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Home My WebLink AboutSKY RIDGE LT 30Onsite File Lot 30 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 10/25/2024 MUNICIPALITY OF ANCHORAGE Development Services Department ME Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: �i b(,�( Date of Issue: Ly Parcel Identification Number: - - Legal Description Block Lot Property Owner Name & Address: �,;d5e 50 Pump Installation Date: _'j - .Z L( Pump Intake Depth Below Top of Well Casing: '7U feet Pump Manufacturer's Name: 6r(.,ik- 05 Pump Model: -5 AF a7 — 32 o Pump Size: hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name: Cgg lb—, i l Pitless Adapter Installer: AU 1T4 it — Well Disinfected Upon Completion? Yes ❑ No Method of Disinfection: C4,at,-,W\ A-.65 Comments: Pump Installer Name: v') VC Ir Company: 14e,�4-7 , Mailing Address: l�Q �� x 1 1 2 13 G A (3 I City: ` State: \ Zip: Attention: The pump installer shall provide a pump installation log to On -site within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Well Log Permit Number: #__________ Date of Issue: ________ Parcel Identification Number: __________________ Date Started: _________ Date Completed: _________ Is well located at approved permit location? Yes No Legal Description:_________________________________________________________________________ Property Owner Name & Address: _______________________________________ _______________________________________ _______________________________________ Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Method of Drilling air rotary cable tool Casing type: _________ Wall Thickness: inches Diameter: inches Depth: feet Liner Type: _________ Diameter: inches Depth: feet Casing stickup above ground: feet Static water level (from ground level): feet Pumping level: feet after hours pumping gpm Recovery Rate: gpm Method of Testing: _________ Well Intake Opening Type: Open End Open Hole Screened Start feet Stopped feet Perforations Start feet Stopped feet Grout Type: _________ Volume: _________ Depth: _________ Start feet Stopped feet Well Disinfected Upon Completion? Yes No Method of Disinfection: Comments: Well Driller: _____________________________ Company: _____________________________ Mailing Address: _____________________________ Water Sample Results: Arsenic: _________ ug/L Nitrates: _________ mg/L Total Coliform Bacteria:_________ colonies/100mL Attention: The well driller shall provide a well log to the On-site Water and Wastewater Section within 30 days of completion. 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: OSP241064 Work Type: Well Initial Tax Code Number: 01527530000 Site Legal Address: SKY RIDGE LT 30 G:2634 Site Mailing Address: 11153 SKY RIDGE DR, Anchorage Owner: HULTQUIST HOMES INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date: iNent /1 fi f� .f Department Lot Size in Sq Ft: Total Bedrooms: 4/24/2024 4/24/2025 22960 ❑ 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 sewer connect cards when this property is connected to public sewer. Received By: ( 5,5 L,io Issued By: _ �L �_ Date: 5 Date: MUNICIPALITY OF ANCHORAGE Ila Community Development Department t-:r Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I. D. 015-275-30 Property owner(s) Hultquist Homes Day phone Mailing address 12570 Old Seward Hwy Anchorage, AK Site address NHN Sky Ridge Drive Legal description (Sub'd., Block & Lot) Sky Ridge L30 Legal description (Township, Range & Section) Lot Size 22,960 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑x Single Family (SF) ❑x (w/wo ADU) Septic Tank ElUpgrade ElDuplex (D) ElHolding Tank ElRenewal ❑ 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: �0 -0 Waiver Fees: Date of Payment: Receipt Number: Permit No. Date of Payment: Receipt Number: Waiver No. Permit App_ - ::L_'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 30 Well Permit Request 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 23 April 2024 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241064, Curtis Townsend, 04/24/24 FOR CONSTRUCTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241064, Curtis Townsend, 04/24/24 FOR CONSTRUCTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241064, Curtis Townsend, 04/24/24 MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE:(907)564-2762 BLOCK/LOT/TRACT: LT 30/ SUBDV: SKY RIDGE TAX CODE: 01527530000 GRID: SW2634 04 WASTEWATER S241056 CONNECT PERMIT DATE OF APPLICATION: 4/18/2024 SCHEDULED COMPLETION DATE: 12/31/2024 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: 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 Staff CONNECT SIZE 4 in ISSUED WWTGV INSPECTION FEE $112.00 ❑ PAID ❑ CASH PERMIT FEE $77.00 ❑ CHECK RCC $1.30 OTHER REIMBURSABLE DEPOSIT $0.00 INSPECTED BY (" f �L NUMBER TOTAL $190.30 DATE REMARKS 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 00, INSPECTOR COPY�".r,„r DATE 12/31/2024 TIME 12:00 AM INSPECTOR SCHEDULED SUBDIVISION SKY RIDGE BLOCK/LOT/TRACT LT 30/ INDICATE NORTH 7 ' 32 — — 2C . Z� 16, av- SIZE MAIN: ' TYP iWN: DEPTH AT MAIN: Gj ` AT PROP. LINE: ` CONNECT LOCATION: (2' U W L COMMENTS: Q INSPECTED BY: LI z c DATE: &(,2t a_a 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 OSC241509 Parcel ID 015-275-30 Expiration Date: C, z S Legal description SKY RIDGE LT 30 site address 11153 SKY RIDGE DR Current property owner(s) HULTQUIST HOMES INC X The On -site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions. - By: 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 Service 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 submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 01527530 Complete legal description Sky Ridge L30 Location (site address) 11153 Sky Ridge Dr Current property owner(s) Hultquist Homes 2. ON -SITE SYSTEMS SIZED FOR 5 BEDROOMS ' Day phone 3. TYPE OF WATER SUPPLY: X Private Well R Private Well serving 2 dwelling units El Private Well serving 3+ dwelling units ❑ Community Well or Public F-1 Water Storage 4. TYPE OF WASTEWATER DISPOSAL: r-1 Private Septic R Private Septic serving 2 dwelling units R Holding Tank MR Community Septic or Public Sewer 5. SEPTIC TANK: F-I Steel r_1 Plastic R Concrete R Fiberglass Age - See advisory if steel older than 20 years 6. ABSORPTION FIELD: R AWWTS R Bed R Deep Trench R Wide Trench 0 Seepage Pit Waiver request for: Expedited review requested: RN 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 $ f zo Waiver Fee $ Date of Payment COSA # O's C2 L/ / 50 9 Date of Payment Waiver # COSA Application —June 2022 COSA Checklist Legal Description: Sky Ridge L30 Parcel ID: 01527530 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 04/26/24 Total depth 201 ft Cased to 201 ft MR Sanitary seal is functioning correctly FNI Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 04/26/24 Static water level at beginning of test 108 ft. Comments B. TANK DATA Measured operating fluid level in septic tank Date of pumping ❑ Required maintenance completed, if AWWTS 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 ❑ N/A — pressurized field. ❑ Per record drawings, field is insula ❑ Monitor tubes go to bottom of eff ive. If not, state depth into effecXe ❑ Presoaked required if (Required if house can.. or field not used for more than 30 days pr" to date of test) Gallons in duced gallons date Any reju nation treatment (past 12 months) es, enter date Comments/D Well production at time of test 30 gpm Water storage tank volume none gallons Well disinfected for coliform test? n Yes ❑ No 9 Coliform bacteria is Negative Nitrate mg/L ❑■ Nitrate less than MRL (ND) Arsenic ug/L ❑■ Arsenic less than MRL (ND) Collected by Hefty Drilling Date 05/29/24 C. LIFT STATION ❑ Required maintenance co Age of lift station y� Lift station material / Comments: AA quacy test date _ / Results ❑ Pass Fluid depth prior to test Water added gal New fluid depth in Elapsed time min Final fluid depth in H Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in 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' Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft Eyes if No ft Neighboring Tank > 100' [E Yes if No ft Private Sewer/Septic Line > 25' R Yes if No ft Absorption Field on Lot > 100' Fn� Yes if No ft Holding Tank > 100' ME Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑E Yes if No ft R1 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' [i]Yes if No ft Q■ 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 r irk Building Foundations > 10' ❑ Yes if No ft Surface Water > ElYes if No ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Sgntiee"Cne > 10' F. ENGINEER'S COMMENTS ❑ Yes if No ft ❑ Yes if`_Na_,--ft es if No ft ❑ Yes if No ft on Adjacent Lots: Private Wells > 100' Community Wells > 200' ❑ Yes if No ft ❑ Yes if No ft If tank or field is under driveway comment below 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 Pannone Engineering Services Engineer's Printed Name Steven R Pannone P.E., F. ASCE Phone 907-745-8200 COSA Checklist June 2022 Date 12/6/24