HomeMy WebLinkAboutSKY RIDGE LT 1Certified Drilling Log OWNER OF LAND: Hultquist Homes ADDRESS: 10850 Sky Ridge Dr. Anchorage, AK 99516 LEGAL DESCRIPTION Sky Ridge Lot 1 DATE: 2/28/24 PERMIT NUMBER: OSP241003 DATE OF ISSUE: 1/5/24 TAX IDENTIFICATION NUMBER 01527501000 Is well located at approved permit location: Yes No Method of Drilling: air rotary cable tool Depth of Well: 164’ Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 164 feet Liner type Static Water Level: 80 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 14 Silty sand 14 18 Clay 18 25 Silt clay 25 35 Silt 35 45 Clay 45 58 Silt/Clay 58 60 Silt some gravel 60 70 Clay 70 78 Silt some clay 78 98 Silt some gravel 98 118 Silt/Gravel 118 138 Water sandy little to no gravel 138 150 Sand some gravel 150 164 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 241003 Date of Issue 1/5/24 Parcel Identification Number: 01527501000 Legal Description Property Owner Name & Address Sky Ridge Lt 1 Hultquist Homes Pump Installation Date: 4/19/24 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 Unknown MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE: (907)564-2762 BLOCK/LOT/TRACT: LT 1/ SUBDV: SKY RIDGE TAX CODE: 01527501000 GRID: SW2634 STREET ADDRESS: 002801 E 112TH AVE , AK OWNER: HULTQUIST HOMES INC Kvd- ) -1 �K-zq 9 z pw, WASTEWATER S241003 CONNECT PERMIT DATE OF APPLICATION: 1/16/2024 SCHEDULED COMPLETION DATE: 12/31/2024 MAIL ADDRESS: 12570 OLD SEWARD HIGHWAY ANCHORAGE, AK 995150000 ❑ SINGLE FAMILY ❑ DUPLEX ❑ COMMERCIAL ❑ MULTI -DWELLING No. APTS 0 PHONE: CONTRACTOR: ASSESSMENTS ❑ Repair Existing Service Main Line Extension ❑ On Property Only ❑City Tap Have Been Levied ❑ Hydrant Only ❑ To Be Levied ❑ Main Tap - To Property Line Only ❑ Cured in Place Pipe Comments: ❑ Main Tap & On Property Connect ❑ Disconnect Row No. ❑ R & R - Main Tap Only Owner Sta CONNECT SIZE 4 in ISSUED WWTGV INSPECTION FEE $112.00 PAID ❑ CASH PERMIT FEE $77.00 ❑ CHECK RCC $1.30 OTHER C,G I / -lq REIMBURSABLE DEPOSIT $0.00 INSPECTED BY NUMBER TOTAL $190.30 DATE REMARKS NEW SEWER SERVICE LINE PERMITTEE (Please Print) HULTQUIST HOMES INC MAIL ADDRESS 12570 OLD SEWARD HIGHWAY ANCHORAGE, AK 995150000 SIGNATURE EMAIL PHONE POST IN A CONSPICUOUS PLACE AT THE JOB SITE •� INSPECTOR COPY ��ff� DATE 12/31/2024 TIME 12:00 AM INSPECTOR SCHEDULED SUBDIVISION SKY RIDGE BLOCK/LOT/TRACT LT 1/ INDICATE NORTH b G1 16 Sig SKY 9.14tAr- II Ali L+ SIZE MAIN: TYPE MAIN: DEPTH AT MAIN: AT PROP. LINE: CONNECT LOCATION: of SC ro cf COMMENTS: C avArt, 4-c,( CCNlPlr(.� AO be a+ 01A INSPECTED BY: , �plb'G� DATE: I/I /,Zq 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 System Permit Permit Number: OSP241003 Work Type: Well Initial Tax Code Number: 01527501000 Site Legal Address: SKY RIDGE LT 1 G:2634 Site Mailing Address: 10850 SKY RIDGE DR, Anchorage Owner: HULTQUIST HOMES INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date: inCnt S 0 U � f+ Depai-tinent Lot Size in Sq Ft: Total Bedrooms: 1 /5/2024 1 /4/2025 20037 ❑ 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 Special Provisions: Please provide AWWU connect cards when this property is connected to public sewer. Received By: Issued By: n _ �--- // 1 b/?ozy Date: Date: A� Z 5 MU MPI`'LffY O MCHOFR Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON —SITE SEWER/WELL PERMIT APPLICATION s " r. Parcel I. D. 015-275-01 Property owner(s) Hultquist Homes INC Mailing address 12570 Old Seward Hwy Anchorage, AK Site address NHN Sky Ridge Drive Legal description (Sub'd., Block & Lot) Sky Ridge L1 Day phone Legal description (Township, Range & Section) Lot Size 20,037 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial x❑ Single Family (SF) x❑ Septic Tank ❑ Upgrade ❑ (w/wo ADU) Holding Tank El Renewal Renewal ❑ (D) ❑ Privy ❑ Multiple Dwellings ❑ (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. ' /S6 " 2024.01.0.4 (5lgnature of property owner or authorized agent) Permit/Rush Fees: _� (0 o Waiver Fees: Date of Payment: 115- /-Z�Z C/ Date of Payment: Receipt Number: 0 Z$5—b G Receipt Number: Permit No. (��p Z,-i 10a'3 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 99519 Subject: Sky Ridge Lot 1 Well Permit Request Well Design Narrative This is a design narrative for a permit to install a private well on the subject property. Currently the lot is undeveloped. This lot and the surrounding lots are to be served by public sewer. Lots to the west, Rangerider Subdivision are served by AWWU water and wastewater. 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, SRP Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer 4 January 2024 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241003, Curtis Townsend, 01/05/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) INSTALL WELL. -- FEET -- FEET Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241003, Curtis Townsend, 01/05/24 z Jo L 133H 2OOLtiZdSO 'ON 11wa3 LO—SLZ—Sl0 ON '0'I' ,0S = „L 31VO b0'lo'VzoZ 9L'l0'-VZOZ :L A32J SNOISIA38 >id `30d�JOHONd 3AIda 30a1�J J.>iS NHN :3ilS ONI S3MOH 1SIflbiinH Ll 30QId )l>iS IOZB-SbL U06) XVd OOZ9-9bL U06) 3NOHd 9b96¢ �V 'a3P]Vd LOBI XOO -0'd (880� TO 3'1-1 3AS ON3 3NONNVd 2 N IH` NV�d IiIS &IS I 03)403H0 I dOV NMVaG 2J3MJO 30NVHO :S310N O J I � -4 N, !r _ w 3AIdO 3JO121 ANS — —� SS —SS S SS — SS SS SS SS SS SS —_ SS — SS Q ^ ^ A H O o- \ LLJ � y O 6N O y 1 I N J W to I WQ 33 t a� 4i O U C L O — � I \ 2/31VM315dM ;8 &31b'M Y3lVM31SVM 7 Y31VM nMMV AG 03AV3S 107 nMMV Ag 03AY3S 107 I > >�> z: T w 0 w \ U z _1 w 7) Z < U_ ~ Q m Q w F �a w w O F- �,z¢ d Lo gww U Lu w Of O - Z O O 3 Z w V O l Cn O O U w m I z Q 0 Z l� 3 H J OLLJ O U O> 00 00wF=o_W JJ I I ~ = O ZZ J�p�F--00¢ O 5< r J > N w j 0 W Z Z d a N W�awUOL,LoMi:� ry m 2 d WO OU(/)>�=}a Q F--`. 0L, `.0 wO:�} O O7 (7) CY) [-- ti CIO C") C? 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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: U) LU U Z Q H Z O a Q a W U) J C T uj c E m 6 a) 0 a) to 0 - 0 0.0 E l m - (n ��-a1c0� 3 C m 0 N m m a) C O O O O O o 0 0 0 03 ° Z Z Z Z Z Z Z Z 0 N m a) -0 m p D O' N C C p O cu 2)-0-6- - W 0 uJ w cn cn a) m Al a) a) a) a) o a) � a) a) m E c 0 a) ' E`o oz' m E E * • e *} } } } o} } } E s m `t �'•. co ❑� ❑� ❑m n1� ❑ ❑ o ESU m an cs 5 o w sem. o) w c>o m 'o c) m ro U N m u) 3 L� C •�-= Off— N LL a nl `o `m a o a) rnco CD EoaEiu)oo o a) o in cco � 0 � m m c n cn L)!t-- Al m L C > cn N � U a •p� O C_ T W •� m n1 � >� 0) o nI >.0.5 cn U 0 Eno L)— : V L O O O V) 0 a) 0 0) 3 cn E w Al a) (n o a) a 0- .L m a) Al c c) W�EO cv�ic0oioaciE U) a) @ E 6 - c Z � � a) o m cn � +T• N m CO C O a) Q = c� 3 U 0.i U) -0•C m C N C L C a) U rn U m c cn m c E `O z�U n.n 0� 0- cn m o m E C m 0 cu U O p -"c W 0 a U p m O rn_ C E m =o E c o a `� U c a)> m a) s ani 0 a) �� a) cn o > o c m S m ° m 0ss m� o o� >,m m W U d 2 ¢ cu p Z 0.3-0 o� Co a) N U .. 3 U) w O oQ a) o� E a) c 0 cn ui cn E coo N m Q J F- �Eac 0> 0T co cn Op a) m s u) cn L C E Z�om o�oaa��cpio U U a) I I I I I w o_ cn p o D a) o) m n cc m m N O O o 0 0 >' LL o 0 0 0 o Ou) m QcEO�—mEa Z Z Z Z Z o Z Z Z Z mO af° m co a) mo — +' z C `� m cn E m L (n m E >. a) ` p: CL Wm0 S m.6"a)3a),Qo . 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