HomeMy WebLinkAboutGREENBROOK BLK 4 LT 12 ) ,,..~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEAl.TH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELl. ~NSPECTION REPORT
/D '7 UPGRADE
LEGAL DESCRIPT]ONL/ ~ ~ C/ -
LOCATION NO. OF BESOMS
Dwelling
DISTANCE TO: W~ ~*~/0' [Absorpti?~rea, PERMITNO.
~ Liq. ca/~ity~n gallons Inside length Width Liquid d~
/~ ~ ~ IF HOMEMADE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
=_~0 = < M~ ~ ~ Mater~ Liquid capac,ty ,n gallons
N~lin~ ~ Le~ of e~chline~__ ~ ~-- Total lengtl~f I~ Trench width~s Distance ~~~
~ ~ Top of tile to finish grade.~ , Material beneat~ tile ~ ,~. ........ Total effectivT~rp~n area
Length Width Depth PERMIT NO.
~~ANCE TO: Well Building foundation Nearest lot line
~ C~~ Depth Driller Distance to lot Pine PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
SOIL TE~T
INST~ER
. .' ,
D~ t DATE LEGAL
72-013~ v. 3/78)
LJP_KI-li'".: I l'lb.r'4 I
825
264-4728
':: 8'10-'::29 )
FIPPLICFINT HRF-:RISON CONST. SF.:R BO::'; .~.,'.:.R 99507
LOC:~ MUST BE WITHIN 25'" OF T. H..~
LEGRL L12 B4 GREENEF.'CCI< LOT SIZE
274--8651
40808 SF-:!LIRRE FEET
-' "- DRR I NF ! ELD
T't'F'E .-.IF SOIL RBSORPTION :..~=TEi'I IS:
Iif', BEF L]F
i"1RX I MIJM N_ 1 - .: E:EDF.:OOHS = 4
SOIL RFtTING ,::SQ FT,-.'"E:R>= '175
THE REC!UIRED SIZE OF THE SOIL RBSOF.:F'TION S'T'STEM IS:
· E:, E F" 1- H == -:.'~ L I[£ t'-JJ ,_1~ 'T H =_'=,. :=:_ ,_3 F:: -F-~ ',.." E L [::, E F' T H == .=.'"'-:'
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFtINFIELD.
THE DEF'TH OF Fi TRENCH OR PIT IS THE DISTFINE:E BETWEEN THE SURFRCE OF THE
GROUND RN[:, THE BOTTOM OF THE ENC'R',/RTION (IN FEE]').
TP~E TRE~'-,~CH 1-4 ]: [:,]-H Z 2~; 5. t:Z~C~¢.E~ FEET.
THE GRR'v'EL DEPTH IS 'THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRL. L PIPE
RND THE BOTTOM OF THE E',,.,',CR',,,'RTION (IN FEET:-".
PERMIT FtPPLICRNT HFIS THE F..E_-,FLNz, IE, ILIT~ 'FEI INFCRH ]'HI'--'.., [:,EPFIF.!TMENT _F)_tF.'ING '['HE
INSTFiLLFtTION TNSPEI_-:TIONS nF FtNY WELLS FiD.~RF:ENT TO THIS FF.._FmE. 1 = FIND THE
NUMBER OF RESIDENCES THFiT THE WELL WILL SER',?E.
T_~--..~,O ,:. .... ~.' .':, INSPECT Z L,t'.t_.-- - ":-- RF--:E F."E(_::."U ~
E,H_.F. FILLING OF FtN'T' S'T'STEM WITHOU]' FINFtL INSF'EF:TION FIND FIPPROVRL E?'r' THIS
DEF'FIF.:TMENT WILL BE SUBJEF:I' TO PF.']SE2LTI3N
MINIMLIM DISTRNCE BETWEEN R WELL FIN[." RNY ON-SITE SEWRGE _F-"ISPOSRL. SYSTEM IS
t00 FEET FOR Fl PRI',,"RTE WELL OR :~.50 TO 200 FEE'[ FROM R F'UBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM [:'ISTRNCE FROM Fi PRI","RTE WELL TO Fi PRIVRTE SEWER LINE IS 25 FEET FIN[:'
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MRY FIPPLY. SPECIFICRTIONS RN[." CONSTRUCTION DIRGRRMS FIRE
R',/RILRBLE TO INSURE PROPER INSTFILLRTION.
I CERTIF"r' THRT
:.1.: I RM FRMILIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
F'ORTH B"r' THE MUNICIF'FILIT"¢ OF FINCHORFIGE.
2: I WILL INSTFILL THE S"r'STEM IN FICCORDRNCE WITH THE CODES.
.3:: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMB.
/
............................
FIPF'L I CFIN'F HRRRISON CONST.
I SSI_~E[:, _,F .... ~ ---T~' "' ~ J ...................... ,:' CH FE ~_.~.~'
'v'4. 0
Block 4
Depth in Feet
From TO
0.0 7.5
7.5 15.0
Bottom of Test' Hole:
Frost Line:
Free Water Level: ·
Table M
we iiA19708
Date: 4/14/81
Logged by: To Krupka
Soil Description
F-4, Brown Si~ Sand, SM, silt to 40%, firm,
moist
F-3, Brown Gravelly Silt)![ ~_~, SM,' occasional
cobbles, firm, moist, becomes saturated at 15'
Set 3/4" perforated PVC pipe to run perc test
and to monitor water table elevation.
Measured Perc Rate = 3.4 minutes/inch.
Recommended Desing Perc RAte = 10~0 minutes/inch.
15.0 Feet
1.0 Foot
3/14/81 - 15.0 Feet
3/18/81 - 2.8 Feet
(Apparently from surface
water intrusion)
3/23/81
4/09/81
4/16/81
7.8 Feet
7~8 Feet
8.5 Feet
Second and Fourth Anchorage
Limited Partnership
· April 17, ~981
page Four
seasonal high water.
Lot 4, Block 4
The measured water level in the test hole at this site remained
fairly constant and high. Saturated conditions were encountered
at 12 feet while drilling on March 14. The water table elevation
was found at 6.8 feet on March 23~ at 6.8 feet on April 9, and at
8Q'3 feet on March 16. The measured percolation rate was 40
minutes/inch. Because of the high ground water, a shallow mounded
disposal system should be used.
Lot 6, Block 4
The high water level at this site necessitates a highly mounded
system} or using insulation to provide frost protection while
maintaining the necessary separation between the di:~posal system
and the seasonal high water. While drilling, saturated conditions
were encountered at 13 feet° On April ~8, the water level was
measured at 5~4 feet, then at 5.1 feet on April 23, th~ water
level had lowered to seven feet by April 9, and then to 7.5 feet
on April ~5. However, much of this water is probably from surface
water and melting seasonal frost. The measured percolation rate
was 3.8 minutes/inch, ho~ever~ we recommend a more conservative
design value of 10~'0 minutes/inch~
Lot 12, Block 4
Again, the disposal system should be placed as high as possible
~s site The.~.w_~.er level in the test hole remained fairly
· at tl ' ' ....... ~ ~ ~"~ .... ~-~ ~evel was measured at 2.8 feet
..... J~ ~stant at ~i~ht te~.g/ The w .... <~ . . o .
"~ ~March 8, ~T~ appeared that th~s h].gh level wa= caused by
infiltration of surface water, and was not the true water level
at the time. The measured percolation rate on March 17 was 3.4
. minutes/inch, but it is recon~ended the more conservative value
of ~0o0 minutes/inch be used, because of the high silt content of
the.upper soils.
Lot 13, Block 4
· -' ed near the center of the lot on April 7, ,?~:~il
The test hole was d~mll .~ ....... ~ ~ no water was detected..~ ~
~dA~ i~a~ e~ s~~ s~ ~ ~ 9t~e~ 1 ~u~/~ ~c~ ec t%~e t~'~ ~
recommend th P . ' ~ ~ '
avoid the surface silts.
Lot 14, Block 4
No water wa's encountered while dril'ling, on April 7, or when
� �
_ Municipality of Anchorage •
; -- �
On-Site Water and Wastewater Program ;T
c..1
343-7904 OC �,� tu Di
1 c ,
Certificate of On-Site Systems Approval
Parcel I.D. 017-431 -05 Expiration Date: ?— _r '
1. GENERAL INFORMATION
Complete legal description Greenbrook B4 L12
Location (site address) 12531 Freitag Cir.
Current Property owner(s) Isaac & Melanie Paterniti Day phone
Mailing address 12531 Freitag Cir. Anchorage, AK 99516
Real Estate Agent Day phone
2. TYPE OF DWELLING:
E 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 ❑ Individual El
Individual Water Storage ❑ Holding Tank ❑
Community Class A Well El Community ❑
Public Water System ❑ Public Sewer Cl
WaiverNariance request for: Distance:
Received b • OJT .111,‘ _ .'�l/lbA l I. ' .� Date: t 0 b/Nur
I1
COSA to be released to the engineer,unless otherwise requested bit engineer.
COSA Fee $ S! f Waiver Fee $
Date of Payment loll f i 1 Date of Payment
Receipt Number 06161q6 6186 Receipt Number
COSA# x-41 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
_ _ disposals ste i area safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify_that
based on mutation obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply
and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at
the time of installation.
IrKpndkcjtny an adequacy test, I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA
giJilkitites:illgitfrhiitions.The reported results describe the performance of the system under the conditions encountered at the time of the test,
and seatatitfiidist&nces 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 10/2/201 7
��•
Afro.. Y* . i\ *
06. DSD SIGNATURE
JxSystem #1 Approved for bedrooms . . _
• •Sieven
13. Pannone .
System #2 Approved for bedrooms 6�� �. CE-8149
•
Disapproved l�� `��•••••'ON t�'..~
‘\\tom.`—'
Conditional approval for bedrooms, with the following stipulations:
e• Ltiv•-6,i it-tp
if4��`�r�
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ON SITE
WATER AND 1."
WASTEWATER o
PROGRAM
• S€R�
By: Original Certificate Date: ) Q — 20 --17
r
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 see f • 3
If more than 1 septic system is on the lot:
COSA Checklist# 1 of
Structure served by this system •
Certificate of On-Site Systems Approval Checklist
Legal Description: Greenbrook B4 L12 Parcel ID. 017-431 -05
A. WELL DATA
Well type A If A. B. or C provide PWSID# 21 0346 Well Log (YIN)
Date completed Sanitary seal (YIN) Wires properly protected (Y/N)
Total depth ft Cased to ft. Casing height (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mg/L
Arsenic ug/L Date of sample. Collected by:
B. SEPTIC/HOLDING TANK DATA
S.T.E.P./Steel Z(0 r -k• • 11/18-20/2008
Tank Type/Material 1�(�Y111 "mate installed
Tank size 1 500 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Depression over tank (Y/N) N High water alarm (Y/N) Y
Date of pumping 9/15/2017 Pumper One Stop Pumping
C. ABSORPTION FIELD DATA •
11118-2D/20082 2 4 GPD/SF BED
Date installed Soil rating (g.p.d./ftor ft /bdrm) System type
Length 15 ft. Width 1 5 ft. Gravel below pipe .57 ft.
Total depth 3.24 ft Eff. absorption area 225 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 9/29/2017 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test C) in. Water added 61 5 gal. New depth t in.
600+
Elapsed Time: 1 •L-U min Final fluid depth U in. Absorption rate >= g.p d.
N
Any rejuvenation treatment (past 12 mo ) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed
11/18-20/2008 Size in gallons 1500 Manhole/Access (YIN) Y
"Pump on" level at TIMER in. "Pump off' level at TIMER in. High water alarm level at 44 in.
Datum Bottom of Tank Cycles tested 3 Meets alarm&circuit requirements? Y
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer/septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line rj+ 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 100+
F. COMMENTS
*Double clean out prior to septic tank.
G. ENGINEER'S CERTIFICATION �
� OF Aqkkki
I certify that I have determined through field inspections and Ar
ice .
ti
review of Municipal records that the above systems are in Ali • • I.
,I,...'••-y,
\ *9
conformance with MOA COSA guidelines in effect on this date. r •••• IS4W'., •• •• f
Steven Pannone _
f.... .
Engineer's Printed Name .Sle;Fen •. •onnone
10/2/2017CE-81491
Date {i9 .4,\470
0R OFE59 ..4
COSA canary sheet_2-6-15.doc
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UNDER NO CIRCUMSTANCES SHOULD AN AS-BUILT BE USED FOR CONSTRUCTION OR FOR ESTABUSttING BOUNDARY DR FENCE UNES.
THE SURVEYOR TAXES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABUJTY ONLY FOR THE COST Of THE SURVEY,
USTED DISTANCES PREVAIL OVER SCALING REPRODUCTION MAY CAUSE ERRORS IN SCALE.
❑ LOT SUAwEY SURVEY TYPE SYMBOLS
❑ rouNoAii As-BIULT • SET ROAR 7 DRAINAGE
❑ FINK sTWUCTUPoE AS-BuLT o FOUND REBAR B—e. woof) FENCE 1•••:'�_:a.� CONCRETE
❑ PLOT PLAN . . . AS-e9IT. . .TOT S1ROET.. . TCP NY ASSUMED ELEV. it--x—X- METAL FENCE I7/■7/1 WOOD DECK
❑ As-ow . .. Na COOKERS SET El CERTFIGARA ILON S-PI-RWLT, . . NO CtsaI RS SET
PLOT PLANS & LOT SURVEYS NOTE:
IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER. PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE
CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES, WELLS. SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS,
TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC.. ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY. SNOW
THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAT PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED.
WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED.
SURVEY CERTIFICATION Prepared by
.•••'oF,44 , Robert E. Johns, Jr. & Assoc.
PLOT PLAN 41P '\�.. .� Professional Land Surveyors
h.rr meth*r P.t I r_ap+.+r.s.q..a
Owlet F....d.4 here.Me eel 1�:' �. 1700 Mink Delve
hew lead r wtdrr.�s d.a wt beers _J `) '. ANCHORAGE. ALASKA 99504
r....i n.M•.�...w Me Ire r we r
"•.r.k..y ren...r enwr.new e_
..arr`..ed....1 JR 9t. •:�.- $Cols: 1" 50' Rec. Lot S.F. Rec. Plat Fite No.
FOUNDA1ON As-Bum
M../C M.a....,..w, .M I ;.. ...�, Date Surveyed: 02/18114 Drag, by: RE Chocked e, MK
...........hew "..e.. 1. 0•
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me«e~".��wane. ♦ • Re:ERT E 7• �! Dote Draw,: p2119/14 Grid: 2839 '`".o. 14-44
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FINAL 51RUCTURE AS-BUILT +•�� •
�rf�''. 41 L S •�'J'� Legal Dcocriptlon:
w r.r+,L 1010.1 Ir r�s.M .+ a.r.,Penny certify w 4�e ••'''...............••6°i 4P Lat 12 Block 4
*wow,...Q,.k4..e sr r.. f 9'P „...00
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ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
AND Mark and Veronica Woodall
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
of 20 byMork and Veronica Woodall
Day of ��' 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 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
Quanics Wastewater Treatement System
located at(legal description).
Greenbrook 112 B4
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 of a
COSA,and shall continue while the AWWTS is in use or is operational or until the
property is sold or title is transferred by the owner and a new COSA is issued to the
new owner or transferee of the property.
4. Alterations, Installation and Removal of Additional Equipment. Prior to
performing any alterations to an AWWTS,the owner agrees to obtain an On-site
Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65.
5. Maintenance and Repairs.
A. Throughout the term of this Maintenance and Repair Agreement,the Owner shall
maintain their AWWTS in a satisfactory condition capable of producing treated
septic effluent in accordance with the equipment's approval for operation in the
Municipality. The owner shall enter into a service agreement with an AWWTS
service and maintenance provider approved by the municipality and the
manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it
shall be the responsibility of the Owner during the term of this Maintenance and
Repair Agreement,and any renewals thereof, at the owner's sole expense,to pay
for any and all: (1)repair(s),(2)maintenance, (3) adjustment(s), (4)replacement
costs,and(5) inspection costs.
B. Owner agrees to comply with all applicable ordinance, laws,regulations,rules
and orders for the AWWTS.
C. Upon request by the Municipality,the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor, the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS
may be assessed in accordance with AMC 14.60 for improper discharge.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance, repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
G. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On-Site Systems Approval.
H. Owner agrees that the AWWTS installation and maintenance requirements as
provided by the AWWTS vendor/installer and approved by the Municipality are
the governing guidelines for the construction,maintenance and repair of the
Owner's AWWTS.
I. Owner agrees to provide and maintain a telephone connection to the AWWTS as
required by the AWWTS approval.
6. Nonwaiver. The failure of either party at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions, nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof,or the right of such party thereafter to enforce each and
every provision hereof.
7. Amendment.
A. This Maintenance and Repair Agreement shall only be amended, modified or
changed by a writing, executed by authorized representatives of the parties, with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement, the only authorized representatives of the parties
are:
Mark and Veronica Woodall
a. Owner:
b. Municipality: Director.Community Development or desixnated authority
C. Any attempt to amend,modify,or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair Agreement shall be brought in the Superior Court for the Third Judicial
District of the State of Alaska at Anchorage. The laws of the State of Alaska shall
govern the rights and obligations of the parties under this Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
OWNER: �, l� ff
By: �►/1'� (signature) • 4 't
y � ( g ) Date: I • t t 1
Mak Woodall (print name)
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
The foregoin_ instrument was acknowledged before me this ra day of1 r2_
201` b s � .
r
\\�111111111111/j///
NOTARY PUBLI $ ' ALASKA ,`��� Gomm..• e)
My Commission expires: i-1 1512 alt _ `4-1/4'NorARr. \"
�, pt/9L�G
MUNICIPALI YL_
B . (signature) Date: 10 20 1
(print name) Title:
ARM Services, LLC
Quanics Maintenance Contract, Addendum A
For the purposes of the contract, the term "owner" or "owner(s)" shall refer to the legal owner of the
system, or the authorized representative. The term "ARM" shall refer to ARM Services, LLC.
PURPOSE:
As required in the MOA(Municipality of Anchorage), the Quanics Aerocell system requires a
maintenance contract with a certified maintenance provider.ARM Services, LLC is a certified Quanics
maintenance provider. This contract covers one year of Quanics system monitoring, inspections, and
maintenance, which will start upon receipt of payment. This contract will include a minimum of one
inspection per year, (which is covered under the $475 annual fee).
SERVICES:
The services currently offered by ARM for the purposes of fulfilling this maintenance contract include:
• At least one inspection and servicing of the system per year. Service work includes (but is not
limited to)filter cleaning, nozzle cleaning, inspecting of components and observing them
functioning, checking drainfield liquid levels, and testing system operation.
• Annual report, indicating the status of the system, and any required repairs.
• Availability to respond to alarms or callouts.
• Availability to repair system, make adjustments, and technical assistance.
If any major maintenance or repair items are required (other than the minimum filter cleaning, nozzle
cleaning and inspecting of the system) these items shall be completed at an hourly rate of $105/hour -4-
material
material costs. If ARM Services, LLC (ARM) responds to any alarm conditions or call-outs (or completes
service work/ repairs), whether notified by the Quanics unit via phone line or from tenants/owners, a
two hour minimum of billable time applies at $105/hour. If an alarm condition exists, ARM shall have 48
hours to respond to an alarm. If ARM responds to alarms from 6pm-11pm, time shall be billed out at
$157.50/Hr (2-hr min.). If ARM responds to an alarm from 11 pm-8am, or during weekends or holidays,
time shall be billed out at $210.00/Hr (2-Hr min.). If such an alarm or malfunction situation arises, the
owner(s) should have a contingency plan which should include an emergency pumping of the system
(via septic tank pumping service) and/or restriction of water usage, to provide relief until the system
can be inspected by ARM during reasonable hours. The owner(s) phone number is required to be input
into the remote monitoring system in the Quanics panel, and the owner(s) are responsible for being the
primary responders to any alarm conditions, whether contacted via phone call from the Quanics, or by
someone else reporting a problem or alarm. If the owners respond to an alarm, and ARM is contacted to
provide technical assistance over the phone, this time shall be billed out at $105/hour, with a .5 hour
minimum (For example, if during a peak flow event like a Christmas party, if the Quanics system cannot
keep up with a large surge of water and goes into alarm, the system can easily be manually pumped
down by the homeowner while receiving technical assistance from ARM via telephone call or text).
Should the system require pumping (via pump truck)for emergency reasons or as part of routine
maintenance, the pumping fees are not covered under the annual $475 fee. This contract shall renew
automatically each year, unless the owner provides written notice with their intent to dissolve the
contract. Payment is due at the beginning of each 1-year cycle, otherwise this contract has been
broken, and ARM will not be providing any maintenance or monitoring services.
FEES:
• Annual maintenance contract fee: $475.00/year
• Hourly rate (Mon-Fri, 8am-6pm): $105.00/hour
• After hours rate (6pm-11pm): $157.50/hour
• Hourly rate for weekends, night-time (11pm-7am), and holidays: $210.00/hour
OWNER RESPONSIBILITES:
The owner(s) have read and understand the Quanics installation manual and the Quanics owners/
operation manual, and agree to operate the system in accordance with those manuals (available from
Garness Engineering in Anchorage,Alaska). The owner(s) of this system are required to be trained on
24738 Chugiak Drive*Chugiak, AK 99567
Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAKQoutlook.com
ARM Services, LLC
how to respond to alarms, how to identify potential problems, and how operate the system. Although
ARM will be responding within 48 hours to potential alarms or problems, it is important for the owner(s)
to understand the basic workings of the system, and to be prepared to respond to an immediate
problem. This contract is absolutely contingent upon the system being maintained and kept in good
working order. In short, if at any time the owner(s) put off any maintenance (or repairs) on this system,
use the system in an abusive manor, or do not keep a working phone line hooked up to the panel (this
includes maintaining a working remote monitoring system), this contract is null and void (ARM will not
be providing a refund of the annual fee). See additional owner(s) responsibilities under "Disclaimer".
DISCLAIMER:
ARM is not responsible or liable for any damages to the system or the residence due to (but not limited
to) the following reasons:
• Performance of the septic system
• Deferred maintenance
• Abuse of the septic system
• Workmanship associated with the installation of the system
• Engineering design or inspection work associated with the septic system
• Damages to the system
• Failure of any of the septic components
ARM is not associated in any way with the engineering of the septic system, or the corporation
"Quanics". ARM does not offer or imply any warranty of the Quanics system components. Simply put,
ARM is helping to monitor and maintain the existing septic system, solely at the direction of the
owners. The owner(s) are fully (and solely) responsible for the septic system and its operation, the
management of the system, its performance, and directing what is and what is not to be done by ARM
regarding the system.
Limited warranty:
ARM does not offer nor imply any warranty of the workmanship or components of the existing septic
system. Any issues with the system, components, and workmanship are not covered under a warranty
by ARM. ARM does not offer or imply any warranty of the Quanics system or its components. ARM offers
a limited 1-year warranty for workmanship associated with repairs made to the Quanics Aerocell
system.
By signing below, the owner or authorized representative of this system agrees to all of the terms of
this contract, and authorizes ARM to provide annual services for this system.
r ''
Signature: '` 6, 1.—,16L, Date: To f Jl l
Property address/site description: 12531 Frelfag Circle, Anchorage AK 99518
24738 Chugiak Drive *Chugiak,AK 99567
Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK@outlook.com
I~.) MUNICIPALITY OF ANCHORAGE ~-)
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
GENERAL INFORMATION
(a) Legal De~j~.,tion (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicant Name-~.~-~/-'Z)× /¢~/'Z'~r/,/¢ .W.C4. Telephone: Home
Applicant Address ~'/¢ ~¢ . ~¢'~
(c) Applicant is (check one): Lending Institution ~; Owner/builder; Buyer ~; Other ~ (explain);
(d) Lending Institution~ ~'~'~ ¢~7/~&j~ ~;~elephone -~ ~-- ¢¢¢¢
a.d
Address ~
Telephone ~ ~
(f) Mail the HAA to the following address: .
TYPE OF RESIDENCE
Single-Family,' Multi-Family../[]
Number of Bedrooms ~
/
Other
WATER SUPPLY
[] Community,,,~ Public []
Individual
Well
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite~/ Public [] Community [] Holding Tank []
Note. If community well system, must have written confirmation'from the State Department of Environmental Conservation
attesting to the legality and status,
Page 1 of 2 72-025 (11/84}
ENGINEERING FIRM PROVIDI "kl~r~ INSPECTIONS, TESTS, FILE SEARCH, D~A AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approva~ 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 disposat system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
Telephone
the date of this inspection.
Name of Fir~7/P
Address
Date %--/~ - ~'~
ADpHp::vAe: fPoRrO,~)/'/'~ bedrooms by ~'1 ~~_ ~2Date
Approved ~/~ Disapproved Conditional
Terms of Conditional Approval
· ":'.i),~ CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy Certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The MuniCipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description:
Well Log Prese%/N) ~ Date ~pleted ~/~ /~ield
TotalDepth ~ Cased-to ~ Depth of Grouting ~ ~
Static Water Level ~ Pump Set At ~/~
Casing Height Above Ground ~ Sanitary Seal on Casing(Y/N)
Electrical Wiring in Conduit (YIN) / Depression Around Wellhead (YIN)
Separation Distances from Welt: .~
/ ; On Adjoining Lots -
~¢~ To Nearest Sewer Service Line on Lo~
Water Sample Collected by / ; Date
Water Sample Test Results
To Septic/Holding Tank on Lot ..2%~-~ ~ ¢
of Absorption Field on
To Nearest Edge ~,4.~,'/'L°tj~4:-
To Nearest Public Sewer Line
Cleanout/Manhole
B. SEPTICL.__u,E~b,B,H~ TANK DATA
Date Installed-~'~ /Z¢ --~-~/Size '~ ;'-~-~
/~,~-~ No. of Compartments
StandpiPeS) /.t/.~-~ Air-tig~ap~)/]~ Foundation Cleanout(Y_~.
Depression over Tank (Y~) /I/ ~ Date Last Pumped
Pumping/Maintenance Contract on File (Y/N) //~ ;for
Holding Tank High-Water Alarm (Y/N) /¢///~/"¢ Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding Tank: . !~
To Water-Supply Well ~,/~ -¢.-~ '~'¢ //f~¢¢~o Building Foundation '~-~='~
To Property Line ,,// ¢// To Disposal Field .~'/'¢¢ /
To Water Main/Service Line '/-~/_' ¢ To Stream, Pond, Lake, or Major Drainage
Course ~/~/~ /~'
Page I of 2
72-026(1U84~
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata -/'.:~'-~ ,~-*-~---~--'~ ¢'~','Z-~ype of System Design
Date Installed ~-5'~ -- ./j2 --~?/" Length of Field
Width of Field ~ /
Depth of Field
Square Feet of Absorption Area
Depression over Field (~'~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well _~'_/- ,4 .~_~
/,
To Building Foundation
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
Gravel Bed Thickness
Standpipes Presert~_~)
Date of Last Adequacy Test
-~,.d-7'/_~ .~-~.4 ~ -7 ~.~ y
/
'-~ ~' ',~To Property Line ./.,~
To Existing ~r Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
LIFT STATION
Date Installed /J~ ·
Size in Gallons ,
"Pump On" Level at ~-/~.-'/~ ,
High Water Alarm Le~F.~' /t~'///~
Tested for
Electrical Codes (Y/N)///,
Comments /t/'/~/~
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I ~,ve check/ed, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed /~//~-,'_//~ Date ¢'--/~'- ,~'~--~'
,/
Company~Z:~ .~,z/,,¢',.~'~'4/ MOA No.
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (~ ~/84)
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
BILL SHEFFIELD, GOVERNOR
Telephone: (907)
Address:
274-2533
DATE:. August 19, 1986
PWS 1.0.# 210346
To Whom it May Concern:
According to records on file in this office the GREENBROOK S/D
Water System is in compliance with the State Drinking
Water Regulations
Sincerely,
~ng,: PE
District/Engineer
~vo~c~ N. 017321,
",¥a,~ ~= "~,a~,g~ CLEANING SERVICE
~ ~ ~,~"
P.O. BOX 112688 PHONE 345-2513 ANCHORAGE, ALASKA 99511-2688
Job Address L
ROTOR ROOTER SERVICE CALL HRS.
STEAM THAWING HRS.
TRIP CHARGE HRS.
OVERTIME CHARGE HRS.
ADDITIONAL LABOR CHARGE HRS. @
PUMPING SERVICE {,"'2")%{~(GAL) HRS @
HYDRO-JET SERVICE HRS
CUSTOMER ORDER
PLEASE PAY FROM THIS INVOICE TOTAL
TOTAL FOOTAGE CLEANED OR THAWED BLADES USED
PRO~BLE CAUSE OF STOP.~AGE //~X--X~,~_.,~_.O ~.
[] JOB NOT GUARANTF-c'~D FOR FOLLOWING REASON
WORKACC TED.
Time ne
Date Date -' Date
Inspector Inspector Inspector
Comments Conditional Approval
Datl~ S(~wer Installed Permit No. Septic Tank Size
Holding Tank Size
Soils Rating Well To Absorption Area Well Log Received
; Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Address ~,Li',.~f: -~ ~ , ~
Lending nst'tut'on ~ ~;~ ,., ~f, j?,:,?~ '~" i :Phone
Realty 0o, ~ Agent t- Phohe
Address
Type. o~ Residence ~/ ~&'/
~-~ Single Family
~ Multiple Family No. of Bedrooms
~ Other
Water Supply
~ individual A~ACH W~LL LOG. A well Icg is required for all wells drilled since June
~ Community 1975. For wells drilled prior to that date, give'well depth (attach Icg if
Q Public Utility available.)
Sewage Disposal
~ Individual Year Individual Installed: / ~' ~ /
~ Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE NSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.