HomeMy WebLinkAboutHARMANY RANCH - EAGLET AERIE LT 5Onsite File
Harmany Ranch
- Eaglet Aerie
Lot 5
#050-381-85
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP201346 PID Number: 050-381-85
Dwelling: FEM Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: 41 New ❑ Upgrade
Name
Spinell Homes Inc
ABSORPTION FIELD
❑ Deep Trench 0 Wide Trench ❑ Bed ❑ Mound
Site Address
8181 Harmany Ranch Rd
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
5.0 GPD/SF
0.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invertfrom original grade
+0.5 Ft.
Gravel depth beneath pipe
0.5
Subdivision Block Lot
Harmany Ranch - Eaglet Aerie 5
Ft.
Fill added above original grade
—3.0 Ft.
Gravel length
40 Ft.
Township Range Section
Gravel width
5.0
Beds: Number of Lines
Distance between lines
SEPARATION DISTANCES
Ft.n/a
n/a Ft.
To
Septic
I Absorption
I
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
i Lift Station
Tank
I Line
120 Ft2
1
n/a Ft.
Well
85.4
I 1001+
I
25'+
TANK ❑ Septic ❑ S.T.E.P. ❑ Holding N Other
Manufacturer
Orenco
Capacity
1500 Gal.
Surface Water
100'+
1001+
Material
Number of compartments
Lot Line I
5'+
I 51+
I i
NA
Fiberglass
2
Foundation
101+ I
10'+
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank to3034
drainfield
Red Dog Masonry
Drainfield 3034 CO/MT3034
inspector Pannone Engineering
BENCH MARK (Assumed elevation) 100.0 ft
Inspdection v 12/28/20 2nd 12/28/20
Location and description
3rd12/29/20 4` 3/2/20
Bottom House Trim @ A
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date
�� 0F ACgs°t�
co
R; a TH
cteven n'. Ponnor,e
Septic System �
C- 814 ,--
Approv ( Date (9-2
Note: this approval does not include well permit requirements.
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NOTES: PANNONE ENG SVC LLC (C.I. 1088) REVISIONS DATE
RECORD DRAWING P.O. BOX 1807 PALMER, AK 99645 4/1 /2021
PHONE (907) 745-8200 FAX (907) 745-8201 _ ��P• gsf9+, REV 1: 4/6/21 SCALE
HARMANY RANCH — EAGLET AERIE, LOT 5 P.I.D. NO
DRAWN ACP SPINELL HOMES INC. 050-381-85
Steven R. Ponnone
HARMANY RANCH ROAD c CE -H149= PERMIT No.
`+' OSP201346
�i®/ --
SITE PLAN EAGLE RIVER, AK '+,t...... = SHEET
.... 2 OF 2
Certified Drilling Log
OWNER OF LAND: Spinell Homes
ADDRESS:
LEGAL DESCRIPTION Harmany Ranch Eaglet Aerie L5
DATE: 11-4-20
Bore Hole
Data
Depth
From
To
0
2
PERMIT NUMBER: OSP201346 DATE OF ISSUE: 9-14-20
TAX IDENTIFICATION NUMBER 05038185000
Is well located at approved permit location: ❑yes ❑No
Method of Drilling: ❑air rotary ❑cable tool
Depth of Well: 85'
Casing Type: Steel Wall thickness .250 inchesqg
Diameter: 6 inches; depth 77 feet
Liner type
Static Water Level: Flowing feet
Recovery Rate 6 ® gpm ❑ gph
Method of Testing Air
Well Intake Opening Type: ® open end ❑open hole
❑ Screened Start feet Stopped
❑ Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: VN ❑ no
Method of Disinfection: Chlorine 50 PPM
Comments:
2
4
4
12
12
19
19
49
75
75
78
78
85
L
I
gio
Casing Stickup
Overburden
Silty Sand & Gravel w/ Clay
Clay & Gravel
Silt w/ Clay
Silt & Clay w/ Gravel
Silt & Sand w/ Gravel Water
Silt & Gravel Water
WATER TING
oliform a Coll? 00M
Arsellir MWL
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
® DOC CO dba
BILL S& COLE
ULLIVAN WATER WELLS
P.O. Box 670269, Chugiak, AK 99567 688-2759
www.suilivanwaterwells.com
Pump Installati®n Log
Well Drilling Permit Number: SW OSP201346 Date of Issue 9-14-20
Parcel Identification Number: 05038185000
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP201346
Work Type: WellSeptic Initial
Tax Code Number: 05038185000
Site Legal Address: HARMANY RANCH - EAGLET AERIE LT 5 G:0260
Site Mailing Address: 8181 HARMANY RANCH RD, Eagle River
Owner: SPINELL HOMES INC
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
�oe�»cnr
Depart—inent
9/14/2020
9/14/2021
73029
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 2 Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: Test hole completed on this lot for subdivision monitored groundwater at 1.5 ft in October.
Installation is to meet CAT III required separation to highest observed groundwater level.
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Received By:
Issued By:
4
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Date:
Date: � / U
MUN1,11UPAUry OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 050-381-85
Property owner(s) Spinell Homes Inc.
Mailing address 1900 W. Northern Lights, #200
Site address NSN Harmany Ranch Road
Day phone
Legal description (Sub'd., Block & Lot) Harmany Ranch - Eaglet Aerie, Lot 5
Legal description (Township, Range & Section)
Lot Size 73,029 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑X
Initial ❑X
Single Family (SF)
❑X
ADU)
Septic Tank
NUpgrade
El(w/wo
Duplex (D)
F-1
Holding Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑x
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: q%2-5 Caul D Waiver Fees:
Date of Payment: 007 7 '2 o'D Date of Payment:
Receipt Number: 08t4�G Receipt Number:
Permit No. 05 P2D 13 4 6 Waiver No.
Permit App__- : • ::...:c
Municipality of Anchorage
On-site water and wastewater
Pannone i e e C I ry i s S LLC REVIEWED FOR CODE COMPLIANCE
Steven R. Pannone, Principal
OSP201346, Rebecca Carroll, 0W1412
Registered Professional Engineer
E-mail: steve(@DanenEak.com
September 11, 2020
Subject: Harmany Ranch — Eaglet Aerie, Lot 5
Septic System Permit Request
Design Narrative
This is a design narrative for a permit to install a new septic system and well to be issued for this property. The
proposed systems will serve a proposed four bedroom (4) bedroom house. Currently the lot is undeveloped.
This lot and the surrounding developed lots are or will be served by private wells. Required separation
distances to wells will be maintained.
1. Soils. One test hole was performed by PES in February of 2020 and groundwater was monitored for 7 days.
Test holes were allegedly performed on this lot by Michael E. Anderson in October of 2013 and September
of 2017 (on file at the MoA). PES was unable to locate any monitor tubes on this lot and the soils report for
this subdivision has been found to be generally unreliable, but PES did take the logs into consideration —
including separation to groundwater. Minimum separation to groundwater for CAT III will be maintained.
Based on the results of the percolation tests and overall soils appearance as found by PES an application
rate of 0.5 gallon/day/square feet was used for a CAT 111 wastewater system.
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 and drainage ditches.
4. Topography: The existing topography generally slopes from the northeast to the southwest in the
area surrounding the septic system at approximately 5%-7%. There are no steep slopes downhill of the system.
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.
Steven R. Pannone, P.E.
......... .
Mailing: P.O. Box 1807, Palmer, AK 99645
Telephone: (,907) 745-8200 FAX: (907) 745-8201
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"tteven aririorte
CE 8149
<,as
DATE
20201030
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HARMANY RANCH - EAGLET AERIE, LOTS
SPINELL HOMES INC.
HARMANY RANCH ROAD
EAGLE RIVER, AK
SCALE
1" = 80'
NO
381 -85
81
DRAW DRM
SITE PLAN
P050
O.
OSP201346
ISHEET
1 OF 2
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NOTES:
PANNONE ENG SVC LLC (C.l. 1088)
BOX 1807 PALJER, AK 99645
OH'ONE 907 745-8200 FAX 907 745-8201REV:
"` .......P.I.D.
"tteven aririorte
CE 8149
REVISIONS
DATE
20201030
FOR CONSTRUCTIONP.O.
20201103
CHANGE ORDER
HARMANY RANCH - EAGLET AERIE, LOTS
SPINELL HOMES INC.
HARMANY RANCH ROAD
EAGLE RIVER, AK
SCALE
1" = 80'
NO
381 -85
81
DRAW DRM
SITE PLAN
P050
O.
OSP201346
ISHEET
1 OF 2
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NOTES: PANNONE ENG SVC, LLC (C.I. 1088) REVISIONS DATE
FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, All 99510 . 20201030
PHONE(907) 272-8218 FAX (907) 272-8211 p REV: 20201103 SCALE
CHANGE ORDER�TM * NTS
49 HARMANY RANCH - EAGLET AERIE, LOT 5 ••• •• • ••••• P.I.D. NO
DRAWN DRM SPINELL HOMES INC. "sieves 12. anria;e 050-381-85
CE 8149 PERMIT N0.
HARMANY RANCH ROAD Os 0.
SOIL LOG EAGLE RIVER, AK SHEET
2 OF 2
DESIGN PARAMETERS
PRIMARY/ RESERVE SEPTIC SYSTEM
NO. BEDROOM: 4 (600 gpd)
TANK SIZE: 1500g S.T.E.P.
W/ AX20 POD
& AUX PUMP VAULT
PERC RATE: 6-15 MPI
SOIL RATING: 5 GPD/SF
AREA ROD: 120 SF
SYS. TYPE: BED 1O'W
MIN LENGTH: 12 LF
USE:
12 LF X 10' WIDE, 0.5' E.D., +1.0' TD
TOTAL AREA: 120 SF
DESIGN PARAMETERS
ERS - IN-SITU INTERFACE
NO. BEDROOM: 4 (600 gpd)
PERC RATE: 90-120 MPI
SOIL RATING: 0.5 GPD/SF
AREA ROD: 1200 SF
USED:
30.0 LF X 40.0' WIDE
TOTAL AREA: 1,200 SF
a
____IREMEV&IDLFM WELL
§R201346, Rea
ABBREVIATIONS
TH
TEST HOLE
(P)
PROPOSED
(E)
EXISTING
CO
CLEAN OUT NO.
FC
FOUNDATION
CLEANOUT
FS
FLOW SPLITTER
MT
MONITOR TUBE NO.
TYP
TYPICAL
110 \
��� TH-1
4— C3 /
L 0 T 105
48R
\ / M HOUSE
(P)
a
3
\ j
951 WELL (P)
R qo
NOTES: PAMMONE EMG SVC LLC
FOR CONSTRUCTION P.O. BOX 1807 PALLIER, AK
PHONE (907) 745-8200 FAX (90
PRIMARY/RESERVE DRAIN FIELD (P)
12LF x 10'W x 0.5'ED x +1.O'TD
WITH 1.0' SAND AND
40LF x 30.0'W x 2.0' ERS
INSTALL MONITOR TUBE AT EACH CORNER—
SEE SECTION
INSTALL 1500g ADVANTEX�TANK
WITH AX20 POD AND AUX PUMP VAULT (P)
INSTALL FOUNDATION CLEAN OUT
100 /
1
C.I. 1 088) """1111 REVISIONS DATE
645
745-8201
HARMANY RANCH - EAGLET AERIE, LOT 5
DRAWN DRM SPINELL HOMES INC.
HARMANY RANCH ROAD
SITE PLAN EAGLE RIVER, AK
OF AC�s'h
......
.
St— R. Pannone .�
CE -8149
%111 IPRCF
09/11/2020
SCALE
1"=60'
P.I.D. NO
050-381-85
PERMIT NO.
OSP201346
SHEET
1 OF 3
n -t 1 - re_(uve -()Ie_ Id
Municipality of Ancliorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPUAN E
OSP20134Q Rebecca Carroll, 09/9
2" RIGID INSULATION
FILTER FABRIC
1.25" 0 PERF PIPE W/
DRAIN 1/8" HOLES DRILLED 18' O.C.
ROCK DRAIN ROCK 6" ABOVE PIPE INV
TOPSOIL &
2 5 / VEGETATE
1 3— 4.0 I -- - r0.5 I /
2 SAND (ERSp; 1 0.-
`
REMOVE ORGANICS
PRIMARY SECTION
TEST HOLE 1
OR TOPSOIL SOILS LOG
1
2
3 SM/GM VERY SILTY
SAND AND
4 GRAVEL
5
6 BOH
7
READING
DATE NET TIME
WATER
LEVEL
READING
NET DROP
RATE
(MPI)
1
7FES2020 —
6.99
—
—
2
30 MIN
7.34
0.35
88 kip]
3
—
6.99
—
—
4
30 MIN
7.29
0.30
100 MPI
5
—
6.99
—
—
6
30 AIIN
7,28
0.29 1
103 MPI
8
g
WAS GROUND WATER SOIL TEST RESULTS/ANALYSIS
ENCOUNTERED? N PERCOLATION RATE 103 (minlinch)
• PERC HOLE DIAMETER 6"
10
IF YES, AT WHAT TEST RUN BETWEEN 3.5 FT AND 4.5 FT.
DEPTH? —NA—'
11
t2
DEPTH TO WATER AFTER,
MONITORING? —DRY
13
DATE: 14FES2020
14
COMMENTS: Test hole excavated by POMRAINING CONSTRUCTION.
15
t 6
PERFORMED BY: PES. I CERTIFY THAT THIS TEST
WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL
17
GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
18
19 1
DATE PERFORMED: 7FES2020
NOTES: PANNONE EMG SVC LLC""`
1088)
P.O. BOFOR CONSTRUCTION PHONE (907)X74187 5-8200j�LFAX (907)9 745-8201
t,
_ .� " OF' p�?S;�9y
t�
REVISIONS
DATE
09E11/2020
S
NTS
HARMANY RANCH — EAGLET AERIE, LOT 5
P.I.D. NO
DRAWN DRM SPINELL HOMES INC.
NOTES/ SOILS HARMANY RANCH ROAD
LOGS EAGLE RIVER, AK
Steven R. .. Pannone .
i'•, LE -8149=
�=
¢;
...\"",
os050-381-85—s5
PERMIT NO.
OSP201346
SHEEN OF 3
roll - CeS(at-vQ -R0-cd
Development Services Department
�,,� Phone: 907-343-7904On-Site !Nater 8, Wastewater Section - Far: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 05038185000
Expiration Date:
1. GENERAL INFORMATION
Complete legal description Harmany Ranch - Eaglet Aerie L5
Location (site address) 8181 Harmany Ranch Rd
Current property owner(s)
Mailing address
Real estate agent
2. TYPE OF DWELLING:
[� Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
Day phone
Day phone
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well 0 Private Septic ❑
Water Storage ❑ Holding Tank ❑
Community Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
COSA Fee $ i A 0
Date of Payment 10 - 11- 2�
Receipt Number 0 E g6-11 G
COSA# 05U t 16-2 y
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
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.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA
COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time
of the test, and separation distances measured to readily 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. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly
recommends buyers hire their own engineer to evaluate this report.
Name of Firm Pannone Engineering Services
Address P.O. Box 1807 Palmer, AK 99645
Engineer's Printed Name Steven R. Pannone P.E.
Phone (907) 745-8200
Date fC �j
OF
6. DSD SIGNATURE. _ �:: 4 T `
System #1 Approved pproved for bedrooms �� • • Steven 'P.. •Fonnone•
System #2 Approved for bedrooms61'i CE 3149
DisapprovedD
Conditional approval for bedrooms, with the following stipulations:
'UqU471
.0�\G\pPLITY OF
ON,
Wq ,_ R AN441
c� A
ro pR0 SER
G�, ?
)C 1hNN
By. Original Certificate Date: to 21
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
Legal Description: Harmany Ranch - Eaglet Aerie L5
If more than 1 septic system on tot: COSA Checklist # 1 of 1
A. WELL DATA
0 Well log is filed with Onsite (or attached)
Date drilled 11/20
Total depth 85 ft
Cased to 77 ft
n Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) ` in.
Date of flow test for COSA new
Static water level at beginning of test flowing ft.
Comments
B. TANK DATA
Age of tank(s) ""'rz° years
Tank type/material FGIO:cuo
Measured operating fluid level in septic tank na
Standpipes/foundation cleanout per record drawing
Date of pumping new
D. ABSORPTION FIELD DATA Wide Trench
Which system tested (date installed) 12`28120
M ALL standpipes present per record drawing
Total measured depth from grade 3 ft (max)
Measured depth to pipe invert from grade 2.5 ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
0 Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
Parcel ID: 05038185000
Structure served by this system 1
Well production at time of test 6 gpm
Water storage tank volume na gallons
Well disinfected for coliform test? ❑ Yes No
Q Coliform bacteria is Negative
Nitrate mg/L ® Nitrate less than MRL (ND)
Arsenic ?. ug/L ❑ Arsenic less than MRL (ND)
Collected by PES
Date of Sample 10/5/21
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date new
Results ❑✓ Pass For 4 bedrooms
Fluid depth prior to test in
Water added gal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
0
Yes
Community Sewer Manhole/Cleanout > 100'
Q✓ Yes
if No
ft
[�]✓ Yes
if No ft
Neighboring Tank > 100' Q Yes
if No
ft
Private Sewer/Septic Line > 25' M Yes
if No ft
Absorption Field on Lot > 100' 0 Yes
if No
ft
Holding Tank > 100' M✓ Yes
if No ft
Neighboring Absorption Fields > 100'
F/� Yes if No ft
Water Main > 10'
Animal Containment > 50'[7✓ Yes
if No ft
✓V Yes
if No
ft
0 Yes if No ft
Water Service Line > 10'
El
Yes
if No
Manure/Animal Excreta Storage > 100'
If septic tank is under driveway comment below
Community Sewer Main > 75' (�✓ Yes
if No
ft
M Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
0
Yes
if No
ft
Surface Water > 100'
P/1 Yes if No ft
Property Line > 5'
0
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
Q
Yes
if No
ft
Private Wells > 100'
F/� Yes if No ft
Water Main > 10'
Q
Yes
if No
ft
Community Wells > 200'
0 Yes if No ft
Water Service Line > 10'
El
Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' El Yes if No ft If absorption field is under driveway comment below
Property Line > 10' F71 Yes if No ft Wells on Adjacent Lots:
Water Main > 10✓J
Yes
if No
ft
Private Wells > 100' a Yes if No ft
Water Service Line > 10'
Yes
if No
ft
Community Wells > 200' ❑✓ Yes if No ft
Surface Water > 100'
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
l certify that l have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
COSA Checklist yellow sheet
:4 H 1
St���en •R. Ponnone�
'91" CE 8149 u
��uFESSicy'��.
res .Xf1,UKJ,_VASTEWATER TREATMENT
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
J 5 Day of _� -� ' of 20 21 , by and between _tt.
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
vantpx S.£pUc S slsm
located at (legal description).
Lot
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. 'Perm. 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
infonnation.
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:
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.
®1JVIVER:
Br---Y�-
(signature) Date: 1011Shozl
40"o - Ie v e. (print name) 06711�
A -11 k(' . l Qf V e l
STATE OF ALASKA }
) ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this IT day of 6c,306vt'
20.x, byOw y5 Z
..m��;!.
NOTAR PUBLIC FOR AL SKA
My Commission expires: 12._ tLf - z3 OFMIAL SEAL
LEZLIE ARNOLD
# NOTARY PUBM-STATE OF ALM
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MUNICIPALITY-
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Date: 10—t q-2-0
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