HomeMy WebLinkAboutGLACIER VIEW HEIGHTS #2 BLK E LT 4 Onsite File
Glacier View
Heights # 2
Block E
Lot 4
#050 - 491 - 39
v DOC CO dba
BILL 8& COLE
:40 DIVAN WATER WELLS
P.O. Box 670269, Chugiak, AK 99567 688-2759
www.suilivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue
Parcel Identification Number:
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
III.WASTEWATER DISPOSAL Legal Description: I.A C leg vieo fi s s 6 L
1 pe of Wastewater atcr System: -f- 6l 0 C y c 1.,-t,_
IEC- - "RAtr e1AtG - 8
9O( Septic Tank with Conventional Soil Absorption S stem
Package Treatment Plant(requires engineered design)
C Size in Gallons: Manufacturer:
O Ilolding Tank: Material Type:
0 Alternate Onsite(requires engineered design)
O Other-Specify Type
Gallons Per Day(GPD)
O Small Commercial System(<500 GPD) With Estimated Daily Wastewater Flow of: —
Criteria Used to Estimate Daily Wastewater Quantity:
NEW SYSTEM 0 REPAIR TO EXISTING SYSTEM it crtitied Installer Installation Notification Date: /12/i
0
. , 7-lzucr(o Ai 'Date Installed: 5
Name of Installer: D ��� Cod ry S
0 B Re istered Engineer With Inspection by a Registered Engineer
��,:tem Installed: y a g
0 By a Certified InstallerrinstallerNomber
F-1 By Approved I lomeotvner(attach copy of approval letter) Number of Compartments: �
Septic Tank:Material: Manufacturer: Size(Gallons):
157 S re-EL A-AJC(40r?4-R= 7-4-A1(6
Deep Trench
0 Shallow"french 0 Seepage Pit 0 fled
1:.,•r�+t Soil Absorption System:
0 Mound 0 Other,Specify i
��++ 8 / x S E. 6Buil C'fas.ilication: 'Soil Rating:2 (tee I
p�Dimensions/Size of Absorption Arca: 3 �
3/� �� ' Thickness/Depth of Distribution Rock: S
<_irading�Sizc of Distribution Rock: 3
Ami )..lationTest Performed by: ,
fere elation Test Results,Attach Copy of Report: PercoN
Minutes per Inch Sq.ft.per bedroom percolation test results must be sealedistgned by a registered en -er
LI Abso tion Area Sewer Pipes --
I kt around cover in feet over: 41Septic'fank � / Monitor Tubes:
+ ...anon(Pipes/Caps Installed:
Foundation Cleanout: ,Septic Tank:
Indicate separation distances from septic tank or absorption area,whichever is closest,to all nearby:
stater sources within 200 feet: Private drinking water sources within 100 feet: /OG f
I ubiic drinking it
' t Lot line: / :
Nearest water t))dies(see 18 AAC 72.020(b)): lG o Private Sources: 2 5 �—
separation Uislance from Unlot Seer Lines to:
Public Drinking Water Sources:
Groundwater fable: a /t Bedrock: 6 t
+O
Separation Distance From Bottom of Distribution Rock to:
Separation Distance from Absorption Arca to Slope exceeding 25%: (]414.1 /4J).a-
0
Comments/Recommendations 6 ay CLQ S f .0 1 Q L y C L
/101FL (SOO �oR S- 6 4) ervl l, (If L
1 ,crti(t that the abot c information,and that provided in Section IV,is correct:
:mnutrc fypedJPrintcd Name
aC ffitic,Kc iC
st
ert No.,Inst.No.
7-61/4/6 e.--,U
Date
Ge ( Ie (2 0 // O
5h .eagned hr a CertifiedInstall .Professional Engineer,DEC staff or Approved Homeowner. lf engineering seal hears printed name.
tration number,and is signed,those bloc lre deed not he comp' ti for engineered submittals.
SEAL '� .5
.r:.SY
Registered Pro( id?trl
Engine)!�; '
I:4 t�
r :•
;i, a•t • ..� J
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Gi/C(r v/() z
SECTION B-Contractor's Section __— 2 L/
I certify that 1(or an individual under my direct supervision)have conducted an inspection of the project referenced in
Section A,or portions of the project which I had the responsibility for constructing,and that to the best of my knowledge and
information,the project,or those portions,was or were constructed in accordance with the latest plans submitted to and
approved by the Alaska Department of Environmental Conservation,pr in acc rdance with the attached as-built drawings.
–/z)
Name of Contractor Signature of Contractor(please sign in ink) Date
For multiple contractors,if applicable:
Name of Contractor Signature of Contractor(please sign in ink) Date
Name of Contractor Signature of Contractor(please sign in ink) Date
•I.:( "f ION C- Engineer's Section
I certify that I(or any individual under my direct supervision)have conducted an inspection of the above referenced project,
and that to the best of my knowledge and information,the project was constructed in accordance with:(check one of the
fbIlowing)
❑ the latest plans submitted to and approved by the Alaska Department of Environmental Conservation
or
Kt in accordance with the attached as-built drawings.
401111.' ,, C E (2 -sem —5-4. a A d
Signature of Professional Engineer State of Alaska
Responsible for Construction Inspection Professional Engineer
(Please Sign in Ink) Registration Number
Typed or Printed Name of Professional Engineer
22
DESIGN NOTES:
1. Total Depth •f Trench is 8.5'.
2. Sewer Servic; Line minimum 2% slope.
3. Measure Dist ince To Wells Prior To Excavation.
4. Lots Served ,'y Private Water Wells.
Slope
IIIII
10t
Bedroo
upl ex
New 1000 Gallon
Septic Tank
f NEW
DECOMMISSION BIOCYCLE
Septic Tank TH
MT New
I Trench
20% Slope
easep)e \ '-\ Driveway
����
Cut
r GLACIER VIEW HTS 442
P�� ' 1' = 50'
NORTHRIM *�•4 Pi--`'.. * BLOCK E LOT 4 RECORD
ENGINEERINGs ___ �- -� LAYOUT
PO 7717724 S,.,.p, NEW TRENCH
a�
Eagle River, Alaska 99577 � (per• - _
907.694. 7028 BIOCYCLE _ 5/20/10 2 of 3
•
Elevation = 12.70' DESIGN NOTES:
BIOCYCLE INSTALLATION WITH. SEPTIC TANK 1. Depth of Trench is 8.5'.
— _ 2. Septic Tank & Solid Pipe to be
Placed on Compacted, Stable Soil,
uFree From Boulders.
• "",-rr/1.5 f,m- r 4 - rpr r r4 Z 4 ' 54e40.- BIOCYCLE i•rr•%f•yr•vi.
4.TEE REDUCED TU 7-7/4 r irk;r r
"''..' 3. Sewer Service Slope is Minimum 2%.
TOACCEPT 1-1/4•dNE ao ' 2-INSULATION BACK ROUN i 4. Water-Tight Couplings.
B!(.LA CE S7 DEON BELOW. CF£R 1-1/4.7ON• ^1/2Y PVC noilevc
J 4
_ °�'OF 5. See Specification Sheet,
rS r .. ... 3034 PVC-- ------ - _ - DISCHARGE 70 TR£NCfi
INFLUENT-. I \1-1/4'PVC SLUDGE RETURN SLOPE--
• -iii v.... 1 MIS i ti.
SEPTIC TANK ?>W0
1000 GALLON o 6 &' •: ® Slope
g •
" i
k / -FLEX'£,;. ..
a
DIFFUSERt
- .4 ,11111111.111111.111.411111111111 4 SHEETS or 2'4'
y •- PSA.-RD•;- TANK;ARMS
BLLE'BOARD NSULA iKN I-ANA :Er:GD; - .EPAIXIN
4"SAND/GRA U
fA ENTA710N OF 4• 7EE LEWAING COURSE
ROME TREATMENTLE Monitor Tube
NTS /
♦"TEE PrC�Wf % 0 CRY AERATXAV
• 0'� m SECONDARY AERADON III 4 0
•. 0 CLARIFICATION
® pescnAear
Filter•---,-
Fabric =
ise: ::
Elevation = 12.55' Effective Depth !!=� '
Asphalt @ Stair Bottom = 0.45' 5 0 AP: :1zI 5 5
?,-; ; ,
X3,0.-
sh:
sAPt�. .4,
NOR THR/M TRENCH END VIEW GLACIER VIEW HIS # 2
ENGINEERING ( ' & j), BIOCYCLE PREFILE BLOCK E LET 4
24stirow
Eagle River, Alosko 99577 a-ax ,.-
lir
907. 694. 7028 '' 4' SEPTIC SYSTEM RECORD'°°t°` 5/2O/10 °w^ Fi'i: sE ISc°'°: l• = 5 , ISHEET3
of 3
SE
moommommillw
1
Sean Parnell,GOVERNOR
555 CORDOVA
ANCHORAGE,AK 99501
/-1 Phone:(907)269-7519
Fax: (907)269-3487
DEPT. OF ENVIRONMENTAL CONSERVATION http://www.state.ak.usidee
269-3 usidee/
DIVISION OF WATER
WASTEWATER DISCHARGE PROGRAM
April 28, 2010
Steve Eng, P.E.
NorthRim Engineering
P.O. Box 770724
Eagle River, Alaska 99577
Re: Glacier View Hts #2, Blockgle RioPlanal Apron to
Construct a Wastewater treatment andDisposal System-ADEC
Tracking Number 8138
Dear Mr. Eng:
On April 14, 2010 the Department received an engineering plan submittal for a
onlot wastewater treatment la Bd disposal
Treatment tank system th, a new Mo e1�1500 for
lon surgetank, followed by the Class BioCycle
1,500 gallon treatment system and a new soil absorption system for the 5
bedroom duplex at the above location. In addition, the existing on-site system
will be decommissioned per Appendix K of the Uniform Plumbing Code.
The new treatment system will send pressurized effluent out into the disposal
system. The disposal system deep trench type has the required 4 feet of cover
material and will use an effective trench depth of 5 foot for a length of 37.5 feet
or having a 750 ft2 area. The soil is a sandy-gravel. The field percolation test
resulted in 2 minutes per inch. As this advanced treatment system is a
Category II a safety factor was used and the absorption rate of 2 gallons /ft2
has been determined for an application rate as used above.
The Department has reviewed the engineering plans submitted for the
advanced onsite wastewater disposal and treatment system and per the
Wastewater Regulations 18 AAC 72.235 conditional approval to construct the
proposed system is hereby issued. A "Certificate to Construct" for the Duplex
served by this domestic wastewater system is enclosed. Please use the
referenced plan number in correspondence regarding this system.
This approval is contingent upon compliance with the following
conditions:
1) If the applicant fails to construct, alter, install, or modify the system
within two (2) years after the date that the department issues an
approval to construct, the approval is void, and plans must be
resubmitted, (along with associated fees), for department review and
approval.
2) Deviations from approved plans which affect capacity, flow, operation,
major design of units, point of discharge, materials of major system
components (such as pipe, lagoon liners, etc.), or separation distances,
must be approved by DEC in writing prior to their implementation.
3) This approval is contingent upon compliance with the conditions of
Wastewater Disposal Regulations, 18 AAC 72.235, Construction
Certification. The noted section of the regulations requires that a
Certification of Construction" be completed and submitted to the
Department within ninety (90) days of completion of construction. As-
built plans or record drawings should indicate any changes or deviations
from the approved plans to facilitate final review. A "Certification of
Construction" form is enclosed for your use.
4) This approval is contingent upon your receipt of any other state, federal
or local authorizations which are required for your project. You are
required to obtain all other necessary authorizations before proceeding
with your project.
5) You are advised that if this development will require placing fill in
wetlands or working in a stream, river, or lake, permits from the U.S.
Army Corps of Engineers and the Alaska Department of Natural
Resources may be required. A Coastal Projects Questionnaire will help
you identify other permits and approvals that may be required for your
project.
This approval does not imply the granting of additional authorizations nor
obligate any state, federal or local regulatory body to grant required
authorizations.
Any person who disagrees with this decision may request an adjudicatory
hearing in accordance with 18 AAC 15. 195- 18 AAC 15.340 or an informal
review by the Division Director in accordance with 18 AAC 15.185. Informal
review requests must be delivered to the Division Director, 555 Cordova
Street, Anchorage, Alaska 99501, within 15 days of receiving the decision.
Guidance information on the informal review process may be found at.
http://www.dec.state.ak.us/commish/ReviewGuidance.htm. Adjudicatory
hearings requests must be delivered to the Commissioner of the Department
of Environmental Conservation, 410 Willoughby Avenue, Suite 303, P.O. Box
111800, Juneau, Alaska 99801, within 30 days of the decision. If a hearing is
not requested within 30 days, the right to appeal is waived.
Thank you for your cooperation. If you have any questions please do not
hesitate to contact me at 269-7519.
Respectfully,
/
William R. Rieth, P.E.
Environmental Engineer
Enclosure: As stated
cc: William Smyth, WW, w/o enc.
oGREA
,ER ANCHORAGE AREA BORgJGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
PHON E..,~.~ ?'-
SEPTIC TANK:
DISTANCE ~
FROM WELL _
INSIDE LENGTH
· NUMBER OF _,~
MANUFACTURER ~ /~'~ 'OK MATERIA[_ _.,~'T'-~'''-¢ / COMPARTMENTS-~'
INSIDE WIDTH. LIQUID DEPTH_ LIQUID CAPACITY /O-~''~¢ GALLONS.
SFEPAGE PIT:
NUMBER OF PITS J DIAMETER --
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
OR WIDTH
CRIB SIZE: DIAMETER
NEAREST LOT LINE__
DEPTHZ DISTANCE FROM: WELL I
TOTAL EFFECT,VE 2~'¢";2 SQ. FT.
ABSORPTION ^R~-A /WALL AREA)
WELL:
TYPE ;' 14
FOUNDATION
NEAREST
LOT LINE
CESSPOOL
CONSTRUCTION_ 9~-~-'-¢~' /
NEAREST
SEWER LINE
OTHER SOURCES
APPROVED_ DISAPPROVED REMARKS_
DEPTH__ / _~"'=~-~') DISTANCE FROM:
SEPTIC ~ SEEPAGE /41~4'~
TANK (?) SYSTEM
DISTANCES:_
INSTALLED BY: ~//Jl'~//~t~.'/ --
PIPE MATERIAl.'
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
C'C)t
,Alaska 03 /__
2204 Cleveland Anchorage 995
i-/~ ~ ~~ '
Performed For
This Form Renorts Soils Lofl~~ ~Percolation Test
Penth
Feet ~, ' . Soil ,Characteristic.s,
12--
16
Was Ground Water Encountered?_j~_
IF Yes, At what Denth?
Net Time Depth to H20 Net Dron
Readinq
Date
Gross Time
Percolation Rate !linute
Prnposed Installation: SeeDaae Pit
Drain Field
FL (o FI.
F~m--FL lo _FI.
DRILLER'S NANE '.,
Municipality of Anchorage •
el[
, On-Site Water and Wastewater Program
et ;_ (907) 343-7904
,;'•e7
mil Iilk
SA r C T
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-491-39 Expiration Date: Jo.x 0 5 , o20 f 1
1. GENERAL INFORMATION •
Complete legal description Glacier View Heights #2 Block E Lot 4
Location (site address) 22701 Glacier View Drive
Current Property owner(s) Brown Day phone 244-1580
Mailing address same
Real Estate Agent Owner • Day phone 244-1580
��6 8 9 yp 7,,
2. TYPE OF DWELLING:
❑ Single Family (w/wo ADU) ti `* �4�
® Duplex
OCT 1 8 2018 v
❑ Multiple Dwellings (Single Family and/or Duplex) _
t. tiJ
ccu
3. NUMBER OF BEDROOMS: 5 `zi OL 6 8 L 9 c,›'\
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class C Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
Received by: Date: 10 -1-S le)
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ S2.6. 00 Date:
Date of Payment l b/14208 Date of Payment
Receipt Number Receipt Number
COSA # 0S-c--181g -I 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 NorthRim Engineering Phone 694-7028
Address PO Box 770724,Eagle River
Engineer's Printed Name Steve Eng Date 10/18/2018
•
•
6. DSD SIGNATUREte
�ti �'' • =
System #1 Approved for 5 bedrooms. .
System #2 Approved for bedrooms. �� '
Disapproved.
Conditional approval for bedrooms, with the following stipula'tions'.:_�
By: �eVfAca
Canyt T, Ecik L&i c! Original Certificate Date: Oc* 0 5) a O E
The Municipality of Anchorage Devlopment Services Division(DSD)Issues Certificates of On-Site Systems Approval(COSA)based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_9-1-12.doc
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: G l ac ie f q7-s#2 ,6 L% Parcel ID:d5OSI` f 37
A. WELL DATA
Well type P
If A, B, or C provide PWSID# Well Log (Y/N)
Date completed C/21/77 ted Sanitary seal (Y/N) �/ Wires properly protected (Y/N)
Total depth/ 50 ft. Cased to ft. / Casingheight(above f 9 ( e ground) Zy in.
FROM WELL LOG AT INSPECTION
Date of test /2JJ77
/10//Ira
Static water level GL ft. 37 ft.
Well production (O O g.p.ht 6.4 g p m
WATER SAMPLE RESULTS:
Coliform D colonies/100 mL Nitrate a ?Smg/L
Arsenic /M) ug/L Date of sample: /O/7/ 7/d' Collected by: A/(/'
B. SEPTIC/HOLDING TANK DATA AP
Tank Type/Material S i T?2 , S reel- Date installed 51/42/10
Tank size 1060 gal. Number of Compartments 2 Cleanouts (YIN)
Foundation cleanout (YIN) y Depression over tank(YIN) /v High water alarm (Y/N) y
Date of pumping Pumper
f.GLLO ley 5,OcyeL4
C. ABSORPTION FIELD DATA
/)/EP
Date installed s t /io Soil rating (g.p.d./ft2 or ft2/bdrm) System type Tretokic f f
Length 3g> ft. Width 3 ft. Gravel below pipe .5 ft.
Total depth /Q ft. Eff. absorption area 7550 ft2 Monitoring tube Y Depression over field Al
Date of adequacy test 4/7/I f Results (Pass/Fail) P / For 5 bedrooms
Fluid depth in absorption field before test q g- in. Water added 7 so gal. New depth 5 q in.
Elapsed Time: CC min. Final fluid depth 1/h' in. Absorption rate >= 7,50 g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N & type) U, J/CNaw,/ If yes, give date
D. LIFT STATION
/S/0G et.-el
Date installed 5//Z//0 Size in gallons / SOO Manhole/Access(YIN) y
/ l
"Pump on" level at 6 S in. "Pump off' level at Lie.
�l. in. High water alarm level at 70 in.
Datum /3O f4.3.41, Cycles tested 3 Meets alarm&circuit requirements? ?fr/
E. SEPARATION DISTANCES
WELL ON LOT TO:
�
Septic tank/lift station on lot /00 r� On adjacent lots /00 74
!'O 0' ( 'F lots adjacent jOn ad
Absorption field on lot /00 1f'
Public sewer main /0'01-f Public sewer manhole/cleanout /CO
(
Sewer/septic service line 2 s * Holding tank /6v
Animal containment areas 5 O/}' Manure/animal excrete storage areas r�0 't
SEPTIC/HOLDING TANK ON LOT TO: 1
Building foundation /0 4Property line /O �7- Absorption field s
f /00 /-F
Water main ( Q � Water service line �� 'f'- Surface water
Wells on adjacent lots /00''r
ABSORPTION FIELD ON LOT TO:
Property line l() 14— Building foundation 0/ �" Water main / o l-71---
/ S �
Water Service line ( d f Surface water ,DQ /� Driveway, parking/vehicle storage
Curtain drain 5'0 f'� Wells on adjacent lots /d. /1"--
F.
�F. COMMENTS
G. ENGINEER'S CERTIFICATION -,:bes'.to!ti
1 certify that 1 have determined through field inspections and r- �rA� 1 .44 r .p,'
review of Municipal records that the above systems are in •
conformance with MOA COSA guidelines in effect on this date. .
Engineer's Printed Name CT-OA/6 liC
Date 70 /F//
I 0 le;60
COSA yellow sheet_2-6-15.doc
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ASBUILT SEWARD & ASSOCIATES LAND SURVEYING 694-0829
4
I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE SCALE.
FOLLOWING DESCRIBED PROPERTY: O1 Az ",,
,‘„,,..-.4.-„,H.,,,,,-,,...,„,..,:„:::-,.- _air-we'/ra, tar,:`..;.- - DATE: .40-,,,,'� • ...,•.4 ,1,
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS �'C •' 'f
INDICATED. IT IS THE RESPONSIBILITY OF THE r * ; 1.4
�' x 1.-
OWNER
v
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: '"
EASEMENTS, COVENANTS, OR RESTRICTIONS s�.5-.5' 4
VISION WHICH DO NOT
UNDER NO CIRCUMSTANCES HERECORDED SUBDI— #6 Duet,. M 91sW,rd• •k Aff
SHOULD FB' �i �' 3,
ANY DATA HEREON BE USED FOR CONSTRUCTION 4 \r•'`'G' ���#�•
AOF RY LNNESLINES, OR FOR ESTABLISHING BOUND- DRAWN: �;rt ...#
1 -
•
3705 Arctic Blvd #313
I�CLIE ':Alaska Anchorage AK 99503
Email: crbioak@gmail.com
(907) 274-0314
3rd Quarter Inspection Report 2018
Homeowner Info
Customer Name: Stanley Brown Tank#: 247 Install Date: May 2010
Address: 22701 Glacierview Area: Eagle River
Initial Inspection:
Alarms Tested: Air [ High Water 171 Battery Tested: Yes n No n N/A Ill
(Please make sure alarm is on "normal", not"mute")
Does system have a septic tank ? No n Yes [✓[ (Recommend pumping tank every 2 years)
Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor?
Yes 7 Repaired ❑ Yes 71 Repaired n Strong n Mild n None 7'
System Inspection
Inlet plumbing in working order? Solids pillow normal?
Yes ✓ Replaced n Yes U Requires Pumping 0
Aeration Chamber
Are all aerators functioning? Any buildup of solids?
Yes Lvi Replaced 0 Yes n No
arificatiwn Ch. 1, •:-
Clarification return system operating? Any buildup of solids?
Yes Adjusted 0 Yes n No IA
Efflue
pH Reading: Dissolved Oxygen PPM Turbidity of discharge (in FTU)
(pH of 6-8 is ideal) (2-5 is ideal)
(Under 35 FTU is considered compliant.)
8.4 4.6 2.9
Pump float operating? Alarm float functioning? Any buildup of solids?
Yes I Replaced n Yes 0 Replaced ❑ Yes n No
Filter cleaned? Discharge line condition:
Yes n N/A [✓ Good ✓, Replaced n
Comments:
Has emailing or mailing of form been requested? Yes I I No
Inspected By: Chris/Ray Date: 09/05/18 (contact office to request...) ri
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE ANDppREPAIR AGREEMENT, herein the "AGREEMENT" made and
'2..' I'"D
entered into as of thisay of (Y_Ality.AL of 20 16 , by and between
,AJt t& 1-Ol t i , 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. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate�� an Advanced Wastewater Treatment System (AWWTS),
described as 1010 SIk septic -f'im't.K--
located at (legal description)
61 kieduK, \'"i-wv 142 Pte- k-v. q s'"r l
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
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.
Vi 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).
14, 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.
lt,7 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 1 of 3
ANC Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
Vj Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
\AI) Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
VA, Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On-Site Systems Approval.
017 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.
v1112 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 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:
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By: Adis (signature) Date: I611„5it%
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STATE OF ALASKA )
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THIRD JUDICIAL DISTRICT )
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My Commission expires: !�j 119 r* py'i
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MUNICIPALITY: COJULO
By: � eCCS (signature) Date: 1 Ob a 5 aO i $
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(rev. 05/18/2018) Page 3 of 3