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HomeMy WebLinkAboutWOODHAVEN #3 LT 9 Onsite File Woodhaven # 3 Lot 9 #015 - 282 - 54 Municipality of Anchorage Community Development Department Page 1 of 2 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181257 PID Number: 015-282-54 21 New ❑ Upgrade Name: SPINELL HOMES, INC ABSORPTION FIELD ❑ Deep Trench ❑✓ Shallow Trench F-1 Bed E] Mound Address NHN MARCELLE CIRCLE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 2.0 GPD/SF 1.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 0.5 Ft. Gravel depth beneath pipe 1.0 Ft. Subdivision Block Lot WOODHAVEN #3 9 Fill added above original grade 3 Ft. Gravel length 30/30 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 343 z Ft 2 10.0 Ft. Well 109.4 122.1 126.6 NIA 100+ TANK ❑ Septic El S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK/ADVANTEX Capacity 1500Gal. Surface water 100+ 100+ 100+ N/A Material Number of compartments Lot Line 54.2 11.1 51.8 N/A FIBERGLAS 2 NA Foundation 11.2 22.3 28.5 N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ 50+ N/A ORENCO 250 Gal. Remarks Pump on level at 40 in. Pump off level at 36 in. High water alarm at 45 in. Pump make and model P2005 Electrical Inspections performed by MOA BS Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield POMRANING EXCAVATION Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 384ft Inspections, dates: 10/11/18 2°d 3/21/19 Location and description Sd 3/22/19 4", SOUTHEAST CORNER TRIM COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp _ m O'A�'��1� Conditional Approval: Date ,`�G tte*ven •K. Pannone �p�� Approved li,�'1 Date ab2(7 CE 8149 ASW 0pt1A�..� �1�rpkon mspecuon mepon_ i- i- i[.aoc \ I FOUNDATION _�\ I I CLEAN OUT N 1 mi MANHOLE D -I 1�1c1m +� -COr OrX m mm- Z W .. D ;0 Z�{mDxNL -0 0-1 DO NO: zDo w azo c > 0Z:E0 q: r:;o -0�00 Z m `O o 0 x mOO O --I o mRo z Z I �o 01 N OON OOO�m m (n c) K 04< MANHOLE Cc:� A O �e AUX PUMP TI _� D m r"t m VAULT MONITOR N� C) D -0 o� m =v o � m < 1.0 — 0.5 1.5 -- N C 11S co > NOTES: RECORD DRAWING DRAWN JRL SITE PLAN -V)00.,,,_� Omlm �y �z N 1 mi i cn -I 1�1c1m +� -COr OrX m mm- Z W .. D ;0 Z�{mDxNL -0 0-1 DO NO: a7D vzoCm�,o-< I I OJ -au'mgzm c > 0Z:E0 q: r:;o -0�00 D- 0 mOO O --I o mRo z Z I �o 01 N OON OOO�m m (n c) K 04< D �7 Cc:� A O �e -p TI _� D m r"t m ZO D * r -i O \ x 0O (n Z 0 -a m r z o r Mm ;o m w FT1 rn("ICAC)mv co m 9: �0- 0 O c m o O x U) ;�o w w (n co� N m —• � fJ W V V � 01 — MONITOR I 1.0 — 0.5 1.5 -- N C 11S co > NOTES: RECORD DRAWING DRAWN JRL SITE PLAN -V)00.,,,_� Omlm z *t�m0��zp;0 N r �Di 0 r- 0- D r 0> 2: OJ D cn -I 1�1c1m +� -COr OrX m N W .. D ;0 Z�{mDxNL -0 0-1 DO NO: a7D vzoCm�,o-< I I OJ -au'mgzm > 0Z:E0 q: r:;o -0�00 D- = g c1pm0,0rn mOO O --I o mRo z Z I �� (li x 01 N OON OOO�m m (n c) K 04< D �7 Cc:� A O m m D -p TI _� D m r"t m ZO D * r -i O \ x 0O (n Z 0 -a K z o r Mm ;o m (-) -q _0 D FT1 rn("ICAC)mv Doz o 9: �0- 0 O c m o O x U) ;�o N U7 (n fTl D Cn N —• —• � CO W W O � 01 (n \ D o !y D PANNONE ENG SVC, LLC PHONE (907) 745 8200 PALMER, FAX (907)9645 745-8201 WOODHAVEN #3 L9 SPINELL HOMES, INC MARCELLE CIRCLE ANCHORAGE, AK CE 8149 �N REVISIONS DATE 8/29/19 SCALE 1" = 60' P.I.D. NO 015-282-54 PERMIT NO. OSP181257 SHEET 2OF2 41 W N co J J CD 41 -p -PW 10OJ0,oo(npp D rn("ICAC)mv CID o Cn N U7 N C,j N —• —• J CO W W 0) 01 — Q7 m O. m co CA �N REVISIONS DATE 8/29/19 SCALE 1" = 60' P.I.D. NO 015-282-54 PERMIT NO. OSP181257 SHEET 2OF2 Ceu-td ed ��a60�t� Log DOC CO dba C®II1 q 9URMAN NATE, WELLS P.O. Box 670269, Chugiak, AK 99567 M-27510 OWNER OF LAND: Spinell Homes ADDRESS: Gore Hole Data Depth From To LEGAL DESCRIPTION Woodhaven #3 Lot 9 DATE: 9-6-18 PERMIT NUMBER: OSP181257 DATE OF ISSUE: 8-17-18 TAX IDENTIFICATION NUMBER 01528254000 Is well located at approved.permit location: ____ Yes nNo Method of Drilling: ®air rotary ❑cable tool Depth of Well: 119' Casing Type: Steel Wall thickness250 inches Diameter: 6 Inches, depth 117 feet Liner type Static Water Level: 51 feet Recovery Rate 1-5 gpm gph Method of Testing Air Well Intake Opening Type:LAJ open end Flopen 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: 2 yes no Method of Disinfection: Chlorine 50 PPM Comments: 0 2 2 4 4 18 18 27 27 80 80 85 85 112 112 116 11.6 119 Casing Stickup Overburden Silty Sand & Gravel w/ Clay Tight Sand & Gravel Hardpan Tight Sand & Gravel Tight Sand & Gravel W/ Clay Tight Sand & Gravel Sand & Gravel Water 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. Well Drilling Permit Number: SW OSP181257 Date of Issue 8-17-18 Parcel Identification Number: 01528254000 Legal Description Woodhaven #3 Lot 9 11 Pump Installation Date: 3-25-19 () Pump Intake Depth Below Top of Well Casing: 110 11 Pump manufacturer's Name: F&W 11 Pump Model: 4F11PO5301S Property Owner Name & Address Spinell Homes feet Pump Size: 1/2 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Pomraning Excavation Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM II Comments: Pitless Manufacturer: Martinson 11 Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. f I\0 r < \� « « «}:� , » � , . - f . . .. : .. . .. f . \.. .y. \\.y. ? a y ± # 2 © ? : x 4\0}f\«? \ . ¥ a : \ \ © o - # 0 & % \ » « « « % x y 4 Q \ / \ « \ \ Z \ \- \ \ M -4r/ \ ~; f ; \ 0 CD 0 ;D m F f� � \ � \ \O \ a \ « ? : _ :0 « y a y . y . ©c 3 . > , o < « «. 5 - 01 % » � � f � \ / < « f _ > « * \ \ « \ » « 2 : « < . ® % a _ } \ « « < 2 . . & © & ■ \ � « # \ § w - . < . 5 - ] \ \AWMENOWERNMENAMV I I m � � R U c . � ? a � a « � _ / � I m MUNICIPALITY OF ANCHORAGE \\\ On-Site Water&Wastewater Program ° µ S !wry PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite Di par tIncnt 9hCHOR"V' On-Site Water & Wastewater System Permit Permit Number: OSP181257 Effective Date: 8/17/2018 Work Type: WellSeptic Initial Expiration Date: 8/17/2019 Tax Code Number: 01528254000 Site Legal Address: WOODHAVEN #3 LT 9 G:2735 Site Mailing Address: 3884 MARCELLE CIR, Anchorage Owner: SPINELL HOMES INC Lot Size in Sq Ft: 40005 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: 0 Disposal Field 0 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 fia‘ Received By: Date: v '20 18 Issued By: P(,rf.CCA &tee" Date: 8 Arrf EPLIRMS MUNICIPALITY 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. 015-282-54 Property owner(s) Spinel! Homes, INC Day phone Mailing address 1900 W. Northern Lights Blvd. #200 Anchorage, AK 99517 Site address NHN Marcelle Cir. Legal description (Sub'd., Block & Lot) Woodhaven #3 L9 Legal description (Township, Range & Section) Lot Size 40,005 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Fieldx❑ Initial Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo ADU) Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings (1 Privy ❑ (SF and/or D) Private Well ❑X 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. (Signature of property owner or authorized agent) Permit/Rush Fees: lye/ Waiver Fees: Date of Payment: ' `g112. Date of Payment: Receipt Number: 0357% Receipt Number: Permit No. DSPSI a.6? Waiver No. Permit App__- .,:c: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181257, Rebecca Carroll, 08/17/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181257, Rebecca Carroll, 08/17/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181257, Rebecca Carroll, 08/17/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181257, Rebecca Carroll, 08/17/18 119 , 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 Parcel I.D. 015-282-54 1. GENERAL INFORMATION Complete legal description Location (site address) Woodhaven #3 L9 3884 Marcelle Circle Expiration Date: ZO 2 v Current property owner(s) Spinell Homes Day phone Mailing address Real estate agent 1900 W. Northern Lights Blvd #200 Anchorage, AK 99517 2. TYPE OF DWELLING: Fx7l Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Q Private Septic ED Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 4 / ao Date of Payment 057A?J�� Receipt Number / alaZCi COSA # 13 5 C 961006 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. 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. 6. DSD SIGNATURE Phone (907) 745-8200 Date lQ6V7-4? OF A�,, System #1 Approved for bedrooms P 'titeveri 'r�' �a'n`riarie'� System #2 Approved for bedrooms ��'�s •. syr 4'' 'r Disapproved l, Conditional approval for bedrooms, with the following stipulations: ON-sITF WATEIP AN By' \ (i�,(' ,� Original Certificate Date: % d —2. (D(?—( 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 r Legal Description: Woodhaven #3 L9 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA F0 Well log is filed with Onsite (or attached) Date drilled 9/6/18 Total depth 119 ft Cased to 117 ft FE -1 Sanitary seal is functioning correctly N-1 Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 9/6/18 Static water level at beginning of test 51 ft. Comments B. TANK DATA Age of tank(s) 101118 years Tank type/material S.T.E.P/ Fiberglass Measured operating fluid level in septic tank n/a 0_1 Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Shallow Trench Which system tested (date installed) 3/22/19 X ALL standpipes present per record drawing Total measured depth from grade 4.5 ft (max) Measured depth to pipe invert from grade ft (min) FE -1 N/A — pressurized field 01 Monitor tubes go to bottom of effective. If not, state depth into effective NO 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: 015-282-54 Structure served by this system 1 Well production at time of test 15 gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes ❑✓ No 0_1 Coliform bacteria is Negative Nitrate 0.642 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L W Arsenic less than MRL (ND) Collected by Pannone Engineering Services Date of Sample 123 IM20 C. LIFT STATION W Required maintenance completed Age of lift station 10/11/78 years Lift station material fiberglass Comments: Adequacy test date n/a Results 21Pass 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' F✓ Yes Community Sewer Manhole/Cleanout > 100' M Yes if No ft M Yes if No ft Neighboring Tank > 100' M Yes if No ft Private Sewer/Septic Line > 25' 2] Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' 0 Yes if No ft M Yes if No ft if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' El Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F- Yes if No ft Surface Water > 100' [✓ Yes if No ft Property Line > 5' F✓ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 21 Yes if No ft Private Wells > 100' F✓ Yes if No ft Water Main > 10' ✓� Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' [✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Pleasis enter distances if less than required) Building Foundation > 10' ✓l Yes if No ft If absorption field is under driveway comment below Property Line > 10' ✓Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓0 Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10' [✓ Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION -0—OF A ­5��� 1 certify that 1 have determined through field inspections and review ceC of Municipal records that the above systems are in conformance with 4 TH MOA COSH guidelines in effect on this date. ^ d g Fa R. Pannoi COSA Checklist yellow sheet ft ft MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this Day of.. ,.} ' of 20y'_ by and between 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 located at (legal description). 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 Eguipment. 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/mi staller 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 parries, 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. OWNER: By:t Date: 7a Q P�- ( (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this & day of NO Y TJBLIC FOR ALASKA My Commission expires: i • i wa - M`a NICIPALI T Y• By: (signature) O" flca SE4 9� LEZLIE ARNOLD 0 ROT!!AY PU9ilC4M OF AMA Dater (print name) Title: