HomeMy WebLinkAboutSKY RIDGE LT 32(Rev 05/0?")
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP231386
PID Number: 015-275-32
Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: 0 New ❑ Upgrade
Name
Hultquist Homes
ABSORPTION FIELD
❑■ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
11010 Hane Street
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
1.2 GPD/SF
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
Sky Ridge
32
Fill added above original grade
4.0 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 Ft2
1
n/a Ft.
Well
100'+
100'+
NA
NA
25'+
ITANK❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Greer (Deep Bury)
Capacity
1250 Gal.
Surface Water
100'+
100'+
NA
NA
Material
Number of compartments
i
Lot Line
5'+
10'+
NA
I
NA
NA
HDPE
2
Foundation
10'+
10'+
NA
NA
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
PIPE MATERIAL House to tank 3034 Tank to
drainfield 3034
Installer
Little Dipper
Drainfield 3034 CO/MT 3034
Inspector Pannone Engineering Services
BENCH MARK (Assumed elevation) 100.00 ft
Inspection
v, 6/18/24 nd 7/11/24
Location and description
3`d 7/15/24 4119/24/24 1
Concrete patio under deck (see Record Drawing)
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date
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Approved
Date v
ote: this approval does not include well permit requireme ts.
(Rev 05/0?")
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1250 GAL GREER
POLY TANK
PA
N
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L
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www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: OSP 231386 Date of Issue 11/17/23
Parcel Identification Number: 01527532000
Legal Description Property Owner Name & Address
SKY RIDGE LT 32
Tyler Loken
11010 Hane St.
Anchorage, AK 99516
Pump Installation Date:
8/23/24
Pump Intake Depth Below Top of Well Casing:
172 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.
Merrill
White Raven
Certified Drilling Log
OWNER OF LAND: Hultquist Homes
ADDRESS: 11010 Hane St. Anchorage, AK
LEGAL DESCRIPTION Sky Ridge Lot 32
DATE: 6/24/24
PERMIT NUMBER: OSP23186 DATE OF ISSUE: 11/17/23
TAX IDENTIFICATION NUMBER 01527532000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 196
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 194 feet
Liner type
Static Water Level: 101.4 feet
Recovery Rate 15+ 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 6 Overburden
6 18 Silty sand and gravel
18 23 Silty sand and gravel wet
23 104 Tight silty sand and gravel
104 142 Hardpan with clay
142 164 Silt and clay
164 181 Silt and gravel with some clay
181 191 Silty sand and gravel tight
191 196 Silty sand and 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.
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 & Wastewater System Permit
Permit Number: OSP231386
Work Type: WellSeptic Initial
Tax Code Number: 01527532000
Site Legal Address: SKY RIDGE LT 32 G:2634
Site Mailing Address:
Owner: LOKEN CONSTRUCTION LLC
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date
1°
n
Department
Lot Size in Sq Ft:
Total Bedrooms:
11/17/2023
11/16/2024
45409
Q Disposal Field Q 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
I--- \\
may: (A1? to Date:
Issued By: lam/ Date: % 2
4
MUNICIPALITY OF ANCHORAGE
rt� _I
O r..' f�
Community Development Department's �� Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWERIWELL PERMIT APPLICATION T�'%
Parcel I.D. 015-275-32
Property owner(s) Hultquist Homes
Mailing address
Site address NSN Hane Street
Day phone
Legal description (Sub'd., Block & Lot) Sky Ridge, Lot 32
Legal description (Township, Range & Section)
Lot Size 45,409 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(N all that apply)
Absorption Field ❑X
Initial 0 Single Family (SF) ❑X
(w/wo ADU)
Septic Tank ❑X
Upgrade ElDuplex
(D) El
❑
RenewalTank
Renewal El
Multiple Dwellings ❑
Privy ❑
(SF and/or D)
Private Well ❑X
Water Storage ❑
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.
(Signature of property owner or authorized agent)
Permit/Rush Fees: , 31 2— Waiver Fees:
Date of Payment: 2Date of Payment:
Receipt Number: Receipt Number:
Permit No. _ d S P ?'S( $ 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
3 November 2023
Municipality of Anchorage
Development Services Department
On‐Site Water & Wastewater Program
4700 Elmore Road
Anchorage, Alaska
Subject: Sky Ridge, Lot 32
Septic System Permit Request
This is a design narrative for a permit to install an initial septic system and well 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. There are no wells or septics within the minimum offset distances from this installation.
1. Soils:
A test hole was performed on this lot by Pannone Engineering Services, LLC on 11/1/2023. Groundwater was not
observed during the excavation of the test hole to a depth of nineteen feet (19.0’), and bedrock was not
encountered. Groundwater was not observed in the test hole monitor tube after 7‐days. Based on the results of the
percolation test and overall soils appearance an application rate of 1.2 gpd/SF was used for the design of a
conventional wastewater treatment system in the area of the 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 steep slopes in the area of the proposed system.
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
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231386, Deb Wockenfuss, 11/17/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231386, Deb Wockenfuss, 11/17/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231386, Deb Wockenfuss, 11/17/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231386, Deb Wockenfuss, 11/17/23
040.002 Crowther Associates
1632 Bellevue Circle / Anchorage, Alaska 99515
Telephone (907) 349-2198 / E mail: 907crowther@gmail.com
Date:November 6, 2023
Client:Pannone Engineering Services, Dan
Project:Sky Ridge Lot 32
Particle Size Distribution Table
(percent passing subject sieve size)
Sample Source --
Moisture
Content
5.3%
Sieve Size Percent Finer Percent Finer Percent Finer Percent Finer
3 inch 100
1-1/2 inch 100
¾ inch 87
#4 82
#10 76
#40 25
#100 12
#200 10
0.02 mm Xx
Classification Silty Sand
(SM)
Invoice 214
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231386, Deb Wockenfuss, 11/17/23
MUNICIPALITY O_ F ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 015-275-32-000
Legal description SKY RIDGE LT 32
Site address 11010 HANE ST Anchorage AK 99516
Current property owner(s) HULTQUIST HOMES INC
Expiration Date:
7/15/2025
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
Original Certificate Date: 10/10/2024
This 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.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval—June 2022
MUNICIPALITYR05�k
OF ANCHORAGE
Development Services DepartmentPhone: 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. 015-275-32
Complete legal description Sky Rdidge L32
Location (site address) 11010 Hane Street
Current property owner(s) HUltquiSt Homes Inc
2. ON-SITE SYSTEMS SIZED FOR 4 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 X Plastic ❑ Concrete ❑ Fiberglass
Age new - 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 Waiver Fee $
Date of Payment
COSA # Ob C 2.'-(! q l,3
Date of Payment
Waiver #
COSA Application—June 2022
Lot 32
Sky Ridge 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
10/07/2024
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.
Name of Firm
Phone
Engineer’s Printed Name
Date 10/09/2024