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HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 10H LT 21AOnsite File Rabbit Creek View & Heights Block 10H Lot 21A #020-581-47 Expired Permit – MOA confirmed septic not installed 11/5/21 �JN jPAlilY�,c MUNICIPALITY OF ANCHORAGE enc • On-Site Water&Wastewater Program 1o'm `'� PO Box 196650 4700 Elmore Road • Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,"r httpa/www.muni.org/onsite On-Site Wastewater Disposal System Permit Permit Number: OSP181002 Effective Date: 2/9/2018 Work Type: Septic Initial Expiration Date: 2/9/2019 Tax Code Number: 02058147000 Site Legal Address: RABBIT CREEK VIEW& HEIGHTS BLK 10H LT 21A G:3341 Site Mailing Address: 8340 Robert DR, Anchorage Owner: SLAUGHTER MARK WILLIAM Lot Size in Sq Ft: 21292 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 5 This permit is for the construction of: El Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well 0 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 Special Provisions: Prior to Inspection Report approval, the lots are to be combined or a access agreement recorded with the State. Received By: I Date: ( Issued By: � Zf/ Date: -/?7i g • MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 9' 4 I =' Development Services Division Fax: ' On-Site Water& Wastewater Program (i!' .►' 7 '95. ON-SITE SEWER/WELL PERMIT APPLICATION a JAN 09 2� > a ti Parcel I.D. 020-581-47 Property owner(s) Mark Slaughter Day phone o` 6 8 L Mailing address 8283 Robert Drive, Anchorage, AK 99516 Site address NSN Robert Drive Legal description (Sub'd., Block& Lot) Rabbit Creek View & Heights, Block 10H, Lots 21A - 22A Legal description (Township, Range & Section) Lot Size 42,661 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field ❑X Initial Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: Use of ERS 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: 50 G Waiver Fees: Date of Payment: Ill 114 Date of Payment: I /R Ii Receipt Number: 03 ‘{ 161 Receipt Number: b SS'I/OG, Permit No. osP i Slob/ Waiver No. OS0.S I bba Permit App__.:•::.,c Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com February 7, 2018 Subject: Rabbit Creek View and Heights, Block 10H, Lot 21A & 22A Septic System Permit Request Design Narrative This is a design narrative for a permit to,install a septic system to be issued for this property. The proposed system will serve a proposed five (5) bedroom house. Currently the lot is undeveloped, with the exception of an existing well that will be re-used. The system will utilize a new 2500g advantex tank with two AX20 pods and a drain field. This lot and the surrounding lots are served by private wells. There are no wells within 100' of the proposed septic system. 1. Soils. One test hole was performed by PES in October 2017, and groundwater was monitored for at least seven days. Groundwater was observed at a depth of 2.0' below the surface in the test hole monitor tube in October of 2017. Bedrock was not encountered in the test hole to 10.0'. Based on the results of the percolation tests and overall soils appearance; an application rate of 2.0 gallons/day/square was used for a CAT III wastewater system with ERS in the area of the test hole. See waiver request for use of ERS. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water. 4. Topography: The existing topography on the lot generally slopes from south to north, with a slope of approximately 20%-25% in the area of the drain field. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com January 8, 2018 Subject: Rabbit Creek View and Heights, Block 10H, Lot 21A & 22A ERS Waiver Request 1. Waiver Request for use of Engineered Receiving Soil (ERS). I am requesting a waiver to the 1992 Code to use the proposed Code Update Section of Engineered Receiving Soils (ERS). Below I will detail my request justifying the use of ERS: a. One test hole was excavated in the vicinity by PES in October 2017.The soils log is attached. Ground water was monitored for through the fall seasonal high and stabilized at 2 feet below ground level in October of 2017 in test hole-1. b. This design proposes to use MoA Type II.This interface will be approximately 1-2 feet in depth and will be compacted to approximately 80 percent to allow free flow of the effluent through it into the native soil using MoA Waste Water Code application rates.The infiltration area of the interface between the ERS and the in-situ soil was based on the 6-15 minutes per inch percolation rate of the in-situ receiving soil. A two foot thick filter sand layer will be placed over the MoA Type II material to act as an interface between the SAS and ERS. c. The SAS is sized assuming a percolation rate of the ERS soil, assumed 6-15 MPI, which gives an application rate of 5 GPDSF. d. The system will protrude above the ground surface.The cover of the system will produce a mound, which will have at a minimum, three to one side slopes and six inches of organically rich soil to promote the growth of vegetation.The mound will be vegetated. e. Shallow Ground water was observed in the test hole. Steps need to be taken to protect this shallow ground water from contamination with sewage effluent.These steps include the use of advanced wastewater treatment system to ensure a high quality effluent and maintaining at least four feet of vertical separation from the highest ground water and the bottom of the drain field (our design is calling for 4 feet vertical separation.) f. Supplemental test holes are not necessary due to the vertical, not horizontal conveyance of effluent. The proposed installation will not affect the future development of this or the surrounding lots. Sincerely, '0): .i �0. J.. 49TH C-' . �' 'l �� Steven R.Pannone � o,� �1 I Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 • • ROBERT DRIVE Sp /( Z ,. D < PRIMARY / RESERVE DRAINFIELD (P) 3OLF x 5'W x 0.5'ED x +2.0'TD WITH 2.0' SAND AND \ 4OLF x 10.0'W x 2.0' ERS INSTALL MONITOR TUBE AT EACH END SEE SECTION PLACE MIN 3 ( 11 ' OF COVER OR RIGID INSULATIONI . M II I 2,500g ADVANTEX TANK (P) LIMIT OF FIL WITH (2EA) AX20 PODS (PRIMARY ''LD) AND AUXILIARY PUMP VAULT M AND FOUNDATION CLEAN OUT ( > II • 7 o �` /' o • oR,�Fwq y, l—— ,\ 23/V �.,.�'SBR / \ /HOUSE '� I '\ • 102.8 (P) ( �) — —J� WELL (E) I / N_,_ TH-1 II / —108.2 WELL (E) \, � 1 10' UTILITY EASEMENT 10' UTILITY EASEMENT \ I \ / LEGEND DESIGN PARAMETERS 19 �' W WATER LINE/ _W PRIMARY/ RESERVE SEPTIC SYSTEM 20WELL RADIUS NO. BEDROOM: 5 (750 gpd) 3A SS NEW SEPTIC TANK SIZE: 2500g S.T.E.P. IN/ (2EA) AX20 PODS DESIGN PARAMETERS I & AUX PUMP VAULT ERS – IN–SITU INTERFACE PERC RATE: 6-15 MPI NO. BEDROOM: 5 (750 gpd) ABBREVIATIONS SOIL RATING: 5 GPD/SF PERC RATE: 14.7 MPI TH TEST HOLE AREA RQD: 150 SF SOIL RATING: 2 GPD/SF (P) PROPOSED SYS. TYPE: SHALLOW TRENCH 5'W AREA RQD: 375 SF MIN LENGTH: 30 LF (E) EXISTING USE: CO CLEAN OUT NO. USE: MT MONITOR TUBE NO. 40 LF X 10.0' WIDE TYP TYPICAL 30 LF X 10' WIDE, 0.5' E.D., +3.0' TD TOTAL AREA: 400 SF TOTAL AREA: 150 SF R.I. RIGID INSULATION I NOTES: �,,���\\ Date PANNONE ENG SVC, LLC OF A� \l 1/19/2018 FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, A99510 AK 99510 qS l� PHONE (907) 272-8218 FAX (907) 272-8211 ...Yea.. e*: �74:. ��' y�� Scale j*. 4• .—Mho' 1, 1„=50' RABBIT CREEK VIEW & HEIGHTS, BLOCK 10H,_ % �� P.I.D. 87 LOTS 21A AND 22A � Steverr I5onnone . PERMIT NO. MARK SLAUGHTER 6 f.,. CE 8149 .. -A OSP181002 NSN ROBERT DRIVE � PLAN ANCHORAGE, AK �ll�'iOPPOFEss1o�P`�` � Sheet ���\\ -�~ 1 OF 4 2"RIGID INSULATION IF LESS THAN 3.0'COVER FILTER FABRIC 1.25"o PERF PIPE w/ DRAIN 1/8"HOLES DRILLED 18"O.C. ROCK GRAIN ROCK 6"ABOVE PIPE INV TOPSOIL& 3 2.5 W VEGETATE MIN 11— 5.0 — .1m-Amr-0.5 2'SAND 2.0 REMOVE ORGANICS PRIMARY SECTION NOTES: ������\ \ Dote PANNONE ENG SVC, LLC — OF A� l FOR CONSTRUCTION ,� si 1 1/19/2018 P.O. BOX 100217 ANCHORAGE, AK 99510 '�� q l PHONE (907) 272-8218 FAX (907) 272-8211 /.jP •.47,7 0# Scope * *0 NTS RABBIT CREEK VIEW & HEIGHTS, BLOCK 10H, % •• %// 020:581:47 LOTS 21A AND 22A , Steven . Ponnone r ego-581-48 MARK SLAUGHTER •. CE 8149 • .% PERMIT NO. NSN ROBERT DRIVE -fry. r� osPt81oo2 DESIGN DETAILS ANCHORAGE, AK �1>1 /;RoFES9ONP,\'� � Sheet `‘\\\NX0_� 2 OF 4 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: INSTALL NEW ADVANTEX AND SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 2 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 2 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: . TITLE: DATE: . NOTES: LLC .������v\‘ Dote FOR CONSTRUCTION PANNONE ENG SVC, r QF A� `� 1/19/2018 P.O. BOX 100217 ANCHORAGE, AK 99510 r '��' ' S l� '� Scale PHONE (907) 272-8218 FAX (907) 272-8211 fee* �'� .*� NTS *: / RABBIT CREEK VIEW & HEIGHTS, BLOCK 1OH, % ��9 /r 026-.581-47 LOTS 21A AND 22A Steven Pannone ° 58t-48 MARK SLAUGHTER I CE 8149 '�% PERMIT N0. � � . • � osP181002 DESIGN DETAILS NSN ROBERT DRIVE �k � �E •SS�oN=� � Sheet ANCHORAGE, AK \�\v"`` SOILS LOG - PERCOLATION TEST TEST HOLE 1 SLOPE SITE PLAN OR ORGANICS 1 M _---_M \ /� BROWN SILTY ° 2 GM GRAVEL 4 ! cc 5 - 5BR \ I 6 GM/ BLUE/GRAY X HOUSE GRAVEL AND ML SILT TH (P) 7 8 9 TH-1 10BOH \ 11 – – 10' UTILITY EASEMENT _\ 12 10' UTILITY EASEMENT s 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? Y 15 IF YES,AT WHAT TH DEPTH? -2.0' X 16 17 DEPTH TO WATER AFTER MONITORING? -2.0' 18 DATE: 10/30/17 19 CLOCK WATER READING DATE TIME NET TIME LEVEL NET DROP READING DATE PERFORMED:10/23/17 1 10/23/17 2:45 -- 2.05 --- 2 3:15 30 MIN 4.51 2.46 3 3:15 -- 2.05 — 4 3:45 30 MIN 4.11 2.06 5 3:45 --- 2.05 -- 6 4:15 30 MIN 4.09 2.04 PEROLATION RATE 14.7(min/inch)PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 1 FT AND 2 FT COMMENTS:Test hole excavated by HOMEOWNER PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. N �,��xx\� Dote FOR CONSTRUOCTION TES: PANNONE ENG SVC, LLC ,� OF A�q�1 1/19/2018 P.O. BOX 102954 ANCHORAGE, AK 99510 r '� S PHONE (907) 272-8218 FAX (907) 272-8211 /�c�.• ��� 91+� stole j*:49TH /\ *0/ NTS O RABBIT CREEK VIEW & HEIGHTS, BLOCK 10H, % • • 9 o2I0-s81-47 LOTS 21A AND 22A `= " .'conn020-581-48 PERMIT NO. MARK SLAUGHTER 4f,... CE 8149 .'�?j OSP181002 SOILS LOG NSN ROBERT DRIVE 04I t\o'•QOFESSIO„=` Sheet 4 ANCHORAGE, AK \\\\"` ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND "al< 2Jt (ictiv✓/ 5faU311Ee� THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 26, Day of MamOckC y of 20 I , by and between Ark ' t(; ge,.a3 It e r 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 Acvo� &x located at(legal description). /1 R.L6,4 Creek View ITe��t ) B6 -10H Lids 04A —22,- 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: a. Owner: Nei_' ( 71/4Ji(I iiccv-i Sic„-ice: b. Municipality: Director, Community Development or designated authority C. Any attempt to amend,modify,or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: / By: OYe c)t1 (signature) Date: 1/.�0/ /? ccc V ZI 5(au 1 (P/ (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 2filtday of` iintamt.y , 201 ,by ISI k1QK W• S1.M1Atormt . '41.k P LIIALAS NOTARY PUBUC My Commission expires: 1sI 74524 HANNALEE SANTIAGO STATE OF ALASKA MY COMM.EXPIRES DECEMBER 15,2020 MUNICIPALITY: By: /P),‘, -- / (signature) Date: Z/ 7qj Deb Wor k. rl S-w,5 (print name) Title: AAROW PUMP AND WELL SERVICE, LLC. PO BOX 110496 ANCHORAGE, AK 99511-0496 Bill To Mark Slaugher 8283 Robert Dr. Anchorage, AK 99516 Invoice Date Invoice # 5/9/2018 11010 Block 8H, Lot 14A Rabbit Creek View and Heights P.O. Number Terms Rep Ship Via F.O.B. Project Due on receipt 5/9/2018 Quantity Item Code Description Price Each Amount 1 Artesian Plug Artesian Plug 425.00 425.00 5 Hourly rate Hourly rate 140.00 700.00 Information on well at above mentioned location. Well Depth: 105" Static Level: 0" GPM: 5.26 Drawdown: 96' No water coming in from above 40'. Thank you for your business. Aarow Pump & Well 907 346-9355 Total $1,125.00