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Home My WebLink AboutPOTTER HIGHLANDS PH 3 BLK 3 LT 13Onsite File Potter Highlands Ph 3 Block 3 Lot 13 #020-282-05 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211074 PID Number: 020-282-05 Dwelling: W Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: X New ❑ Upgrade Name Potter Creek Development ABSORPTION FIELD X Deep Trench El Wide Trench El Bed EJ Mound Site sc� Potter Highlands Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 6.0 GPD/SF 9.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft. Gravel depth beneath pipe 5.0 Ft. Subdivision Block Lot Potter Highlands Ph3 3 13 Fill added above original grade 0.0 Ft. Gravel length 20 Ft. Township Range Section Gravel width 2.5 Ft. Beds: Number of Lines n/a Distance between lines n/a 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 Ftz 1 n/a Ft. Well 100'+ 100'+ NA NA 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ®❑ Other Manufacturer Orenco Capacity, 1500 Gal. Surface Water 100'+ 100'+ NA NA Material Number of compartments Lot Line 5'+ 10'+ NA NA NA HDPE 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Orenco 250 Gal. Alarm location House Electrical installed by Solid Ground Installer PIPE MATERIAL House to tank 3034 rainTank 0k to 3034 d Red Dog Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 1055 ft Inspdection is, 5/19/2022 5/19/2022 Location and description 2nd 3'd 5/20/2022 41h 5/20/2022 See Site Plan, Bottom of house trim ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: A ® A DateOF �� ®mac.- 9 dt� ckp a!; .R..Fonnor� �� . CE 8� Septic System �j Approved Date �NN�`�'®��` Note: this approval does not include well permit requirements. kmt::v Ua/UG! 10) -10m v --i D m O-- = CD UJ y E opo M z * z D � � ti' DO�pZz O =.� N E �7 U>OG7 r p c o r o C z m z ED mO Z tI7 o�> F z m O cn C m ➢ r v -i o z () c m Ulm -i N Ic K Un D (n -D �E -i Z-0 oo� T-ni< 0 n-. FT] 07D Dx Z� �D xX �m > �u — CJN Gig V Ivy DU =mo�.T10m0zZ O = n N _.m O� :�'O nK Ox Om0 -P P N N j N Oo CP --I CO Q) C7 o x Z— y O Cn CA 67 Gt N � -F -P N Cn -i N Ic K Un D (n -D �E -i Z-0 oo� 0 z<�ox�,z. bmo r Dr nD FT] 07D Dx Z� �D xX �m > �u — CJN Gig V Ivy DU =mo�.T10m0zZ .. m cn -71 N _.m O� :�'O nK Ox Om0 .Z7 D �6 0 < m �1 0 -0 ° — o cn m o(D D m 0 FTI D = _T.) D Q C7 FTI x Z— Cn c0 O X U) {J} O m 0 � m NOTES: PANNONE ENG SVCS LLC (C 1. 1088) RECORD DRAWING j(�. fir: 49rii :* _ POTTER HIGHLANDS PHASE 3, BLOCK 3 LOT 13 DRA' ACP POTTER CREEK DEVELOPMENT, LLC "$'!even ons' o' SITE: NHN POTTER HIGHLANDS DRIVE CE 8149�� SITE PLAN ANCHORAGE, AK ._�•••_-+if'�i.°' REVISIONS VNit 6/29/2022 REV 1: 7/13/22 1,�.,i t- 1:50 .D. NO 020-282-05 ERM—IT N0. OSP211074 HEET 1 OF 2 Alpine Drilling & Enterprises Well Log Permit Number: HSW211074 Date of Issue: 3-26-21 Parcel )identification Number: 02028205000 1. Date Started: 7-28-21 Date Completed: 7-30-21 Is well located at approved permit location? x Yes Legal Description: Potter Highlands PH 3 Block 3 Lot 13 [:j No Property Owner Name & Address. Potter Creek Development LLC Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To stick up gravelly silt silty gravel gravelly silt Silt gravelly silt silty gj-ave11720 yvon't-clear• .- gravelly silt sill; gravel H2O bedrock. 0 2 2 19 19 35 35 224 224 320 320 340 340 346 346 380 380 383 383 386 WATER QUALITY TESTING I1�'22 Comform N Sn C011100ML Nitrates :k l 3 mg/L Arm* S -K) u9/L ton 12Z . Method of Drilling x air rotary ❑ cable tool Casing type: steel Wall Thicicness:.250 inches Diameter: 6 inches Depth: 383 feet Liner Tyne: rDer: inches Depth: feet stickup above ground: 2 feet ater level (from ground level): 368 feet ng level: 386 feet after ours pumping 10 +ppm ry Rate: 10 + gpm of Testing:take Opening Type: End Open 13010 ened Start feet Stopped feet rations Start feet Stopped feet Grout Type: behlonite grm7ules Volume: 2 bps Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: cl7107-ine tablets Comments: , Well Driller: Alpine Drilling & Enterprises Mailing Address Anch07•age, AK 99511 MUNICIPALITY OF AN OR.AG Development Services Department t<k } Phone: 907-343-7904 On -Site Water & Wastewater Section ` �% Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: 211074 bate of Issue: 3 _26 _2021 Parcel Identification Number: 020 _282 _osoeo Legal Description Block Lot ' Property Owner Name & Address: � Potter Creek Development Potter Highlands Ph. 3 3 13 Hagmeier Homes' Pump Installation Date: 9 -8 -2021 Pump Intake Depth Below Top ofWell %ell Casing: 382 Pump Manufacturer's Name: Fairbanks Morse Pump Model:16 GPM Fairbanks Morse Pump Size: 3 hp Pitless Adapter Burial Depth:/A feet Pitless Adapter Manufacturer's Name: NSA Pitless Adapter Installer: NSA Well Disinfected Upon Completion? ' Yes ❑ No Method of Disinfection: chlorine tablets Comments: PLEASE SAVE FOR COSA. Pump Installer Name: Company: Aarow Pump & Well Service, LLC Mailing Address: P.O. Box 11049E City: Anchorage State: AK feet Zip: 9951116 Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. d W D Z LLJ 'Q v 0 Z W h M N n V fl} N Q J N \ p = LLI IL {'ip 4 O C.5 !l a � Z N w w00 o 1�. :c C14 N �a. 0 U O oD L cn • �• O o . - . d W D Z LLJ 'Q v 0 Z W h M N n V fl} N Q J N \ p = LLI IL {'ip 4 O C.5 !l a � Z N w w00 o 1�. :c C14 N �a. 0 U O oD L MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 9g51yV8su P e04 Fax: (oVr)34a-7gS7 On -Site Water & Wastewater System Permit Permit Number: OSP221026 Work Type: VVeUSepUoRenowal Tax Code Number: 02028205000 Site Legal Address: POTTER HIGHLANDS PH3BLK 3 L 13 G:3638 Site Mailing Address: 18OQOPOTTER HIGHLANDS DR, Anchorage Owner: JOHN HAGMEIER HOMES LLC Design Engineer: PANWDNEENGINEERING SERVICES This permit isfor the construction of: Effective Date Lot Size in Sq Ft: 2/11/2022 2/11/2023 21 Disposal Field 10Septic Tank 171Holding Tank El Privy 10Private Well 0 Water Storage All construction shall heinaccordance 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 (18AAC@0) 1 The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.S5.Provide notification bycalling (yO7)343-7QO4(24/7). 4. From October 15 to April 15. e subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: '- —'-- - ^ in t1. ots his subdivision are required to have a Category III -nitrate reducing wastewater treatment system, Received By: Date: Issued By: � // 11,2 0,�,Z M MUNICIPALITY %1 G,.�'As 5�,.W Community Development Department Phone: 907-34.3-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 020-282-05 Property owner(s) Potter Creek Development LLC Day phone Mailing address 561 E. 36th Ave., Ste 200, Anchorage, AK 99503 Site address 18890 Potter Highlands Drive Legal description (Sub'd., Block & Lot) Potter Highlands Phase 3, Block 3, Lot 13 Legal description (Township, Range & Section) Lot Size 53,269 Scl. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (N all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well 0 Water Storage ❑ APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑x TYPE OF DWELLING: Single Family (SF) ❑X (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) 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: t 1q 5 — Waiver Fees: Date of Payment: 'Q110 'zoo Date of Payment: Receipt Number: O 7 ( 3 R C�3 Receipt Number: Permit No. 0 S P Q a 1 d) 6 Waiver No. Permit App_-'- ::'.. c Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panenizak.com DATE: 2/8/2022 Subject: Expired On -Site Water and Wastewater Permit Permit Renewal Request Permit Number: OSP211074 Legal Description: 906 r P(I-5 63 t-/3 This is a request to renew the permit for the above mentioned lot. All site conditions remain the same. The construction still will not affect the health, safety, or development of the surrounding lots. Sincerely, Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer Mailing: P.O. Box 1807, Palmer, AI< 99645-1807 Telephone: (907) 745-8200 FAX: (907) 74.5-8201 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 470Elmore Road Anchorage, Alaska nms1o'eaoo Phone: (am7)o*o-7eo* Fax: (aur)a*o'7ao7 Permit Number: OGP211074 Work Type: WeUSeptic Initial Tax Code Number: 02028205000 Site Legal Address: POTTER HIGHLANDS PH8BLK 3 L 18 G:3638 Site Mailing Address: Owner: POTTER CREEK DEVELOPMENT LLC Design Engineer: P8NN(]NEENGINEERING SERVICES This permit |afor the construction of: Effective Date; Expiration Date: Lot Size in Sq Ft: 3/2G/2O21 3/2G/2U22 2 Disposal Field 2 Septic Tank El Holding Tank El Privy P Private Well 11 Water Storage All construction shall beinaccordance with: 1. The attached approved design. 2. All na4uinanoenta specified in Anchorage Municipal d Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (1 8AAC72) and Drinking Water Regulations (1 8AAC80) 3. The wastewater code requires inspections during the installation. The engineer noUh/theDeve/opment Services Department per AMC 16.85. Provide notification by calling (AO7343'7SO4(24/7') 4. From October 15 toApril 15.asubsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 1H 1.Lots inthis subdivision are required tohave oCategory Ui-nitrate reducing wastewater treatment system. 2. There is a 10 it easement along the property line bordering Potter Highlands Drive, not shown on the site plan, Received By: 41111Issued By- Date:~' Date: 3 0,2 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211074, Rebecca Carroll, 03/26/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211074, Rebecca Carroll, 03/26/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211074, Rebecca Carroll, 03/26/21 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section t=ax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-282-05 1. GENERAL INFORMATION Expiration Date: OCA 1 X) 2 Complete legal description Potter Highlands Ph3 133 L13 Location (site address)10 890 Potter Highlands Drive Current property owner(s) Hagmeier Homes Mailing address Real estate agent 2. TYPE OF DWELLING: FLI 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 Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver requ Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ lo(O Waiver Fee $ Date of Payment i 10� Date of Payment Receipt Number Receipt Number COSA # 03 C,2 Q 13 16 Waiver # Distance: 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. 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 Phone (907) 745-8200 Engineer's Printed Name Steven R. Pannone P.E., F. ASCE Date -7,z®-?V �lllll(r-(((((((/ ZON-SITE1711, W A z� o o'AST's�'t'ATER o J 2 PR0G1`1,M \�' Cb 7�1 )))))1)11111 By: ("CIA AOriginal Certificate Date: 1/1_11x092 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 OF TH 6. DSDSIGNATURE ,.-d J System #1 Approved for bedrooms Ste, n R Pannone. S�o y Approved for System #2 Abedrooms � a1 �hlk Disapproved Aw Conditional approval for bedrooms, with the following stipulations: �lllll(r-(((((((/ ZON-SITE1711, W A z� o o'AST's�'t'ATER o J 2 PR0G1`1,M \�' Cb 7�1 )))))1)11111 By: ("CIA AOriginal Certificate Date: 1/1_11x092 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:,. f Parcel ID: o - c If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled `/ Total depth s 35& _ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA new Static water level at beginning of test 1 ft. Comments Age of tank(s) 0.5/11122 years Tank type/material Al° t W Measured operating fluid level in septic tank new ❑ Standpipes/foundation cleanout per record drawing Date of pumping new D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 5/19/22 ❑ ALL standpipes present per record drawing Total measured depth from grade 9 ft (max) Measured depth to pipe invert from grade ft (min) _j N/A - pressurized field 1 Monitor tubes go to bottom of effective. If not, state depth into effective On 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 Well production at time of test /0-/- gpm Water storage tank volume gallons Well disinfected for coliform test? ® Yes ❑ No On Coliform bacteria is Negative Nitrate 2.73 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L On Arsenic less than MRL (ND) Collected by PES Date of Sample �.:2- (,477;T, 71n C. LIFT STATION ❑ Required maintenance completed Age of lift station 0 years Lift station material HDPE Comments: Adequacy test date new Results E✓ Pass For 4 bedrooms Fluid depth prior to test loin Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate 600+ god 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' Q Yes Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft Q Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' F71 Yes if No ft Holding Tank > 100' F71 Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' El Yes if No ft M Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft E] Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F,7� Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Z Yes if No ft Private Wells > 100' Fv� Yes if No Water Main > 10' M Yes if No ft Community Wells > 200' Q Yes if No • Water Service Line > 10' 0 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' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' U Yes if No Water Service Line > 10' Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that / 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., t COSA Checklist yellow sheet `a>teie F 9r'arinone CE E 81-,9 ft ft ft ft MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of M4P--`; t+ of 20�, by and between 'S , eA-N1 01. H 11TQ i-�-C&ck —, 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: Z:) ZD I . Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize anq o9erate ii Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) 0� Nfir ki 2. Maintenance, Repairs and Alterations. '4 (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement 1-.� C, 1� 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. ;i 6 -1W It shall be the responsibility of the Owner during the term of this Agreement to pay for all 0 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. S Owner acknowledges that regular maintenance of an AWWTS reduces the potential -61W 1-� I failure of the system, which could include sewage backup and costly repairs or drainfield replacement, (rev. 05/18/2018) Page 1 of Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 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. Owner agrees that any sale or transfer of title of the property will not occur without anew Z:) 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 Zn guidelines for the construction, maintenance and repair of the Owner's AWWTS. Z Owner agrees to maintain remote monitoring of the AWWTS as required by the In AWWTS approval. 3. Tenn. 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 Z:I 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 ZD unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be IM brought in the Superior Court for the Third Judicial District of the State of Alaska at obligations of theblig Anchorage. The laws of the State of Alaska shall govern the rights and o ZZI C, parties under this Agreement. Z� 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:si�naturc ( b ) •• It name) STATE OF ALASKA THIRD JUDICIAL DISTRICT The foregoing instrument was acknow �j 20�, by % �� w„x�,/�ff ARY PUBLIC/FOR A My Commission expires: Date: x%/14- / ss. �d before me this day of MUNICIPALITY: By: // (signature) iJC CCc, &rKO ff (print name) SHARON G. CRUZ Notary Public State of Alaska My Commission Expires Sep 1, ]2024 Date: 134ao12 Title: (rev. 05/18/2018) Page 3 of 3