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US SURVEY 3200 LT 7
US Survey 3200 Lot 7 #090 - 041 - 09 UBMITT Municipality of Anchorage a Community Development Department SEPPigZ 20120f 3 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 WATER AND WASTEWATER INSPECTION REPORT Permit Number: OSP 1 2 1 1 76 PID Number. 0 9 0- 0 el l– 0 90 Name: An i'11on}, Z.a w ren c2 WASTEWATER SYSTEM • New to Upgrade ABSORPTION FIELD ■ Deep Trench M Shallow Trench • Bed 0 Mound ii Other Address P. O.S.x 2el3Y3/, AAeft, /tk99StT Phone 71 0 - 27 73 Number of Bedrooms 3 Soil Rating ' to GPD/SF Total depth from original grade 4/. Si a?c/ Sons( FL LEGAL DESCRIPTION Depth to pipe invert from original grade 2. Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot U.. S Survey3 Z 0Q —9 7 Fill added above original grade U — 2. Ft. lengt0. h Gravel length 3 0 Ft. Township Range Section Gravel width S Ft. Beds: Number of Lines — Distance between lines –' Ft. WELL (from logs/tests) OW s r 0 New 0 Upgrade Classification (Private, A, B, C) Total Depth Ft. Cased to Ft. Total absorption area 16-0 Fe Number of trenches 1 Dist. between trenches — Ft. Driller Date Drilled Static Water Level Ft. TANK 0 Septic 0 S.T.E.P. 0 Holding NOther Manufacturer /4nehpr 4'e left, L: Capacity COI(V/ 0 Gal. Yield GPM Pump set at Ft. Casing height above ground Ft. Material L ST{CI Number of compartments 2 Water quality testing Coliform Co1/100mL Arsenic ug/L Nitrates mg/L UFT STATION Manufacturer 0 ren co Capacity x 16s Gal. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Pump on level at / 6b1 in. Pump off level at 28 n. High water alarm at 80 in. Well t 17 I3Y I 1 7 - 726' Surface Water s g se S 3 .– NA Pump make and model OSI r/ a, hp Electrical Inspections performed by See ll -re - Lot Line 12 2 73 120 - Foundation 6 36 15' -' PIPE MATERIAL D - Ser 3Y, I+D Pe Pfr'G Curtain Drain 3 30 3 — BENCH MARK 100.0 Assumed elevation Remarks: Ort ants. t(,pt+-o k'n4 wadi proper 6y ettc�n.naairto*ea p.er coat, Location and description PortA fall 140.1-a ele cr at leretallean ,sAta Con on pert Z Installer Inspection 1" A* Horne $er'/i+Le( dates: 8/"ta/tom Engineer's Stamp . ,.` . • r� r y» 4ty ffi..a• ....Hs..N•MOanto tali' "e "�` � A . e THEODORE F. MOORE v 0 a 4° CE -3589 0 " �/ r Inspector fled -Me j ecJint ec l Sergi, tel m Td s/2t/ 12 COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL 4th 9/2//1-t. Conditional Approval: Date Approve < � Date JCS - ✓ '- ( 2_ _ ��. � G:1Community Development\Dev€IobmeAE Sewices\Building SafetylOn Site Water and WastewatertFonns\Client Forms Inspection Report_30dayreview.doc 1 PERMIT PID NO: 1/ / NO: OSP121175 �I 090-041-090 i :i fi IIS 1.25" DIA. i HDPE T.H. #1 WATER SVC. ' LINE BATH HOUSE 50' BLM ROAD AND ! . PAGE 2 OF 3,,. UTILITY EASEMENT;' #2 T.H. 1.25" DIA. SCHED. 40 PVC w. 3116" HOLES C 12" O.C. 100' CEA ESMT. 5 -WIDE x 30' LONG SOIL ABS. DRAINFIELD w. 015' GRAVEL and 1.0' SAND UNDER DISTRIBUTION PIPES 93, FOOTING DRAIN WELL j j *sr 49 t,� ��/y 0 r • • • ii• •u r .• THEODORE F. MOORE • �t 4. S• CE - 3589 t•� 6. 10 Aho self Se Memo hlr SWING TIES: FROM: COR. "A" TO: FON. C.O."E" 12.5' .............TANK C.O. "F" 14.5' POD CTR. "G" 16.5' TANK M.H. "H" 22.0' PUMP M.H. 1" S ' 1 FIELD M.T. J" 28.0' t hs3• a .644 .90 FIELD M.T. "K" 1500 -GALLON ADVANTEX TANK AX -20 POD ORENCO PUMP STN. COR. "B" COR. "C" COR. "0" S 9.0' 11.0' 13.0' 16.5' hw 42.5' 68.5' 46.5' 51.5' LOT 7 USS 3200 SEPTIC SYSTEM REPLACEMENT AS -BUILT PLAN VIEW 1 FLATTOP TECHNICAL SERVICES 14530 ECHO CANYON ROAD ANCHORAGE, ALASKA 99516 SCALE: 1" = 30' DRAWN BY TFM SEPTEMBER, 2012 PERMIT NO: OSP121175 PID NO: 090-041-090 PAGE3OF3 2" RIGID INSULATION 0.75' SEWER GVL. M.T. TEST HOLE #1 RELATIVE ELEVATIONS BOTTOM = 105.9' MAX. WATER 111.5 (INISH GRADE OVER TANK ELEV. 100.5' ELEV. 118.9' ;It tillier.111[01 1/181 /I 'tail I INV. 95.4' j*it 49Th 'r• 4 4.: THEODORE F. MOORE i . ` _'° .9,E - 3589 ,; elf BOT. EXC. ELEV. 114.5' BOT. GVL. ELEV. 115.5' DIST. PIPE INV. 116.0' (HAS 3/16" HOLES SPACED 12" O.C.) FILTER FABRIC 5 -WIDE x 30 -FOOT LONG SOIL ABS. DRAINFIELD 1.25" DIA. HDPE ELEV. 91.0 ORENCO PUMP STA. LOT 7 USS 3200 SEPTIC SYSTEM REPLACEMENT AS -BUILT PROFILE VIEW FLATTOP TECHNICAL SERVICES 14530 ECHO CANYON ROAD ANCHORAGE, ALASKA 99516 NOT TO SCALE DRAWN BY TFM SEPTEMBER, 2012 09/13/2012 10:24 8686770 APLUS PAGE 01 SEP -13-2012 10:08A PROM:EP'S ELECTRIC INC 272 4590 September 13. 2012 To whom it concerns: ED'S ELECTRIC INC. P.O. 80X 210737 ANCHORAGE. AK99521 70:8686770 P.1 oentnNiam PIM Ir r:a+lo The property at 250 Chickweed lane, lot 7 U5S3200 for Anthony Larwence. System was installed to meet both 2031 NEC CODE AND Anchorage, Alaska's Muni code for septic systems. The work wes dont by a licsenced and bonded electrical contractor, If any questions feel free to contact Ed's Electric at 907-272- 4591. Kenny Rodgers Ed's Electric inc. On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121175 Tax Code Number: 09004109000 Work Type: Septic Upgrade Permit Effective Dates: August 06, 2012 to August 06, 2013 Design Engineer: FLATTOP TECHNICAL SERVICES Subdivision: US SURVEY 3200 Site Legal Address: US SURVEY 3200 LT 7 G:4455 Owner/Address: LAWRENCE ANTHONY PO BOX 243431 ANCHORAGE AK 995243431 Site Mailing Address: 250 CHICKWEED LN, Indian Lot Size in Sq Ft: 99000 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must 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 must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: The permit includes waiver OSP121176, allowing the drainfield to be 65 feet from surface water, the STEP tank to be 50 feet from surface water, the drainfield to be 30 feet from a curtain drain, the drainfield to be zero feet from a 25% or greater slope, and the final grade at the drainfield to be no steeper than 50%. Received By: Issued By: Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.munlorcifOnsite Development Services Division On -Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP121176 COSA#: PID#: 090-041-09 Legal Description: US Survey 3200, Lot 7 Engineer: Flattop Technical Services Applicant: Anthony Lawrence Permit#: OSP121175 Your request for a waiver of the required 100 feet horizontal separation from the absorption field to surface water has been approved. The approved separation distance is 65 feet. Your request for a waiver of the required 100 feet horizontal separation from the STEP tank to surface water has been approved. The approved separation distance is 50 feet. Your request for a waiver of the required 50 feet horizontal separation from the absorption field to a curtain drain has been approved. The approved separation distance is 30 feet. Your request for a waiver of the required 50 feet horizontal separation from the absorption field to a 25% or greater slope has been approved. The approved separation distance is 0.0 feet. Your request for a waiver to the backfill grade requirements near the absorption field has been approved. The approved backfill grade shall be no steeper than 50% (2:1). This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ® Adjacent properties are not affected by this waiver. Waiver is Gra s' Date: p ed: X Waiver is not Granted: /02 Approved b Name of Reviewer Rec#: 154446 Amount: $800.00 Date Paid: 712/2012 **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION 09 6 . Dy/FOR A SINGLE FAMILY DWELLING al Parcel I.D. O - ay / -09 Property owner(s) /M Ht ny L.A.w ren r e Mailing address ('. G. tae ee ZY 3Y 3 / A -n cha Phone: 907-343-7904 Fax: 907-343-7997 Day phone 7 T 6 -2773 rac /tom 9 9 r et Site address 210 C.heckweed I-e,ot,An Legal description (Sub'd., Block & Lot) Loh 7, t(5 S 3 2 00 Legal description (Township, Range & Section) Lot Size 99 GOC, Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: (ID all that apply) Absorption Field Septic Tank 154 Holding Tank ❑ Privy ❑ Private Well 0 Water Storage ❑ u6. sum Slob THIS APPLICATION IS AN: Initial Upgrade Renewal ® tv t<n docu.nenka sysi0 - THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: .f'' el" end *In /c k 1 c -t r Ace tour (-es- S'el- bac t -c T.,' rle6ne exlQece,ng 2--CeZ a I c -c/ bate is , ll @ 2; r - /4-c v I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Lr .74L Coi r' AM ,n °I r'1"c In (Signature of property owner or authorized agent) Permit/Rush Fees: 530 oG Waiver Fees: Date of Payment: -7121/a Date of Payment: 7/2//a Receipt Number: /51 4 Receipt Number: /5-4'l Y (o Permit No. QSP/'a / Waiver No. a Building\On Site\Forms\Client Forms\Permit App_010411.doc Csp/a11t (Rev. 1/11) FLATTOP TECHNICAL SERVICES CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS TED MOORE, P.E. PH./FAX: (907)345-1355 E -Mail: tgmoore@gci.net M.O.A. On -Site Wastewater Program Attn: Jay Crewdson P.O. Box 196650 Anchorage, Alaska 99519-6650 July 25, 2012 RE: Lot 7, USS 3200, response to review comments Dear Jay, 14530 ECHO CANYON ROAD ANCHORAGE, AK 99516 I wish to provide appropriate responses to the review comments on the subject property wastewater permit application, which we discussed over the phone last week. A copy of your comments dated 7/10/12 is attached, so that I can use the same numbering system for the responses. I discussed your comments with the property owner, and he will provide the requested information regarding comments # 1, 2, and 5. As you and I discussed with regard to comment #5, Anthony Lawrence is the best person to provide assurances to your department that usage of the proposed wastewater system upgrade will not exceed 3 bedrooms. Comment #3: After further discussing the existing deck configuration with the owner, it appears that the present deck is supported by a random arrangement of posts and piers. The deck and its supporting members will have to be totally removed in the process of installing the proposed upgrade. The existing septic tank will be properly decommissioned per code, and we will ensure that the new ATS treatment tank and pump basin are installed no closer than 5 feet from the building foundation. After the installation is complete, the property owner will re -build a suitable replacement deck, taking care that no deck supports are installed above or bearing upon any septic system components. Comment #4: After further discussing the existing subsurface drain system with the property owner who installed the system, I have prepared the enclosed stamped revised site plan illustrating to the best of my abilities the configuration of the subsurface drain. Essentially, this 4" diameter perforated pipe drain runs in a southwesterly direction along the back wall of the main residence building to intercept seasonal subsurface flow that had been previously affecting the building. After the drain leaves the building foundation, it the material switches to non -perforated PVC and continues in a southwesterly direction to pass under the walkway between the bath house and the main house to reach the driveway. From there the unperforated drain is buried under the north edge of the driveway/path until its discharge in the vicinity of the bridge over the small stream shown on the site plan. Please contact me if you need additional clarification of any of these items as you continue with your review of the upgrade application. Thank you, Ted Moore, P.E. FLATTOP TECHNICAL SERVICES CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS TED MOORE, P.E. PHJFAX: (907)345-1355 E -Mail: tgmoore@gci.net M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: May 30, 2012 14530 ECHO CANYON ROAD ANCHORAGE, AK 99516 The purpose of this letter is to provide the required design narrative in support of our application to construct a new ATS wastewater disposal system to replace an existing undocumented system on Lot 7 or USS 3200, located at 250 Chickweed Lane in Indian, AK. The proposed upgrade is being done to comply with a municipal Zoning Enforcement Order. A site plan, soils logs, design drawings and construction specifications are enclosed for your review. Because of the complexity of this project, I met with Deb Wockenfuss on May 18 to discuss the design options. Although the lot is over two acres in size, a multitude of constraints exist that severely limit the useable area for construction of a wastewater disposal system - even using Category 3 ATS technology. 50 -foot road and utility easements on all four sides of the lot reduce the actually useable area to approximately 1 acre. Additional constraints which require waivers include: (1) Two small streams that traverse the lot in such a way that there is no area located greater than 100 feet from surface water. Even with optimum design, waivers will be needed for the ATS treatment tank to be as close as 50 feet from surface water and the residual disposal field to be as close as 65 feet from surface water. I believe that comparable waivers are routinely issued for Category 3 ATS systems. During installation we will endeavor to maximize actual separation distances. (2) The ground surface in the only area with suitable receiving soils slopes downward at between 30% and 40%, necessitating a waiver of the otherwise required setback of 50 feet for drainfields from slopes in excess of 25%. In order to construct the residual disposal field on this slope, it will be necessary to use a 2:1 slope for the backfill beyond the perimeter of the drainfield. From an engineering viewpoint this backfill slope should be perfectly adequate, provided it is properly revegetated. Because Category 3 ATS effluent is much cleaner than normal septic tank effluent, a clogging mat should not form on the bottom of the residual disposal drainfield. This means that the effluent will be able to readily flow into and downward through the excellent receiving soils, with little potential for daylighting downslope of the system. (3) The only suitable site for the residual disposal drainfield is directly uphill and slightly more than 30 feet away from a cutbank with a rock retaining wall behind the uphill side of the house. There is a foundation drain that goes around the foundation wall itself at a distance of slightly more than 40 feet from the proposed drainfield site. No naturally occurring seepage was evident at the foot of the retaining wall when observed at the height of breakup this year after an unusually snowy winter. In my opinion, it is unlikely that the installation of a soil absorption system in the proposed location will change this situation. In any case, Category 3 ATS effluent that has passed horizontally through more than 30 feet of native soil should be indistinguishable from groundwater. Steeper slopes observed uphill from the proposed disposal field site preclude the option of locating the system further away from the cutbank and foundation drain. (4) In addition to the aforementioned road easements, there also exists a 100 -foot CEA easement that runs along the west side of the property and encompasses the only suitable area for drainfield construction. Simultaneously with this submittal we are applying to CEA for a letter of non -objection, and will request CEA to provide a copy of that letter to you. Soils testing on this lot was done on May 8, 2012 and groundwater monitoring was conducted on May 15, 2012. These dates coincide closely with the time of year for seasonal high groundwater levels to be observed. A total of 4 test holes were dug, of which two were found to contain suitable soils for construction of a residual absorption system. Test holes #1 and #2 encountered similar soils with 1.5 to 2.0 feet of peat and loam overlying a clean but densely compacted stratum of sandy gravel that extends down to at least 6.5 feet. Two different percolation tests conducted in this stratum demonstrates percolation rates of 4 and 2 minutes respectively. In each test hole the clean sandy gravel stratum is underlain by a denser silty gravel stratum that showed indications of groundwater. One week after the test holes were excavated a stabilized seasonally high groundwater level was observed at a depth of 7.4 feet in TH#1 and at 10.6 feet in TH#2. The locations of another two unsuitable test holes, TH#3 and TH#4, are also shown on the site plan. TH#3 encountered significantly more silty gravel with significantly more water entering at 7 feet. TH#4 on the far side of the Conex encountered over 5 feet of debris fill, with groundwater observed only 2 or 3 feet below original ground. Based on the soil test information the only feasible site to construct the soil absorption system is in the area of test holes #1 and #2, with the bottom of the sewer gravel extending no deeper than 3.4 feet below ground level. With a measured percolation rate of less than 5 minutes per inch, the code would allow a soil application rate for a Category 3 ATS of 6 gpd/sq. ft. The proposed design uses a somewhat more conservative application rate of 4 gpd/sq. ft. Thus, the required effective absorption area for a 3 - bedroom system would be (3 x 150)/4 = 113 square feet. The proposed 30 -foot long 5 -foot wide soil absorption drainfield has an effective absorption area of 150 square feet. To further enhance its absorption performance and longevity the design includes a 12" thick layer of washed filter under the sewer gravel. Due to the many design constraints I am unable to designate a different site for a replacement drainfield, however in the event that the proposed drainfield were to fail some day, a similar replacement drainfield could be constructed in the same location. The Advantex treatment system components will of necessity be located in the vicinity of an existing deck on the south side of the house, and will be sited to maximize the separation to slightly in excess of 50 feet from the two streams that are starting to converge in that area. The waterline from the well runs first to the Bath House which contains the pressure tank, a shower, a toilet and a sink, and then on to the main house near the north edge of the deck. The Advantex system components will be located more than 10 feet from the water line, and the discharge line from the pump basin will be 1.25 in diameter HDPE, so it will have no joints within 10 feet of the waterline. Because this is an advanced treatment system I am requesting the property owner to come in to your office in order to execute the required maintenance agreement prior to final issuance of the permit. Because the ATS system will have to be regularly serviced, any operational problems would be quickly noted and repaired. Please send me an e-mail if you have any questions on this submittal. Sincerely, 7'-oe-t.c.. Ted Moore, P.E. 50' BLM ROAD AND UTILITY EASEMENT :(ALL SIDES OF LOT) CONSTRUCT 5 WIDE x 30' LONG SOIL ABS. DRAINFIELD w. V SAND AND 0.S' .fNOER DIST. PIPES %,t1'.....,.. et ABANDON EXIST DRAINFIELD AREA \� INSTALL 1500 -GALLON ADVANTEX TANK, AX -20 TREATMENT POD AND ORENCO PUMP BASIN % Pev-TM" are.A. G Q.F ..,. 11 ....................................... j*' 49Th•.�';_*,/. • WA to THEODORE F. MOORE CE -3589 : ••�cj lsfe� •q/Zs/jz4 1, veto LOT 8 (VACANT) LOT 7, USS 3200 • INDIAN, ALASKA SEPTIC SYSTEM UPGRADE SITE PLAN SEPTIC AREA LOT 1, CHUGACH PARK ESTATES FLATTOP TECHNICAL SERVICES 14530 ECHO CANYON ROAD ANCHORAGE, ALASKA 99516 1 INCH = 50 FEET DRAWN BYTFM Resit MAY, 2012 i O fl NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. 1.25" DIA HDPE PRESSURIZE DISCHARGE LINE TO DRAINFIELD ORENCO PUMP BASIN FROM BATH HSE 1.25" DIA. SCHED. 40 PVC OR HDPE w. 3116" DIA. HOLES SPACED 12" O.C. 5W x 30'LONG SOIL ABSORPTION DRAINFIELD FROM MAIN HOUSE ADVANTEX AX -20 TREATMENT POD FILL MATERIAL ORIGINAL GROUND SLOPE <= 40% 1500 -GALLON ADVANTEX TANK PLAN VIEW SCALE 1" = 10' MONITOR TUBE 2.0' SOIL COVER 2" RIGID INSULATIO FILTER FABRIC .40,.....`000 Ay ..749m *,Ir 0:.��z "ZOntr; �i THEODORE F. MOORE . 04 ,•%, :, CE -3599 ." �cY'j sv wee '.4.10.•. e, 1 2 CROSS-SECTION "A - A" SCALE: 1" = 6' BOTTOM OF EXCAVATION 1.0' ISF FILTER SAND 1.25" DIA. SCHED 40 PVC OR HDPE w 3/16" HOLES SPACED @ 12" O.C. 0.7' WASHED SEWER GVL LOT 7, USS 3200 - INDIAN, AK SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES 14530 ECHO CANYON ROAD ANCHORAGE, AK, 99516 SCALE: AS SHOWN DRAWN BY: TEM MAY, 2012 TEST HOLE # 1 1 FLATTOP TECHNICAL SERVICES 14530 ECHO CANYON ROAD ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST "0 0 °.-•000001"" LEGAL DESCRIPTION: Lot 7 USS 3200 DATE PERFORMED: May 8 2012 PERFORMED FOR: Tony Lawrence COMMENTS: Pt. SM Reddish sandy loam GP/GM Sandy gravel Hard digging Water seeps GM damp Silty gravel very hard digging many cobbles B.H. SLOPE 30°/d-40% A Depth to Groundwater Date 9 5' 5/8/12 7.4' 5/15/12 DLO MOORe -.;u'i _.' pn .. SITE PLAN Date Reading Clock Time Net Time (minutes) Percometer Reading Net Drop (inches) 5/8/17 12" Pre-soak 27 3/8 12" Re -soak 27 5/8 Start 12:02 231/4 #1 12:17 15 19 5/16 3 15/16 Add water 1218 23 5/16 #2 12:33 15 191/4 41/16 Add water 12:34 23 3/8 #3 12:49 15 19 3/8 4 PERCOLATION RATE 4 (minutes/iinch PERC HOLE DIAMETER 6• TEST RUN BETWEEN 4.0 FT AND 4.5 FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I rat-..-•( CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: „j l ?O/d? TEST HOLE # 2 FLATTOP TECHNICAL SERVICES 14530 ECHO CANYON ROAD ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Lot 7, USS 3200 DATE PERFORMED: May 8. 2012 PERFORMED FOR: Tony Lawrence COMMENTS: Pt and loam GP/GM Sandy gravel hard digging similar to TH #1 GM Silty gravel very hard digging many cobbles and boulders B.H. SLOPE Depth to Groundwater Date No omundwater seen 5/8/12 Water Cat 10.6' 5/15/12 5/8/12 12" Presoak 27 3/8 12' Re -soak LO OS CD'' - •••••••0411.43: ,*k F. MOOR£ _3589 0 _ SITE PLAN O% Date Reading Clock Time Net Time (minutes) Percometer Reading Net Drop (inches) 5/8/12 12" Presoak 27 3/8 12' Re -soak 27 3/8 Add water & Start 1:56:30 23 3/8 #1 2:01:30 5 201/8 31/4 Md water 2:02:10 23 3/8 #2 2:07:10 5 201/8 31/4 Add water 2:08 23 3/8 #3 2:13 5 201/4 31/8 PERCOLATION RATE 2 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 3.5 FT AND 4.0 FT 6" PERFORMED BY FLATTOP TECHNICAL SERVICES. 1 Ja.P7�e CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: S/,30 1/2_ Flattop 'TechnicofSemices 14530 Echo Street, Anchorage, A7(99516 None (907) 345-1355 Lot 7, USS 3200 250 Chickweed Lane, Indian, AK Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of installing an "Advantex" advanced treatment system consisting of a 1500 -gallon steel Anchorage tank with an Orenco AX -20 treatment pod and an "Orenco" discharge pump basin. The filtered effluent is to be pumped up into a 5 -foot wide by 30 -foot long residual disposal drainfield located between test hole #1 and #2. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees. 1.4 The homeowner shall fell and remove trees in the construction area as specified by the contractor. and shall be responsible for finish radin�after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 "Advantex" AX -20 Advanced Treatment System: Note: The existing septic tank shall be properly decommissioned per code. The existing absorption system shall be abandoned in place. 2.1 The "Advantex" treatment unit major components include (1) a 1500 -gallon, 2 -compartment coated steel tank, (2) an "Orenco" AX -20 filter pod, and (3) an "Orenco" fiberglass pump discharge basin. All components shall be Municipally approved and shall be set level on undisturbed soil and backfilled in accordance with Municipal requirements as well as Orenco's and the supplier's instructions. Note: The owner shall be responsible for removing the existing deckf rom the area where the Advantex system components are to be located, and for rebuilding any deck structure desired after installation is complete. 2.2 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the tank shall have a minimum slope of 1/4" per foot. A foundation cleanout shall be installed within 1' — 4' from the building. 2.3 Since this protect is beyond the Municipal Building Code Enforcement Area, the electrical work shall be done by a licensed electrical contractor, who shall provide through the contractor to the engineer certification that all work was done in conformance with code requirements of the Municipality and the National Electrical Code. 2.4 The second compartment of the tank shall be equipped with a watertight, insulated manhole riser and cover extending a minimum of 6" above final grade with positive surface drainage away from the manhole. The Advantex AX -20 treatment pod shall be installed over the tank with the cover extending a minimum of 3 inches a.g.l. The contractor shall be responsible for determining the necessary length of the manhole riser, and for properly positioning the Recirculating Splitter Valve (RSV) in the riser. 2.5 An "Orenco" pump basin shall be installed downstream of the Advantex tank. The lift station manhole riser shall extend a minimum of 6 inches above final grade. 2.6 The control and alarm floats shall be set at the elevations specified by the supplier, and their proper operations shall be verified by the contractor. 2.7 The treatment unit shall be set up with a "VeriComm" remote monitoring system as supplied by the distributor, and the control panel for the unit shall be mounted at an approved location. 2.8 The discharge line from the pump basin to the residual disposal field shall be 1.25" diameter HDPE with no joints located within 10 feet of the existing waterline. 3.0 Residual soil absorption system: 3.1 The 5' x 30' residual soil absorption drainfield shall be constructed between test holes #1 and #2 as shown on the site plan. The long axis of the drainfield shall be laid out parallel to the natural contour of the ground. Note: The topography slopes downward at 30% to 40% in the drainfield area. The initial step will be to remove the native peat and upper portion of the sandy gravel to create a level surface at a depth of 4.4 feet below original ground level at the uphill side of the excavation. 3.2 Next, a total of 1.0 feet of ISF filter sand (<2% passing the #100 sieve and < 1% passing the #200 sieve) shall be placed in the excavation (as illustrated on the cross-section) to create a 5' by 30' level surface 3.4 feet below ground level on the uphill side of the excavation. The filter sand shall be compacted by foot as it is being placed. Next, a total of 0.75 feet of sewer gravel shall be placed on top of the sand filter material with the perforated distribution pipe laid level such that the pipe invert is no less than 0.5 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" washed gravel. The distribution pipe shall be fabricated from 1.25" diameter Schedule 40 PVC or HDPE with 3/16" diameter holes drilled in the bottom at 12 -inch intervals. 3.3 The monitor tubes shall be of 4" diameter and installed in the location shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.4 Approved filter fabric, two inches of rigid insulation and a minimum of 2.0 feet of soil cover shall be placed over the entire top surface of the sewer gravel. Fill slopes shall be no steeper than 2:1. After the rough grading is complete, the homeowner shall place topsoil and plant grass seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A minimum of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the filter material has been placed, (4) after the sewer gravel is in place and the distribution pipe has been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (5) after rough backfill and grading is complete. The "Advantex" treatment unit and Orenco pump basin requires one inspection after the tank is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. After revegetation is established, the homeowner shall provide photographic documentation of the fact. aliau, 507r er Tie 874i» Itmr des' -i,'o sac il✓0 4-/- e- /? ge-- amynatfit lb /gaavot- / SE it %21 /A/ te. amu- 7-62e & S /MIL mi /V Peg 7/ Se ie a nM7z f Ars/if Ya 4/ ENCROACHMENT PERMIT 1101-31 Grid 1002 EN12012 090-041-09 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519 and Anthony Lawrence (herein "Permittee"), whose address is P.O. Box 243431, Anchorage, Alaska 99524. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Described in that certain written instrument recorded on the 12th day of June 1956, at Volume 132, Page 375, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement") which pertains to the following described real property: The West One -hundred Feet (W 100') of Lot 7, U. S. Survey No. 3200, Alaska, Records of the Anchorage Recording District, Seward Meridian, Alaska, Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: (he Lot 7, U. S. Survey No. 3200, Alaska, Records of the Anchorage Recording District, Seward Meridian, Alaska, in "Parcel"). 2. Encroachment. Permittee has proposed to construct or constructed the following improvements on or within the real property subject to said Easement: A septic system encroaches approximately Thirty Feet (30') into said Easement for a distance of approximately Ninety Feet (90'); A conex container that encroaches approximately Eight Feet (8') for a distance of approximately Forty Feet (40'); a bath Encroachment Permit - Page 1 of 4 house that encroaches approximately Ten Feet (10') for a distance of approximately Twelve Feet (12'); a retaining wall that encroaches approximately One Foot (1') for a distance of approximately Forth Feet (40'); and a well that encroaches approximately Four Feet (4') for a distance of approximately Eight Feet (8') as shown on the Site Plan by Flattop Technical Services dated May 2012, and sketch of the conex dated July 31, 2012. (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Permittee to construct and to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4. Indu„mification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: a. The Encroachment is enlarged, inereased or extended within the real property affected by the Easement. Encroachment Pumit - Page 2 of 4 b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. c. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendm- , deletions, additions or alterations of the permit shall be effective unless in writing .; d sign • by it of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. PE By: Shelly Sc Senior Manager Distribution Engineering Date: { l{a. Date: Encroachment Permit - Page 3 of 4 STATE OF ALASKA THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this C/ t'day of 2012, by Anfhony F la wrenc e (PRINT NAME(S) OF PERSON(S) SIGNING DOCUMI STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) NotPublic iirdnd for the State of Alaska My commission expires: /2- //- 20/3 going instrument was acknowledged before me this /- day of ,2012, by Shelly Sekin Senior Manager, Distribution Engineering of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation is/ Nat puBLIC.�*I �ijfri34 th.hofA ..„,„ tln1111„,, ANTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 and for the State of Alaska My commission expires: /Z //'Z a/3 Encroachment Permit - Page 4 of 4 Municipality: of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF Parcel I.D. 090-041-09 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent 0,1..1 YSTEMS APPROVAL RUSH! 4>A� NOV 2 4 2015 r?> ID US SURVEY 1 8 r T 7 w irt4 Li Expiration Date: .2 -go A £T 250 CHICKWEED *INDIAN, AK 99570 ANTHONY LAWRENCE 250 CHICKWEED *INDIAN, AK 99570 BRETF HULL Day phone 748-2773 2. TYPE OF DWELLING: Single Family (w/wo ADU) D Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System W aiverNariance request for: N/A /3(9 Day phone 351 —8047 TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑ Individual Holding tank Community On-site ❑ Public Sewer • 0 Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. laws h COSA Fee $ 6t 3)6 k = $ i ba I) Date of Payment tl /2 1/15 Receipt Number 076 g1/4U COSA # 650 5 1 o 40 Date: 0,1—//: 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, l verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelinesfor 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. l 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 *ANC Engineer's Printed Name JEFFREY A. GARNESS, P.E. '50 Engineer's 0 Engineer's Comments: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines andregulations established by the Municipality ofAnchorage and industry practices, The reported results describe the condition of tire-systemis on the dateis of the evaluation. Separation distances were measured to readily identifiable features Hidden defects or encroachments may exist that were not identified during the evaluafion:The operational life of all wells and septic systems depend on a variety of variables including, but not limited fo; soilconditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and thewater usage of the family utilizing the. systems These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee futurepedo,mance of the system's; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well orseptiasystem. GEG makes no representation whether an alternative well brseptic system can be installed on the properlyin the event either of the current systemsfail. The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, isnot authorized. In shod, GEG disavows any legal duty to anyone other than theperson/party who paid for this report. 6. DSD "SIGNATURE S System #1 Approved for 3 System #2 Approved for Disapproved. Conditional approval for bedrooms: bedrooms. Phone 337-6179 Date (, )2,3/IS bedrooms, with the following stipulation\ (((NI O((( ifrfrf ON -SI WATER ATEND R� PROGRAM By: / Original Certificate D' tt . /w$ \'e -/S The Municipality. or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSH) based only upon the representations givenin 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 10112/12). Nitrate Advisory Arsenic Advisory Other 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: A. WELL DATA Well type PRIVATE Date .completed US SURVEY 3200; LOT 7 Parcel lb: 090-041-09 *PER ARROW WELL AND PUMP SERVICES, LLC. — SEE ATTACHED RECEIPT **SEE ATTACHED PHOTO OF WELLHEAD If A, B, or C provide PWSID# N/A Well Log (Y/N) UNK Sanitary seal (Y/N) YES Total depth *225 ft. Cased to *19 ft. FROM WELL LOG Date of test UNK Static water level UNK ft, Well production UNK g p m WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Arsenic: Nag ag /L. B. SEPTIC/HOLDING TANK DATA ADVANTEX SYSTEM gq3 Nitrate mg /L Date of sample. 11/5/15 Tank type/Material Tank size 1500 gal. Number of Compartments 2 Cleanouts (YIN) YES High water alarm (YIN) YESr Date of pumping AS REQUIRED Pumper A+ HOME SERVICES SEPTIC/STEEL NO Wires properly protected (Y/N) YES Casing height (above ground) AT INSPECTION 11/5/2015 *156 ft. 2.9+ g p m Collected by GEG. Ltd. Date installed **12+ in. 8/20-21/12 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO C. ABSORPTION FIELD DATA Date ailed ' 8/2o-21/12 Soil rating (g.p.d./fto42/bdr4 Length 30 ft. Width 5 ft. Total depth *2.75 ft. Eff. absorption area 150 ft2 Monitoring tube *BELOW EXISTING GRADE Date of adequacy test 11/5/15 Results (Pass/Fail) PASS System type SHALLOW TRENCH Gravel below pipe 0.5 ft. YES Depression over field NO Fluid depth in absorption field before test 0 in. Water added 505 gal. Elapsed Time: 0 min. ♦p3 For 23 bedrooms New depth 0 in. Final fluid depth E in. Absorption rate >= 23eQYBbg p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — A 1000 GALLON PRE—SOAK WAS PERFORMED ON 11/4/15. PRE—SOAK OF 1000 GALLONS WAS AUTHERIZED BY DEB WOCKENFUSS. D. LIFT STATION *PER 2012 INSPECTION REPORT ** SEE MAINTENANCE AGREEMENT Date installed 8/20-21/15 Size in gallons * Manhole/Access (Y/N) *YES "Pump on" level at *66 in. "Pump off' level at *28 in. High water alarm level at *80 in. Datum * Cycles tested ** Meets alarm & circuit requirements'? *YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots **100'+ (WITH CAVEAT) Absorption field on lot 100'+ On adjacent lots "1001+ (WITH CAVEAT)' Public sewer main 75'+ Public sewer manhole/cleanout 1001+ Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 25'+ Water service line ***101+ Surface water *50' Wells on adjacent lots**1001+ (WITH CAVEAT) SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 101+ Surface water *65' Driveway, parking/vehicle storage 10'+ Curtain drain *30' Wells on adjacent lots**100'+ (WITH CAVEAT) F. COMMENTS {91/0SP121176 **THERE ARE NO MOA WELL/SEPTIC RECORDS FOR US SURVEY 3200, L6. NO ENCROACHMENTS OBSERVED. ***PER TED MOORE, P.E. RECORD DRAWINGS. G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review 4f Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date II/ 2.3)/C (Rev. 11/05) ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND Terri Lomax THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as o this 1141 Day of Nsvi4cr of 20 , by and between Tern Lomax herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herei parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as "Advantex" advanced treatement system consisting of a 1500 -gallon Anchorge steel tank with an Orenco AX -20 Treatment pod and and Orenco discarge pump basin. located at (legal description). US Survey 3200 Lot 7 2. I' Definitions. Alteration. Any change to the design or ftmction of an AWWTS eludes the installation or removal of any parts, components or pie : s not included in the original construction permit and design. Certificate off On -Site Systems Approval (COSA). An approval b Municipality of existing water and wastewater disposal systems give the time of property sale and title transfer in accordance with Ancho Municipal Code (hereinafter, "AMC") 15,65. These approvals cerci the at ge that the systems are adequate for the homes that they support and meet e 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 replacem nt of existing parts, components and pieces of an AWWTS that were inc uded in the original design which would allow the AWWTS to continue perform as designed. Permit. An On -Site Wastewater Disposal Pernu as required by 5.65 to construct and operate an AWWTS. Term. The term of this Maintenance and Repair Agreernent COSA, and shall continue while the AWWTS is in greement shall begin on the of a se or is operational or until the date of approval by the Municipality to operate the installed system or issuance property is sold o .1 new owner or trap 4. Alterations,' Installation and Removal of Additional Equipment. r title is transferred by the owner and a new COSA is issued t sferee of the property io performing any alterations to an AWWTS, the owner agrees to obtain an On -sit the Wastewater Disposal Permit from the Municipality in accordance with AMC15 65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, t e Owner hall maintain their AWWTS in a satisfactory condition capable of producing trea septic effluent in accordance with the equipment's approval for operation' in ed e_ Municipality,' The owner shall enter into a service agreement with an A S service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In additjon, it shall be the responsibility of the Owner during the term of this Maintenan and Repair Agreement, and any renewals thereof, at the owner's sole expense, o pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) reply went costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Munieip written schedule of routine maintenance and repairs which have been perfo les 1 ed on the system. When a record of maintenance is documented and maintain: d by the system vendor, the owner agrees to allow the Munic information. D. Owner acknowledges that the fine for failing to maintain and repair an A ipality access to thi may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipalitywi ill 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 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. e H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municpali are the governing guidelines for the construction, maintenance and repair of th Owner's AWWTS. . Owner agrees to provide and maintain a telephone connection to the A ' S as required by the AWWTS approval. 6. Nonwaiver. The failure of either party at any time to enforce a provision o 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 e h and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified changed by a writing, executed by authorized representatives of the parties the same formality that this Maintenance and Repair Agreement was exeeut d 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 parti are: a. Owner: Terri Lomax s b. Municipality:- Director, Community Development or designated au �rity C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. $. Jurisdiction: Choice of Law. Any civil action arising from this Mainte ce and Repair Agreement shall be brought in the Superior Court for the Third Jug cial District of the State of Alaska at Anchorage. The laws of the State of Alaska s all govern the nghts and obligations of the parties under this Maintenance and Re air Agreement. 9 Severability. Any provisions of this Maintenance and Repair Agreement e creed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By (signature) Date: 1 >- f --fry, tq (print name) STA I h OF ALASKA THIRD JUDICIAL DISTRICT ss. The foregoing mstrum_00e2�t was ackngwledged before me this Ili day of 1V LI V1C (1?t 20 , by tail hf'L"t,(� NOTARY PUBLIC FOR ALAS My Commission expires: LOP 2d/ b MUNICIPALITY: .."9,01-1.. 14 f $OT. q ° AOBLG 3 9 1 �.' 'r A\ --;.•k°;.. \ 1�D °t o �P �•...� pals By: (signature) Date: (print name) Title: / ) m \ © / \)\ R tl %o oO \:\/ D /\/\\ « 9 § § iD crl t' /&9 a '/a 2 kg•; # § 07/28/2015 21:39 907-345-0202 ALPINE DRILLING AAROW PUMP AND WELL SERVICE; LLC. PO BOX 110496 , ANCHORAGE, AK 99511-0496 Bill To Tony Lawrence 7239 O'Brien St. Anchorage, AK 99507 748-2773 562-5068 Quantity L 1 FS:sink kit _ 2 6 PAGE 01/01 invoice Date Invoice # 11116/2015 10558 P.O. No, Terms Project 250 Chickweed, In... Due on receipt Description .--Ar�oant Well Seal & Conduit Well Casing Hourly rate Welt Depth - 225' Static Level - 156' Well Casing to 19'. Saw no cracks, perforations or openings_ No incoming water above 607 Aarow Pump Phone Number 346-9351 Send to Oamcss Engineering - AX 338-3246. 10.00 87.50 12.00 135.00 10.00 87.50 24.00 810.00 Total $931.50 ;r 11/02/2015 ' 12:32 Anchorage Tank Y 07/13 /2015 06:17 8685770 (FAX)907 277 3715 APLIUS 243 628me le ■ ■■�M■ Celli' ■ 1 UM WO■ MB ■viii i■ 0 1 11 1■* 11 1 VI 111 ■■ pdvariTe)C Field Maintenance Report Annual Inspection NMI P.001/001 PAGE 04 AnchorageTank 907-272-3543 NJglGipr Mike Blakeslee site +lemma 250 Chickweed Lane, Indian AK 99540 Ax See m& Coutltylob AX -129793 OSP121175 ----------- Retrieve Cato Info. Daily flow Recut ratio_ Timer settings 414757 Measure Sludge/Scum RTU125778 Gefltaat Phare (907)555-5555 Me of Lan IMpecibn 04/29/2014 Pmviaus Previous Scum Currant Current Previous Previous Perform Field Sampling/Observations NYU (15 * BTUs) pH (6-2) no (2-6) - odor of Sample Typical Musty ❑Earthy ❑Moldy Nnndypical XSulfide ❑Cabbage ❑Decay . '.o11y 91m in PAP ❑Yae `ib.No Pearn In tank ❑Yes 4No Check Control Panel Realm Arms Discharge Amps I.t\ 03K Audible and visual alarms Dial tone (telarnatry only} Inspect/Clean Pump System Riser/Lid Splice Box ❑Yes )8Ne Inapeat Olean FIoal Cords Moaty Pump eiotub? Rite( Biotube Pump Vault Reoirtulating splitter Valve Comments Signature Inspect/Clean AduanTex Filter Odor. flannel ❑Pungent Biomat; 2Narmal ❑Excessive BddglrrglPonding:Eigiane&Minor 0 Excessive Inspect/Clean Discharge Pump System Inspect Roar/Lid ^��f Sake Sox '•u-� Float made �? Inspect/Service Other System Components Inspect Clean Disinfection Equipment - efr Observations -- Additional Services Rendered ❑ Cleaned textile sheet*? 0 Replaced/Used other items? selection) PENIS Used: W = Warranty, B = Billable {J appropriate W B tram Number DeaCnptlon 1 inspect Clean Laterals/Orifices ❑ D Pod Bottom ❑ ❑ intake Vont ❑ 0 Floats Pump Inspect Clean Inepp�e/d Cl anolepersal LateRtle70nflce5YJ TJ ❑ Replaced UV items? Final/Safety Inspection a sv reinstalled endold reconnected; /lush valves closed Summary/Recammendatlens System performing; no further action needed ❑ Cali for service ,G�ttds Wad an I:if-antra panel inactivated ❑ Tank needs pumping ❑ Other? Date 6 ally` Fax completed form to 1-866-384-7404