Hole ❑ Screened Start feet Stopped feet ❑Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 1 Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet WATER L ALITY TESTING Pump size hp Brand Name Col/form 2 cou s Ni7rate8 L lOO - Well Disinfected Upon Completion? x Yes❑ No ? ark ntc: Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling&Enterprises PO Box 110496 Anchorage AK 99511 Development Services Department • Building Safety Division • 77,�"� On-Site Water & Wastewater Program o!r P 'a x, ' � iJ°� 4700 Elmore Road x "'s P.O. Box 196650 mil �. Mark 8e9 ich Anchorage, AK 99507 SA ETY Mayor www.muni.org/onsite (907)343-7904 Purnp Installation Log Well Drilling Permit Number: SW _�°t'Z() ' Date of Issue: I-2%I- r k° Parcel Identification Number: A O g g 15- -/""rd Legal Description Property Owner Name&Address: N1'y t h"9S— t P L /0CA (� Lo't . `'`1 c K `lgSn 3 Pump Installation Date: 3-- !p.- /7 Pump Intake Depth Below Top of Well Casing: / / feet Pump Manufacturer's Name: 64- 115 Pump Model: 7 AC S 07 r Pump Size /75-hp Pitless Adapter Burial Depth: /0 feet Pitless Adapter Manufacturer's Name: 4 4. r a L Pitless Adapter Installer: G�,otlzc ' et '�, Well Disinfected Upon Completion? +'-Yes❑No Method of Disinfection: Comments: CLAfvzo-4-41 4t( L e_ Pump Installer Name: Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE Community Development Department '~'~.,/ Phone: 907-343-7904 Development Services Division ~'-~ Fax: 907/3~'--¢~7~-~... On-Site Water & Wastewater Program .//vv~/~.~----~'~.¢~ ON-SITE SEWERNVELL PERMIT APPLICATION ~' ~ % Properly owner(s) POTTER CREEK DEVELOPMENT LLC Day phone %~.. _~;~¢ Mailing address 3230 C St, First Floor, Anchorage, AK Site address NHN Greece Circle, Anchorage AK Legal description (Sub'd., Block & Lot) POTTER HIGHLANDS PH1 B1 L3 Legal description (Township, Range & Section) Lot Size 68,91'J _Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: ([] all that apply) Absorption Field [] Initial [] Single Family (SF) [] (w/wo ADU) Septic Tank [] Upgrade [] Duplex (D) [] Holding 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. ( gSTCh~ture of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. 0,~10/(¢ Waiver Fees: Date of Payment: Receipt Number: ('~¢9 1 ¢~' Waiver No. SOILS LOG - PERCOLATION TEST TEST MOLE 1 1 GM/SM Brown Silty SAND & 2 GM/SM GRAVEL 3 GM/SM 5 6 ; TEST 7 HOLE 8 GM/SM GRAY Silty SANDY 9 GRAVEL SLOPE WAS GROUND WATER 8OH ENCOUNTERED? N DATE PERFORMED: 13JUL16 TH 1 NO GROUNDWATER IF YES, AT WHA1 DEPTH? DEPTH TO WATER AFTER MONITORING? DRY 0ATE: 21JUL2016 I WATER I RATE SOIL TEST RESULTS/ANALYSIS CLOCK NET TIME LEVEL NET DROP (MPI) * PERCOLATION RATE 62.7 (min/inch) READING DATE TIME READING 1 ISJUL16 1015 6528" · PERC HOLE DIAMETER 6" 2 1045 50 MIN 7065" 0755" 40.8" "TEST RUN BETWEEN 6 FT AND 6 FT 5 1046 8328" · TEST RUN FOR OVER AN HOUR, LAST THREE READINGS PROVIDED. COMMENTS: Test hole excavated by HAGMEIER HOMES. Test Hole was presoaked before Perc test. PERFORMED BY: Joseph Lawendowski. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES:JRL PANNONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 8/22/16 PHONE (907) 272-8218 FAX (907) 272-8211 Scale NTS POTTER HIGHLANDS PHASE I B1 L5 ~- ~-281-55 I POTTER CREEK DEVELOPMENT LLC SERMIT NO ORAWN I 52,50 C ST FIRST FLOOR ' ospxxxxxx SITE PLAN ANCHORAGE, AX 99505 ,~ Sheet 2OF5 WATER RATE CLOCK NET TIME LEVEL NET DROP (MPI) READING DATE TIME READING 1 ISdUL16 1015 6528" 2 1045 50 MIN 7063" 0755" 40.8" ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this ~'-~ Dayof ~ ~ ~o~beJf of 20 ~ ~ by and between 3C~¥'~v~ 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 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 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 o£ 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 o£the property. 4. Alterafions~ 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 xvith ail 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 xvhich 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~VTS 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. 41,AbeY. • • -c Municipality of Anchorage 4,V<D 'uy 6Rt� D On-Site Water and Wastewater Program ^, "%_ (907) 343-7904 E*X h 7'i r� APR 1.'' i. l 31 Certificate of On-Site Systems Approvalrta. 020-281-55 Parcel I.D. Expiration Date: r� ; , 6 8 L 'c;\ 1. GENERAL INFORMATION Complete legal description Potter Highlands Phase 1 , Block 1 , Lot 3 Location (site address) 6194 Greece Drive Current Property owner(s) Potter Creek Development LLC Day phone Mailing address 3230 C St. First Floor, Anchorage, AK 99503 Real Estate Agent Day phone 2. TYPE OF DWELLING: O Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received . c v At___. Date: 0//9-6/ 7— COSA to be released to the a ••••er •ss otherwise requested .y the -ngineer. COSA Fee $ A -SO Waiver Fee $ Date of Payment Lj!t )1? Date of Payment Receipt Number 01-175-6 Receipt Number COSA# 65(17115? Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/ofd. l8. osal system is(are)in compliance with all applicable Municipal and State codes, ordinances,and regulations in effect at the timE�ins k In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system.The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 4/18/2017 Tal j*'49 TM 1\ -A-9 6. DSD SIGNATURE f "' " r System #1 Approved for Lf bedrooms j• :Steven K.'Pa irwrr�j 1,•. CE-8149 System#2 Approved for bedrooms 4 r Disapproved `4l�i\ _ � " Conditional approval for bedrooms, with the following stipulations: pp NLI 1 Y pA o RO�RARo� _ .'' b}/Inr_C,v` By: \ vv,„ L g ofOriginal Certificate Date: `("Z.6-1 7 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet!: . . If more than 1 septic system is on the lot: COSA Checklist# ' of ' Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description Potter Highlands Ph1 , Block 1 , Lot 3 Parcel ID 050-982-03 A. WELL DATA Well type Private If A. B, or C provide PWSID # Well Log (Y/N) Y Date completed 10-23-16 Sanitary seal (Y/N) Y Wires properly protected (YIN) Y Total depth 1 86 ft Cased to 61 ft. Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 10/23/16 New Static water level 71 ft ft. Well production 7 g.p.m. g p m WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 1 .68 mg/L Arsenic ND ug/L Date of sample. 4/11/2017 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Advantex/ Fiberglass Date installed 4/14/2017 Tank size 1,50 gal Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (YIN) Y _ Date of pumping New Pumper C. ABSORPTION FIELD DATA Date installed 4/14/2017 Soil rating (g p d 1ftz or ft2/bdrm) 1 GPD/SF System type Shallow Trench Length 60 ft Width 5'0 ft. Gravel below pipe 4 ft. Total depth 8.0 ft. Eff. absorption area 300 ft' Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in Water added gal New depth in. Elapsed Time. min. Final fluid depth in. Absorption rate >= g.p d. No Any rejuvenation treatment (past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed 4/14/2017 Size in gallons 500 Manhole/Access (Y/N) Y -Pump on level at Timed in. "Pump off' level at _ in High water alarm level at 45 in. Datum Bottom Cycles tested New Meets alarm &circuit requirements? Y E. SEPARATION DISTANCES WELL ON LOT TO. Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer/septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway. parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 1 00+ F. COMMENTS G. ENGINEER'S CERTIFICATION ..'-'7'c .9 ' 4��"fix ��P��OA�q,1771# k I certify that I have determined through field inspections and 'fie . s y 1+r review of Municipal records that the above systems are in 0*; 49g1._ .* 9 conformance with MOA COSA guidelines in effect on this dale. / •• V Engineer's Printed Name Steven Pannone ,,V :Sleven l�. �annbne 4/18/2017 �l '• CE-8149 . :i Date �['��F�R? �P`�� s ,,�N\\\N 0� COSA canary sheet_2-6-15.doc ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND Caa,24 bri THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 2r Day of % of 2011 , by and between TU.}tc, C 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 act/6,n-c-ev 600 located at(legal description). Lo-- ` Q 4 tqh yid 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 I 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. 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 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: knd C� b. Municipality: Director, Community Development or designated authority 4 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: C /_-- (signature) Date: I r /20/2 J 7 �1 (I.An (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) 11 The foregoing instrument was acknowledged before me this L day of JGt,,n 2011 ,by Notary Public NOTARY PUBLIC FO• LASKA 1 SILVIA ENGEIOCH My Commission expires:, \ %=Olcl i state at Melia t My Commission Expires Jan 21,2019 MUNICIPALITY: By: A i, (signature) Date: —Z 0` / (print name) Title: PLAT NO. 2013-113 POTTER HIGHLANDS, PHASE 1 LOT 3, BLOCK 1 1.582 ACRES N 89°53'15"E 334.21' 10' T. & E. ESMT. • 73.8' I j GREECE M a S n 4 DRIVEin Cr' In n wE11, moo M r GRAVEL DR. 3 ' • EXISTINGWADING // °8\ 1— / / .Z • / \ SfP11C SYSTEM , / ` 4/ / */ \ ., co \ // /.' 6,s \ /_ A, \ /^0 ec'7j • \ / .' \ / \ / \ / tam ,• •\ / 4.5` !� / � t \ I It y, \ / Oji J. \ / 'Is \ / tea. \ / / n o 16.0' 4.5' c a r BUILDING DETAIL N SCALE: 1"=20' 4..7 9.7' 0 COVERED o DECK 12.0' 5.0' ;Ile :1,,, I38 Oa r 24.0' AS—BU I LT I HEREBY CERTIFY THAT I HAVE SURVEYED THE GASTALDI LAND PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. �we,>�atilgQ$ SURVEY 1 NG, LLC RIS THE RESPONSIBIU1Y OF THE OWNER TO ��F.• OF 44 44 JEFF A. GASTALDI, R.LS. Q •4-, O DETERMINE THE EXISTENCE OF ANY EASEMENTS, i .t:•' O 2000 E. DOwUNG RD., SURE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT *:49TH *m ANCHORAGE, ALASKA 99507 . {PPA ON THE RECORDED SUBDIVISION PLAT. • PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA .v GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR m : Jeffery A.�ia5raIdl a if 9Y3638 4 1.8/2017 ESTABLISHING BOUNDARY OR FENCE LINES. QO o. 1s-6091 : ?� c s, •.;i4/18/201`...,,,§"„p„, ANCHORAGE RECORDING DISTRICT, ALASKA 4Q'a�'......'•ora F.B. J08 N0. NOTE: NO CORNERS SET THIS DATE 8Q$f0js1ona1pIDY 16-04 PHS131 4L1Qd