HomeMy WebLinkAboutSKY RIDGE LT 13
SKY RIDGE
Lot 13
#015-275-13
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: OSP 251315 Date of Issue 9/10/25
Parcel Identification Number: 01527513000
Legal Description Property Owner Name & Address
SKY RIDGE LT 13 Hultquist Homes
11135 Red Sky Cir.
Anchorage, AK 99516
Pump Installation Date:
1/15/26
Pump Intake Depth Below Top of Well Casing:
212 feet
Pump manufacturer’s Name:
Grundfos
Pump Model:
10SQE07-240
Pump Size:
3/4 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: 11135 Red Sky Circle Anchorage, AK 99516
LEGAL DESCRIPTION Sky Ridge LT 13
DATE: 9/11/25
PERMIT NUMBER: OSP251315 DATE OF ISSUE: 9/10/25
TAX IDENTIFICATION NUMBER 01527513000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 223’
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 223 feet
Liner type
Static Water Level: 99.5 feet
Recovery Rate 80 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 Sand, gravel w/ some clay
16 27 Sand and some gravel
27 39 Sand and gravel
39 61 Clay, some gravel, brown, silty sand
61 142 Gray, silty sand and gravel
142 160 Gravel and silty sand, some clay
160 211 Gravel and silty sand
211 223 Sand and gravel
Drillers Name: Cole Sullivan
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com 1 September, 2025
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 13
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
1 September, 2025
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251315, Isatou Njie, 09/10/25
PA
N
N
O
N
E
E
N
G
S
V
C
,
L
L
C
(
C
.
I
.
1
0
8
8
)
AC
P
FO
R
C
O
N
S
T
R
U
C
T
I
O
N
SK
Y
R
I
D
G
E
L
O
T
1
3
HU
L
T
Q
U
I
S
T
H
O
M
E
S
,
I
N
C
SI
T
E
:
N
H
N
R
E
D
S
K
Y
C
I
R
C
L
E
AN
C
H
O
R
A
G
E
,
A
K
08
/
1
8
/
2
0
2
5
01
5
-
2
7
5
-
1
3
OS
P
2
5
1
3
1
5
SR
P
09
/
1
0
/
2
0
2
5
RE
V
1
:
0
9
/
1
0
/
2
0
2
5
NO
S
C
A
L
E
2
O
F
2
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
OSP251315, Isatou Njie, 09/10/25
PA
N
N
O
N
E
E
N
G
S
V
C
,
L
L
C
(
C
.
I
.
1
0
8
8
)
AC
P
FO
R
C
O
N
S
T
R
U
C
T
I
O
N
SK
Y
R
I
D
G
E
L
O
T
1
3
HU
L
T
Q
U
I
S
T
H
O
M
E
S
,
I
N
C
SI
T
E
:
N
H
N
R
E
D
S
K
Y
C
I
R
C
L
E
AN
C
H
O
R
A
G
E
,
A
K
08
/
1
8
/
2
0
2
5
01
5
-
2
7
5
-
1
3
OS
P
2
5
1
3
1
5
SR
P
09
/
1
0
/
2
0
2
5
RE
V
1
:
0
9
/
1
0
/
2
0
2
5
1"
=
5
0
'
1
O
F
2
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251315, Isatou Njie, 09/10/25
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
OSC261099
Parcel ID 015 -275-13
Legal description SKY RIDGE LT 13
Site address 11135 RED SKY CIR
Expiration Date: 3/17/2027
Current propertyowner(s) HULTQUIST HOMES INC
X The On-site system(s) is/are approved for 4 bedrooms
By:
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
Original Certificate Date: 4/20/2026
This -
Certificafe_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,
6evelopment 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. 01527513
Complete legal description Sky Ridge L13
Location (site address) 11135 Red Sky Cir
s, Hultquist Homes
Current property owners)
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: All Private Well serving # _1 dwelling units
F-1 Other Non-public well as regulated by MOA El Water Storage
F1 Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: R Private Septic 0 Private Septic serving 2 dwelling units
R Holding Tank 0 Community Septic or Public Sewer
6. SEPTIC TANK: Fj Steel Fj Plastic F] Concrete ❑ Fiberglass
Age - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS n Bed E] Deep Trench n Wide Trench n Seepage Pit
Waiver request for:
Expedited review requested: ❑
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$ �. b\> Waiver Fee $
Date of Payment
COSA # 05 C c�-6 ( (D ct
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.
_ 00000 Red Sky Cir._
V7-2
o � • � '9 � p 2p, II II
vo` S0 v,w
49TH00
��O � 7- �°� b 0o
*� II II O,. 000
0 U �P
...
........ c 0 0 rn \
O� Benjamin C. Holmstrom. Q 0 N .. _ .. .
P,. LS -1187a8 > QO +y
P yyI ` SJQO
�Q�ofessiona\oo ...... .
... ..... z
W OD
CP
n ..Q �0, CP
0 0 < O- I�
..'..'.....o
01 30' i m ....... a o J
GRAPHIC SCALE ...b. Q..,... M
/ .....co....: 17.6'
°r 252. 8.3' 4.0° .. P • 20.0'22.7' 00
14.0' Q. 0
11.7' to
EXISTING N o
o, ^ HOUSE
�Y N 34.0'
\
ti
.O�
IV
N) —
w
J f �
N W
0
I
10' T&E Easement
S0'10'22"E 132.52' o
c;
\
Asbuilt
Legend:
Legal Description:
Pavement
Overhang
Lot 13, Sky Ridge Subdivision
Woad Deck M7—
Address: 11135 Red Sky Circle Parcel ID: 01527513000
Concrete
• •
Survey Certification: I hereby certify that a Mortgagee's
Well is
Inspection was performed on the described property.
Notes: It is the owner's responsibility to determine the
Lot Line
existence of any easements, covenants, or restriction which
Adjacent Lot
•
are not on the recorded subdivision plot.
— Road CL
It is the contractor's responsibility to check top of
Easement
• '
foundation grade & building setbacks in relation to property
• I
lines and easements.
Checked by: BCH Drawn by SC Scale: 1" = 30E
Grid: SW2634
''•
Job: 2025-6 field Book: 159 Plat: 2022-57
Date: 42026
/13/