HomeMy WebLinkAboutSKY RIDGE LT 2SKY RIDGE
Lot 2
15-275-02
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: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________
Pump Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
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
On -Site Water & Wastewater Section
Well Log
Permit Number: #OSP251 'b Date of Issue: 6/11/25
Date Started: 6/20/25 Date Completed: 6/23/25
Legal Description:Sky Ridge LT 2 G:2634
Phone: 907-343-7904
Fax: 907-343-7997
Parcel Identification Number: 015-275-02
Is well located at approved permit location? Yes ❑■ No ❑
Property Owner Name & Address: Hultquist Homes
Anchorage, AK
Borehole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
Casing Stick Up
0
2
Fill
2
10
Fine -Coarse Gravel w/Brown ClEh
10
65
Grey Clay w/Fine-Coarse Gravel
65
135
Fine -Coarse Gravel w/Grey Claycj
135
158
Fine -Coarse Gravel w/H20 50+ ly
158
162
LAT: 61.122525
LON: -149.831979
Water Sample Results:
Arsenic:
Nitrates:
Total Coliform Bacteria:
ug/L
mg/L
colonies/100mL
Method of Drilling ■❑ air rotary ❑ cable tool
Casing type: A53B Ste
Wall Thickness: .250 inches
Diameter:6 inches Depth: 160 feet
Liner Type: —
Diameter: — inches Depth: — feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 64 feet
Pumping level: — feet after
— hours pumping — gpm
Recovery Rate: 50+ gpm
Method of Testing: Air Lift
® Open End ❑ Open Hole
❑ Screened Start feet
❑ Perforations Start feet
20 Start 2 feet
Stopped feet
Stopped feet
22 feet
Well Disinfected Upon Completion? Yes No
Method of Disinfection: TabComments:
® ❑
Well Driller: DVlan Kav
Company: Hefty Drillinq, Inc.
Mailing Address: P.O. Box 112130 Anch., AK7%
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
hftp://www.muni.org/onsite
On -Site Water System Permit
Permit Number: OSP251178
Work Type: Well Initial
Tax Code Number: 01527502000
Site Legal Address: SKY RIDGE LT 2 G:2634
Site Mailing Address:
Owner: HULTQUIST HOMES INC
Design Engineer:
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
6/11 /2025
6/11/2026
20159
❑ 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
Received By:
Issued By:
Date:
5
t
Date: I / 2-
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 015-275-02
Property owner(s) Hultquist Homes Inc Day phone
Mailing address 12750 Old Seward Highway Anchorage, AK
Site address NHN Sky Ridge Drive
Legal description Sky Ridge Lot 2
Number of Bedrooms 5
Engineering Firm Pannone Engineering Services, LLC
Building Permit Number
Not Applicable R
APPLICATION IS FOR: APPLICATION IS AN:
(Z all that apply)
Disposal Field
D Initial E I
Septic Tank
E] Upgrade El
Holding Tank
❑ Renewal ❑
Privy
❑
Well
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees: Z2, 5
Date of Payment: 012W_5 -
Permit No. 0 W 2 R/ 7K
May 2025
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 2
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
2 June, 2025
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251178, Curtis Townsend, 06/11/25
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2.2. SCOPE OF WORK: INSTALL PRIVATE WELL IN ACCORDANCE WITH THE ATTACHED DESIGN AND SPECIFICATIONS.
-- FEET
-- FEET
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251178, Curtis Townsend, 06/11/25
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Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251178, Curtis Townsend, 06/11/25
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
OSC261056
Parcel ID 015 -275-02
Legal description SKY RIDGE LT 2
Site address 10896 SKY RIDGE DR, ADU
Expiration Date: 6/23/2026
Current propertyowner(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:
No comments
-/-7
yam. L..
By: ;: Original Certificate Date:
This Ccrtifica a of On -Site Systems Approval (COSA) is intended to demonstrate a subject
9sy em
(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
velopment 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
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. 0 1 S -i -2, J
Complete legal description Sky Ridge L2
Location (site address) 10894 Sky Ridge
Current property owner(s) Hultquist Homes Inc.
2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: FNI Private Well serving # 1 dwelling units
R Other Non-public well as regulated by MOA Fl Water Storage
F-1 Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: n Private Septic n Private Septic serving 2 dwelling units
FJ Holding Tank RN Community Septic or Public Sewer
5. SEPTIC TANK: 171 Steel [] Plastic n Concrete n Fiberglass
Age - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: n AWWTS E] Bed [] Deep Trench n Wide Trench n Seepage Pit
Waiver request for:
Expedited review requested: n
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 $ Waiver Fee $
Date of Payment
COSA #
Date of Payment
Waiver #
COSA Application—Apr2025.doc
01527502
Lot 2, Sky Ridge Subdivision
Land Surveying
Land Development Consultants
Subdivision Specialists
Construction Surveying
610 E 5th Avenue
Anchorage, Alaska 99501
(907) 306-8104
mail@S4AK.com
AKCAN 173042
Group
S4 As Built
0 30'
GRAPHIC SCALE
02/27/2026