HomeMy WebLinkAboutKIMBERLY MANOR #2 BLK 3 LT 3KI*mberly
Manor
Block 3
Lot 3
#017mwO73�53
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Sfte Water and Wastewater Program. 4700 South Bragaw Street
P.O. Box 19W50 Anchorage. AK 9951 M650 Page I of 5
www.cl.anchorage.ek.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWSWO50271 PID Number 017-073-53
keme
R*1111 Mich
Wastewater System: El New [D Upgrade
Address
ir Own I ane, 99516
ABSORPTION FIELD
RF;R-'44RR A
0 Deep Trorth 13 ShODOW TmXh 0 Sod 0 LWW 13 Oww.
LEGAL DESCRIPTION
601 R&bV
4 r.Pnrrt2
TOW DOPM ftm 04PW Waft
3 V,
610& W Sub"sion:
3 3&4 Kimberly Manor
D"M to p" bwom Imm ongnal Wade
25 F1
FA added ob" WrW "de
2 F,
dspM bewed, p"
n -s F1
G," L*Vft
3n F1
Toometep: R -Re se�
Well: [I New Upgrade
3 F1
NumberoMm
6
D.� W~ On".
5 F,
ciss"� (pd'm@. & B. c�
Total Dep1h:
10asedw
ToW abwp� erst
Ppe me"
EXiSV9 Private
FL
690 F?
3034 PVC
Draw
Date ormed
SUWWs1*rL".
kwulfier
Arctic Mt Dvmt
pass Vadabed
8126/2005
Ifiold CaskV H60 Abm'e C
TANK
GMI Fj Ft
SEPARATION DISTANCES
0 Septic 0 Holding 0 S.T.E.P. 0 Other.
�F�mTo
Septic
septic
Absorption
uft
Holding
)ubnorpovate
mamis�
capawy
Tank
Tank
Field
Station
Tank
sewe(Line
AnchTank
1500"
vial
107.4
126.3
25
mate"
Steel
Number of Ccmp�s
2
S.ftoewstw
1100+
100+
LIFT STATION
W Lm
8
5 58
19.2
a"
250
mb-a�
Orenco
117
151
T.W &r *,w M
." otr � a
HOZelarmet:
Fourodstm
1
1
1
42 In
40
In
50+
50+
"M"&M0"
Elecftel hopeed" pertwmed by
P510
Ed Francer
BENCH MARK
Top of Well
Assumed E�:
100.0 Ft
Engineer's Stamp
-Isw
....... ... A� 44
%
Inspections performed by: Pannone Eno., LLC Dates: 1'8/2612005
-v, TH
As
..... .. .. .. . ......... .0
2ndO8/2712005
0
Development Services partment approval
..... 1. .......... ................
Ponnone:
.Steven .
814
Reviewed and approved by: .0, - LMAQ, J25 Date: /.a IL
# No.0
(Rev. 12M)
*
11 uss,%
M
PERMIT NO: SWO50271 RECORD DRAWING
WASTEWATER DISPOSAL SYSTEM
LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR S/D
P.I.D.NO: 017-073-53
----m ---------------- -------------------------------------- I
SWING TIES
CO A WELL
FC 2.4
DC 114.7106 ' 2
T11 11921103
T2 125.2 115:4
LS 12791178
MI 142:9 128:1
M2 152.8136.6
M3 185.0170.0
M4 163.7149.8
K
1) All work shall be performed In
accordance with AMC15.65-
2) Materials used shan be In
accordance with those specified In
AMC15.65, Wastewater Disposal.
3) Maintain 10' separation to all lot
lines and proposed water Ones.
4) Lots served by private water
system. No wells within 100' of
proposed system.
Ka
Steven R.
PROPOSED RJE1
23)aM.51
NEW 15009 STEEL TA
ADVANTEX AX20 POD & AUX
PUMP VAULT. INSTALLED DC
CLEAWOUTS BEFORE
3 :SrG
3 BR LL
USE -I V �'
----------------
NO WELLS OR SEPTICS
WAN 207
25%
0
SEPTIC
)NED IN 46.4
- — — — — — — — — —
OUR OWN LANE
-----------
T EX SrG
LL
Mr. Bill Welch
7741 Our Own Lane Street
Anchorage, AK 99516
868-3468
NO WELLS OR
WAN 20(r
ki
Exim SAS IN
FAILURE. TO BE
ABANDONED IN
r- — — — — — — — — —
PANNONE ENG. SVC, LLC
P. 0. BOX 102954
ANCHORAGE, ALASKA 99510
227-3522 P. 272-8218 Fax
ATE: "0-05 1
'Al =- .1... 1 PLAN
25%
19.2
A3
////5/
NEW SAS
- TH1
23'A3(rx 0. 5
D.3'M//
EXISI'tr,
SEPTIC
AREA
ki
Exim SAS IN
FAILURE. TO BE
ABANDONED IN
r- — — — — — — — — —
PANNONE ENG. SVC, LLC
P. 0. BOX 102954
ANCHORAGE, ALASKA 99510
227-3522 P. 272-8218 Fax
ATE: "0-05 1
'Al =- .1... 1 PLAN
PERMIT NO: SWO50271
RECORD DRAWING DETAILS
WASTEWATER DISPOSAL SYSTEM
LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR S/D
P.I.D.NO: 017-073-53
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4110
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.... .... .... .......... ...... ..
St,,en R. Pan . a
PREPARED FOR: PANNONE ENG. SVC, LLC
:6.6 N
P. 0.
BOX 102954
% CE 811)
Mr. Bill Welch
7741 Our Own Lane Street ANCHORAGE,
ALASKA 99510
4 ...............
Anchorage. AK 99516 227-3522 P, 272-8218 Fax
DATE: I
868-3468
V2-05
DETAILS
SCALE:
TS
PERMIT NO: SW05 DESIGN DETAILS
WASTEWATER ABSORPTION SYSTEM
LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR S/D
P.I.D.NO: 017-073-53
DESIGN CALCULATIONS
Number of Bedrooms - 5
Total Bedrooms -5
Design flow - ISO gallbr/day.
Total flow - 750g/day
La
ven R. Ponnone
No. CE 8149 �
M
TANK SIZE:
2000 gallon Steel Advantex tank
SOIL ABSORPTION SIZE:
Advantex Sewer System
2 EA AX20 PodS - Class III System
Perc Rate= 30 mintinch
Application Rate= 0.5 GPD/SF
Size Required= 750 GPD/2GPDISF = 375 SF
Use Bed type system
30' Long by23'Wide
30 LF x 23'x 0.5' ED =690 SF Total
Mr. Bill Welch
7741 Our Own Lane Street
Anchorage, AK 99516
868-3468
P. 0. BOX 102954
ANCHORAGE, ALASKA 99510
272-8218 PHONE & FAX
CALCULATIONS
Fmm *1907830SIC7 Lion Aug 29 03;28t32 2005 p4ge I of 2
INSPECTION REPORT
MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION
4700 SOUTH BRAGAW
INGPECTION INFORMATION &HELP. 34"982
INSPECTICN; VOICE 343-&3w INSPECTION: FAX (Do?)249-7777 www.munI.orqA3SDiI�p*ctIons.cfm
NAME: edse:acuic PERMrT#; 0-1-8999
COMPANY: INSPECT DATE: B*T2005
PHONEM 272-4591 PHONE#: PHONE 0:
ADDRESS: 7"Il OUR OWN LN
LOT30LOCK5 SUBDIV15ION: KIMSEALYNtANOR#2 OF11130; SW2940
COMMENTS or DIRECTIONG
am call to meet
TYPE OF INSPECTION: Reiro Electrical
COMMENTS: (FOR INSPECTOR USE ONLY)
L
7� 0
PRINTED NAME 7�
' I - . DATE-,
a/2412005 5:30 PAGE CO21002 Fax Server
A 2005-059605-0
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MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water& Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 9951"650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SWO50271
Legal Description: KIMBERLY MANOR #2 BLK 3 LT 3
Design Engineer: 0062 Pannone Engineering Services
Owner Name: BILL WELCH
Owner Address: 7"1 OUR OWN LANE
ANCHORAGE. AK 99516-3820
Date Issued: Aug 09, 2005
Expiration Date: Aug 09, 2006
Parcel ID: 017-073-53
Site Address: 007441 OUR OWN LN
Lot Size: 29705 SO. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of:
r7l Disposal Field [?] Septic Tank E] Holding Tank [-] Privy E] Private Well E] 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 AJaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
a.) A recorded ingresslegress easement for placement of on-site wastewater disposal system serving Kimberly Manor
#2, Block 3, Lot 3 on the adjacent property (Kimberly Manor #2, Block 3, Lot 4) shall be submitted with the On -Site
Wastewater Disposal System Inspection Report.
Received By:
Issued By.
-P F
aw-6 a�la*�� Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ek.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
%TV
S A
Parcel I.D. 017-073-53 —Permit Number SW
Property owner(s) Mr. Bill Welch Day phone 868-3468
Mailing address (1) 7741 Our Own Lane
Mailing address (2 Anchorage, AK Zip Code 99516
Legal descdption (Lot, Block& Sub'd.) Lots 3 & 4 Block3 Kimberly ManorNo. 2
Legal description (Section, Township& Range) Site Adress: 7741 Our Own Lane
Lot Size 2 ea A 29705 —Acres/Sq.Ft. Number of Bedroomsj' s—
THIS APPLICATION IS FOR:
Sewer Only Well Only El
Sewer and Well El Water Storage 13
Sewer Upgrade 0
THIS PROPERTY CONTAINS:
HotTub F1 Jacuzzi El
Swimming Pool El Water Softening Unit 13
Therapy Pool 13
I certify that the above Information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance With applicable Municipal Codes.
(Signature of property owner or authorized agent)
Date of Payment:
Receipt Number: -72 1 It Receipt Number:
(Rev. IV00)
Pannone Engineering Services., LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 995 10
(907) 272-8218 (907) 272-8218 Fax
August 5, 2005
Municipality of Anchorage
Development Services Department
On -Site Water &. Wastewater Program
4700 S. Bragaw Street
P. 0. Box 196650
Anchorage, Alaska 99519
Subject: Lots 3 &. 4, Block 3 Kimberly Manor No. 2 S/D
Septic System Upgrade Permit Request
Ladies and Gentlemen:
I am writing to request a permit to construct an upgrade septic system be issued for this
property. The proposed systems will serve an existing three-bedroom house. The lot is
currently developed and is served by a private water system.
1. Solls. See the attached soils log. A single test hole was excavated during the
investigation process and is attached. No ground water was observed to a depth of 12
feet in the test hole. Bedrock was not encountered in the test holes. It is my opinion that
the overall soils appearance of the soils, an application rate of 4 gallons/ day/ square feet
should be used using an advanced treatment system.
2. Trench Design.
a.
Percolation Rate:
b.
Application Rate:
c.
Number of Bedrooms:
d.
Design Flow:
e.
Min. Absorption Area:
f.
Total depth:
g.
Effective Depth:
h.
Width:
i.
Reduction Factor:
j.
Minimum Length:
k.
Design Length,
1.
Effective Absorption Area:
m.
Septic Tank Size:
Cont'd on page 2
C:\Work\Letters\3&4-3 Kimberly manor.001.doc
6 Min Per Inch
4 gpdpsf
5
750 gallons per day
188 sf
3.0 feet
0.5 feet
15 feet
0.0
10 feet
15 feet
225 sf
1500 gallon steel Advantex tank
Page 2
3. Surface Water: There is no surface water within 200 feet of the proposed system.
4. Topography: The average topography in the area of the proposed septic system is
approximately 3 to 5 percent.
The proposed installation will not affect the future development of the surrounding or
existing lots. There are no wells or septic systems within 100 feet of the proposed septic
location.
If you have any questions or concerns, please contact me at 227-3522 or 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Civil Engineer
Attachments:
C:\WORK\LETTERS\3&4-3 KIMBERLY MANOR.001.DOC
PERMIT NO: DESIGN DRAWING
WASTEWATER DISPOSAL SYSTEM
LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR SID
P.I.D. NO: 017-073-53
----I ---------------- 4 --------------------------------------
P40 WELLS OR SEPTICS
— — — — — — — — — — — — — — I - — — — — — — — — — — — — — — — — I — — — — W—/IN-2—W — — — — — — — — — -
1) All work shall be performed in
accordance with AMC15-65-
2) Matedals used shall be In
accordance with those Specified In
AMC15.65, Wastewater Disposal.
- — — — — — — — — —
OUR OWN LANE
3) Maintain 10- separation to all lot
— — — — — — — — — —
— — — — — — — — — - - - - - - - - -
W
251
25%
EXISrG
4) Lots served by private water
PR
RESERVE SAS
system. No wells within 1W of
NO WELLS OR
proposed system.
PROPOSED 15009 STEEL TANK
W/
0 F 114
ADVANTEX AX20 POD & AUXItARy
PUMP VAULT. INSTALL DOUBLE
X
5%
CLEA"N-OUTS BEFORE
K. IM 5%
\Iri�jl 41
I A--
3
EXISTG
E)
SrO 3 SR
120111 1
HOUSE
02.8 r ---
ExisrG
IDDOg SEPTIC
-WPtA
1) All work shall be performed in
accordance with AMC15-65-
2) Matedals used shall be In
accordance with those Specified In
AMC15.65, Wastewater Disposal.
- — — — — — — — — —
OUR OWN LANE
3) Maintain 10- separation to all lot
— — — — — — — — — —
— — — — — — — — — - - - - - - - - -
lines and proposed water Ines.
EXISrG
4) Lots served by private water
LL
system. No wells within 1W of
NO WELLS OR
proposed system.
WIIN 2W
0 F 114
�#.
4 9 a!
Steven R. Pannone
Mr. Bill Welch
7741 Our Own Lane Street
Anchorage, AK 99516
668-3468
25%
///5
PROPOZIED SA6 BED
15'XIS'XD.5ED?..TTD
EXISITO
SEPTIC
AREA
EXISrG SAS IN
FAILURE. TO BE
ABANDONEDIN
r- — — — — — — — — —
PANNONE ENG. SVC, LLC
P. 0. BOX 102954
ANCHORAGE, ALASKA 99510
227-3522 P. 272-8218 Fax
PLAN
MIT NO: DESIGN DRAWING DETAILS P.I.D.NO: 017-073-53
WASTEWATER DISPOSAL SYSTEM
LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR S/D
49 R!
M
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0
U-1
V)
a-
...... .....
. Irv- PREPARED FOR:
StevenR.Pannone ib7f I
Mr. Bill Welch
7741 Our Own Lane Street
Anchorage. AK 99516
SM3468
I
LLJ
-i
U-
0
PANNONE ENG. SVC, LLC
P. 0. BOX 102954
ANCHORAGE, ALASKA 99510
227-3522 P, 272-8218 Fax
OATE:
DETAILS
3
PERMIT NO: SWO5 DESIGN DETAILS
WASTEWATER ABSORPTION SYSTEM
LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR SID
DESIGN CALCULATIONS
Number of Bedrooms - 5
Total Bedrooms -5
Design flow - 150 gallbr/day,
Total flow - 750g1day
OtSCH
P.I.D.NO: 017-073-53
TANK SIZE:
1500 gallon Steel Advantex tank
SOIL ABSORPTION SIZE:
Advantex Sewer System
AX20 Pod - Class III System
Perc Rate= 30 minfinch
Application Rate= 4 GPD/SF
Size Required= 750 GPD/4 GPD/SF = 188 SF
Use Bed type system
15' Long by 1 5'Wide
15 LF x 15'x VED = 225 SF Total
R. Panno6e *
gi W Bill Welch
A 7741 Our Own Lane Street
Anchorage, AK 99516
668-3468
PANNONE ENG. SVC.
P. 0. BOX 102954
ANCHORAGE, ALASKA 99510
272-8218 PHONE & FAX
CALCULATIONS
SOILS LOG - PERCOLATION TEST
PANNONE ENGINEERING SERVICES
P.O. BOX 102954 4 *f^
. ........... I...
0
ANCHORAGE, AK 99510 0
......... ...... ... ................
(907) 272-8218 %,:&*
t StevenR.Pannone
PERFORMED FOR. Mr. Bill Welch DATE PERFORMED: 811/05
LEGAL DESCRIPTION: LOT 3 & 4 BLOCK 3 mbedy Manor SID
TEST HOLE I
organic root m"
I —
2—
GM Silty GRAVEL
3— w/Sand
4
7-
8
9-
10
12
BOH
13 —
14 —
Is —
16
17
Is
19
20
READING DATE
I
CLOCK
:K
L2E
TIME
NET TIME
T"A
WATER
tEVEL
READING
NETDROP
_I
1 8/1/05
6.52
-
r
r
2
902
bNETE
10 MIN
4-
r
3
9:02
j922
-
Q*
4
9:12
10 MIN
4'
r
5
9:12
-
v
0'
6
10 M I'NN
r
PEROLATION RATE 6 (minAnch) PERC HOLE DIAMETER 6 Inches
TEST RUN BETWEEN 3 FT AND 4 FT
COMMENTS: Test hole excavated by Buyer. Test Hole was presoaked before perc test.
Pannone Engineering Services, LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 99510
(907) 272-8218 (907) 272-82 18 Fax
RECERCULATING SEPTIC TANK
AND TRICKLE FILTER SPECIFICATIONS
Lots 2&3 Block 3 Kimberly Manor No. 2 S/D
1. GENERAL STATEMENT OF WORK
1.1 The work and plans covered by these specifications consist of furnishing all labor,
materials, tools, transportation, and equipment necessary to complete an
recalculating septic tank with trickle filter system as described herein and on the
attached Contract Drawing. All work under this project shall comply with current
Municipality of Anchorage (MOA) Regulations and shall conform to the following:
-FffuP+qBedroom Private House
n V V_ Lc)
1.2 The Contractor shall carefully examine the project documents, have full
knowledge thereof, have investigated the site and be satisfied with all conditions
affecting the work. The Contractor shall notify the Engineer IMEDIATELY if
conditions are encountered during the site investigations that affect the work. Any
failure of the Contractor to become acquainted with the available information will
not relieve the Contractor from the responsibility of performing the work as stated
in these specifications.
1.3 The Contractor shall call for locates of utilities. Damage to utilities by the
Contractor if locates are not called for is the responsibility of the Contractor.
2. MATERL1kL
2.1 Tank: Septic: Tank shall be a two (2) -compartment steel tank of at least the
minimum size indicated on the drawings and shall be MOA approved. The
compartments shall have a separate 4" clean-out riser. Steel tanks shall be
protected to SUP3, under ground fuel tank standards.
2.2 Manhole Riser or Lift Station Tank: An additional second compartment manhole
riser shall be capable of being equipped with the following:
a. A junction box (Nema 4x) or equal, bonded or attached to the pump basin.
b. UL listed electrical cord grips, installed in the J -box.
C. An additional tank (MOA Approved) may be provided for the effluent
pumping assembly and the items above.
2.3 Effluent Pumping Assembly, Controls, Alarm & Piping:
a. Effluent pumping assembly shall be of approved materials, including: A 110
volt or equal UL listed effluent pump; High-density PVC cylinder housing the
pump, with level controls and screen, serving as a baffle to prevent the screen
Q� A�
Pannone Engineering Services, LLC
Consulting Engineers
P.O. Box 102954
Lge, Alaska, 995 10
)071272-8218 Fax
from clogging; All piping shall be PVC or other non corroding material approved
by the MOA.
b. Pump controls and alarm system shall be an approved system with the
following options:
- Event Counter
- Elapsed Time Meter
- Program Timer
- 10 Watt Heater
Remote alarm panel option with a minimum of 80 dB sound pressure at 24
inches, operating temperature 30 AC to 65 AC, and continuous sound to be
located in the house.
Oil tight visual alarm with push -to -silence feature. Automatic audio alarm
reset.
- 15 amp motor rated toggle switch, double pole, double throw with three
positions; Manual (man), Automatic (auto), and off.
- Nema 4x rated fiberglass enclosure with hinged cover, or equal.
- All controls to be installed per manufactures instructions.
- Control panel to be installed on outside wall of home within sight of
septic/lift station.
c. Piping from septic tank to the trickle filter is to be 1 1/4" PVC schedule 40
solvent weld piping properly bedded and sloped to drain back to the lift station.
Insulation board shall be placed over the line where the cover is less than four
feet.
d. The Air Compressor shall be a Thomas Linear Series model No. 5060-A or
507OV-A or MOA Approved equal.
2.4 Trickle Filter
a. Trickle Filter Pod shall be AX20 manufactured by Orenco Systems Inc. and
distributed by Anchorage Tank & Welding.
b. Install all materials according to manufacturers instructions and in accordance
with MOA regulations.
2.5 Soil Absorption System
a) The drain field shall be constructed as shown on the drawings and in accordance
with all applicable regulations described in Municipality of Anchorage AMC Title
15.65, "Wastewater Disposal Regulations" (MOA).
b) Gravel to be used in the soil absorption system shall be well graded rocks and
cobbles with size ranging from 1/2' to 2 1/2" and approved for use in soil absorption
systems by MOA.
c) Perforated pipes shall be F810 LDPE or PVC 3034 pipe, with two rows of
perforations and shall be approved for use in soil absorption systems by MOA.
AA,,.�t-,Vilt-� Q� 14�
Pannone Engineering Services, LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 995 10
10071 1>79 _A9.1 R (907) 272-8218 Fax
d) Clean-out pipes and monitor tubes shall be 3034 PVC solid pipe.
e) Clean-out caps shall be rubber"Jim Caps" securable with adjustable metal bands.
Friction fit caps will not be accepted.
PART 3 EXECUTION
3.1 LOCATION AND GRADE
a) The septic tank shall be placed at the locations and elevations as shown on the
Drawings. Fiberglass tank shall have a minimum of six inches of sand bedding under
the tank and around the sides to the spring line of the tank.
b) The drain field shall be placed in the location shown on the Drawing, with minor
adjustments allowed to minimize excavation and accommodate the existing terrain.
The drain field piping shall remain level over the length of the drain field.
c) Dewatering may be required for all excavations that penetrate the groundwater
surface. Dewatering costs shall be incidental to the excavation. If ground water is
encountered during the excavation for the septic system, notify the engineer
immediately.
3.2 EXCAVATION
a) General: The Contractor shall accomplish all excavation required by the drawings
through whatever substances encountered, to the depth as shown on the plans. All
excavation shall be accomplished in accordance with the State of Alaska safety code
and other applicable safety requirements.
b) Water Removal: Water is expected in the limits of excavation as evidenced by the soil
test pit information. If an apparent water table is observed in any of the excavations
less than 5 feet below existing grade, notify the engineer immediately.
3.3 INSTALLATION
A. Septic Tank
I After excavation the tank shall be placed on undisturbed soil on a level grade
at a depth as indicated on Drawings. Backfill around the tank with
structural fill. Fill shall be installed in 12 -inch lifts, compacted to 95%
maximum density. Any damage to the protective coating during installation
shall be repaired as recommended by the manufacturer.
2. The tank inlet shall be set at the elevation shown on the drawings. Care
shall be taken during installation to ensure the proper elevation drop
Pannone Engineering Services, LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 99510
1Qn719.79_Fk21RFax
between the inlet and the outlet. Install flexible ofumco" rubber fittings at
connection from tank to inlet and outlet pipes as indicated on Drawings.
B. Joining Pipe Sections
1. Pipes shall be joined to one another, to the polyethylene fittings,
cleanouts, and electrofusion couplings.
2. Cleanouts:
(1) All earthwork and fill necessary to install the cleanouts shall be
considered incidental.
3. Jointing:
a. Fit the heat channel in place, ensuring that ends are deburred and
square to allow easy passage of electrocal or glycol heat trace.
b. Fit the insulation half -shells snugly in place. Band with strapping to
hold tightly in place.
c. Heat Shrink Coupling: Cover entire exposed joint plus an overlap of four
inches on pipe coated on either end. Heat in accordance with
manufacturer's instructions.
4. Installation:
a. Install insulation half -shells and heat -shrink wrap at pipe connections.
Maximum gap in half -shells shall be 'Ainch.
b. Lower assembled insulated pipe carefully into trench. Do not allow
joints to deflect greater than the elastic capacity of the heat shrink
sleeves. If sleeves are found to be damaged, reduce the deflection and
repair the damages sleeves.
c. Tolerances:
(1) Lay mains to indicated line and grade. Perform earthwork in
accordance with the Drawings.
(2) Minor Changes in Direction: Pipe deflection will be allowed for
small changes in direction, provided that the pipe bending radius
is less than 30 times the diameter of the outer jacket of the
insulated pipe system.
C. Drain Field
a) The drain field area shall be excavated to the elevation and dimensions as shown
on Drawing. Remove all organic and silt material to the top of the well -graded
sand layer. After excavation, the open bed shall be protected from surface runoff
to prevent the entrance of silt and debris. Under no circumstances shall the use
of heavy equipment be permitted on the drain field surface. All smeared or
compacted surfaces shall be raked to a depth of 1 inch, and loose material
removed, before any of the drain rock is placed.
Pannone Engineering Services.. LDC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 995 10
(907) 272-8218 (907) 272-8218 Fax
b) After all organic and silt material is removed, sand bedding shall be placed to an
elevation shown on the drawings. Sand shall not be compacted.
c) The bottom of the bed should be as level as practical.
d) The gravel -less system and distribution piping shall be installed as shown on the
drawings.
e) The drain field shall then be backfilled with sand bedding to a depth of 1.0 above
gravel -less system. Filter fabric and insulation shall be placed over the sand bedding.
Backfill above insulation with material excavated from the building pad to the
elevation shown. The material shall be mounded over the drain field as shown on
Drawings. Backfill of drain field shall not be compacted.
D. Close -Out
A. Contractor shall submit unqualified as -built drawings and certificates on MOA
approved forms to the Engineer, and MOA for approval to Operate.
GRE'..R ANCHORAGE AREA BOF �)GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME MAILING PHONE'�
LOCATION Z -ale- Z�44�V" ��IVz�'TLEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL,0-0'f� MANUFACTURER MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE LENGTH_ INSIDE WIDTH— LIQUID DEPTH — LIQUID CAPACITY--�WGALLONS.
TILE DRAIN FIELD:
106L -W I TOTAL LENGTH
DISTANCE FROM WELLoO�,40,-'� FOUNDATION NEAREST LOT LINE OF LINES
X
NUMBER OF LINES '51' DISTANCE BETWEEN LINES TRENCH WIDTHI=A� IN. TOTAL EFFECTIVE
ABSORPTION AREA Zd'P'4�� SQ. FT. LENGTH OF EACH LINE Z&p ? '
J,
DEPTH OF FILTER 6-P '71"' /' (:p -'
DEPTH: TOP OF TILE TO FINISH GRADE�:��4- lle'7�7 ILE C;� IN. ABOVE TILE IN.
� � � MATERIAL BENEATH T
WELL:,.z, �,2
TYPE
CONSTRUCTION
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION- LOT LINE—, SEWER LINE—, TANK
CESSPOOL—, OTHERSOURCES
APPROVED —DISAPPROVED —REMARKS
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL: 4�
LOT SLOPE: —
REMARKS -
Form EQ -032
SEEPAGE
SYSTEM -
DIAGRAM OF SYSTEM
D A T E5Z-
DISTANCE FROM:
APPROVED e-
G.A.A.B.
N
APPROVED e-
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3330"C"STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
-9
77
NAME OF APPLICANT MAILING ADDRESS PHONE
INSTALLATION LOCATION
LEGAL DES CRIPTION //s,
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT 3& DRAIN FIELD OTHER
- - .- (-,I /, , 14,(,, Al -I ZIJILIZA I- �l IVIO�IA4" rZY��111.
TYPE AND �;EE OF �FITY TO 6 VED � I"'- - ' - , , - , - - -- - - - . , . - ,
w - A� - a'in�e
=1=45im -eA� e� 'A/ " v zai
FINANCED THROUGH - TO BE INSTALLED BY �7w
SOIL TEST RESULTS ;2 -se o NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED v
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE I'W TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK '!�'
FOUNDATION TO SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK 15� , SEEPAGE PIT DRAIN
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK / SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER
WATER MAIN TO SEPTIC TANK L SEEPAGE PIT
DRAIN FIELD /9
SEPTIC TANK. /C9-6 , SEEPAGE PIT DRAIN I
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATI
G.A.A.S.
OR
LICENSED DESIGNER
4qeYSE*EAGE AREA SIZE Ty E
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA E30ROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE
DATE APPLICANT'S SIGNATURE
rn"m Nn- EQ -01 6
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY Case #
3330 "C" Street
ANCHORAGE, ALASKA 99503
Performed For Dated Performed
Legal Descripti7on./ Lot 34V Block J' S u b d i v i s i o n
This Form Reports Soils Log—)� —Percolat�,/on Test
- Soil Test Must Be Logged To 4' Below Proposed Seepage System
Depth
Feet Soil Characteristics
I —
2-
3-
4-
5
71 lyz CU-�
6— ' J11-
7— -T "&"'
8-
9-
10-
12-
13-
14—
Was Ground Water Encountered? rlc>
If Yes, At What Depth?
Reading Date Gross Time Net Time Depth to H 2 0 Net Drop
vercoiatiOn Kate minute
Proposed Installation: Seepage Pit Drain Field
Depth of Inlet Depth to Bottom of Pit or TrencF
COMMENTS:
Test Performed BY
Date Certified BY. -
Date:
December 4, 1970
Mr. Harold D. Daniel
Box 421B, Star Rt. A
Anchorage, AlasYa 99502
SUBJECT: Sewer System -4or Harold Daniel Residence at 1:0t 3P
Block 3. Kimberly Subdivision W2.
Dear Mr. Daniel:
This letter is being sent as discussed with you on December 2, 1970
at your home on the subject lot.
Tile cesspool that you started to construct before the ground froze
is iller
,al; A written permit from this office will be needed before
you begin installation of the sewer systen in tile spring when the
ground thaws. An approved sewer system normally consists of a septic
tank and seepage pit with certain'minimumddistances to any well.
This and other information will be discussed with YOU when you come
in to apply for the permit to install the system.
Sincerely,
Lynn S. Coad
Sanitarian
rn
RECEIPT FOR MAIL,20�
AND No.
CITY, STATE ---
AND -Z,
P CODE
Show, Return 1UH ADDIJ
to whom Sh'p
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�lellvelld w O�, nd whe,�
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0 350 fee
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only
El 500 f"
POSTMARK
OR DATE
(Sel the, s1del i
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.cf.enchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAmiLy DWELLING
Parcel I.D. 017-073-53 HAA # rt5j011&0
1. GENERAL INFORMATION Expiration Date:
Complete legal description Lots 2. 3, & 4. Block 3 Kimberly Manor S/D W,?—
Location (site address or directions) 7441 Our Own Road
Current Property owner(s) WilliamWelch - Dayphone 868-3468
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
7441 Our Own Lane, Anch, AK 99516
Day phone
Careen Muir — Day phone 727-2289
Unless otherwise requested, HAA will be held by DHHS forpickup. HAA picked up by.,
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
19
Individual Water Storage
El
Community Class Well
El
Public Water System
El
TYPE OF WASTEWATER DISPOSAL:
Individual On-site 0
Individual Holding tank El
Community On-site 11
Public Sewer El
The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of Health
Authority Approval (HAA) based only upon the representations given In paragraph 5 by an Independent professional
civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water
supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are
valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with
new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A
or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions In the
professional engineer's work.
(Ftev. 11/99)
4. 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 Health Authority Approval Guidelines for this Health Authority Approval
application shows that the on-site water supply and/or wastewater disposal system is safe, functional and
adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the
Information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-
site water supply and/or wastewater disposal system is In compliance with all applicable Municipal and State
codes, ordinances, and regulations in effect at the time of installation.
Name of Firm Pannone Ena. Svc. Phone 272-8218
Address P.O. Box 102954, Anch. AK 99610
Engineer's Printed Name Steven R. Pannone, P.E. Date 9/2/2005
Engineers Comments: In conducting an adequacy test, I attempt to provide a thorougX conscientious
engineering analysis of ft system in accordance with MOA DIIIIS Guidelines & 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 idcntiriable features. The operational life of all
wells and septic systems depend on the local soil condition, ground water levels that may fluctuate
during the yew, and the water usage of the family being served by the system. Ibcse 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 arc no hidden dcfccl�'
or encroachments. PES can therefore not provide any warranty for future performance nor give any
estimate of how long the system will continue to meet the operational requirements of the ADEC or
hI0A DI IIIS. The content of this report Is for the sole bcncf*it of the owner listed above. Any reliance
upon or use of this report by any other person or party is not authorized nor will it conf1cr any legal right
whatsoever.
5. DHHS SIGNATURE
_1z Approved for L bedrooms.
Disapproved.
Conditional approval for
Additional Comments
Mste�en R. Pannone.9
N,.CE 8149 /,-�
bedrooms, with the following stipulations:
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineers Report
Other
Original Certificate Date: 9 1,2:1�
I I
Reissue Date:
r " - -, ,
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Sfte Water and Wastewater Program
4700 South Bragew Street
P.O. Box 196650 Anchonage. AK 99519-6650
www.cLanchorage.sk.us
(9D7') 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
LegelDescrlpaon: Lots 2.3. & 4 Block 3 Kimberly Manor Parcel I.D.: 017-OT"3 -
A. WELL DATA
Won "a Prtvate
Date completed
If A. S. or C provide PWSID # _
Sanitary wall Xn
Totel depth Unknown Cased to _12_+ft
FROM WELL LOG
Data of test
stew water level Unknown It
Won production Unknown Q -p -M
WATER SAMPLE RESULTS:
conform =0-- cooniestioo mj Nitrate 2 �5- mgn
t7
Data of sampie: -* L I r, il by. I. -W
S. SEFnC1HOLDING TANK DATA
Tank Type/Materlal Steel
UM- �--
krBA-71-T, =,,� 7r= FM
Casing height (above ground) --M—In.
AT INSPECTION
8128/2005
5 It
5+ 9 -p -m
Other bacteria — (2— colonleVI 00 ml
Arsenic � mgA
Date Installed 8r28/2005 Tanksize 1500 gal Number of Compartments a
aearxKft M Foundation cleavW Yes Depression over tank H2 High water alarm Yes
Date of pumpin mper Now
C. A13SORPTION FIELD DATA
Data Installed 081 . 2005 Sol rating (g.pd./fe or fe/bdrm) I System "a Bad
Length JLft Width 23 It Grevelbelowpips 0.5 It
Total depth A ft Effective absorption area 01fe Monitoring tube X Depression over field tL_
Data of adequacy test _ Results (Pass/Fal) NEW For _4 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.
Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date
otev. 111M
0. LIFT STATION
Date Installed 8/2812005 Size in gallons 250 Manhole/Access Yes
12ump ono larval at 42 In"Pump ofr level at 40 in High water alarm level at " In
Datum Bottom _ Cycles tested_ Meets alarm & circuit requirements? Yes
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAIR station on lot 107A On adjacent lots 100+
Absorption field on lot 126.3 On adjacent lots 100+
Public sewer main NIA Public sewer manhole/deenout NIA
Sewer /septic service line NIA Holding tank 75+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Budding foundation 117 Property line _N Absorption field 40
Water main NIA Water service line 107 Surfacewater 100+
Drainage 100 Wells an adjacent lots 100+
SEPARATION DISTANCE FROM ABSORP71ON FIELD ON LOT TO:
Property line 119,2 Building foundation 140 Water main NIA
Water Service line 115 Surface water 100+ Driveway,parkirigNehiclestorage 100
Curtain drain 75+ Wells an adjacent lots 100+
F. COMMENTS
0. ENGINEER'S CERTIFICATION
I cedgy that I have determined through field inspections and
review of Municipal records that Me above systems are in
conformance with MQA HAA guidelines in effect on ft date
.�Stpven R Ponnon�:�
_. _ j_
Engineer's Printed Name Steven R. Pannone, P.E. 0, 0
#1 - No CE 149
Date 91118/05
HAA Fee & 14,*n . U-1
Date of Payment
Receipt Number
Rev. i I=)
Waiver Fee S
Date of Payment
Receipt Number
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ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
AND
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
day of of 20 05, by and between
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding 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 -7:Fz/( OtMOWA/ LAv4c located
at Llf,-Bs vi.4.vcA--if0? , Anchorage, Alaska.
2. Definitions.
A. 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. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65.
B. Certificate of On -Site Systems Approval. 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 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.
C. Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
D. 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 AWVrrS to continue to
perform as designed.
E. Permit (Construction) An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating) An Advanced Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
allows the Owner to operate an AWWTS, upon meeting all the
requirements of this agreement, the conditions of Operating Permit, the
requirements of the On-Sitc Wastewater System Construction Permit and
all relevant provisions of AMC 15.65
3. Fee. Owner shall pay to Municipality an annual fee of
� C> �
($ --�00), payable on or before the issuance of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of the approval by the
Municipality of installed system.
4. Term. T'he term of this Memorandum of Understanding shall be for the life of the
AWWTS.
The term begins on the date of approval by the Municipality of the installed system and
shall continue while the AWWTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of On -Site approval is issued to
the new owner or transferee of the property.
5. Alterations, Installation and Removal of Additional Equipment. Owner agrees
not to make any alterations, removal of parts or additions to the AVPYVTS without a
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. Tbroughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions or
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.
Further, Owner agrees to comply will all applicable ordinance, laws, regulations,
rules and orders for the AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have 6cen perfornied on the system pursuant to the
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's AWIVTS
Operating Permit is:
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
G. Owner agrees that the relevant provisions of the standard specification guidebook
for AWVv7S is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nonwaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof, or the right of such party thereafter to enforce each and every provision
hereof.
8. Amendment.
A. This Memorandum of Understanding shall only be amended, modified or changed
by a writing, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the parties are:
Owner:
Anchorage: Purchasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding shall be brought in the Superior Court for the Third Judicial District of the
State of Alaska at Anchorage. Ile laws of the State of Alaska shall govern the rights and
obligations of the parties under this Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
OWNER-
By -
Date: ?-9-0-S
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
The foregoing instrument was
202&7, by —Qnco�. (Y
—1
MOTARY PUBLIC FOR
My Commission expires:
MUNICIPALITV:
By:
Title:
Date:
)ss.
I before me thi&kay of
J, the
iicipality of Anchorage.