HomeMy WebLinkAboutEQUESTRIAN HEIGHTS BLK 2 LT 15mom 0
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www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: OSP 231368 Date of Issue 10/27/23
Parcel Identification Number: 01709272000
Legal Description Property Owner Name & Address
EQUESTRIAN HEIGHTS BLK 2 LT 15 Hultquist Homes Inc.
14375 Pickett St.
Anchorage, AK 99516
Pump Installation Date:
4/30/24
Pump Intake Depth Below Top of Well Casing:
372 feet
Pump manufacturer’s Name:
Grundfos
Pump Model:
10SQE15-330
Pump Size:
1.5 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.
Merrill
White Raven
(Rev 05/02/18
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP231368
PID Number: 017-092-72
Dwelling: 9 Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade
Name
Hultquist Homes, Inc.
ABSORPTION FIELD
X Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
14375 Pickett Street
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
4
1.2 GPD/SF
JTotal
13.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4.0 Ft.
Gravel depth beneath pipe
9.0 Ft.
Subdivision
Block Lot
Equestrian Heights
2 15
Fill added above original grade
-0.3 Ft.
Gravel length
30 Ft.
Township Range Section
Gravel width
2.5 Ft.
Beds: Number of Lines
n/a
Distance between lines
n/a Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
540 Ftz
1
n/a Ft.
Well
100'+
100'+
NA
NA
25'+
TANK I] Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1250 Gal.
Surface Water
100'+
100'+
NA
NA
Material
HDPE
Number of compartments
2
Lot Line
10'+
10'+
NA
NA
NA
Foundation
10'+
10'+
NA
NA
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks
Alarm location
Electrical installed by
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
Installer
.
Hultquist Homes, Inc.
Drainfield 3034 CO/MT 3034
Inspector PES
BENCH MARK (Assumed elevation) 100 ft
Inspection1�` 03/25/24
nd 03/26/24
Location and description
s`d 03/27/24
411 10/17/24
Garage FF
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date
Q'�`.•••''•.•
*: 49 TH :*
$even annoAe
•• CE 8149
Septic Sy;N:te:
- --
Approved
`�_- Date
•�
•'•.2024-10-17.•'
this approval does not include well permit requirements.
(Rev 05/02/18
DESIGN
PARAMETERS
NEW PRIMARY/RESERVE SEPTIC SYSTEM
NO. BEDROOM: 4(600 gpd)
TANK SIZE:
1250gol
PERC RATE:
<1 MPI
SOIL RATING:
1.2 GPD/SF
AREA ROD:
500 SF
,SYS. TYPE:
DEEP TRENCH 9.0'ED
MIN LENGTH:
28 LF
USED:
FIELD: 30LFx2.5'Wx9.0'E.Dx 1 3.0'TD
TOTAL AREA: 540 SF
z�
48R 103.6
\ \l o
� HousE \w
C�
\ I�\ ��
A
FC g
C1� \ \ ti�4-
0
LL M� T21 \ \
0
\ INSTALLED NEW 1250g SEPTIC TANK z N
INSTALLED FOUNDATION CLEAN OUT AND
I1 LL
18. 3 DCO �� DOUBLE CLEAN OUT
�M2 � ,TH-1 wW -awl
% 1 \ C2 \ NEW PRIMARY/RESERVE DRAIN FIELD (P)
\ 301F x 2.5'W x 9.0'ED x 13.0'TD
INSTALLED MONITOR TUBE AND
1 \ O CLEAN OUT AT EACH END
1 O
144TH AVE o
w w
m m
o � o wo
z o z mz o FILTER FABRIC O
w z w �w zo �z
o� w z DRAIN ROCK 6" ABOVE PIPE INV
ozo
L
U 4" 0 DRAIN PIPE U j
EG 99.3
FG: 99.0 OR 99.3-
95.6
12509 GREER 5.4 9.:,_4' 5.3
POLY TANK
86.3
PROFILE
NTS
DRAIN ROCK
6.3
SP
DRY
10/18/23
80.3 3/26/24
NOTES:PANNONE ENG SVCLLC Date
,
RECORD DRAWING 10/17/2024
P.O. BOX 100217 ANCHORAGE, AK 99510 P'�'• S�1e/2024
PHONE (907) 272-8218 FAX (907) 272-8211
1»=30'
•• •••• P.I.D. NO
DRAWN BY: DRM EQUESTRIAN HEIGHTS, BLOCK 2, LOT 15017-092-72
HULTQUIST HOMES INC. ••me►►eit onnome PERMIT N0.
14375 PICKETT STREET CE' 8t49 OSP231368
PLAN ANCHORAGE, AK Sheet
2OF2
A
B
FC
16.3
T1
18.7
28.1
T2
19.8
32.0
DCO
26.0
42.7
C1
22.3
51.5
mi
22.0
50.2
C2
45.3
58.7
M2
44.9
1 58.0
z�
48R 103.6
\ \l o
� HousE \w
C�
\ I�\ ��
A
FC g
C1� \ \ ti�4-
0
LL M� T21 \ \
0
\ INSTALLED NEW 1250g SEPTIC TANK z N
INSTALLED FOUNDATION CLEAN OUT AND
I1 LL
18. 3 DCO �� DOUBLE CLEAN OUT
�M2 � ,TH-1 wW -awl
% 1 \ C2 \ NEW PRIMARY/RESERVE DRAIN FIELD (P)
\ 301F x 2.5'W x 9.0'ED x 13.0'TD
INSTALLED MONITOR TUBE AND
1 \ O CLEAN OUT AT EACH END
1 O
144TH AVE o
w w
m m
o � o wo
z o z mz o FILTER FABRIC O
w z w �w zo �z
o� w z DRAIN ROCK 6" ABOVE PIPE INV
ozo
L
U 4" 0 DRAIN PIPE U j
EG 99.3
FG: 99.0 OR 99.3-
95.6
12509 GREER 5.4 9.:,_4' 5.3
POLY TANK
86.3
PROFILE
NTS
DRAIN ROCK
6.3
SP
DRY
10/18/23
80.3 3/26/24
NOTES:PANNONE ENG SVCLLC Date
,
RECORD DRAWING 10/17/2024
P.O. BOX 100217 ANCHORAGE, AK 99510 P'�'• S�1e/2024
PHONE (907) 272-8218 FAX (907) 272-8211
1»=30'
•• •••• P.I.D. NO
DRAWN BY: DRM EQUESTRIAN HEIGHTS, BLOCK 2, LOT 15017-092-72
HULTQUIST HOMES INC. ••me►►eit onnome PERMIT N0.
14375 PICKETT STREET CE' 8t49 OSP231368
PLAN ANCHORAGE, AK Sheet
2OF2
Certified Drilling Log
OWNER OF LAND: Hultquist Homes
ADDRESS: 14375 Pickett St. Anchorage, AK 99516
LEGAL DESCRIPTION Equestrian Heights BLK 2 LT 15
DATE: 3/19/24
PERMIT
NUMBER:
OSP231368 DATE OF ISSUE: 10/27/23
TAX IDENTIFICATION
NUMBER 01709272000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 420’
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 103 feet
Liner type 320’ of 4.5” PVC
Static Water Level: 59 feet
Recovery Rate 2 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:
Well yield after hydrofrac
Bore Hole Data
Depth
From To
0 2 Casing Stickup
2 4 Overburden
4 15 Silty sand & gravel
15 18 Silty sand/some gravel
18 35 Silt/gravel
35 38 Silt/Clay
38 53 Silt/gravel/some clay
53 78 Silt/gravel
78 93 Gravel
93 100 Bedrock soft
100 318 Bedrock gray
318 354 Bedrock fractured
354 420 Bedrock fractured with fallout
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.
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
hftp://www.muni.org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP231368
Work Type: WellSeptic Initial
Tax Code Number: 01709272000
Site Legal Address: EQUESTRIAN HEIGHTS BLK 2 LT 15 G:3038
Site Mailing Address: 14375 PICKETT ST, Anchorage
Owner: HULTQUIST HOMES INC
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
IVAent
\o
n
Ueparrmenr
10/27/2023
10/26/2024
22303
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Z 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
Issued By:
Date:
Date: C 2 7z
4
05
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Community Development Department - Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWERIWELL PERMIT APPLICATION
Parcel I.D. 017-092-72
Property owner(s) Hultquist Homes, Inc.
Mailing address
Site address 14375 Pickett Street
Day phone
Legal description (Sub'd., Block & Lot) Equestrian Heights Block 2 Lot 15
Legal description (Township, Range & Section)
Lot Size 22,303 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption FieldX❑ Initial X❑
Single Family (SF) X❑
(w/wo ADU)
Septic TankX❑ Upgrade❑
(D) El
Holding Tank ❑ Renewal ElDuplex
Multiple Dwellings ❑
Privy ❑
(SF and/or D)
Private Well X❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
certify that the above information is correct. I further certify that
this is in accordance with
applicable Municipal Codes.
Isiz.p
(Signature of property owner or authorized agent)
Permit/Rush Fees: 01 -?�- I Z Waiver Fees:
Date of Payment: / 0�-"C'A� Date of Payment:
Receipt Number: 0//73o( --y- Receipt Number:
Permit No. DSp 23) 313 Waiver No.
Permit App_-'- : :—'.,:c
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
Mailing: P.O.Box 1807, Palmer, AK 99645
Telephone: (907) 745-8200 FAX: (907) 745-8201
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, Alaska
Subject: Equestrian Heights Block 2 Lot 15
Well & Septic System Permit Request
Septic System Design Narrative
This is a design narrative for a permit to install an initial septic system on the subject property. The proposed system
will serve a proposed four-bedroom (4) house. This lot and surrounding lots are served by private wells. Currently
there are no wells within 100 feet of the proposed system.
1. Soils:
One test hole was performed on this lot by Pannone Engineering Services, LLC on October 10, 2023 Groundwater
was not observed during the excavation of test hole, and bedrock was not encountered. No groundwater was
observed in this test hole monitor tube after 7-days. Based on the overall soils appearance and percolation test
results of test hole; an application rate of 1.2 gpd/SF was used for the design of a conventional wastewater
treatment system in the area of test hole.
2. Soil Absorption System Design.
a. See Sheet 1 of the design package.
3. Surface Water:
There is no surface water within 100 feet of the proposed septic tank and drain field.
4. Topography:
See attached site plan for area topography. There are no slopes exceeding 25% within 50ft of the proposed drain
field.
5. Drawing Markings: The Drawings are marked “For MOA Review Only”. When written notification that the
review is complete and no further comments are received from MoA On-Site Department, the note will be removed
and “For Construction” drawings will be issued.
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,
SRP
Steven R. Pannone, P.E. F. ASCE
Owner/Civil Engineer
24 October 2023
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231368, Deb Wockenfuss, 10/27/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231368, Deb Wockenfuss, 10/27/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231368, Deb Wockenfuss, 10/27/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231368, Deb Wockenfuss, 10/27/23
040.002 Crowther Associates
1632 Bellevue Circle / Anchorage, Alaska 99515
Telephone (907) 349-2198 / E mail: 907crowther@gmail.com
Date:October 23, 2023
Client:Pannone Engineering Services, Dan
Project:Equestrian Heights Block 2 Lot 15
Particle Size Distribution Table
(percent passing subject sieve size)
Sample Source --
Moisture
Content
3.5%
Sieve Size Percent Finer Percent Finer Percent Finer Percent Finer
3 inch 100
1-1/2 inch 100
¾ inch 100
#4 100
#10 97
#40 9
#100 6
#200 5
0.02 mm xx
Classification Sand (SP)
Invoice 212
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231368, Deb Wockenfuss, 10/27/23
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. 017-092-72-000
Expiration Date: 4/30/2025
Legal description EQUESTRIAN HEIGHTS BLK 2 LT 15
Site address 14375 PICKETT ST Anchorage AK 99516
Current property owner(s) HULTQUIST HOMES INC
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
a
Original Certificate Date: 10/28/2024
is 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 Services 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 work.
Its 11IFTIMM I IT, I_=1 1�111 &_3
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory X
Other
COSA Approval June 2022
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 Application
1. GENERAL INFORMATION
Parcel I.D. 017-092-72
Complete legal description Equestrian Heights, Block 2, Lot 15
Location (site address) 14375 Pickett Street
Current property owner(s) Hultquist Homes Inc
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: K 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
AgeNew - 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 $ i Li Waiver Fee $
Date of Payment
COSA# OS C -LV 3 S
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:
Equestrian Heights, Block 2, Lot 15 017-092-72
2.0
3/19/24 420 na
103
nd
24 22.2
3/19/24 Sullivan Water Wells
59 2024-04-30
New
new
2024-03-27
12.7
3.7
New
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.
Name of Firm Phone
Engineer’s Printed Name Date
Pannone Engineering Services
Steven R Pannone P.E., F. ASCE
907-745-8200
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Lot 15, Block 2,
Equestrian Heights Subdivision
As Built
Land Surveying
Land Development Consultants
Subdivision Specialists
Construction Surveying
AEC# 173042
S4
Group
124 E 7th Avenue
Anchorage, Alaska 99501
(907) 306-8104
mail@S4AK.com
09/30/2024
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907-343-7904
On -Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite--
Arsenic Advisory
Certificate of On -Site Systems Approval # OSC241435
Subdivision: Equestrian Heights, Block: 2, Lot: 15
A water sample revealed an arsenic concentration of 22.2 micrograms per liter
(ug/Q. The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. Information on arsenic is available from the On -Site Water and
Wastewater Program website (www.muni.org/onsite) or at 343-7904.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.