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Home My WebLink AboutSKY RIDGE LT 19Sky Ridge Lot 19 t; M JIM P-IWWA P -VM L! www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: OSP 241338 Date of Issue 10/7/24 Parcel Identification Number: 01527519000 Legal Description Property Owner Name & Address SKY RIDGE LT 19 Hultquist Homes Sky Ridge LT 19 Anchorage, AK 99516 Pump Installation Date: 2/26/25 Pump Intake Depth Below Top of Well Casing: 272 feet Pump manufacturer’s Name: Groundfos Pump Model: 10SQE15-330 Pump Size: 1.5 hp Pitless Adapter Burial Depth: 12 feet Pitless Adapter Installer: Pitless Manufacturer: Unknown 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 Certified Drilling Log OWNER OF LAND: Hultquist Homes ADDRESS: 11176 Sky Ridge Dr. Anchorage, AK 99516 LEGAL DESCRIPTION Sky Ridge LT 19 DATE: 10/15/24 PERMIT NUMBER: OSP241338 DATE OF ISSUE: 10/7/24 TAX IDENTIFICATION NUMBER 01527519000 Is well located at approved permit location: Yes No Method of Drilling: air rotary cable tool Depth of Well: 284’ Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 284 feet Liner type Static Water Level: 125 feet Recovery Rate 100 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 48 Silt, sand and gravel 48 78 Sand with some gravel 78 86 Sand and gravel 86 102 Silt, clay, gravel 102 125 Hardpan with clay 125 146 Hardpan with cobbles 146 224 Tight silt, clay with gravel 224 229 Silt and gravel, silty water 20 GPM 229 269 Clay with some gravel 269 279 Tight sand and gravel with boulders 10 GPM 279 284 Large sand and gravel with boulders 100 GPM 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. 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: OSP241338 Work Type: Well Initial Tax Code Number: 01527519000 Site Legal Address: SKY RIDGE LT 19 G:2634 Site Mailing Address: 11176 SKY RIDGE DR, Anchorage Owner: HEINRICH ERICH & Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms: 10/7/2024 10/7/2025 21384 ❑ 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 ,rte__ 55uec� io PSS Issued By:�U(/„, / Date: Date: /O 5 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ?A: ON-SITE SEWERNVELL PERMIT APPLICATION Parcel I.D. 015-275-19 Property owner(s) Erich Heinrich & Susan Kalina Mailing address Site address 11176 Sky Ridge Drive Day phone Legal description (Sub'd., Block & Lot) Sky Ridge, Lot 19 Legal description (Township, Range & Section) Lot Size .21,384 —Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field F-1 Initial FK Single Family (SF) (w/wo ADU) Septic Tank El Upgrade 0 Duplex (D) ❑ Holding Tank 0 Renewal R Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well RX Water Storage R THIS APPLICATION INCLUDES A VARIANCE I 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: Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. 2- V/ Waiver No. Permit App_-'-'- 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 4 October 2024 Municipality of Anchorage Development Services Department On‐Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Sky Ridge Lot 19 Well Permit Request Well Design Narrative This is a design narrative for a permit to install a private well for this property. Currently the lot is undeveloped. This lot and the surrounding lots are to be served by public sewer. 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, P.E., F. ASCE Owner/Civil Engineer Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241338, Deb Wockenfuss, 10/07/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241338, Deb Wockenfuss, 10/07/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241338, Deb Wockenfuss, 10/07/24 MUNICIPALITY OF ANCHORAGE Development Services DepartmentPhone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251256 Parcel ID 015 -275-19 Segal description SKY RIDGE LT 19 site address 11176 SKY RIDGE DR Expiration Date: 2/26/2026 Current property owner(s) HULTQUIST HOMES INC X The On-site system(s) is/are approved for 5 bedrooms By:, Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date 6/27/2025 This rtificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject sy em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, evelopment 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. 015-275-19 Complete legal description Sky Ridge L19 Location (site address, � 11176 Sky Ridge Dr Anchorage - Current property owner(s) Hultquist Homes 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: RN Private Well serving # 1 dwelling units ❑ Other Non-public well as regulated by MOA F-1 Water Storage F-1 Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units El Holding Tank MN Community Septic or Public Sewer 5. SEPTIC TANK: El Steel Fj Plastic n Concrete n Fiberglass Age - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: E] AWWTS E] Bed F71 Deep Trench E] Wide Trench Fj Seepage Pit Waiver request for: Expedited review requested: F 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 $ -7S-00 Date of Payment (P [ 2 ct L9 COSA # C) JC 5_/ Q5 -Le Waiver Fee $ Date of Payment Waiver # COSA Application—Apr2025.doc COSA Checklist_May2025.docx 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.DISPOSAL 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: E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Disposal Field on Lot > 100’ Yes if No ft Neighboring Disposal Fields > 100’ Yes if No ft Sewer Line/Main > 100’ Yes if No ft Sewer Manhole/Cleanout > 100’ Yes if No ft Sewer Service/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 Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10’ Yes if No ft Field to Foundation > 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/Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: 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 Phone Name of Firm Engineer’s Printed Name COSA Checklist_May2025.docx Date 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 years, and the water usage of the people 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 if the system, nor do they guarantee that there are no hidden defects of encroachments. Therefore, we cannot provide any warranty of future performance, nor can we estimate the remaining life of the system. The content of this report is for the sole benefit of the owner listed above. 124 E 7th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com Land Surveying Land Development Consultants Subdivision Specialists Construction Surveying AECC#173042 S4 Group Lot 19, Sky Ridge Subdivision As-Built 6/24/2025