HomeMy WebLinkAboutSKY RIDGE LT 22f ��
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Certified Drilling Log
OWNER OF LAND: Hultquist Homes
ADDRESS: 10895 Sky Ridge Drive Anchorage, AK 99516
LEGAL DESCRIPTION Sky Ridge Lot 22
DATE: 8-8-24
PERMIT NUMBER: OSP231310 DATE OF ISSUE: 9-19-23
TAX IDENTIFICATION NUMBER 01527522000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 160’
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 160 feet
Liner type
Static Water Level: 61 feet
Recovery Rate 20 gpm gph
Method of Testing Air
Well Intake Opening Type: open end open hole
Screened Start feet Stopped
Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: yes no
Method of Disinfection: Chlorine 50 PPM
Comments:
Bore Hole Data
Depth
From To
0 2 Casing Stickup
2 4 Overburden
4 18 Sand & Gravel
18 36 Silt & Clay with Gravel
36 60 Silt & Gravel
60 81 Black Silt & Gravel
81 92 Gravel
92 113 Silt & Gravel
113 122 Gravel Wet
122 145 Silt & Gravel
145 160 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.
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: OSP 2311310 Date of Issue 9/19/2023
Parcel Identification Number: 01527522000
Legal Description Property Owner Name & Address
Sky Ridge LT 22 Hultquist Homes
10895 Sky Ridge Dr.
Anchorage, AK 99516
Pump Installation Date:
11/14/24
Pump Intake Depth Below Top of Well Casing:
152 feet
Pump manufacturer’s Name:
Grundfos
Pump Model:
10SQE07-240
Pump Size:
3/4 hp
Pitless Adapter Burial Depth:
12 feet
Pitless Adapter Installer:
Pitless Manufacturer:
Disinfected Upon Completion?
yes no
Method of Disinfection:
Chlorine 50 PPM
Comments:
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.
Martinson
Hultquist Homes
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Water System Permit
Permit Number: OSP231310 Effective Date:
Work Type: Well Initial Expiration Date:
Tax Code Number: 01527522000
Site Legal Address: SKY RIDGE LT 22 G:2634
Site Mailing Address: 10895 SKY RIDGE DR, Anchorage
Owner: HULTQUIST HOMES INC Lot Size in Sq Ft:
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms:
This permit is for the construction of:
��cnr
r.
DeI)artmell t
9/19/2023
9/18/2024
20082
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
V - / I /?�O 'L7
Received By: `'`�'2 72¢ _ '
Date:
Issued By:,,� Date: C�
5
MUNICIPALITY OF
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
ON -SITE SEWER/WELL PERMIT APPLICATION
Parcel I. D. 0 15-275-22
Property owner(s) Hultquist Homes, Inc. Day phone
Mailing address 12570 Old Seward Highway Anchorage, AK 99515
Site address 10895Sky Ridge Drive
Legal description (Sub'd., Block & Lot) Sky Ridge Lot 22
Legal description (Township, Range & Section)
Lot Size 20,082 —Sq. Ft. Number of Bedrooms
5
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(0 all that apply)
Absorption Field ❑ Initial RX
Single Family (SF) RX
(w/wo AD U)
Septic Tank El Upgrade R
Duplex ❑
(D)
Holding Tank F] Renewal EJ
Multiple Dwellings El
Privy El
(SF and/or D)
Private Well RX
Water Storage R
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST
FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
EW
(Signature of property owner or authorized agent)
Permit/Rush Fees: 5 O Waiver Fees:
Date of Payment: Date of Payment:
Receipt Number: Receipt Number:
Permit No. 0 Waiver No.
Permit App_-'- : - :'_:c ,
Minicipality of Anchorage
On -site water and Wastewater
REVIEWED FOR CODE COIVPUANC
Pannone Engineering Se rvi ce S uc pgp231310, Curtis Townsend, 09/1�
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
7 September 2023
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Sky Ridge Lot 22
Well Permit Request
Well Design Narrative
This is a design narrative for a permit to install a private well to be issued for this property. Currently the lot is
undeveloped. This lot and the surrounding lots are to be served by public sewer. Currently there are no sewer mains
or private septic systems within 100' of the proposed installation.
1. Initial Well Design.
The well will be located
100'+ from any sewer main.
100'+ from any on -site septic system.
25'+ from any private sewer lines.
The proposed installation will not affect the future development of this or the surrounding lots.
If you have any questions or concerns, please contact me at (907) 745-8200.
Sincerely,
Is TR__P
Steven R. Pannone, PE, F. ASCE
Owner/Civil Engineer
Mailing: P.O. Box 1807 Palmer, AK 99645
Telephone: (907) 745-3200 FAX: (907) 745-8201
I SS
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ASSUMED SEPTIC
SERVICE LOCATION /
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WELLS/SEPTICS /
WITHIN 200' V LOT 21
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ASSUMED SEPTIC Ln I
SERVICE LOCATION
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NO WELLS/SEPTICS
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LOT 23
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for construction
REV: 07/31/24
DRAWN BY:
PLAN
PANNONE ENG SVC, LLC
P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
DRM SKY RIDGE, LOT 22
HULTQUIST HOMES
10895 SKY RIDGE DRIVE
ANCHORAGE, AK
iAr: ♦An JH :1Ar
g 8149
4.09.07,
Date
07/09/24
Scale
1 "= 50'
P.I.D. NO
015-275-22
PERMIT NO.
OSP231210
Sheet
1 OF 2
SPECIAL PROVISIONS TO SPECIFICATIONS C
1. SCOPE AND SPECIFICATIONS:
1.1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MOA COMPONENT PARTS AND MATERIALS USED IN
CONSTRUCTION OF ON -SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55.
1.2. CONTRACTED WORK WILL BE IN COMPLIANCE WITH MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) DIVISION 10 & DIVISION 20 AS
APPROPRIATE.
1.3. SCOPE OF WORK: INSTALL WELL.
1.4.
1.5. STRUCTURES DEPICTED ON THE SITE PLAN ARE BASED UPON ONE OF THE FOLLOWING: CONCEPTUAL PLOT PLAN DEVELOPED BY OWNER; A PLOT PLAN
DEVELOPED BY RLS; OR A SURVEY AS -BUILT.
2. CONSTRUCTION SPECIFICATIONS:
2.1. ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM
THOSE USED TO PREPARE THE DESIGN
2.2. EXCAVATE THE DRAIN FIELD. BOTTOM OF EXCAVATION SHALL BE LEVEL AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE AND END OF TRENCH
BOTTOM. CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE
CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND REPLACED WITH UNCOMPACTED MATERIAL.
2.3. PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL OR SPOILS FROM EXCAVATION. LEVEL
ROCK SURFACE TO t1" PRIOR TO INSTALLING THE PERFORATED PIPE.
2.4. ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER APPROVED EQUAL. MINIMUM SOIL COVER SHALL BE 3 FEET OVER THE PIPE AND 4
FEET OVER THE SEPTIC TANK. ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR 1 FOOT OF SOIL COVER.
2.5. ALL INSULATION SHALL BE 2" THICK DOW HI-40 INSULBOARD OR ENGINEER APPROVED EQUAL. CENTER INSULBOARD WIDTH OVER SEPTIC TANK OR LINES.
2.6. GEOTEXTILE SHALL BE MIRAFI 1405 OR ENGINEER APPROVED EQUAL. LAP ALL JOINTS 2 FEET MINIMUM.
2.7. COVER THE DISTRIBUTION PIPE WITH A MINIMUM OF 2" OF SEWER ROCK AND COVER WITH GEOTEXTILE BEFORE PLACING INSULATION AND BACKFILL.
2.8. MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS.
2.9. SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MINIMUM SLOPE AND 3:1 MAXIMUM SLOPE AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN
FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING
INSTALLATION AS PER MOA CODE.
2.10. RECORD THE FINISH GROUND ELEVATION OVER THE BEGINNING, MIDDLE AND END OF SYSTEM.
2A 1. MAINTAIN 5' SEPARATION BETWEEN PERCOLATION HOLE AND THE DRAIN FIELD TRENCH.
2.12. EXPOSE, PUMP AND FILL LOG DISPOSAL CRIB OR CONCRETE TANK WITH SOIL TO ABANDON IAW WITH MOA CODE IF NEEDED.
3. CONTRACTOR RESPONSIBILITIES:
3.1. THE CONTRACTOR SHALL FAMILIARIZE THEMSELVES WITH THE SITE CONDITIONS AND LOCATIONS OF ALL LOT LINES, EASEMENTS, WELLS (E & P), SEPTIC
SYSTEMS (E & P) AND SHALL MEET MINIMUM SEPARATION DISTANCES OR AS NOTED.
3.2. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE
AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE
WORK.
3.3. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED.
3.4. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES.
3.5. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE
PRIOR TO NOTIFYING THE ENGINEER.
3.6. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS
POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN.
3.7. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED -LINE AS -BUILT DRAWINGS TO THE ENGINEER. THE RED -LINES SHALL INCLUDE
PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS.
3.8. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN -OUTS
AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING.
4. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WILL BE PERFORMED IN ACCORDANCE WITH THE APPROVED PERMIT, AND ANY AND
ALL CHANGE ORDERS, AND THAT THE AS -BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED.
CONTRACTOR: BY:
TITLE: DATE:
for construction PANNONE ENG SVC, LL,C ( Date
07/09/24
P.O. BOX 100217 ANCHORAGE, AK 99510'•'•' ••
PHONE (907) 272-8218 FAX (907) 272-8211 Scale
7H •'�* NTS
.... .. • ....... P.I.D. NO
SKY RIDGE, LOT 22 015-275-22
HULTQUIST HOMES •• �ev�t onricfle PERMIT NO.
10895 SKY RIDGE DRIVE o $149 0SP231310
• 2 4.09.0 ••
DESIGN DETAILS ANCHORAGE, AK ••• Sheet
2OF2
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
OSC251089
Parcel ID 015 -275-22
Legal description SKY RIDGE LT 22
Site address 10895 SKY RIDGE DR
Expiration Date: 11/14/2025
Current property owner(s) HULTQUIST HOMES INC
X The On-site system(s) is/are approved for 5 bedrooms
By
Thh' Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
System(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
Development Service Department (DSD) issues COSAs based upon representations provided by an
independent professional engineer. The Municipality of Anchorage is not responsible for errors or
omissions in the professional engineer's submittal.
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
ATTACHMENTS:
COSA Checklist X
Absorption Field Advisory
Tank Age Advisory
Other
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
MUNICIPALITY OF ANCHORAGE Ru5R
Development Services Department\, Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 01527522
Complete legal description Sky Ridge L22
Location (site address) 10895 Sky Ridge
Current property owner(s) Hultquist Homes, Inc
2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑■ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑■
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ 1 2 -
Date of Payment
COSA # OsG 2 506(5(
Waiver Fee $
Date of Payment
Waiver #
COSA Application_June 2022
COSA Checklist_June 2022
COSA Checklist
Legal Description: Parcel ID:
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed)
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months)
If yes, enter date
Adequacy test date
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) in
Effective depth used in
Effective depth remaining in
Comments/Deficiencies:
COSA Checklist_June 2022
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F.ENGINEER’S COMMENTS
G.CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater
disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the
time of installation, unless noted otherwise.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance
with ADEC & MOA 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. PES does not have the authority
to grant MOA Onsite access to private property. That access must be obtained directly from the property owner.
Name of Firm
Phone
Engineer’s Printed Name
Date
MUNICIPALITY OF ANCHORAGE
WATER & WASTEWATER UTILITY
3000 ARCTIC BLVD.
PHONE:(907)564-2762
BLOCK/LOT/TRACT: LT 22/
SUBDV: SKY RIDGE
TAX CODE: 01527522000
S 2� 11"'
4c "fADD
WASTEWATER S241215
CONNECT PERMIT
GRID: SW2634
STREET ADDRESS: 10895 SKY RIDGE DR Anchorage, AK 99516
OWNER: HULTQUIST HOMES INC
MAIL ADDRESS: 351 E 104TH AVENUE ANCHORAGE, AK 995152601
DATE OF APPLICATION: 8/13/2024
SCHEDULED COMPLETION DATE: 12/31/2024
CONTRACTOR:
❑ Repair Existing Service
Q On Property Only
❑ Hydrant Only
❑ Main Tap - To Property Line Only
❑ Main Tap & On Property Connect
❑ Disconnect
❑ R & R - Main Tap Only
CONNECT SIZE 4 in
REIMBURSABLE
NUMBER
REMARKS
NEW CONSTRUCTION.
❑ City Tap
❑ Cured in Place Pipe
Row No.
INSPECTION FEE $112.00
PERMIT FEE $77.00
RCC $1.64
DEPOSIT $0.00
TOTAL $190.64
PERMITTEE (Please Print) HULTQUIST HOMES INC
MAIL ADDRESS 351 E 104TH AVENUE ANCHORAGE, AK 995152601
SIGNATURE
0
SINGLE FAMILY
❑
DUPLEX
❑
COMMERCIAL
❑
MULTI -DWELLING No. APTS 0
PHONE: (907)522-3204
ASSESSMENTS
Main Line Extension
❑ Have Been Levied
❑ To Be Levied
Comments:
Owner
ISSUED
Q PAID
INSPECTED BY
DATE
EMAIL
WWWLC
❑ CASH
❑ CHECK
❑ OTHER
PHONE (907)522-3204
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
CUSTOMER COPY-0'�.+0 +
PERMIT IS SUBJECT TO THE FOLLOWING CONDITIONS AND REGULATIONS
1. No sewer main, sewer connection or sewer extension may be covered or backfilled until inspected and approved by an
authorized representative of the sewer utility, who shall be notified 24 HOURS in advance of when the construction or
installation will be ready for inspection, exclusive of Saturday, Sunday and Holidays.
2. An Application for Service must be completed to initiate monthly billing before the water service will be turned on.
3. All commercial and industrial structures require the installation of a control manhole for monitoring and sampling
purposes.
4. The developer, owner or contractor shall require all permits and pay all fees established by any governmental unit as a
condition for the installation of a sewer connection.
5. Before beginning construction, the developer, owner or contractor shall deliver a copy of the State of Alaska Department
of Transportation and Public Facilities permit if such a permit is required, to AWWU. All terms and conditions of the ADOT &
PF utility permit are incorporated by reference herein, and the developer, owner or contractor named as permittee on the
reverse side hereof shall be solely responsible for compliance with such terms and conditions until the service connection
receives final acceptance by AWWU.
6. To the fullest extent permitted by law, the permittee shall indemnify, defend, and hold harmless the Municipality, AWWU
and their agents and employees, from and against all claims, damages, losses, and liabilities, including violations or alleged
violations of the ADOT & PF utility permit, arising or resulting in whole or in part, from the performance of work pursuant to
this permit.
7. Permit issuance does not guarantee availability of sewer. It shall be the developer's, owner's, or contractor's responsibility
to check elevations of existing sewer mains to insure gravity service is possible.
8. All on site sewer systems including but not limited to cesspools, septic tanks and on-site lift stations must be
decommissioned in accordance with guidelines provided by the Municipal Development Services On Site or the Alaska
Department of Environmental Conservation,
9. Permit fee is neither refundable nor transferable.
10. This permit expires DECEMBER 31st in the year issued.
11. A triplex or larger, or commercial property must have an engineered set of plans approved by AWWU. After construction
of the water service connection, AWWU requires an approved record drawing prepared by a professional engineer be
submitted to AWWU prior to acceptance of service.
12. All construction shall be in accordance with the most current edition of the Municipality of Anchorage Standard
Specifications (MASS) for Streets and Utilities as currently amended and the AWWU Design and Construction Practices
Manual.
13. Upon exposing an existing sanitary sewer service connection and/or extension, the contractor must ensure that the line
has proper slope, bearing , and is free and clear of obstructions prior to continuing the work. If the service line is found to
be either plugged or if a gravity sewer service is found to have a reverse grade, the contractor is required to notify the utility
company immediately or be liable for correcting the misalignment or unplugging the line at the contractors' expense.
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Lot 22, Sky Ridge Subdivision
Land Surveying
Land Development Consultants
Subdivision Specialists
Construction Surveying
124 E 7th Avenue
Anchorage, Alaska 99501
(907) 306-8104
mail@S4AK.com
AKCAN 173042
Group
S4 As Built
03/17/2025