HomeMy WebLinkAboutCANYON VIEW ESTATES BLK 2 LT 4Canyon View Estates
Block 2
Lot 4
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: OSP 241133 Date of Issue 6/21/24
Parcel Identification Number: 02102150000
Legal Description Property Owner Name & Address
Canyonview Estates BLK 2 LT 4 Hultquist Homes
13800 Canyon Rd.
Anchorage, AK 99516
Pump Installation Date:
1/15/25
Pump Intake Depth Below Top of Well Casing:
291 feet
Pump manufacturer’s Name:
Grundfos
Pump Model:
10SQE10-290
Pump Size:
1 hp
Pitless Adapter Burial Depth:
11 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
Unknown
(Rev 05/02/1.8'j
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP241133
PID Number: 021-021-50
Dwelling: 0 Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: 9 New ❑ Upgrade
Name
Hultquist Homes, Inc.
ABSORPTION FIELD
❑ Deep Trench ❑■ Wide Trench El Bed E] Mound
Site Address
13800 Canyon Road
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
5
1.2 GPD/SF
2.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
1.0 Ft.
Gravel depth beneath pipe
1.5 Ft.
Subdivision
Canyon View Estates
Block Lot
2 4
Fill added above original grade
1.5-1.9 Ft.
Gravel length
2@50 Ft.
Township Range Section
Gravel width
5.0 Ft.
Beds: Number of Lines
n/a
Distance between lines
n/a Ft.
SEPARATION
DISTANCES
To
From
Septic
Tank
Absorption Lift Station
Field iTank
Holding Sewer
Line
Total absorption area
649.4 FP
Number of trenches
2
Dist. between trenches
6.6 Ft.
Well
100'+
100'+
NA
NA 25'+
TANK p Septic ❑ S.T.E.P. 171Holding ❑ Other
Manufacturer
Greer (Deep Bury)
Capacity
1500 Gal.
Surface Water
100'+
100'+
1 NA
NA
Material
Number of compartments
Lot Line
5'+
10'+
NA
NA j NA
HDPE
2
Foundation
10'+
10'+
NA
NA
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
Red Dog Masonry, Inc.
PIPE MATERIAL House to tank ASTM F628 Tank to ASTM D3034
drainfield
Drainfield ASTM D3034 CO/MT F628/D3034
Inspector PES
BENCH MARK (Assumed elevation) 100.0 ft
Inspdecct sn �5 11/26/24
3'd 11/27/24
god 11/27/24
41h 12/04/24
Location and description
See Site Plan, Window Sill
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date
''" `•..
'•. CE 8149
�'• !"•
'.•�a.�•••
Septic Systems
Approved //
Date
0
N e: this approval does not include well permit requirem nts.
(Rev 05/02/1.8'j
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Certified Drilling Log
OWNER OF LAND: Hultquist Homes
ADDRESS: 13800 Canyon Rd. Anchorage, AK 99516
LEGAL DESCRIPTION Canyon View Estates Block 2 Lot 4
DATE: 9/24/24
PERMIT NUMBER: OSP241133 DATE OF ISSUE: 6/21/24
TAX IDENTIFICATION NUMBER 02102150000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 300’
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 84 feet
Liner type
Static Water Level: 122 feet
Recovery Rate 5 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 16 Silt Sand Gravel w/ Some Clay
16 45 Silty Sand w/ Some Gravel
45 78 Hardpan
78 104 Bedrock Broken Gray
104 187 Bedrock Gray
187 242 Bedrock Yellow
242 286 Bedrock Gray
286 300 Bedrock Gray w/ Fractures
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.
o mcnr `S,
MUNICIPALITY OF ANCHORAGE Meppa7ment Development Services DepartmentRight of Way Section
ENCROACHMENT PERMIT R251154
THIS AGREEMENT, made this 28th day of February2025, by and between Hultquist Homes,
Inc and their heirs, administrators, and assigns, hereinafter called "PERMITTEE", and the
Municipality of Anchorage, a municipal corporation organized and existing under its Charter and the
laws of the State of Alaska, hereinafter called the "PERMITTER".
WITNESSETH:
WHEREAS, PERMITTEE is the owner of the following described real property:
CANYON VIEW ESTATES, BLOCK 2, LOT 4, according to the official records
thereof, on file in the office of the District Recorder, Anchorage Recording District,
Alaska, and;
WHEREAS, PERMITTER owns and/or maintains the real property more particularly
described as follows:
The THIRTY-FIVE FOOT PUBLIC USE EASEMENT, immediately on the north side
of PERMITTEES property as shown on Plat No. 21-65, on file in the office of the
District Recorder, Anchorage Recording District, Alaska, and;
WHEREAS, PERMITTEE has placed a well upon the referenced real property which
encroaches 11 feet upon the PERMITTER'S 35' Public Use Easement.
NOW, THEREFORE, it is mutually agreed between the parties hereto that:
1. The PERMITTER, acting through the Director of Development Services
Department, hereby grants to the PERMITTEE the privilege of allowing the well
to encroach 1 I feet upon the PERMITTER'S 35' Public Use Easement, as shown
on "Attachment A," included herewith.
2. The PERMITTEE agrees forever to indemnify, defend, save and hold harmless,
the Municipality, its officers and employees, from any and all lawsuits, claims or
actions brought to any person for or on account of damage to property or injury,
disease, illness or death of persons, including all costs and expenses incident
thereto, arising wholly or in part from or in connection with the existence of,
alterations, maintenance, repair, renewal, reconstruction, operation, use or
removal of the encroaching well, as placed upon the PERMITTER'S 35' Public
Use Easement.
3. The PERMITTEE shall not assign or transfer any of the rights granted herein to
another individual or company without first notifying and securing the approval
of the Director of Development Services Department.
This Agreement and Permit grants PERMITTEE no interest in PERMITTER'S
real property whatsoever, except only the encroachment rights described herein.
The PERMITTER reserves the right to revoke this permit upon twenty (20) days
written notice to the PERMITTEE. The PERMITTEE agrees upon such notice
of revocation, to move said encroachment(s) from the Public Use Easement in
which it is placed. Should the PERMITTEE refuse or fail to comply with said
written notice, the PERMITTER may, without further notice to the
PERMITTEE, remove or cause to be removed the encroachment(s), and the
PERMITTEE hereby ap-eus to reimburse the PERMITTER for all costs
incidental to the removal thereof.
In addition to the mutual promises heretofore made, the PERMITTEE has paid the
PERMITTER a one-time permit application fee of $120.00. The PERMITTER hereby waives the
annual fee of$315.00.
IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seal the day
and year first hereinabove written.
GRANTEE: GRANTOR: MUNICIPALITY OF ANCHORAGE
44 �,
John Snelson
Hultquist Homes, Inc Right of Way Supervisor
Dave Hultquist - Owner
..-'o ate) -;
POST IN A CONSPICUOUS PLACE
ALL WORK MUST BE INSPECTED
■ �u Fleld Inspection Request required 2 working days in advance of slarting work and 2 working
days in advance for final Inspection. Call (907) 343-8 20 6 (voice recorder) for scheduling.
Permit is not valid without the call-in and also must include the 111 ticket (ul0ity locale)
number.
MUNICIPALITY OF ANCHORAGE - RIGHT OF WAY DIVISION
4700 ELMORE ROAD
TELEPHONE (907) 343-8240 EMAIL: moarowrequests@muni.org
RIGHT OF WAY PERMIT
Type: Encrchmnt Status:
Date Applied: 02/27/2025 Date Issued:
Construction Start Date: 02/28/2025 Last Updated:
Permittee: HULTQUIST HOMES INC
Work Order:
Contact Person: Lily Sullivan, 907-522-3204
C. n f
v
epartment
R251154
Issued Grid: SW2942
02/27/2025 Issued By; PWMSW
02/28/2025 Last Updated By; PWMSW
Utility:
Address/Loc: 13800 CANYON RD, Anchorage - @ Upper DeArmoun
Legal Description. CANYON VIEW ESTATES BLK 2 LT 4 3:3042
Original Work Well encroaching 1 V into PUE 2016-013104-0.
Description:
Fee Descrlpfi n
Permit
Primary Inspector: ROW Lead
S _ ori i M rrajLriaoi9lI§
See reverse for requirements/remarks
Quantity Amoun
1 $120.00
Total Fees: $120.00
I have read and understand both sides of this permit. I agree to the terms and conditions; and I certify that all work will comply with federal, state,
and municipal codes and regulatlons and the provisions of this permit.
Signature: rr/ir� �) Date:
L
Construction Requirements and Notes:
1. This permit has been issued based on the assumption that the information contained in the plans and supporting
documentation its correct. Any and all omissions are the responsibility of the permitee. Any change in the scope of
work requires a revised or new permit and Traffic Control Pian (TCP).
2. Contractors' acceptance of this permit constitutes acceptance of the Municipality's bonding requirements, and is
contractor' representation that contractor has and will comply with those requirements. Unless a specific bond is
applied to this permit by written reference, the conlraclor's performance bond on file with Development Services,
Right of Way Enforcement, shall suffice as the required bond.
3. The Permittea shalt post a copy of the permit in a conspicuous location at the place to which the permit pertains
before any work there is started and shall remove the permit only after the Flight of Way Inspector has accepted the
work as being in compliance with the permit.
4. The Municipality has the right to inspect andlor reject materials and workmanship not to Municipal standards, to
stop work until corrections are made, or to require removal of the facility and to charge time, material and
equipment to the Permitee to correct the facility if they fail to comply with the conditions of the permit.
5. Permitee is responsible for locating and protecting all utilities and survey markers in the work vicinity. For utility
locates, call Alaska Digline at "811" or (907) 278-3121.
6. The contractor shall erect signs, barricades and detours in accordance with the U.S. Department of Transportation
"Manual on Uniform Traffic Control Devices", Part VI - Traffic Controls for Street and Highway Construction,
Maintenance, Utility and Emergency Operations. Failure to do so may result in fines being assessed under Title 14
for work not in conformance with a permit.
7. Changes in the approved road closures or scope of work resulting from emergency circumstances may he allowed
during construction_ it shall be the responsibility of the contractor to notify the Permit Office, 343-820£, andlor
obtain an approved Traffic Control Plan (TCP). It shall be the contractor's responsibility to notity the following
agencies: l=ire Dispatch 267.4950, Police Dispatch 785-8900, Alaska State Troopers Dispatch 269-5511, people
Mover 343.8253 and School Sus 742-1207 or 742-1209.
B. All construction shall be in accordance with the current edition Design Crileria Manual (DCM), Municipality of
Anchorage Standard Specifications (MASS), applicable municipal codes and regulations, and the approved
drawings and specia I provisions of this permit.
9. As a condition of this permit all excavations will conform to the standards outlined in OSHA 29CFR, 1926 Subpart P.
10. The Flight of Way shall be restored to the same, or better condition, than it was prior to the contractors' work being
performed. The work shall be performed diligently and continuously, until completed to the satisfaction of the
Municipal Right of Way Inspector,
11. All underground installations within a public place shall be buried at a minimum depth of forty-two inches (42")
below the final surface elevation, i.e. bottom of drainage ditches, road shoulder or finished grade.
12. Permanent paving, recycled asphalt pavement (RAP), chip seal, sidewalks and curb and gutter must be replaced
within 7 working days after underground work is completed.
13. Winter Condition Requirements (applicable to all Right of Way Permits).
a. No trenching and or excavation is allowed within the road prism except for emergency repair of
existing utility facilities or by approval of the Director of Development Services.
b. Crossing of the road prism shall be by boring technology,
C. No frozen material shall be placed in the excavation as fill and/or backfill. A source of non-frozen fill
andlor back fill material shall be available.
d. All frozen ground within the Right of Way shall be thawed prior to excavation.
ROAD CLOSURE DETAILS Use Supplement Worksheet for additional closures
Road Name
Municipality of Anchorage
MUNICIPALITY ANCHORAGE
Development
OF
Right
Right of Way Section
Section
/APPLICATION FOR RIGHT OF WAY PERMIT
4700
4700 Elmore Road - Anchorage, AK 99507
Closure Dates: From
Phone 907-343-8240
Hours of Closure From To
MOAROWrequests@muni.org
PRIMARY SITE
signed by MOA Traffic Department Consult the OSBHP to determine road classification
/
Street # 13800 Street Name 4-��14r! /\J (`
Parcel #
Nearest Cross Street
Plat c U�
7 ' L .� Grid ] L -
Subdivision Name ., �.` �. . , " i /(�
Block Lot U Tract
r
— __7 --- --
APPLICANT AND CONTACT
❑ MOA Right of Way
Permittee Hultquist Homes, Inc.
® Contractor ❑ Utility ® Owner
Mailing Address 12570 Old Seward Highway Ste 204 City Anchorage State AK Zip 99515
PROJECT DETAILS
❑ Asphalt
Type of Permit ❑ General ❑ Rental ❑ Driveway ❑ Utility ❑ Street Maint.
❑ MOA' ® Encroachment
'MOA Project Name _
Project #
Work Order # Utility Acct #
❑ Type 2
Activity Date: From To
- -
Description: well installed wilhin existing PUE. (PUE 2016-013104-0) See attached AsBuilt survey -
❑ Type 3
❑ BLM Easement
IV
® No Cut Required ❑ Closure Only
ROAD CLOSURE DETAILS Use Supplement Worksheet for additional closures
Road Name
❑ ❑ Partial ❑ None
_ Full
❑ Sidewalk Only
Adjacent to
TCP Attached? ❑ Yes ❑ No
❑ On its Way
Closure Dates: From
T
0
Hours of Closure From To
A full road closure or a partial road closure on a classified arterial or collector street requires an approved Traffic Control Plan (TCP)
signed by MOA Traffic Department Consult the OSBHP to determine road classification
RIGHT OF WAY DETAILS
Check all that apply,
Use Supplemental Worksheet for additional rights of way.
Location Type
Surface
Material
Road Prism Pavement Age Construction Method
Curb B Gutter
❑ MOA Right of Way
® Gravel / Dirt
(see reverse) ❑ 1 orLessYr ❑ Trench Open
® None
❑ Utility Easement(s)
❑ Asphalt
❑ Inside ❑ 1to2Years ❑ Boring/Trenchless
❑ Type 1
❑ Drainage Easement
❑ RAP/Chip
® Outside ❑ 2to3Years ❑ Existing Conduit
❑ Type 2
® Public Use Easement
❑ Concrete
❑ N/A ❑ 3YearsPlus ❑ Aerial
❑ Type 3
❑ BLM Easement
❑ Grassy Area
® No Cut Required ❑ Closure Only
❑ Type 4
Yp
❑Pedestrian/Bike Trail
❑Undeveloped
❑ Maintenance Only
❑
❑ Sidewalk ® N/A
❑ Alley Lineal Feet Parallel to Right of Way
Centerline
I certify I am the owner/authorized representative for the project described in this Right of Way Permit application and that all
work will comply with federal, state and municipal codes, regulations, relevant design criteria and conditions of the permit.
02/20/25 (907) 745-8200 logan@panengak.com
si ture Date Phone Email
Logan Curtiss
Printed
Revised iM arch 2022 (PLEASE PRINT DOUBLE SIDED /FRONT TO BACK) Pa B c I a 12
�eJ 2016-013104-0
K Recording District 301 ANCHORAGE
pIVII��M��II�IOV�tlIn11�II�II���IINWINmMYIIWp
Please return to: MOAIPM&E/ROW
Municipality of Anchorage Canyon Road Improvements,
Project Management & Engineering Upper DeArmoun Road to Chugach State Park
P.O. Box 196650 Project No.13-56, ROW File No.0-13-14
Anchorage, Alaska 99519-6650 Tax #042-081-40
Attn: Fran Murphy Parcel #10
PUBLIC USE EASEMENT
The GRANTORS, DONALD L. ROHALEY AND WASSILISSIA ROHALEY,
whose mailing address is 7100 Huffman, Anchorage, AK 99516, for good and
valuable consideration, conveys and warrants to MUNICIPALITY OF
ANCHORAGE, an Alaska municipal corporation . whose address is P.O. Box
196650, Anchorage, Alaska, 99519-6650, GRANTEE, and to its successors and
assigns, an easement in perpetuity pertaining to the following described real
estate:
A portion of the NE Y4 of the NW '/4 of Section 31, Township 12 North,
Range 2 West, Third Judicial District, Seward Meridian, Alaska, Located
in the Anchorage Recording District.
The Basis of Bearings for this description are based on the Anchorage
BOWL 2000 adjustment, a local surface grid coordinate system
developed by the Alaska Department of Transportation.
A portion of the NE '/4 of the NW % of Section 31, Township 12 North,
Range 02 West, Seward Meridian, Alaska; being more particularly
described as follows:
BEGINNING the quarter corner common to Sections 30 and 31; THE
TRUE POINT OF BEGINNING, THENCE S 00° 02' 37" E, along the
north -south '/ line of Section 31, a distance of 691.12 feet to the most
southerly corner of the herein described tract, being on a non -tangent
curve to the right; THENCE, a distance of 135.75 feet along said non -
tangent curve to the right, having a central angle of 46* 05' 24", a radius
of 168.75 feet, and a long chord which bears N 28° 06' 15" W, 132.12
feet to the point of tangency; THENCE, N 05° 03' 33" W, a distance of
64.11 feet to a point of curvature to the left; THENCE, a distance of
Page 1 of 8
MOA/PMBE/ROW
Canyon Road Improvements,
Upper DeArmoun Road to Chugach State Park
Project No. 13-56, ROW File No. C-13-14
Tax #042-081-40
Parcel #10
58.28 feet along said curve to the left having a central angle of 550 39'
16", a radius of 60.00 feet, and a long chord which bears N 320 53' 11"
W, 56.02 feet to the point of tangency; THENCE, N 60' 42'49" W, a
distance of 36.25 feet to a point of curvature to the right; THENCE, a
distance of 104.62 feet along said curve to the right, having a central
angle of 31" 32' 53", a radius of 190.00 feet, and a long chord which
bears N 440 56'22" W,103.30 feet to the point of tangency; THENCE,
N 29° 09' 56" W, a distance of 131.71 feet to a point of curvature to
the left; THENCE, a distance of 74.27 feet along said curve to the left,
having a central angle of 26° 35' 44", a radius of 160.00 feet, and a
long chord which bears N 42" 27' 48" W, 73.60 feet to the point of
tangency; THENCE, N 55° 45' 40" W, a distance of 100.57 feet to a
point of curvature to the right; THENCE, a distance of 124.71 feet
along said curve to the right, having a central angle of 290 46' 21", a
radius of 240.00 feet, and a long chord which bears N 400 52' 29" W,
123.31 feet to the point of tangency; THENCE N 250 59' 19" W, a
distance of 56.70 feet to a point on the common line between Sections
30 and 31; THENCE, N 890 41' 23" E, along said common line, a
distance of 504.93 feet to THE TRUE POINT OF BEGINNING, and
containing 3.618 Acres (157,600 Square Feet), more or less.
for a public street, highway, walkway, trail, public transportation facility
and appurtenances and corridor for utilities of every kind and nature
including, but not limited to, the right to construct, reconstruct, maintain,
repair, operate and improve a public street, highway, walkway, trail,
public transportation facility, drainage, drainage facility and/or electric,
telephone or telecommunications, gas, water, sewer, or other utility
transmission or distribution facilities together with the right to license,
permit or otherwise agree to the exercise of these rights by any other
person, or entity.
All improvements are the property of Anchorage, removable at its option.
The failure of the GRANTEE to exercise any of its rights granted herein
shall not be construed as a waiver or abandonment of the right.
Page 2 of 8
19191111111[911111911991119:1191111999!1;91
Page 2 of B
2016-013104-0
MOA/PM&E/ROW
Canyon Road Improvements,
Upper DeArmoun Road to Chugach State Park
Project No, 13-56, ROW File No. C-13-14
Tax #042-081-40
Parcel #10
GRANTORS:
Date.
DONALD L. ROHALEY (deceased)
-alb _ , I-._ kec- Date: 3-.P s-/ 4
WASSILISSIA ROHALEY
By Helen Ramondos, Power of Attorney
Page 3 of 8
fiIIVIVI�IIIVI�VIVIIfVIfVIIIVV�IVVVIl1VllQ IMI
Page 3 of 8
2016-013104-0
MOA/PM&E/ROW
Canyon Road Improvements,
Upper DeArmoun Road to Chugach State Park
Project No. 13-56, ROW File No. C-13-14
Tax #042-081-40
Parcel #10
STATE OF ALASKA )
)ss:
THIRD JUDICIAL DISTRICT )
The foregoin instrument was acknowledged before me this �14
4� day of
20& , by Helen Ramondos, Power of Attorney for
Wassilisslla Rohaley.
Notary Public for the State of Mask
t�,A,, • (mission Expires:
+ � ...., Ior,
rr
Nor.
Page 4 of 8
fll(61NI���I�C��I01°f��CIuIIIIG�11�ll�l�l��lll1��
Page 4 of 8
2016— 013104-0
MOA/PM&EIROW
Canyon Road Improvements,
Upper DeArmoun Road to Chugach State Park
Project No. 13-56, ROW File No. C-13-14
Tax #042-081-40
Parcel #10
CERTIFICATE OF ACCEPTANCE
This is to certify that the Municipality of Anchorage, Project Management &
Engineering Department, Grantee herein, acting by and through its Director,
hereby accepts for public purposes the real property, or interest therein,
described in this instrument and consents to the recordation thereof.
MUNICIPALITY OF ANCHORAGE
Date: J h cel Zc7 v"
By: Russell H. Oswald, Acting Director
Project Management & Engineering Department
STATE OF ALASKA )
)ss:
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this 3o day of
, 2016, by Russell H. Oswald, P.E., L,S., acting on behalf of
J.W. Hansen, Director of the Project Management and Engineering Department for the
Municipality of Anchorage, an Alaska municipal corporation, on behalf of the corporation.
1�a���»itlillrrrrr ",,,, U«
t�y�G••G`�#y�-- NOTARY PUBLIC in and for Alaska
_ My Commission Expires:,/
NCTAR —
*'-,PUBLIC (1 F Al�+ti
Page 5 of 8
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Page 5 of 8
2016-013104-0
I SPENDL0VE VIEW
HEIGHTS
PLAT 68-57
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PORTION
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REMAINDER OF LOT 4
SEC, 30
T 12N, R 2W, S.M.
N ROAD
NE -1/4 SW -1/4
SEC. 30
T 12N, R 2W, S.M.
SE -1/4 SW -1/4
SEC. 30
T 12N, R 2W, S.M.
SEC 30
^SEC 31
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SEC. 31 SEC.
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BOOK 202,
PAGE 63
Z
SEE SHEET 2 FOR ACQUISITION PARCEL DETAIL. SEE SHEET 3 FOR LINE AND CURVE TABLES. SHEET 1 OF 3
PUBLIC WORKS DEPARTMENT CANYON ROAD EXTENSION
PROJECT MANAGEMENT & ENGINEERING DIVISION
PMBE # 13-56
or �
9,• �,. EXISTING PARCEL AREA: t 1,742,400 S.F.
ROW ACQUISITION TYPE: PUE
■ �"� " OWNER'S INITIALS:% _ ROW ACQUISITION AREA: :157,600 S.F.
PAGE kOF9DATED �I'1'/�G GRADE O
SW3042 PARCELNo.1105
IIIIOIiI!011I��IIlII011�1111011�1111�1�11911
Page 6ofa
2016-013104-0
SEC 30 N 89*41'23" E 504.93'
SEC .31
. .........
........................ ...... ..........
.......... ....
. ............................
................. ........
7. 1 ...........
. ...................
PROJECT
. CEN TERLINE
...................
..........
............. ...................
............ ............
... ......... ...... I ...... .........
.......... ............ ................
...........
........ ...... ......... ...... ............
N 55'45'40" w . . . . . .. , . . . m . . . m . . . . I...% ................
..... .............. r.%%m.m .............
100.57' ...............
.......... ...............
....... ... ....................... m ......
............
. . . . . 1•_ . .. . . . . . • . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . .
N 29'09'56" w
131.71'
-V ...........
... ......................
Com'.............
.......... .............
NE -1/4 NW -1/4
. ..........
SEC. 31 ........
T 12N, R 2W,
S.M.
N 60*42'49"
...........
36.25'
BOOK 202, PG. 303 .......
N 05'03'33* w
64.11
SEE SHEET I FOR PARCEL OVERVIEW. SEE SHEET 2 FOR ACQUISITION PARCEL DETAIL.
PUBLIC WORKS DEPARTMENT
PROJECT MANAGEMENT 8, ENGINEERING DIVISION
OWNERS INITIALS:
PAGE 01`0 DATED
CANYON ROAD EXTENSION
PM&E # 13-56
01
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0
0
TY
EXISTING PARCEL AREA: 11,742,400 S.F.
ROW ACQUISITION TYPE: PUE
ROW ACQUISITION AREA: t 157,600 S.F,
SCALE: 1-1001 DATE; 08-12-15
GRID: SW3042 PARCEL No. 10
Page 7 of 8
2016-013104-0
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PROJECT DETAILS
Type of Permit ❑ General
"MOA Project Name
Work Order #
❑ Rental ❑ Driveway ❑ Utility ❑ Street Maint. ❑ MOA' ® Encroachment
Project #
Utility Acct #
Activity Date: From To
Description: Well installed within existing PUE. (PUE 2016-013104-0) See attached AsBuilt survey.
ROAD CLOSURE DETAILS Use Supplement Worksheet for additional closures
Road Name El El Partial El None ❑ Sidewalk Only
Adjacent to _ _ TCP Attached? ❑ Yes ❑ No ❑ On its Way
Closure Dates: From 0 Hours of Closure From To
0
A full road closure or a partial road closure on a classified arterial or collector street requires an approved Traffic Control Plan (TCP)
signed by MOA Traffic Department Consult the OS&HP to determine road classification.
RIGHT OF WAY DETAILS Check all that apply. Use Supplemental Worksheet for additional rights of way.
Location Type Surface
yp Material Road Prism Pavement Age Construction Method Curb 8 Gutter
❑ MOA Right of Way ® Gravel / Dirt (see reverse) ❑ lorLessYr ❑ Trench Open ® None
❑ Utility Easement(s) ❑ Asphalt ❑ Inside ❑ 1to2Years
❑ Boring/Trenchless El Type 1
❑ Drainage Easement ❑ RAP/Chip ® Outside ❑ 2to3Years ❑ Existing Conduit ❑ Type 2
® Public Use Easement ❑ Concrete ❑ N/A ❑ 3YearsPlus ❑ Aerial ❑ Type 3
❑ BLM Easement ❑ Grassy Area ® No Cut Required El Closure Only ❑ Type 4
F-1YP
El Pedestrian/Bike Trail
Undeveloped ❑ Maintenance��ll�
❑ Sidewalk ® N/A
❑ Alley Lineal Feet Parallel to Right of Way_
Centerline Fi=g 2 4 20?5
1 certify I am the owner/authorized representative for the project described in this Right of Way Permit application and that all
work will comply with federal, state and municipal codes, regulations, relevant design criteria and conditions of the permit.
Z -QC_ _ 02/20/25 (907) 745-82.00logan@panengak.com
s+ corp Date Phone Email -
Logan Curtiss I / 7
Printed - ^-_ k- y 3
Kevisnl:NIarch 2022 (PLEASE PRINT DOUBLE SIDED /FRONT TO BACK) Page 1 ort
Municipality of Anchorage
U N I C I PA L I TY O F ANCHORAGE
Development Services Department
Right of Way Section
APPLICATION FOR RIGHT OF WAY PERMIT
4700 Elmore Road -Anchorage, AK 99507
Phone 907-343-8240
M OAROWreq uests@ muni, org
PRIMARY SITE /
Street # [ �� �� �l Street Name +� ( /U1
1" C�
Parcel # i I
Nearest Cross Street
Plat ' Grid
L -C S c
Subdivision Name t"l,, . _, • �— _ �, ; , }--
�
�C T 1� I
Bl ock Lot Tract
APPLICANT AND CONTACT
I
Permittee Hultquist Homes, Inc.
® Contractor ❑ Utility ® Owner
Mailing Address 12570 Old Seward Highway Ste 204 City
Anchorage State AK Zip 99515
PROJECT DETAILS
Type of Permit ❑ General
"MOA Project Name
Work Order #
❑ Rental ❑ Driveway ❑ Utility ❑ Street Maint. ❑ MOA' ® Encroachment
Project #
Utility Acct #
Activity Date: From To
Description: Well installed within existing PUE. (PUE 2016-013104-0) See attached AsBuilt survey.
ROAD CLOSURE DETAILS Use Supplement Worksheet for additional closures
Road Name El El Partial El None ❑ Sidewalk Only
Adjacent to _ _ TCP Attached? ❑ Yes ❑ No ❑ On its Way
Closure Dates: From 0 Hours of Closure From To
0
A full road closure or a partial road closure on a classified arterial or collector street requires an approved Traffic Control Plan (TCP)
signed by MOA Traffic Department Consult the OS&HP to determine road classification.
RIGHT OF WAY DETAILS Check all that apply. Use Supplemental Worksheet for additional rights of way.
Location Type Surface
yp Material Road Prism Pavement Age Construction Method Curb 8 Gutter
❑ MOA Right of Way ® Gravel / Dirt (see reverse) ❑ lorLessYr ❑ Trench Open ® None
❑ Utility Easement(s) ❑ Asphalt ❑ Inside ❑ 1to2Years
❑ Boring/Trenchless El Type 1
❑ Drainage Easement ❑ RAP/Chip ® Outside ❑ 2to3Years ❑ Existing Conduit ❑ Type 2
® Public Use Easement ❑ Concrete ❑ N/A ❑ 3YearsPlus ❑ Aerial ❑ Type 3
❑ BLM Easement ❑ Grassy Area ® No Cut Required El Closure Only ❑ Type 4
F-1YP
El Pedestrian/Bike Trail
Undeveloped ❑ Maintenance��ll�
❑ Sidewalk ® N/A
❑ Alley Lineal Feet Parallel to Right of Way_
Centerline Fi=g 2 4 20?5
1 certify I am the owner/authorized representative for the project described in this Right of Way Permit application and that all
work will comply with federal, state and municipal codes, regulations, relevant design criteria and conditions of the permit.
Z -QC_ _ 02/20/25 (907) 745-82.00logan@panengak.com
s+ corp Date Phone Email -
Logan Curtiss I / 7
Printed - ^-_ k- y 3
Kevisnl:NIarch 2022 (PLEASE PRINT DOUBLE SIDED /FRONT TO BACK) Page 1 ort
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: OSP241133
Work Type: WellSeptic Initial
Tax Code Number: 02102150000
Site Legal Address: CANYON VIEW ESTATES BLK 2 LT 4 G:3042
Site Mailing Address: 13800 CANYON RD, Anchorage
Owner: HULTQUIST HOMES INC
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
UepartIII t,t
6/21/2024
6/21/2025
75052
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
J eee+ved 3y: �- 55U J -c� � S Date:
Issued By: Date:. r, 2� 2
5
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 021-021-50
Property owner(s) Hultquist Homes Inc Day phone
Mailing address 12570 Old Seward Highway Ste 204 Anchorage, AK
Site address NHN Canyon Road
Legal description (Sub'd., Block & Lot) Canyon View Estates 132 L4
Legal description (Township, Range & Section)
Lot Size 75,052 -Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(Z all that apply)
Absorption Field
Fx_j
Initial rx]
Single Family (SF)
(w/wo ADU)
Septic Tank
El
Upgrade El
Duplex (D)
❑
Holding Tank
D
Renewal 1-1
Multiple Dwellings
El
Privy
El
(SF and/or D)
Private Well
Fx_1
Water Storage
EJ
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: 13112-
Date of Payment: (-, � �-/Zo Z r
Receipt Number:
I
Permit No. 5P 21
Permit App_'-'- :- :'-.,'c ,
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
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
Subject: Canyon View Estates B2 L4
Initial Septic System Permit Request
This is a design narrative for a permit to install an initial well and septic system on the subject property. The
installation will serve a proposed five (5) bedroom house. This lot and surrounding lots are to be served by private
wells. Currently there are no wells within 100 feet of the proposed wastewater treatment system.
1. Soils: Two test holes were performed on this lot by Pannone Engineering Services, LLC, TH-4 and TH-4A on
5/4/2024. Groundwater was observed during the excavation of the test holes at a depth of eight (8) feet and
twelve (12) feet BGS respectively, bedrock was not encountered during the excavations. The developer made
several drainage improvements to the subdivision. Groundwater was observed in the test hole monitor tubes at
a depth of ten (10) feet BGS in TH-4 on 5/25/2024, TH-4A was found to be dry on 5/25/2024. Based on the
results of the percolation test, overall soils appearance, and attached sieve analysis 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 holes.
2. Soil Absorption System Design: See Sheet 1 of the design package.
3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and or drain field.
4. Topography: See attached site plan for area topography. There are no slopes exceeding 25% less than 50ft from
the proposed drain field.
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
6 June 2024
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241133, Deb Wockenfuss, 06/21/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241133, Deb Wockenfuss, 06/21/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241133, Deb Wockenfuss, 06/21/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241133, Deb Wockenfuss, 06/21/24
COMMENTS: Test hole excavated by BROWNSON BROS .
PERFORMED BY: PANNONE ENGINEERING SERVICES, LLC. I CERTIFY THAT THIS TEST
WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES
IN EFFECT ON THE DATE OF THIS TEST.
·< 1.0 (min/inch)
·6"
·2 FT AND 3 FT
SOILS LOG & PERCOLATION TEST
PA
N
N
O
N
E
E
N
G
S
V
C
,
L
L
C
(
C
.
I
.
1
0
8
8
)
5/25/23 and 5/10/23 groundwater
monitoring after drainage
improvements constructed
GP/
GM
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241133, Deb Wockenfuss, 06/21/24
040.002 Crowther Associates
1632 Bellevue Circle / Anchorage, Alaska 99515
Telephone (907) 349-2198 / E mail: crowther@alaska.net
Client: Pannone Engineering Services
Project: Canyon View SD Block 2
Date: May 18, 2023, June 21, 2024
Particle Size Distribution Table
(percent passing subject sieve size)
Sample Source 3 4 5 6
Moisture
Content
5.6%5.4%4.0%xx
Sieve Size Percent Finer Percent Finer Percent Finer Percent Finer
3 inch 100 100 100 xx
1-1/2 inch 100 100 100 xx
¾ inch 93 91 94 xx
#4 54 51 52 xx
#10 36 33 35 xx
#40 12 14 16 xx
#100 6 8 10 xx
#200 6 7 8 xx
0.02 mm xx xx xx xx
Classification Gravelly Sand
with Silt
(SP-SM)
Sandy Gravel
with Silt
(GP-GM)
Sandy Gravel
with Silt
(GP-GM)
No Sample
Invoice 192
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241133, Deb Wockenfuss, 06/21/24
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
OSC251075
Parcel ID 021 -021-50 Expiration Date:
Legal description CANYON VIEW ESTATES BLK 2 LT 4
Site address 13800 CANYON RD
Current property owner(s) HULTQUIST HOMES INC
X The On-site system(s) is/are approved for 5 bedrooms
11/26/2025
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
By: ` ;. `�_ Original Certificate Date: 3/7/2025
This,Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
syMem(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
MUNICIPALITY OF ANCHORAGE U
SN
Development Services Department �. / Phone: 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. 021-021-50
Complete legal description Canyon View Estates Block 2 Lot 4
Location (site address) 13800 Canyon Road
Current property owner(s) Hultquist Homes, Inc
2. ON-SITE SYSTEMS SIZED FOR 5 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 ❑O Plastic ❑ Concrete ❑ Fiberglass
Age <1 - 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: ❑
Distan
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 $ 12.0 Waiver Fee $
Date of Payment
COSA# 05G2�i�7S
Date of Payment
Waiver #
COSA Application—June 2022
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
Lot 4, Block 2,
Canyon View Estates 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
02/19/2025