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Home My WebLink AboutSHANGRI-LA ESTATES EAST BLK 3 LT 4• Estates Easl r Municipality of Anchorage On -Site Water and Wastewater Program - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181058 PID Number: 020-043-65 Dwelling: E] Single Family (SF) El Duplex (D) F71 Multiple (SF and/or D) Project: Rn New 0 Upgrade Crown Pointe Inc ABSORPTION FIELD R Deep Trench Rn Shallow Trench R Bed R Mound Address 16035 Mountain Air Dr., Anchorage, AK 99516 El Other Phone Number of Bedrooms Soil Rating depth from original grade (907) 229-1886 14 JTotal 4.0 GPDISF 7.6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.6 Ft. Gravel depth beneath pipe 4 Ft. Subdivision Block Lot Shangri-La Estates East 3 4 Fill added above original grade 1.7 Ft. Gravel length 20 Ft, Township Range Section Gravel width 5 Ft, Beds: Number of Lines Distance between li7nes Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 200 Ft' 1 Ft. Manufacturer Orenco/Advantex FAP Tank Capacity 1500 Gal. Surface Water >100' >100' N/A N/A Material Number of compartments Lot Line >10' >10' N/A N/A Fiberglass 2 NA Foundation >10' >10' N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted I Gal. Remarks Pump on level at Pump off level at High water alarm at Pump make and model Electrical Insp ctions performed by Installer Tank to PIPE MATERIAL House to tank D3034 drainfield D3034 Sanders & Sanders Drainfield D3034 CO/MT M034 Inspector J. Millette / J. Williams BENCH MARK (Assumed elevation) 100 ft Inspection Id 8/30/18 11t 8/29/18 Location and description dates: 2 3 rd 41" Bottom of siding near deck. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional low Approval: Date lae 49 CE 12592 12/6/18 Approved Date U11,210 AW inspection xopon_o 1-1z,(Joo 1080.01090.01078.01082.01084.01086.01088.01092.01094.01096.01098.0FCO100500FEET1"=50'4-BDRM HOMEEXISTING WELLCO - CLEANOUT2CO - DOUBLE CLEANOUTFCO - FOUNDATION CLEANOUTFS - FLOW SPLITTER VALVEMH - MANHOLEMT - MONITORING TUBESV - SEPTIC VENTTH - TEST HOLELEGENDCO2MTMOUNTAIN AIR DRIVE PERMIT # OSP181058PID # 020-043-65SHANGRI-LA ESTATES EAST, BLOCK 3 LOT 4ABFCO3.7MH114.7MH225.2AB2CO36.0CO154.8MT51.8CO253.350.049.152.249.331.331.649.710 ' T & E E S M T 10' T & E ESMT 33' UTILITY ESMTTH#1TH#2Dec 06, 2018PLAN AS-BUILT(NO SCALE)NEW 1500-GALADVANTEX TANKW/ AX20 PODCO12COMH2MH1NEW 20' LONG x 5' WIDE x 4'EFFECTIVE ABSORPTION TRENCH50' WELL RADIUSALTERNATE SITELOT 3 100' WELL RADIUSLOT 5 100' WELL RADIUS PROFILE AS-BUILT (NO SCALE) Dec 06, 2018 94.7 FINISH GRADE 20' DRAINFIELD ROCKMT TH#1NO GROUNDWATER 4/06/18 89.4 COCO77.0 85.4 89.4 93.0 ORIGINAL GRADE 95.8 91.3 93.2 99.3FCOMH1 MH22CO96.7 AX-20 POD AND MANHOLES PERMIT # OSP181058 PID # 020-043-65 SHANGRI-LA ESTATES EAST, BLOCK 3 LOT 4 1500-GAL FAP TANK 85.4 In, 4 !" 1 ,3 r' 2 Ell 3 22: 4@ _,0 ""- _-'; 4 t__:-:'t202`4LP-DE DIP'ILLING PAGE 01! 11,01 Alpine Drilling & Enterprises Permit Number OSW76-11058 Date of Issue: 5-17-18 psteel ldc'utificatiou Number. o20006,4'5000 Date Star ed. :24748 Date Cuinpleted: 7-28-18 Is v, --fl located at apprrcd permit Joatiod, c Y es r iN o Legal Descripbon- Shan!yr;!-,L,) Es-69tes E;),st 81o(;k3 L�t 4 Property Owiter Mame & Address; Crcwn Pointe k7c;:, PO Box 1123'13 Anch Borehole Data, I Drillbig g.al, Soil Txi-pt,, 9z ';Vat�,i S ata Fr(�Tn To CasIng type - stick -up Wall Thickness: �iZ-L'5 ivehes pwveh�,� sil'i 2 P, 1)*,ayneter: 6 inches Depth; 17 file¢ Sdry gravel 615 'n,-hcs Dez)th: feet cob bl�y A"), jrnrel -m?t co!0'11 sih Y S dt 1 � I,; S. 147 WATER QUALITY TESTING Iform M COI Nc--,q ----,----CoVI00L Nitrates � mg/L Arse Casing sfickup,..j��e LoLu!id- 2 'f'�et I Static water Nvol (frum growid Pumping level: 14? fel aftt,- hours pim1ping LO gpin 10 gpru Meth6d Gf Tesbug, aip !"ifi, Well Intake Opening, Typ,-, Opea"E-nd L F� screeked Start feel Stopped fuet [,—j Pttf;rraticms stall fect stoppl=d f Grout Type: -Inttwlit� I 1-3.-4 Pump: Intake Depth feet Well Disiate-led Upon Complefitya.? x 'Ycs L:) No Method of Dhi-Mft,C'60U; Chi'OP1,W- hlblfft ents; Pf1 Box 110496 1PIHE DRILj- PAGE 01/0" -3 5/23 12' 01 2 3: 9 0 5 3 .� __ _]l 2 0 2 'T t�i MUNICIPALITY OF ANCHORAGE Deveioptnent',Sep,,ices Department fi Phone: qO7-343-7!)04 On -Site Water & 1= rite Sectiorl Fax-, a07-343-7997 Pump Installation Log Well D'illing Perrojk Number, 18 058 .11Rf&'af 5 17 18 Paecelldentificadd, n Nurnber., 02 04,1655 Desesiption Bloo, Lot---- ProperqOwner Name & Address, - [s Estiles Inst 3 4 Po�rte P 12.51 . 0. BOX'I ArichoriAge.AK 99511-2,mi PUDip lftStallmtlon J)ateM 12 - 20 18— PUMP Intake Delpth Bcl,,rx Jfbp of %'ell Casing: - 144 feet Pump _NIanufT4cn;n,,.rN. N.m.,Goulds PampNfodel- 7HS07 Tact Size! 3/4 Pitles� Adapter Burial Dept?,-; n/a feet PitJP,9'$,,',daPter ManufaiAurer"s asa t n1a Pitless Adapter lnstMter- n/a Well Disinfected Upon Conup)efio Yes kv Methed of )Disinfection: (I 5 comme"u., Pump Installer Name. row Pump & Well Service, LIC Mailbig Address, P .0 Anchorage City.- I Box 1110496 S'tafc. AK z1v: 99511 Attention: 71�.e pump installej- q).a' ' ' 1 P.ro'vi&'a ptinip hi";�taiiation log to 0-7,3jtc 'V?Jijj 3(1 &"j'$ (I "Inmip irsta!"atior'. 17�= r �00C'P.L'.1r Y 0,�. MUNICIPALITY OF ANCHORAGE ,oc,,, On-Site Water&Wastewater Program N' ' 'S f Awe Box 196650 4700 Elmore Road ';, tAnchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 r; �� 'r 1 http://www.muni.org/onsite ' ' lir rpm InIctil ,4'CNORh�'E On-Site Water & Wastewater System Permit Permit Number: OSP181058 Effective Date: 5/17/2018 Work Type: WellSeptic Initial Expiration Date: 5/17/2019 Tax Code Number: 02004365000 Site Legal Address: SHANGRI-LA ESTATES EAST BLK 3 LT 4 G:3239 Site Mailing Address: 16035 MOUNTAIN AIR DR, Anchorage Owner: CROWN POINTE INC Lot Size in Sq Ft: 42839 Design Engineer: FORGE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: 2 Disposal Field 2 Septic Tank 0 Holding Tank 0 Privy 0 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 i /I Received By: LA4 Date: J ` ` ;/I 7 Issued By: alori /1,,,, Date: /7g MUNICIPALITY OF A "_ ,'$ z AGE " -1111,.:01 I1) I Community Development Department 3 2018 •ne: 907-343-7904 Development Services Division s SPR -. Fax: 907-343-7997 On-Site Water & Wastewater Program '" w t � ON-SITE SEWER/WELL PERM A-8" . 7 ', ' :0N Parcel I.D. 020-043-65 Property owner(s) Crown Pointe, Inc. Day phone 229-1886 Mailing address P.O. Box 112313 Anchorage, AK 99511 Site address NHN Mountain Air Drive Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Shangri-La Estates East, Block 3, Lot 4 Legal description (Township, Range & Section) Lot Size 42,839 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (El all that apply) Absorption Field ❑X Initial 0 Single Family (SF) X (w/wo ADU) Septic Tank ❑X Upgrade ❑ Duplex (D) n Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. i4jt4.— Z (i.c ,\ (Signature of property owner or authorized agent) Permit/Rush Fees: 4 i-8ti Waiver Fees: Date of Payment: Lil au1/s Date of Payment: Receipt Number: O Q rat D Receipt Number: Permit No. 03101Y106-43 Waiver No. Permit App_ ::..c ' GE INGINtIRiNG PO BOX 240773 ANCHORAGE,AK 99524 522-7773 677-7766(FAX) April 23, 2018 Municipality of Anchorage Development Services Dept-On-Site Water&Wastewater Program 4700 Elmore Rd Anchorage,AK 99507 Subject: Shangri-La Estates East,Block 3 Lot 4—Mountain Air Drive Septic system design and permit application Dear On-Site Services Engineer: The owner of the above lot intends to build a 4-bedroom home on the property, so we are submitting this permit application for the construction of a new well and septic system. The attached site plan identifies the location of the home as well as the proposed well, septic location and alternate site. No conflicts exist between this proposed system and any other well or septic system,whether on this lot or adjacent lots. The ground surface on the lot slopes toward northwest at slopes less than 25%. It is in that flatter area that the new septic system is located. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Ground surface contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. It will be a minimum of 10(1 from all wells and surface water, and more than S away from the septic tank. The alternate site is located more than 10'away. Please refer to the attached test hole logs and plan and profile pages for the septic design. If this design is followed,there will be no adverse impacts to adjacent properties. Sincerely, "�e��►��, d OFA ed All* • 49TH 03• .• 0 Michael E. Anderson, P.E. �•••• •••• •••• ••• •• • ,� Attachments , :MICHAEL E. ANDERSON OC • I,%••• CE-4381 :4.4,44-1 OF 0111 o�►�V:.o�o• SHAN ❑ RI - LA ESTATES , BLOCK 3 , LET 4 , PID NO. 020-043-65 §§ COD / NO. OSP18105� I! 11 / Septicc Sites/ 1 Proosed 1 / 1 Well® I I I / �ti 11 '' \ If —, \ LOT 3 __ / Z �\ '�P / \ • . . , • /( -\- - - �O ``moi/ �0 ' well Ac��` / \ �� L �,_' _,, // ►1� /Jt. site �TH2 --- �. �, / 5 �O'' AV, rr 20 Long x 5• Wide � r_� �__ / O �i5 i ' :;�' x 4' Effective Depth1. ///'ep otcl A� II r1, ; r �� Absorption Trench. N • / / r' a✓11 SWC f 9�/ Proposed I - �� Four. Betlr• oom } w w f W811 Four 8 Broom ' Advontex Tr ment�� a-17=" �� - w / ,8h� 0 Ho a System with AX20 F per • • (`\ Pod. 1 � / —..----,2--- _____ -... ..// 4 401 ._ .. . .:..:,... __--I W4.411p- . :-./.: .....: '. '-......H. .• 1 / 1196• --✓ 1 1 ._,.�.s��►li1s�OF A/.1 •O O 4,4 NOTE: Septic Sites a )'••••••• • J- .O NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE LEGEND: _ • 49th i ' * 0 LEGEND: PROPOSED SEPTIC SYSTEM CO — Cleanout • #41. j� E._. . 10/ SV — Septic Vent t�cw�.c.t c�V�ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE TH — Test Hole OMICHAEL E. ANDERSON LL�� 4 SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. MT — Monitor Tube •1-' No. CE-4381 'ti`, SITE PLAN FCO — Foundation Clean Out t ,�, .• MH — Man Hole v. �� 1'�uttSS1e i, SCALE 1' = 50' CONTOUR INTERVAL 5' SHANGRI-LA ESTATES EAST, BLOCK 3 LOT 4 DESIGN FACTORS: SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW 5' WIDE SHALLOW TRENCH SYSTEM PERK RATE: 2.1 MIN/IN 1,500-GAL ADVANTEX TREATMENT TANK APPLICATION RATE: 6 GPD/SF 600 GPD/6 GPD/SF/ 5'WIDE '.5 RED. FACTOR = 10 LF TRENCH REQUIRED (20 LF SPECIFIED) BOTTOM OF TRENCH: 8' BELOW GRADE FLOW LINE ELEVATION: 4' BELOW GRADE TOP OF TRENCH: 0'ABOVE GRADE r 6" — —III—III—III—III—III— _ I I 1=1 11=1 11=1 11=1 I I�I I 1=1 11=1_I 1=1 11=1 I I-III-I 11=1 I I-I 11=1 11=1 I I�I f 1=1 11=1 11=1 I I-III-III-I 3'-6" III-III-III-III-I I I-1 I I 1=1 11=1 11=1 11-I 11-I 11-I I I I-1 11=1 11-I 11-I I I-I I I 1=III=1 I 1=III-111-1 I I—I 111=111=111=111=111=III I-1 I I-1 I I-1 11=1 I I-1 11=1 6" :;.:::: : : :, 71, '='==�'='='=•'='=�=•'='='='-='='• 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK '.:.:.;.;.:.:.:.:.:.:.:.:.:.:._ 7110C11:•...;.•:::::.:.:.::: .;.1:11.;11:0:*:.:.:.:.:::::.:.:.. • ;WO:.:di:::.:.:.:., lklk ♦ e`+` A� TYPICAL 5' WIDE TRENCH (r)?:• o •' s�Pe SECTION j: 49 T NOTES: (NO SCALE) A lr :..• 0 1. GRADE AREA OVER TRENCH TO DRAIN AWAY r �:MICHAEL E. ANDERSON.:,� 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' ® s'•• CE-4381 : `"� WITH 2" OF INSULATION �` ff�•'y �'L' �-,I f•'•�� 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER 41 ; E s`� ft THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY MUNICIPALITY OF ANCHORAGE ��p�E,Y ��♦ DEVELOPMENT SERVICES DEPARTMENT �� it; 49th_ �N : .II 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 •,,,,,Xr�• ;,, SOILS LOG AND PERCOLATION TEST p‘,MIt71AEL E. ANDERSON {{iii; VNo. CE-4381 ...:,_:1 ,4, LEGAL DESCRIPTION: SHANGRI-LA ESTATES EAST B3 L4 �.♦ �� y u ."�•�, PERFORMED FOR: CROWN POINTE � itie DATE: 3/27/18 PROJECT No.: Professional Engineers Stamp: PARCEL ID#: 020-043-65 TECHNICIAN: J. MILLETTE DEPTH TEST HOLE 1 (feet) 1' OB SLOPE SITE PLAN 4c.:).-.0:.-4:.,......,.. : 5 '--:i`:.;!!�;,;' SEE SITE PLAN :. ;:.' 7 ;,:.;..,;.....;::"1.:',.,....? SILTY SANDY GRAVEL I 0 •?~•' ,Z'• ' WAS GROUND WATER ENCOUNTERED? NO •`•"-▪'" IF YES @ WHAT DEPTH? - '•i- '••'c DEPTH OF WATER AFTER MONITORING: NONE 11 !::i.1-:.;.•::. =:...-�.+ DATE OF MONITORING: 4/06/18 , 12 _``• ` _. -".~ DEPTH TO ::k.';',.' GROSS TIME NET TIME NET DROP • DATE READING (MINUTES) (MINUTES) WATER (INCHES) 13— %� ; ; (INCHES) --.;':.,.--,...--e,.... 14 `;7: :: ::;,` 4/06 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 'y:.:; 1 12:02 4 a 2 12:32 30 6 78- 16 • ----▪---- 3 8 18 17 3 12:33 44 4 13:03 30 5711 2 18 5 13:04 4 a 19 6 13:34 30 54 11 20 PERCOLATION RATE: 20 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 4 FT. and 4.5 FT. Pei Mgt]/ /CagM.cMe,it" Uric 1-0 -the- X6 "- COMMENTS: OF 4,' MUNICIPALITY OF ANCHORAGE ,1-...........F ♦♦ DEVELOPMENT SERVICES DEPARTMENT 4.7C)`'• • . .• ♦♦ 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 i 49th i *♦♦o pit_ezei ceTi.".4.7 SOILS LOG AND PERCOLATION TEST i'c =.MICHAEL E. ANDERSON;�j •:.,,,-... No. cE-4381 1,, ; LEGAL DESCRIPTION: SHANGRI-LA ESTATES EAST B3 L4 ♦♦4, 0,_•-•-•. �� ♦/ PERFORMED FOR: CROWN POINTE h,��aa�rl►s �♦ DATE: 3/27/18 PROJECT No.: Professional Engineers Stamp. PARCEL ID#: 020-043-65 TECHNICIAN: J. MILLETTE DEPTH TEST HOLE 2 (feet) 1 1.5' OB SLOPE SITE PLAN 5:•... `;ii;... 4 ''_ +?• 5 r'.`.;��:�f ':; ' SEE SITE PLAN 6 —'*:.'•.`-4;.4;..:,.,:) 7 lr, :•' '. SILTY SANDY GRAVEL 10 ';,' '` WAS GROUND WATER ENCOUNTERED? NO `�: ��:'! IF YES @ WHAT DEPTH? - 11 y.-' `i.' DEPTH OF WATER AFTER MONITORING: NONE ;v'-: .; f:'; DATE OF MONITORING: 4/06/18 4-,:.1:;A:.:.::-7:. + z; , 12 =�`~''':•='.',`," GROSS TIME NET TIME DEPTH TO NET DROP ` DATE READING WATER 13 : ?:�'-, ::. fi.. (MNUTES) (MINUTES) (INCHES) (INCHES) 14 :':45:..3 4/06 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 '.:!":: ;r 3" 1 10:39/10:49 10 5 a / 10 4 a =` '` 2 10:54/11:04 10 5a / 9a 42 3 11:06/11:16 10 5a / 9s 4a 17 4 11:17/11:27 10 5a / 9Z4a 18 5 11:28/11:38 10 5a / 9a 48 19 6 11:39/11:49 10 5a / 9a 48 20 PERCOLATION RATE: 2.4 (MIN/INCH) PERC.HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 4.5 FT. and 5 FT. Per 11144 - /"IeawGMe,rts weveAD 711e I4 r' COMMENTS: ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND CROWN POINTE HOMES THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 16TH Day of MAY of 20 18, by and between CROWN POINTE HOMES 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 ADVANTEX WASTE WATER TREATMENT SYSTEM located at(legal description). SHANGRI-LA ESTATES EAST BLOCK 3 LOT 4 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. 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: CROWN POINTE HOMES 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: Date: 5-- (7 16 By: (signature) Chi-6o.- CA bk' (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoin t instrument was acknowledged before me this /7 day of-Inez) 20j' , by _• ' � �h o �\\011111111//j�� •.. t As. 'U , 0 NOTAR ciBLIC FOR ALASKA �00 My Commission expi � /O/ at) /9 = I•NOTARY; *\ PUBLIC 1* /�44OF A1)" \ MUNICIPALITY: By: A�� R/ �,..,-/ (signature) Date: ,577/5 Deb a10okca ruyy (print name) Title: MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251087 Parcel ID 020 -043-65 Expiration Date: 6/1/2025 Legal description SHANGRI-LAESTATES EAST BLK 3 LT 4 site address 16035 MOUNTAIN AIR DR Current property owner(s) ZAPORZAN GREGG & BROOK N X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: 0 Original Certificate Date: 4/11/2025 This rtificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject sy em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, evelopment Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other f:1 11 111�16111 i i Development Services Departments Phone: 907-343-7904 On -Site Water & Wastewater Section �- Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 020-043-65 Complete legal description SHANGRI-LA ESTATES EAST BLOCK 3 LOT 4 Location (site address) 16035 MOUNTAIN AIR DRIVE ANCHORAGE ALASKA 99516 Current property owner(s) GREGG & BROOK ZAPORZAN Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 7 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ® AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $�"` Date of Payment g� ZSr COSA # Z S C)' Waiver Fee $ Date of Payment Waiver # COSA Application.doc COSA Checklist.docx COSA Checklist Legal Description: SHANGRI-LA ESTATES EAST BLOCK 3 LOT 4 Parcel ID: 020-043-65 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 7/27/2018 Total depth 147 ft Cased to 147 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 3/12/25 Static water level at beginning of test 40 ft. Well production at time of test 4+ gpm Water storage tank volume None gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 2.24 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 3/12/2025 Comments B. TANK DATA Measured operating fluid level in septic tank *NA Date of pumping *6/13/2024 Required maintenance completed, if AWWTS Comments: *FLOATS/TIMER – SEE AX MAINT C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/30/18 ALL standpipes present per record drawing Total measured depth from grade 9.9 ft (max) Measured depth to pipe invert from grade 5.8 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective (ED). If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 3/12/25 Results Pass Fluid depth prior to test 5 in Water added 600 gal New fluid depth 19 in Elapsed time 1440 min Final fluid depth 4 in Absorption rate 600 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 48 in (MOA 4’ ED) Effective depth used 4 in (Final Fluid Depth) Effective depth (ED) remaining 44 in Comments/Deficiencies: Approximate total measured depths from current existing grade. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No *50+ ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No *50+ ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No *5+ ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No *50+ ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No *50+ ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *MAY MEET CONVENTIONAL SEPARATIONS, BUT SYSTEM MEETS CATII/III SEPARATION DISTANCE REQUIREMENTS. G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 03/20/2025 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 03/20/25 To: null 080 of 146 2024-07-02 21:32:49 GMT 19073086608 From: Wes Anderson 487 827 ONE ■ ■■ ■ ONE NONE ■ mass ON mons■ iiiiiiii ■ ■ IN ■motion■ ■ ■ ■ ON ■E■ ■ ■sE■ Am var Texo Field Maintenance Report AnchorageTank Annual Inspection 907-272-3543 Property Ownernraeking a pH (6-9) Operator Brooke Zaporzan Riser/Lid ..................... A+ Home Services Tech Site Md. Previous Contact Phone 16035 Mountain Air Drive, Anchorage AK 99516 Floats ........ ................ (907) 360-0973 AX Situ ID k County ID If Pod X RTU 4NL a Date of Last Insp.e ion AX -145268 oSP181058 429765 RTU138543 08/23/2023 Retrieve O&M Into Daily flow Recirc ratio_ Timer settings: Perform Field Sampling/Observations NTU (i15 x NTUs) pH (6-9) DO (2-6) Inspect Riser/Lid ..................... [ Audible and visual alarms OK Previous Dial tone (telemetry only) ❑ Yes Odor of Sample t Typical ❑ Musty ,_, Earthy ❑ Moldy Non -typical ❑Sulfide ❑Cabha a ❑Decay Oily film in Pvu El Yes Foam in tank ❑ Yes No Check Control Panel Recim Amps Discharge Amps Previous Inspect Riser/Lid ..................... [ Audible and visual alarms OK Previous Dial tone (telemetry only) ❑ Yes L_i No Inspect/Clean Pump System Cu ryt Previous Inspect Riser/Lid ..................... [ Splice Box .................... Previous Float Cords ................... LLJ Floats ........ ................ ] Pump........................ Pod Bottom Riotube® Filter ................. Biotube Pump Vault ........... Bridging/Ponding: one/Minor ::]Excessive Recirculating Splitter Valve...... . Clean i Q U LIU Measure Sludge/Scum Sludge Scum 1 at Compartment Cu ryt Previous Cu entPrevious In� 2nd Compartment Current Previous Current Previous Inspect/Clean AdvanTex Filter In� C( n Odor: riJormal ❑Pungent e Laterals/Orifices Biomat:ormal ❑Excessive Pod Bottom Bridging/Ponding: one/Minor ::]Excessive Intake Vent Inspect/Clean Disch rge Pump System In ct Inspe t e Riser/Lid is Floats , , Splice Box Pump I +f ,(vim, Float cords tom' Inspect/Service Other System Components In CI n / Inset C`e�ei 1;1,1 Disinfection Equipment( Dispersal Laterals/Orifices Observations !A Additional Services Rendered ❑ Cleaned textile sheets? ❑ Replaced UV items? Replacedlused other items? Parts Used: W = Warranty, B = Billable (✓ appropriate selection) W B Item Number Description FinalfSafelty Inspection SV reinstalled Manifold reconnected; flush valves closed Su ry/Recommendations ormm ded ❑ Call for service I" (Lids bolted on CJ Control panel reactivated Tank needs pumping ❑ Other? Fax completed form to 1-866-384-7404 ATTENTION: Buyers and owners of a property served by an Advanced Wastewater Treatment System (AWWTS) ** TO AVOID SEWAGE BACKUPS** Prior to using the wastewater system, contact the service provider to ensure that regular maintenance is completed. Many of the systems require remote monitoring, the provider will tell you how to provide this capability. Who to contact: • AdvanTex: Anchorage Tank at 907-343-3704 • Quanics Aerocell: Garness Engineering at 907-337-6179 • Biocycle: Biocycle Alaska at 907-274-0314 • BioBarrier: Tim Ecklund at 907-250-0100 • Intermittent Dosing Sand Filter (IDSF): contact MOA onsite 907.343.7904 Please complete the attached document, Advanced Wastewater Treatment System Maintenance and Repair Agreement. When signing this document, you acknowledge that you are required to provide regular maintenance for your AWWTS. MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein theJAGREEMENT" made and entered into as of this Dayoff of 20X2, 6y and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanccif Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) AN ADVANTEX SYSTEM SHANGRI-LA ESTATES EAST B3, L4 2. Maintenance Re airs and Alterations. (Owner is required to read, understand and initial each section) a Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, 9LI- repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page I of Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 7 Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. � lOwner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of La►v. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER:�) By: (signature) f%fl „i---cc" -(print name) STATE OF ALASKA ss. THIRD JUDICIAL DISTRICT Date: ZZ � 2e�" Z" The f9j;egoing instrument was acknoNvIledged before me this day of 20-,2 by KATHERINE A. HALVORSON I C T-16 R • � MES K A:: 7 NO PUBL Notary Public My C �n imiss )xpires:j , State of Alaska �my Commission Expires Dec 7, 2025 signature) Date: q )rint name) Title: (rev. 05/18/2018) Page 3 of 3 Certificate of On -Site Systems Approval Parcel I.D. 020-043-65 1. GENERAL INFORMATION Expiration Date: mo_;, C' I oft � C)1 t Complete legal description Shangri-La Estates East Block 3 Lot 4 Location (site address) 16035 Mountain Air Dr, Anchorage, AK 99516 Current property owner(s) Mailing address Real estate agent 2. TYPE OF DWELLING: Crown Pointe, Inc Day phone PO Box 112313 Anchorage, AK 99511 El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF-BEDV.00ITS: i Day phone 229-1886 4. TYPE OF WATER SUPPLY: 1 1-6� TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic (] Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: �J I„ Received by: 1 7,w {/ _ /37' Date: Z 11 / COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1 1-6� Date of Payment Pj 7- /V Receipt Number D'aMoa COSA # do c 18 1&36 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/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. Name of Firm Forge Engineering Phone 907-522-7773 Address PO Box 240773, Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, PE Date 12/06/18 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for qbedrooms bedrooms r OF: A�`��l�l .g.. y *:49TM •* b;ja.. Schiller • • • . en I �FGr�% CE 12592 • AN 12/6/18 r5pipPROFESS1�Na��'�,r bedrooms, with the following stipulations: ON-SITE PROGRAM By: 4 Original Certificate Date: I a 12I'ms 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 Checklist blue sheet Ifmore than 1 septic system is on the lot: ' ^ COSAChecklist #of___ Structure served bythis system Shangri-La �� |Dr� � Lot /1 0�O-0��-A� Legal Description: ^u«^u~« East Block " �~` `- Parcel |�� ~^-" "�'= "~ /\. WELL DATA Well type Private |fA. B. or provide PVVS|D # WellWellLog (\/N) \/ /1'" � Date completed ''^7/�A=Sanitary seal (Y7N) \/ Wires properly protected (YYN)Y 147 147 �� To�a|depth�� Caned1nft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test 7/28/18 Static water level '" v�� ft. VVeUproducU1Don '~ g -p -m- VVATERSAKJPLERESULTS: R7 Coliform N��O co|onies/100 mL Nitrate i mg/L Arsenic K][l 11/19/18 ft. Em Collected by- FOR"8 Engineering TonkType/Mateho| AdvaOteX FAP /Fiberglass Date installed 8/30/18 Tank size _1500 gai Number ofCompartments 2 C|eanouha(Y7N) Y Foundation cleanout (Y7N)\/ Depression over tank (YYN) N .'._ High water alarm MYYN) ._ Date of pumping Pumper New Construction Date installed R/KlMR Soil rating (o.p.d *2 or*2 /bdnm) 4 GPD/SF System type 5 - Wide � O � z1 Length 20 ft. ��h� ft. ��v�bo��pe_,____� Total depth ^,�__9.3ft. Eff.ubsorph200 on�areo Monitoring tube \/ Depression over field N Date ofadequacy test New Construction Reau|ta(Paaa/Fei|)For bedrooms Fluid depth inabsorption field before test in. Water added_ gal. New depth_____in. Elapsed Time: min. Final fluid depth in, Absorption rate >= g.pA. Any rejuvenation treatment (past 12mo.)(YYN&type) |fyes, give date_________ D. LIFT STATION Date installed "Pump on" level ai Datum _ Size in gm|kma__ in. ^Pumpoff'|eva| at — Cycles tested __ Monho|eAAnoaas(Y7N)______ in. High water alarm |ava| et_____ — Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ONLOT TO: 1MD Septic tank8ift�>1OO' >` station ~~ OnacUao�n(|ota '~~ 10O Absorption field >' >1OO' o|d on lot '~~ Dnadjacen�|o�n '~~ ' Public sewer main >75' Public :^1OO cs*�ermenho|a/ manhole/cleanout '~~ '� Sewer /septic oem>^-5' ��RO service line Holding tank / vu ' Animal containment areas >50' Manure/animaluManure/animal exonaha donagmareas>100' SEPTIC/HOLDING TANK ONLOT TO: Building foundation >1 0/ on '° Property line >5. Water>1 O' mon ~ Water service line >10' Wells nnadjacent lots >1OU' ABSORPTION FIELD ONLOT TO: ' 0 Property �°1 y|ine >1 0, Building foundation >10' Water Service line >10' Sud>1O0' �uewabar '~~ None Noted >100'Cu�aindroin '` ~ VVeUsnnadjaoen�|o�o_�_��_ F. COMMENTS G. ENGINEER'S CERTIFICATION / certify that /have determined through field inspections and review of Municipal opoonfu that the above systems are /n conformance with MOA COSA guidelines in effect on this date. . ��f�[l'��Ol'[l��C>�'||(�[ ��7� Engineer's Printed NameBenjamin 1 ' Schiller, '''' ' / �- Date 12/06/1A Absorption field >51 Surface water >1D0' Water�~10' ��in ' ~ Driveway, parking/vehicle storage >1D' in. MIT JNICIPALITY OF ANCHORAGE F.iii-AWN11 -1 11 THIS MAINTENANCE AND REPAIR AGREEMENT, herein the *'AGREEMENT" made and entered into as of this i b Day of December of 20 18 , by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1, Advanced Wastewater Treatment Systems. The Municipality- grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWINITS), described as Advantex System located at (legal description) Shangri-La Estates East, Block 3 Lot 4 (Owner is required to read, understand and initial each section) r Throughout the term of this Agreement. the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. �x Owner acknowledges that regular maintenance of an AWWTS reduces thep otential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page I of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 4 41-1 1,9 Owner acknowledges that the fine for failing to maintain and repair an ANTS may be -4 Z:I assessed in accordance with AMC 14.60.030. t Owner agrees to grant the Municipality reasonable access to test and inspect the � -LK�- AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AVV-WTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational, or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect ZD the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: ,1.�0�_ C - 2<i1 (signature) Date: )off I 'O) J �1 L Z��'�-71-+_.,-,) (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this I0 day of 209, by �QJ C) � 19 STATE OF ALASKA* NOTAR h�UBLIC OR ALAS NOTARY PUBLIC My Commission expires: 2 2 Taleashia Payton My Commission Expires: February 13, 2021 MUNICIPALITY: By: - JI -e-1010-01- C IAF - C C g (print name) Date: 2/12 /�0 j Title: (rev. 05/18/2018) Page 3 of 3 SHANGRI-LA PLAT NO. 2011 -62 ESTATES - EAST LOT 4, BLOCK 3 42,839 S.F. S 89058'05"E 347.38' SUBDIVISION 0 0 N W N O 0 O O 1 "-401 ISCROFMFNT ) 6� T:Y•� 3t�1•��►•Lil>�•I�y AS -BU I L T I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 2000 E. DOWLING RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR GRID DATE SW3239 11/9/2018 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB N0. NOTE: NO CORNERS SET THIS DATE 18-03 SLE43 OF 1♦ 49TH �. ....�..y.............. ..� o : Jeffery A. Gostoldi o . •. LS -6091 ��AIF s� •.� 11/9/2018lorof' ••S '4140as** **• BUILDING DETAIL SCALE: 1"=20'