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
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16 Sig
SKY 9.14tAr-
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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
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Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241003, Curtis Townsend, 01/05/24
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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:
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