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SUNDI LAKE BLK 1 LT 14
Sundi Lake Block 1 Lot 14 #011-131-14 Municipality of Anchorage On-Site Water and Wastewater Section e (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT" Permit Number: OSP221010 PID Number: 011-131-14 Dwelling: H Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New H Upgrade Name Don Martin McGee ABSORPTION FIELD Site Address Q Deep Trench ❑ Wide Trench ❑ Bed" ❑ Mound 4812 Sundi Drive El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 2.0 GPD/SF 10.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 4.0 Ft. 6.0 Ft. Sundi Lake 1 14 Fill added above original grade Gravel length Township Range Section 0.0 Ft. 30.0 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 2.5 Ft. na na Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 360 Ft2 1 Ft. Well 93.4 90.3 90.3 NA 25+ TANK _-ptic OS.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 1001+ 100+ 100+ NA Anchorage Tank 1500 Gal. Material Number of compartments Lot Line 13.0 5.1 13.0 NA NA Steel 2 Foundation 19.2 20.5 19.2 NA LIFT STATION Manufacturer Capacity Remarks Orenco 500 Gal. Alarm location Electrical installed by Pedestal/Garage PIPE MATERIAL House to tank 3034 Tank to 3034 Installer drainfield A+ Home Services Drainfield 3034 cO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 100 ft Inspdates:ectionvt 8/9/2022 2nd 8 W2022 Location and description wAN 3rd 8/29/2022 4"' 8/30/2022 Garage FF ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date d OF aLq�kr -�7 � TFi `....... Steven F2. Pan rt one Septic System ��,� CE 8149 Approved Date I r /Zoz.��cslc'2p� s F0%;oFEs91o0� *' Note: this approval does not include well permit requirements. (RP„ nsmgri Ai DESIGN PARAMETERS A B ET 37.9 18.4 ENSURE NO DRIVEWAY 38.7 PRIMARY/ RESERVE SEPTIC SYSTEM T1 IS IN PLACE OVER TANK 21.7 NO. BEDROOM: 3(450 gpd) 62.9 30.2 CO TANK SIZE: 1500g ADVANTEX 29.1 NEW REPLACEMENT DRAIN FIELD 70.2 W/ AX20 POD PERC RATE: 30-60 MPI M 1 /RESERVE DRAIN FIELD (P) 3OLF 2. 5'6.0'ED , SOIL RATING: 2 GPD/SF 81.1 x x x 10.0'TD I NZ1 M2 AREA ROD: 300 SF 45.6 INSTALLED CLEAN OUT AND SOILS LOGS. SYS. TYPE: DEEP TRENCH 6.0' ED MIN LENGTH: 25 LF 96.6--------{� MONITOR TUBE AT EACH END NO TEST HOLE. SEPTIC AREA (E) WATER NOT ENCOUNTERED `USED: SUN 0 DURING EXCAVATION C4 Z 30LFx2.5'Wx6.0' E.D., 10.0' TD n 10.8 M2 TOTAL AREA: 360 SF - REMOVED CRIB N L C2 AND FILLED WITH CLAN NATIVE MATERIAL mi LS C3 5.1 < C1 5.4 INSTALLED 1500g ADVANTEX TANK \ � ET B W/ AX20 POD \INSTALLED POST -TANK CLEAN OUT PER MANUFACTURERS RECOMMENDATION A CONNECTED TO (E) CONCRETE 48R HOUSE '� ' 7508 SEPTIC TANK \s (E) �9 r,� ` 1� CC)/ WELL (E)_77� AA � WELL (t) N ABBREVIATIONS _ TH TEST HOLE ,(P) PROPOSED f (E) EXISTING s� CO CLEAN OUT NO. / MT MONITOR TUBE NO. TYP TYPICAL ET EXISTING TAN / W DD A B ET 37.9 18.4 C 1 38.7 18.4 T1 62.1 21.7 LS 62.9 30.2 CO 63.9 29.1 C 1 70.2 23.2 M 1 69.5 23.0 C2 81.1 46.6 M2 80.7 45.6 5.1 < C1 5.4 INSTALLED 1500g ADVANTEX TANK \ � ET B W/ AX20 POD \INSTALLED POST -TANK CLEAN OUT PER MANUFACTURERS RECOMMENDATION A CONNECTED TO (E) CONCRETE 48R HOUSE '� ' 7508 SEPTIC TANK \s (E) �9 r,� ` 1� CC)/ WELL (E)_77� AA � WELL (t) N ABBREVIATIONS _ TH TEST HOLE ,(P) PROPOSED f (E) EXISTING s� CO CLEAN OUT NO. / MT MONITOR TUBE NO. TYP TYPICAL ET EXISTING TAN / W DD FILTER FABRIC w o D 000 m 0 a 1"=50' z DON MARTIN MCCEE011-131-14 SUNDI LAKE, BLOCK 1, LOT 14 4812 SUNDI DRIVE ANCHORAGE, AK J J W J U U mo U 99.5 z o AX20 n POD 9 EXISTING 7509 :ONCRETE TANK NEW 1500g ADVANTEX TANK _.s \ O DISCONNECTED EXISTING WATER SyC. 0 AND CONNECTED TO NEW WELL WITH 1 " LINE NEW WELL lZ J NO KNOWN FOUNDATION OR CURTAIN DRAINS WITHIN 25' DECOMMISSIONED EXISTING ISEPTIC SYSTEM PER CODE w FILTER FABRIC w __=•===a= $.. ._.. .. ....... " >_ . .*_''_*•�*'` Date 9/29/2022 m m 1"=50' DRAWN BY: DON MARTIN MCCEE011-131-14 SUNDI LAKE, BLOCK 1, LOT 14 4812 SUNDI DRIVE ANCHORAGE, AK 4" 0 PERF PIPE P.I.D. NO S mo j 0 Sheet Sh 2 of 2 z o DRAIN ROCK 6" ,az, z ABOVE PIPE INV 2 w SOILS BASED 0 � ON SURROUNDING SOILS LOGS. 96.6--------{� NO TEST HOLE. WATER NOT ENCOUNTERED DURING EXCAVATION DRAIN ROCK 6.6 NOTES: P ONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211Scale __=•===a= $.. ._.. .. ....... " >_ . .*_''_*•�*'` Date 9/29/2022 RECORD DRAWING 1"=50' DRAWN BY: DON MARTIN MCCEE011-131-14 SUNDI LAKE, BLOCK 1, LOT 14 4812 SUNDI DRIVE ANCHORAGE, AK DRM P.I.D. NO PERMIT No. OSP221010 PLAN Sheet Sh 2 of 2 r-- o0 5.4 2 Ofl E N�d5'2- �6- O r 5 Z 0 z N w LOT 13 BLOCK 1 0.7 AC (PER PLAT P -112) f \TER UTILITY LID TANK LOCATION CONCRETE PAD TER UTILITY LID ��co LOT 14 BLOCK 1 0.8 AC (PER PLAT P-112) LOT 15 BLOCK 1 0.6 AC (PER PLAT P-112) •• 40 •0 .0 FA co 14: PROPERTY BOUNDARY — — — — ADJACENT PROPERTY BOUNDARY --- — -- EDGE PAVEMENT — — — — CONCRETE OHW DECK RETAINING WALL NOTES GRAVEL EDGE BUILDING - --- - BUILDING OVERHANG WELL PIPE O VERTICAL STAND PIPE m TREATMENT BOX 1. RECORD DATA SHOWN HEREON IS PER PLAT P - 112, ANCHORAGE RECORDING DISTRICT. 2. THIS DRAWING IS BASED ON A FIELD SURVEY PERFORMED BY EDGE SURVEY AND DESIGN, LLC ON 10/25/2021, 11/2/2021 AND 9/15/2022.. 3. THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A TITLE REPORT. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXTENCE OF EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION SURVEYOR CERTIFICATE I HEREBY CERTIFY THAT I HAVE PERFORMED AN AS -BUILT SURVEY ON THE PROPERTY SHOWN HEREON AND THE IMPROVEMENTS EXIST AS, SHOWN. 9/29/2022 MARK A. AIMONETTI PLS 13022 -a►- 11 link 49 T-" Mark A. Aimonetti 4 i `� • No. 13022 - S • ��� `��F9'• 929/2022 •' �1��s 1 S ��pROfESSiONP�IP„�- rm SURVEY AND DESIGN, !i4 12501 OLD 5EWARD, D ANCHORAGE, AK 99515 Phone (907) 344-5990 Fax (907) 344-7794 ASBUILT SURVEY OF 4812 SUND! DRIVE ANCHORAGE, AK DRAWN BY: DATE: FIELD BOOK: MM 9/29/2022 21-08 CHECKED BY: SCALE: SHEET: MA 1" = 40' 1 OF 1 ao N 00 •Z 6 c'S Kim Johnson From: Curtis Faulkner <Curtis@capstoneak.com> Sent: Monday, October 10, 2022 1:54 PM To: Kim Johnson Subject: RE: Capstone Electric 4812 Sundi Dr Both systems are connected and working on the existing electrical system. But the existing electrical system is so outdated that the electrical inspector cannot approve the work until the electrical service and interior panels are replaced. Sincerely, Estimator, CFO n��.� m 20828 Bill Stephens Dr. C1 Chugiak, AK 99567 O: 907.688.2751 / C: 907.354.8710 / F: 907. 205.5730 Like us on Facebook! This email and any files transmitted from Capstone Electric LLC are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the sender. This message contains confidential information and is intended only for the individual named. if you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. if you are not the intended recipient you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited From: Kim Johnson <Kim@panengak.com> Sent: Monday, October 10, 2022 1:52 PM To: Curtis Faulkner <Curtis@capstoneak.com> Subject: RE: Capstone Electric 4812 Sundi Dr The MOA is requiring proof that the system is hooked up to the homes electrical service. From this email it sounds like it has not been yet. Is that correct? Thank you, Kim Johnson Project Coordinator Pannone Engineering Services 907-745-8200 Customersvc@panengak.com From: Curtis Faulkner <Curtis@capstoneak.com> Sent: Monday, October 10, 2022 1:31 PM To: Kim Johnson <Kim@iranengak.com> Subject: Capstone Electric 4812 Sundi Dr am Marty asked me to write you about the electrical work we have done at 4812 Sundi Dr to install power for the lift station(septic) and well. We have installed everything to code. The only issue being that the existing system is not currently to code so we could not get a permit approved until we swap out the electrical service and interior electrical panels. Please let me know if there is anything else you need from me. Sincerely, Estimator, CFO fr JI-ks�„K. r..—. ? 7.. 20828 Bill Stephens Dr. C1 Chugiak, AK 99567 O: 907.688.2751 / C: 907.354.8710 / F. 907. 205.5730 Like us on Facebook! 1 This email and any files transmitted from Capstone Electric LLC are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the sender. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. If you are not the intended recipient you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited vanTex,3 Field Maintenance Report Start-Up'Summary Report 1611 ----Mie Frep--MY 0--n—ting Don McGee 12 Se oT Pod #2 Serial N Bruce Witt 20�0741-1 1 Installed Date 08/24/22 Site, Address 4812 Sundi Drive, Anchorage AK 99516 Start-up Date Phone Nun—iber— (907) 306-9007 OSP221 010 Phcxte —I0.d,00.,;s, Mode 1A 14 Occupants -�—Iupa.,Y6a,—e Pannone Engineering Services. LLC Phone (907) 272-8218 vpi Authorized installer A+ Home Services phone (907) 345-1890 iI AdvanTex Dealer Anchorage Tank 11jnc, ane (907) 272-3543 �;fti.ian Phone Primary Treatment It using a single Processing Tank, complete the following: Processing Tank Septic Volume gal.) Recirc Volurne gal.) Construction 1C Fiberglass _!Concrete -.1 1 Other Manufacturer. If using a �;MaLqLe Septic Tank and Recirc Tank, complete the following: Septic Tank ( - ------ ........ . . gal.) Construction r_...} Concrete Fiberglass Manufacturer-, L-! Recirc Tank gal.) Construction i Concrete j Fiberglass Other Manufacturer ----- Pump Model: i-- Floats set properly at----_.,_-in...-,,,-in, -in, Secondary Treatm 'ont RSV setting -in, Residual head measurement: Pod Iti -in. Pod P2 -in. Pod #3 -in. I L-i Discharge Tank/Basin gal.) Construction concrete Fiberglass PVC (Basin) Manufacturer. Pump Model: .. ---- ------------ L- I Floats set properly at - ------ -in. Discharge pump flow rate (drawdown test)- ( gpm) Discharge pump dose volume: galJdose) C11, C r-1. Comments Control Panel Panel liT(R or UL 4) TOW rimer Setting"Off" Timer Setting ''i5' TIM t, [�R �T;U 14 6 0 8 9 0 10 III Filter Pods Pod Pod #1 Serial No. Serial —To 12 Se oT Pod #2 Serial N Pod 93 Serial No. 20�0741-1 1 Other System Components I— f-, -1 Disinfection equipment (manufacturer): ,F]l Dispersal system (type of): De larations (initial) Orenco's Start -Up Procedure was followed. All lids are secured. Circuit breakers are on and control panel is latched. "For Service Call" label with phone # was affixed to panel. Homeowner Package was reviewed with: Builder on (date) Resident an (date) The system is ready for use !- I I I Yes o (explain) Signature. i Date Fax completed form to 1-866-384-7404' 6830 E Green Glen Dr. Wasilla, AK 99654 Date Started: 06/11/2022 Date Completed: 06/11/2022 Legal Description: Sundi Lake B1 L14 Pump Installation Log Only: ❑ Site Address: 4812 Sundi Dr., Anchorage Property Owner: Marty Mcgee Parcel ID: 011-131-14 Latitude: 61.47359 Longitude: -149.968863 Borehole Data: Depth (11) Soil Type, Thickness & Water Strata From To Stick up 0 2 Sand 2 10 Gravel 10 25 Sand 25 40 Gravel 40 50 Sand 50 60 Sand, water 60 185 Well Pump Installation: Pump Intake Depth: 155 ft. Brand: Franklin Model: 10JV07P4-3W230 Size: 3/4 HP 10 Drop Pipe Type: PVC Drop Pipe Size: 1 in. Comments: lustaller: Brian Bean Date: 10/01/2022 Borough: Anchorage Meridian: Seward T: R: Section: Method of Drilling F,/j air rotary ❑ cable tool Casing type: Steel A53B Well Depth: 185 feet Wall Thickness: .25 Diameter: 6 inches Casing Depth: 173 Liner Type: ' Diameter: inches Liner Start: feet Stop: feet Casing stickup above ground: 2 feet Static water level (from top of casing): 63 feet Pumping Level and Yield: ❑ Artesian Well 140 feet after 2 hours pumping Recovery Rate: 15 gpm Development Method: Pump Duration:4 hours Well Intake Opening Type: Open End F-1 Open Hole ✓Q Screened Type: .015 Sandscreen Start _173feet Stopped 185 feet Perforated Type: Gravel Packec Start feet Stopped feet Yes nNo Grout Type: Bentonite Volume: 3-501b bags Depth: Start feet Stopped feet Well Disinfected Upon Completion? F✓ Yes F—]No Method of Disinfection: Chlorine Comments: Driller/Installer: Frank Meyer Signed: -'" Date:06/14/22 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP221010 Work Type: WellSeptic Upgrade Tax Code Number: 01113114000 Site Legal Address: SUNDI LAKE BLK 1 LT 14 G:2224 Site Mailing Address: 4812 SUNDI DR, Anchorage Owner: MCGEE DON MARTIN Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date ent , �o 5 G r• l� Department 2/16/2022 2/16/2023 Lot Size in Sq Ft: 30600 Total Bedrooms: 4 Q Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Date: Date: MUNICIPALITY 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. 011-131-14 Property owner(s) Don Martin McGee Mailing address 4812 Sundi Drive, Anchorage, AK 99502 Site address Same Day phone Legal description (Sub'd., Block & Lot) Sundi Lake, Block 1, lot 14 Legal description (Township, Range & Section) Lot Size 30,600 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) Septic Tank Upgrade n (w/wo ADU) Holding Tank ❑ Renewal ❑ Duplex (D) Privy ❑ Multiple Dwellings (SF and/or D) Private Well I -XI 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 authorized agent) Permit/Rush Fees: 6 ?a 0 Waiver Fees: Date of Payment: Z 5 aZ 0.?.Z Date of Payment: Receipt Number: _ 01 q06 Receipt Number: Permit No. O S P a Q 10 10 Waiver No. Permit App_.;- : ❑© P.9 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221010, Rebecca Carroll, 02/16/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221010, Rebecca Carroll, 02/16/22 MUNICIPALITY c - s. THIS MAINTENANCE AND REPAIR. AGREEMENT, herein the "AGREEMENT" made and entered into as of this 2. Day of --v u\of 20 .26, by and between c Ar , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. .Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as A J A) located at (legal description) \j 1A) C-R. I 1Ii Ili. LIM CL -L �. � ke- E-1) c � 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. QIt 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). DJAOwner 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) Page 1 of 3 �4 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 1W Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will ndt occur without a new Certificate of On -Site Systems Approval. IA 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. lox Owner agrees to maintain remote monitoring of the AWWTS as required by the 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall. govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By:(signature) , (� I-, C (print name) STATE OF ALASKA ) ss. THIRD 7UDICIAL DISTRICT ) Date: Le - The (e �� `� L 22 The foregoing instrument was acknowledged before me this S l4day of >Z M `AYV 20-2 , by Mtl ° "TIP 1-/60-C NOTARY - LLC -F R ALAS _ LEO t?My Commission expires: G7%i?S u MUNICIPALITY: By: luy,/Ix�Z (signature) Re Ce CC c,-, arro_/ l (print name) Date: o� fb b un Title: (rev. 05/18/2018) Page 3 of 3 I'H~,Eorre;2573 ~: ~' FEDERAL HOUSING ADMINISTRATION ~_= / Budget Bureau No. 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART L--TO BE COMPLETED BY FHA ,NSURING OFFICE MORTGAGEE A~cho~egeR Alaoka MORTGAOORORSPONSOR ~llbet~ Oo~l~ee a~d gonnta L, ~¢gee SUBDIVISION NAME PROPERTY ADDRESS ~eG~ J45 BIOl~k ~ 5penardR Sundt La~e Subdivision, Alaaka BLOCK NO. LOT NO,_ TOTAL NUMBER: BATHS J BASEMENT TXlYes 71No [~New installation WATER SUPPLY BY: J Can attic or other area be made into additional bedrooms? (ff Yes, how rnany~) [~Yes r-]No 1 No. SYSTEM DESIGNED FOR OF BDRMS* GARBAGE DISPOSAL [] Individual [] Yes [] No _[~ Public system ~:~ [] Community system [] Individual SEWAGE DISPOSAL BY: --]'Public system [~ Community system PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County ~ Local Department of Health that this individual water-supPly system ~]is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [] State [] County [~ Local De~artmer}; of Health that this individual sewage-disPosal tern with proper maintenance: ~lCan be expected to function satisfactorily, and is not likely to creat~ an insanitary condition [] Cannot be expected to function satisfactorily TITLE DATE SlG~'e~TURE'" ~ ,. , . /~ ~ _./b-: . _ · _ .? _.. _ · ~ ~../. /.~,~.. ';L..~...,.q..,'~' spaces provided, health authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that'the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. SIGNATURE CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT DATE HEALTH AUTHORITY APPRuVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA form 2573 Rev. July 19S8 REPORT OF INSPECTION~INDIVIDUAL SEWAGE-DISPOSAL SYSTEM Septic Tank: //~ /:% Distance from well,~~I ~et. Material, gallons. Capa~ky inlet compartment,__ /f'~ '"'~'-~ gallons. .... feet. Liquid depth, L~ .feet. 5)~.:-Q}27 '~ .~/ ~ ~ .... feet. Tile Disposal Field: Distance from: Welk Total length of tile lines, Trench width, Length of each line, Type of filter material: [] Gravel. feet; nearest lot line at [] front, [] side, [] rear,_ feet. Liquid capacity, .gallons. Lining material ~l Seepage pits. Other_ feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. Number of lines, Distance between lines, inches. Total effective absorption area in bottom of trenches, feet. Depth, top of tile to finish grade, [] Broken stone. Other Depth of filter material beneath tile. inches. Seepage Pits: Number of pits / Outside diameter, ~:'?: ~'* feet. Depth, Distance from: Well, ',9:',y / feet; building foundation, ;2 6 Inspe{tlon made by1 [] State. [] County. ~] Local Health Authority. Inspected by Date of inspection ~'~ e5% ~ ;I;" , 19.5-? inches. Depth of filter material over tile, inches. -feet. Lining material feet; nearest lot line at [] front, [] side, [] rear//~ ~ feet. REPORT OF INSPECTIOIN~INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main,- ..... feet. Size of main, '~'~ inches. Individual wells~[] are [] are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water ~/~2~(d3( .... Properties in neighborhood ~ are [] are not being developed with both individual water-supply and sewage-disposal systems. Lot s~e: ~ feet wide,, feet deep Dwe ing set back from fro ~t property 1 ne, ~;-~?~/'~ feet, ~:z~-O Individual water supply from: ~ Drilled well. [] Driven well. [] Dug well. [] Bored well. Distance of well from~ Building foundation, -3'~ cast iron sewer,_ .feet; tile sewer, seepage pit, ~ ,,~ feet; cesspool, Well construction: Diameter, (ca feet; nearest lot line ~t [] front, ~] side, [] rear, ~ g feet; septic ta~ k.-/~' ~ feet; disposal field,. .feet; other sources of possible pollution, feet. feet, feet; inches. Total depth, /5> 'T feet. Type of casing /o~.~..~,,~ Depth of casin~,~ feet. ' Approximate depth to pumping level of water in well,.~ ~. feet. Approximate yield, / ~ _gallons per minute. Sealed watertight to depth o~= feet~ .~ Exterior space around casing sealed with: ~ Cement grout. ~ Puddled clay. ~ Ordinary backfill, XVell cover: ~ ~ncrete, [] Wood, ~ Metal. Openings in well cover watertight: ~ Yes. ~ No, ~ump: ~ Shallow well. ,~ Deep well. Length of drop pipe,./{0 ~ feet. ~mp capacity, ~ gallons per minute. ~cated in: ~ Basement. ~ Pumproom off basement. ~ Pumphouse above gronnd. ~ ~mp pit. '~'~' ~mproom properly drained: ~ Yes. ~ No. ~mp mguoting watertight: ~ ~es. ~ No, type of storage:~ Pressure. ~ Graviw. Capacity,;~-' gallons,' ........ "~ - Has bacteriological examination of water been made? )~ Yes. ~ No. If answer is "yes," give date /{J ~/ff$ , 19'~-~ Quality of water,~ is [] is not satisfactory for human consumption. Installation,~] does [] does not comply with approved exhibits, if any. Inspection made by: [] State, [] County. ~ Local Health Authority. Inspected by Date of inspection /(1- / ~ , 19-~':~ (4M) INDIVIDI4AL ,~AT~.R SUPPLY · $outhosntra:L ll gional A ION ON REQUEST FOR BA E OLOGIC WATER YSIS Yo~ recent request for an an~ysis of a sample from the Individual Private Water Supply serving ~* ~ ~' 1~ $~ ltoy~ ~o ~d, ~ 8p~rd gn~homge~ ex~inafion h~ been completed. Records in this o~ce indicate this Individual Private Water Supply to be of / Satisfa~o~ ~estiomble Unsatisfa~o~ smit~ sta~. / An~ysis shows this S~LE to ~ ~ Satisfactoq, .Questionable Unsatisfa~o~. If m "Unsatisfacto~" or "Questionable" sta~ is indicated above, you should take ~ediate action ~ recommended below. 1. Boil or chemic~r ueat your wamr supply to protect your fmily from water-borne dishes ~ outlined in en- clos~ le~let, "Dri~ It P~e." 2. ~prove your spring~ S~ bulletin HS~6-2 3. ~prove yo~ cistem~See bulletin HSE-6-3 4. ~prove your dug we~ ~ See b~etin HSE-6-4 5. Improve yo~ &iven we~ ~ See bu~etin HSE-6-5 6. Improve yo~ drilled weB--See b~etin HSE-6-6 7. Rel<ate yo~ well to a safe location in relatiomhip to your sewage disp~al system ~ See b~etin HSE-15 8. Bo~le broken in tr~sit, ple~e send new s~ple. 9. Staple t~ long m transit; s~ple should not be over 48 hours old at exminauon to indicate reliable results. Pl~e send new s~ple. 10. Conta~ yo~ n~resr ~ L~al Health Depar~ent or ~ Al~ka Hmlth Depament, S~tation o~ce for bulletins, consMtation, md ~sistance. 11. This is a surface water source and subject to po~ution by m~ and ~ima~. An approved water supply so,ce should be developed. S~ITA~'S ~S (6-58 10M) INDIVIDUAL WATER SUPPLY ALASKA DEPARTMENT OF HEALTH ~a~t~oil Of Sanitation and Engineering ovvtcR Southeen%x, al Regi~al Lab. ACTION ON REQUEST FOR BACTERIOLOGICAL WATER ANALYSIS Your recent request for an analysis of a sample serving ~ was received 10/3~19~9 and examination has been completed. McGee Anohorage~ Alaska Records in this office indicate this Individual Private Water Supply to be of sanitary stares. Analysis shows this SAMPLE to be ~/' Satisfactory_ / k~ Satisfactory Questionable Questionable Unsatisfactory. Unsatisfactory If an '"Unsatisfactory" or "Questionable" status is indicated above, you should take immediate action as recommended below. 1. Boil or chemically treat your water supply to protect your family from water-borne diseases as outlined in en- closed leaflet, "Drink It Pure." 2. Improve your spring--See bulletin HSE-6-2 3. Impr6ve your cistern--See bulletin HSE-6-3 4. Improve your dug well--See bulletin HSE-6-4 5. Improve your driven well--See bulletin HSE~6-5 6. Improve y~ur drilled well--See bulletin HSE-6-6 7. Relocate your well to a safe location in relationship to your sewage disposal system--See bulletin HSE-15 8. Bottle broken in transit, please send new sample. 9. Sample too long i9_ transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. I0. Contact youJ' nearest [] Local Health Department or [] Alaska Health Department, Sanitation office for bulletins, consultation, and assistance. 1L This is a surface water source and subject to pollution by man and animals. An approved water supply source should be developed. BACTERIOLOGICAL WATER ANALYSIS Lab. No 17675 So.ce Lt lA R]k 1 Sundi L~ke Subd~ ~ion Mail Report to ~. Don Mcgee Addre~ Ho~ff, Building. finehorage Dates: Collects 3.072/1959 -' Date Receiva l~/q/10~9 Lactose Broth 24 hours 48 hours 10ccI 10cc[10cc/ 10cc ] 10ccI 1.0ccI 0.1cc ] EMB ' .B G B_ Lactose Broth, ~4 bra 48 hrs Gram's stain Coliform Density. .(Most probable ~o. ncr 100cc.) Reported by RT Date 10/5/1959 Absent X. XX This --~lysis indicates Coliform Organisms to be: Present ALASKA DEPARTMENT OF IIEAL~H SANITARY INSPECTION ' Sir: An inspection of your plant has this day been made, and you are notified of the defects marked bel6w'~C'kt~ a cross (X) in column marked with (U). The defects noted should be corrected. ,. Site 2. Building 3. Ventilation 4. Heating 5. Lighting 4> 6. Plant Layout 7. Rodent Control 8. Insect Control i0. Waste Disposal 11. Refuse Disposal I3. Hand-washing facilities I4. Equip~t 15. Construction 17. Sterilization 20. Refrigeration 21. Wholesomeness°f f°°danddrink U ~ 23. Pe}sonnel, Clea,flines~ 28. Premises Clean has reviewed this inspection with me_ Depth of well .?.q3 reef .... ~ inch Size of casing ' Distance to water ..~ fa9~ .... Distance to water while pumping ........ of . ,(,(.,r~ ............ gallons per hour. Description of formation from to I certify the above true ai~d correct Driller Spenard, Alaska We advise you to cecord t}u:,; certificate ;;'i'.h your ~AD~.--HSE~.FI le) IThis Form Must Be Filled I Out Completely. INDIVIDUAL ~VATER SUPPLY ALASKA DE~A~tTME~ OF Section of SanCtion ~d ~-~ee~g Requ~t for Ba~eriological ~alys~ Please Look on Reverse of Sheet for Sample Collection Instructions. Lab. No ...................... ~ ............... Z~. Water sample collected by.......~....-,.--/&/~ ......... '-"~'~"i ...................... ......... ............ (Name of person(oo'llecting s p e) (Date) (Time) Water sample collected from 1~ Kitchen tap; ~ Bathroom tap; ~ Basement tap; ~ Other (l~t)__ -- ~/ ~ ~ ~/: ....................... ~ ............................................... Addr~s prem~e where so,ce M l~a~d...-..-~.~-.-..~-~-/-----~----~---~--~-~ ......... ~-~--~ (Mr.) '- ~. repo~ ~ (~ ~,~ ~' ~ ~..~...,,Z ......... ~'.'.: .... .~.~., ........ .......... . ~ox No. or street a res~ (City) (Name) Plezso pl~ge ~n "X" in the box before l~ms which b~t desg~be your water supply: SOURCE: Well -- ~ Dug, ~ Driven, ~ D~Hed, ~ Bored ~ Sprig, ~ C~te~, ~ Other (list) ............................................................................................................... ~ Cree~, ~ River, ~ Lake, ~ Pond .................................................................................................................. DUG ~LL OR O~TERN CONS~UCTION: Walls ~ ~ Wood, ~ Concrete, ~ ~tal, ~ ~le, ~ Brick or Concrete Block Top -- ~ Wood, ~ Concrete, ~ Metal, ~ Open Top LOCA~ON: ~ In basement, ~ Basement offset, ~ Under ~o~e, ~ In yard Other ..................................................................................................................................................................................... DIST~CE TO: Building sewer or other drainage pipe ......... :....feet, Septic ~nk .............. feet, ~le field .............. feet, Seepage pit .............. feet, Cesspool .............. feet, Prl~ .............. feet. Other p~sible so~ces of contamination (l~t) ............................................................................................................................................. ~R~: Building sewer ~ ~ Cast ~on, ~ Wood, ~ Tile, ~ ~bre pipe, ~ Asbestos cement ~o~t material ~pe ....................................................................................................................................................... GE~R~ ~OR~ON: Does water become muddy or discolored? ~ yes, ~ no ~en? ............................. ~--.p.~ .............................................................................................................. Diameter of well.......~ ........................................... depth ..... ~.~ .................................. feet Well casing mate~al._..~~ .......... diameter_..~_.f.L.., depth.._~.~...( ........... Length of drop pipe.......~.~..~ ...................................................................................................... Water depth from bot~m ............................................................................................................ feet Pump location: ~ ~ well, ~ Offse~ ~ basement, ~ In basement ~ utiHtyr~m, ~ On top of well ~ Other (l~t) ........................................................................................................ PURPOSE OF EXAMINATION: Illness suspected? ~ yes, ~ no New source of supply? ~ yes, ~ no ~pairs to existing system? ~ yes, ~ no ..................................................................................................................................................................................... PLEBE DRAW A S~TCH ~ ~ SPACE BELOW. ~IS SK~OH SHOED SHOW ~CATION OF HOUSE, WAT~, S~PLY SO,CE, SE~IC T~, SE~R, DRA~ L~S OR O~R SOURCES OF PO~U~ON BE~H WAT~ SUPPLY SO.CE AND ~ OF ~OVE P~l'i'~. SAMPLES MUST BE SUBMITTED IN CONTAINERS PROVIDED BY THE ALASKA DEPARTMENT OF NE, P,~TH .:. Pla~ A D~H~HSE-6-FI (e) This Form Must Be Fried Out Completely. Hold ~eport for pickup INDIVIDUAL WATER SUPPLY A~ASKA DEPARTMENT OF ~&I,~ Section of Sanitation and w.n~ineerlng Request for Bactcrlological Analysis I Please Look on Reverse of[ Sheet for Sample Collection Instructions. Lab. No .......................................... Water sample collected bY-...-}aL,....Dea--.~]o~oe ............................... :--: ....................... %~/..~/.5.9 ............... ~., ~.~.....F..,g~I.~ .......... (Name of person collecting sampie~ (Date) (Time) Water sample collected from ~ ~hen tap; ~ Bathr~m tap; ~ Basement ;ap; ~ Other (I~t) ..................................................................................................................................... Addr~s premise where source ~ l~a~d.....L~...l~,...~lk...~..~.undi..Lalco...~uh~&.~.i~ ......................................... (Mr.) (~s.) (Name) (Box No. or street ad,ess) (City) Please place an "X" ~ ~he box before i~ms which b~ describe your water supply: 80~E: Well ~ ~ Dug, ~ Driven, ~ D~lled, ~ Bored ~ Spr~, ~ Cistern, ~ O~her (lls~) ............................................................................................................... ~ Creek, ~ Eiver, ~ Lake, ~ Pond ................................................................................................................. DUG ~LL O~ CISTEEN CONSTEUCTION: W~lis ~ ~ Wood, ~ Concrete, ~ ~gal, ~ ~le, ~ Brick or Concrete Block Top ~ ~ Wood, ~ Cohere[e, ~ Me~l, ~ ~en Top LOCA~ON: ~ In basement, ~ Basemen~ offset, ~ Under ~o~e, ~ In yard O~her .................................................................................................................................................................................... DIST~CE TO:' Building Bewe~ or o~her drainage pi~ .............. fee~, ~ep~ic ~nk .............. fee[, ~le field .............. fee~, ~eep&ge pi~ .............. ieee, Cesspool .............. fee~, Prl~ .............. fee~. O[her p~sible ~ource~ of contamination (1~) ............. ~',~on~--~gw.~ ................................................................................................... ~: Building ~ewer ~ ~ C~ ~on, :~ Wood, ~ THe, ~ ~bre pipe, ~ ~bes~os cemen~ GE~ INFOE~ON: Does wa~er become muddy or discolored? ~ yes, ~no ~en? ....................................................................................................................................................... Diameter of well ........... ~:]]. ..................................... depth ...... 2_~.~.~.~_......: .............................. fee~ Well casing material ........ ~&~.~...~::.... diame~er......~]~. ........ deP~h.....~.~.~ ................... ) ~ , Length of drop pipe .................. ~.~0..~ .................................................................................................. ~ Wa~er de~h from bo~m...._~2~.~ ........................................................................................... fee~ Pump location: ~ ~ well ~ Offse~ ~ basemen% ~ In basement ~ ~ u~iH~y r~m. ~ On lop of well ~ O~her (1~) ............................................................................. : .......................... Do you s~pec~ il~e~ from ~h~ supply? ~ ye% ~ no .~em~rks: ......................................................................................................................................................................................................... .PLEASE DEAW A SKETCH ~ ~ ~PACE BELOW. THIS SK~CH 8HO~D SHOW ~CATION OF HOUSE, WA'K~ S~PLY 8OUEgE, 8EPTIC T~K, 8~, DEA~ LI~S O~ O~ SOUECES OF PO~U~ON ~D BETWEEN WATE~ SUPPLY SOURCE AkND) ANY OF ABOUE PfADIL$'&'ip.~. ~ I ~ ~I 7 ' '~ ' '~ :;" ' SAMPLES MUST BE SUBMITTED IN CONTAINERS PROVIDED BY THE ALASKA DEPARTMENT OF HEALTH MUNICIPALITY OF ANCHORAGE ment Services Department 4 Development P � � Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 011-131-14 Legal description Sundi Lake Block 1 Lot 14 Site address 4812 Sundi Lake Current property owner(s) Don McGee Expiration Date: 1/11/2023 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: 2 Original Certificate Date: 10/11/2022 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPAUTY s Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 011-131-14 Complete legal description Sundi Lake B1 L14 Location (site address) 4812 Sundi Lake Dr Current property owner(s) Don McGee Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: X Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑E Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age New - See advisory if steel older than 20 years 6. ABSORPTION FIELD: 0 AWWTS ❑ Bed X Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ �1 // q g , Waiver Fee $ Date of Payment tv NIaa Date of Payment COSA # 6 SC 92 /1q Waiver # COSA Applicalion_June 2022 Legal Description: Sundi Lake 131 L14 Parcel ID: 011-131-14 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 6/11/22 Total depth 185 ft Cased to 185 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA new Static water level at beginning of test 63 ft. Comments Measured operating fluid level in septic tank 111,112li22 Date of pumping ❑ Required maintenance completed, if AWWTS Comments: AWWTS startup attached D. ABSORPTION FIELD DATA Which system tested (date installed) new/8/29/22 ❑ ALL standpipes present per record drawing Total measured depth from grade 10' ft (max) Measured depth to pipe invert from grade 4' ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficienci COSA Checklist June 2022 Well production at time of test 15 gpm Water storage tank volume gallons Well disinfected for coliform test? FJ Yes No Coliform bacteria is Negative Nitrate mg/L M Nitrate less than MRL (ND) Arsenic ug/L XArsenic less than MRL (ND) Collected by Sullivans Date 9/23/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: new Adequacy test date ne\n Results Fol Pass Fluid depth prior to test _ Water added gal new in New fluid depth in Elapsed time min Final fluid depth in Absorption rate 600+ god FIELD STATUS — POST RECOVERY Effective depth (per record drawings) Effective depth used in Effective depth remaining in A From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' 93.4* Community Sewer Manhole/Cleanout > 100' ❑Yes if No ft M 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 90'3* ft Holding Tank 100' p _ g > _ Fm -]Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑Yes if No ft n Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' nE Yes if No ft Q Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes if No ft Tank to Property Line > 5' Fil Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No 5.1* ft Private Wells > 100' ❑ Yes if No 50+* ft Water Main > 10' n Yes if No ft Community Wells > 200' ❑ Yes if No ft Water Service Line > 10' E Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *Advanced wastewater system G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name ol'Fir,nn Pannone Engineering Services phone 997-745-8200 Engineer's Printed Name Steven R Pannone P.E., F. ASCE COSA Checklist—June 2022 Date 2 61Z OF A(,qkkk VA= ..�� e:%en .��..i�ar�ii�re•� CE 8149 .- MUNICIPALITY OF ANCHORAGE �ffllqli& L awal THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 27th Day of September of 2022 5 by and between Jacob & Tara Gondek -, herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as -4812 Sundi Drive, Anchorage, AK 99502 located at (legal description) 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) C�Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Muni . cipality 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) Page 1 of 3 014 -Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.430. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. 3&1.�Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality arc the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. ,9_Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3: Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: (signature) Date: C --20A.19 (print name) STATE OF ALASKA THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this 20' bytes NO2RV PUBLIC FOR ALASKA Y o M mmission expires: MUNICIPALITY: By: (signature) (print name) Date: Title: (rev. 05/18/2018) Page 3 of 3