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Home My WebLink AboutSKY RIDGE LT 31 www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: OSP 241002 Date of Issue 1/5/24 Parcel Identification Number: 01527531000 Legal Description Property Owner Name & Address Sky Ridge LT 31 Hultquist Homes 11197 Sky Ridge Dr. Anchorage, AK Pump Installation Date: 6/25/24 Pump Intake Depth Below Top of Well Casing: 210 feet Pump manufacturer’s Name: Grundfos Pump Model: 10SQE07-240 Pump Size: 3/4 hp Pitless Adapter Burial Depth: 10 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: 11197 Sky Ridge Dr. Anchorage, AK 99516 LEGAL DESCRIPTION SKY RIDGE LOT 31 DATE: 2/29/24 PERMIT NUMBER: OSP241002 DATE OF ISSUE: 1/5/24 TAX IDENTIFICATION NUMBER 01527531000 Is well located at approved permit location: Yes No Method of Drilling: air rotary cable tool Depth of Well: 264’ Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 260 feet Liner type Static Water Level: 85’ feet Recovery Rate 8 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 12 Silty sand and gravel 12 16 Silt/Gravel 16 30 Gravel 30 36 Silt some gravel 36 50 Silt 50 56 Silt/Clay 56 76 Silt some clay 76 96 Silt some gravel 96 134 Silt/Gravel 134 136 Sand 136 176 Sand/Gravel 176 196 Gravel/Silt 196 259 Gravel/Silty sand 259 264 Silty sand and gravel 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. Lot 31 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 07/08/2024 MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE:(907)564-2762 BLOCK/LOT/TRACT: LT 31/ SUBDV: SKY RIDGE TAX CODE: 01527531000 GRID: SW2634 KvC� I klz-q [ l 'w WASTEWATER S231034 CONNECT PERMIT DATE OF APPLICATION: 4/12/2023 SCHEDULED COMPLETION DATE: 12/31/2023 STREET ADDRESS: 002801 E 112TH AVE , AK OWNER: HULTQUIST HOMES INC MAIL ADDRESS: 12570 OLD SEWARD HIGHWAY ANCHORAGE, AK 995150000 ❑ SINGLE FAMILY ❑ DUPLEX ❑ COMMERCIAL ❑ MULTI -DWELLING No. APTS 0 PHONE: CONTRACTOR: Diamond Masonry ASSESSMENTS ❑ Repair Existing Service ❑ Main Line Extension Q On Property Only ❑ City Tap ❑ Have Been Levied ❑ Hydrant Only ❑ Main Tap - To Property Line Only Cured in Place Pipe ❑ To Be Levied Comments: ❑ Main Tap & On Property Connect ❑ Disconnect Row No. ❑ R & R - Main Tap Only Owner Staff CONNECT SIZE 4 in ISSUED WWTGV INSPECTION FEE $112.00 PAID ❑ CASH PERMIT FEE $77.00 ❑ CHECK RCC $2.51 7 OTHER REIMBURSABLE DEPOSIT $0.00 INSPECTED BY NUMBER TOTAL $191.51 DATE11yTl M.0501"; IV PERMITTEE (Please Print) Diamond Masonry MAIL ADDRESS 8107 Frank St Anchorage, AK 99507 SIGNATURE EMAIL PHONE (907)727-0828 POST IN A CONSPICUOUS PLACE AT THE JOB SITE •.� INSPECTOR COPY �� DATE 12/31/2023 TIME 12:00 AM INSPECTOR SCHEDULED SUBDIVISION SKY RIDGE BLOCK/LOT/TRACT LT 31/ INDICATE NORTH 11117 SKY ?,4s< "Os z- zt,1,54 4" Pvc. 3V a4 y `PSC 2�of 4Fv L- sky RAC W SIZE MAIN: TYPE MAIN: DEPTH AT MAIN: AT PROP. LINE: CONNECT LOCATION: 2 0(- W COMMENTS: Ct r*cC tr Con bett 0 Sfu b a INSPECTED BY: L f (. DATE:1 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 System Permit Permit Number: OSP241002 Work Type: Well Initial Tax Code Number: 01527531000 Site Legal Address: SKY RIDGE LT 31 G:2634 Site Mailing Address: 11197 SKY RIDGE DR, Anchorage Owner: HULTQUIST HOMES INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date �17cnt S n DepartInc lit Lot Size in Sq Ft: Total Bedrooms: 1 /5/2024 1 /4/2025 22705 ❑ 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: ' SS�t=� P� Date: Issued By: Date: 5Z Z 5 MUNICIPALITY OF ANCHORAGE o 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 121 Parcel I.D. 015-275-31 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 L31 Day phone Legal description (Township, Range & Section) Lot Size 22,705 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial 0 Single Family (SF) x❑ Septic Tank ❑ Upgrade ❑ (w/wo ADU) Holding Tank ElRenewal ElDuplex (D) El 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. ' 2024.01.04 (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. 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 31 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 east are served by private water and sewer systems. 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 OSP241002, 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 OSP241002, 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 ) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241002, Curtis Townsend, 01/05/24 NT r -- C) m 0') 0) I— I - A I* P. 6 cu 0 cu CL X w 0') co L- 0 CY) C) UJ (D W C) (D C) ry in a �PAr a WE W, I ON vi E 0 0 0 4— _0 a) 0 CL CL coani cn >1 cn 0 a) -C A .64 0 4- 0 c 4- 0 (D C0 L >% cn 0 . 2- U) u) C14 Lo U) N 0 0 r r— EN cu 0 ( a 0 a) *� "a 0 U 0 U) cu (3) U) w c 0 0 0 c 0) CL a — CL < 0 0 C) -Futo c E Cf) o *a 3: < < E -S 0 0 (n C O cn 0 0 z < E t r E > u c m rL 0 0 m 0 0 CL E 0 0 a) 0 U) E 0 C m CO 0) N E 20 0 < 0 CL 0 - > 0 L. CL U) 0 -o 0 (n T > 4 0 6 > MLL L) a) < —u 4) 0 C) a 0 0 U) < < " U)s— (D z w U) 0 0 -)e U) C = -0 cu ami E (D 3: < o 0 u a CL u a 0 '6 C)/ (D E 0 WA T— R cn 01 a) C/) a) a) CL El a) 5611 (L IL D U) w uj U- 0 ui CL cli 0 U) Iq L- :L- a) CL (D 0) CL a) :3 CO a_ F 0 Q - a) OE E 0 C) 0) a) LL F- C: a) C) a) El (c,:) 0 cu � ❑ Elm El F-1 CO (n a) m a) 0- co �L2-�, El < 0 ❑ cn > El uj: T) i� z z 0 < p CL 0 °'Q cl) uj 0) co Cl) < < cri co N U) w L.: 0 U) O F-01 0 41 15 4) 0 L. CL 0 U) E 0 E 4) 4) 0 >, U) 0 m 04) c CL V. LL E nz a. 4-- 0 cu 0 as ,n E Q >1 m 0- 4— 4t 0 < a) Cf) m 0 *1� 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