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HomeMy WebLinkAboutEQUESTRIAN HEIGHTS BLK 2 LT 15mom 0 0 He h 1: A�uebmmtri an eig T 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 �� J/)/��j� Ijj' �\ ////��'\�\,\ t`j�I� [r1�JI yI�II �IJ�J ���\�/j'J] L�� � 'I V lJ V {:i U H � � � P Y L� IJ 11 Y `Y F ll V C Y FJ ® W �1/J U �:.,/ 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 ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ 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.