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Home My WebLink AboutSKY RIDGE LT 16SKY RIDGE Lot 16 015-275-16 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: OSP251136 Date of Issue: 5 _14 25 Parcel Identification Number: 015 _275 _16 Legal Description Sky Ridge Pump Installation Date: 6 Block Lot �16 6211 X41 Pump Intake Depth Below Top of Well Casing: 1557" Pump Manufacturer's Name: Grundfos I Pump Model: 10 SQE10-290 Property Owner Name & Address: Hultquist Homes feet Pump Size: 1 hp Pitless Adapter Burial Depth: 15' 7" feet Pitless Adapter Manufacturer's Name: Campbell B10 Type Pitless Adapter Installer: Hultquist Well Disinfected Upon Completion? X] Yes ❑ No Method of Disinfection: Tabs Comments: IPump Installer Name: Dylan Kays I Company: Hefty Drilling, Inc. Mailing Address: P.O. Box 112130 City: Anchorage State: AK 99511 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: #_OSP251136 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: ___ND______ ug/L Nitrates: ___1.18______ mg/L Total Coliform Bacteria:_Neg__ 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: OSP251136 Work Type: Well Initial Tax Code Number: 01527516000 Site Legal Address: SKY RIDGE LT 16 G:2634 Site Mailing Address: Owner: HULTQUIST HOMES INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms: r w Urp�n-tn�r�tr 5/14/2025 5/14/2026 20701 ❑ 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 7� i .S Received By: i'` Date: Issued By: Date: —z' L- r 4 ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I. D. 0 15-275-16 Property owner(s) Hultquist Homes Inc Day phone Mailing address 12570 Old Seward Hwy Anchorage, AK 99515 Site address NHN Sky Ridge Drive Anchorage, AK Legal description Sky Ridge Lot 16 Number of Bedrooms 4 Engineering Firm Pannone Engineering Services, LLC Building Permit Number 7- Not Applicable F1 APPLICATION IS FOR: APPLICATION IS AN: (E all that apply) Absorption Field ❑ Initial Septic Tank ❑ Upgrade ❑ Holding Tank El Renewal ❑ Privy F1 Well R. THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: ovaYvo q Date of Payment:5:1 I ) P 9 Permit No. I Waiver Fees: Date of Payment: Waiver No. Distance: 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 16 Initial Well Permit Request 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 AWWU sewer services. Currently there are no sewer mains or private septic systems within 100’ of the proposed well location. 1. Well Design. The well will be located: 100’+ from any sewer main and or sewer system manhole. 100’+ from any on-site septic system. 25’+ from any private sewer lines and or clean outs. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions, please contact me at (907) 745-8200. Sincerely, SRP Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer 9 May, 2025 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251136, Curtis Townsend, 05/14/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251136, Curtis Townsend, 05/14/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251136, Curtis Townsend, 05/14/25 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 OSC251511 Parcel ID 015 -275-16 Legal description SKY RIDGE LT 16 site address 11110 SKY RIDGE DR Expiration Date: 5/22/2026 Current property owner(s) HULTQUIST HOMES INC X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations.- Comments tipulations: Comments or conditions: No comments 0 Original Certificate Date 11/7/2025 Thi ertificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject stem(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 ANCHO tion El Holding Tank X Community Septic or Public Sewer 6. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Distance: Expedited review requested: ❑ 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 $. Waiver Fee $ Date of Payment 11 v Date of Payment COSA # Waiver # COSA Apphcation_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. Lot 16, Sky Ridge Subdivision Asbuilt Land Surveying Land Development Consultants Subdivision Specialists Construction Surveying AEC# 173042 S4 Group 610 E 5th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com 0 30' GRAPHIC SCALE 11/5/2025