HomeMy WebLinkAboutSKY RIDGE LT 26
Sky Ridge
Lot 26
#015-275-26
MUNICIPALITY
U iCPh'I • 4 .Rw
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Well Log
Permit Number: # 231064 Date of Issue: 4-24-23 Parcel Identification Number:
Date Started: 7-10-23 Date Completed: -11-23 Is well located at approved permit location? Yes 0 No ❑
Legal Description: Sky Ridge Lot 26 G: 2634
Property Owner Name & Address: Hultquist Homes, Inc.
Borehole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
casing stick up
0
2
fill
2
4
sand & gravel
4
50
clay (brown)
50
55
silt & gravel
55
62
clay (grey)
62
g0
wet gravel w/ clay (grey)
90
100
moist gravel
100
135
gravel w/ clay (grey)
135
148
wet silty gravel
148
164
moist silt & gravel
164
172
silt & gravel w/ H2O
172
185
coarse gravel w/ H2O
185
189
7/9/23
Water Sample Results:
Arsenic: A( ug/L
Nitrates: Al 0 mg/L
Total Coliform Bacteria: 41 colonies/100mL,
Method of Drilling N air rotary ❑ cable tool
Casing type: steel
Wall Thickness: •250 inches
Diameter:6 inches Depth: 189 feet
Liner Type:
Diameter: inches Depth: feet
Casing stickup above ground: _1__feet
Static water level (from ground level): 8g feet
Pumping level: feet after
hours pumping _gpm
Recovery Rate: 1 � wpm
Method of Testing: air lift
0
Open End
❑ Open Hole
❑
Screened
Start feet
Stopped feet
❑
Perforations
Start feet
Stopped feet
20' Start 0
9E
Well Disinfected Upon Completion? Yes No
Method of Disinfection: tabs Comments:
Well Driller: Johnny Kay 0 ❑
Company: Hefty Drilling, Inc.
Mailing Address: po box 112130 Anch AK 99511
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
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: 0 p 27) ( 0(q Date of Issue:
Parcel Identification Number: - -
Legal Description Block Lot Property Owner Name & Address:
4 Gv j
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: i y �. feet
Pump Manufacturer's Name:
Pump Model: /D 5Q6--07— �2 cl n
Pump Size: 3/14 hp
Pitless Adapter Burial Depth: ) Z feet
Pitless Adapter Manufacturer's Name: Cc.✓n hof �U
Pitless Adapter Installer: A-(19. U i `j
Well Disinfected Upon Completion? Yes ❑ No
Method of Disinfection: 'grin-( k400
Comments:
Pump Installer Name: Pt 1C,11 k 4 c:j
Company: A d 4`'7 / I ► ��, �.� L
Mailing Address: PV
City: ��� State•y� Zip: 5 L g I 1
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
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://wvvw.muni.org/onsite
On -Site Water System Permit
Permit Number: OSP231064
Work Type: Well Initial
Tax Code Number: 01527526000
Site Legal Address: SKY RIDGE LT 26 G:2634
Site Mailing Address: 11065 SKY RIDGE DR, Anchorage
Owner: HULTQUIST HOMES INC
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date
plent
S°
CU �
Q ,
De pIII, thneut
Lot Size in Sq Ft:
Total Bedrooms:
4/24/2023
4/23/2024
❑ 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: ( SS�� 0
Issued By: lN�
Date:
Date: Li Z'7 ,4o
2
MUHMPA U T Y O 'H C HOR% GEE
Community Development Department `off:^ Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 015-275-26
Property owner(s) Hultquist Homes, Inc.
Mailing address 12570 Old Seward High
Site address 11065 Sky Ridge Drive
Day phone _
Anchorage, AK 99515
Legal description (Sub'd., Block & Lot) Sky Ridge Lot 26
Legal description (Township, Range & Section)
Lot Size 20,054 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑
Initial X❑ Single Family (SF) X❑
Septic Tank 1:1Upgrade
1-1(w/wo ADU)
Holding Tank El
❑
(D) Renewal ❑
Renewal
Privy ❑
Multiple Dwellings ❑
(SF and/or D)
Private Well X❑
Water Storage ❑
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.
.S1�zp
(Signature of property owner or authorized agent)
Permit/Rush Fees:2 7 Waiver Fees:
Date of Payment: { //2 /-z"5 Date of Payment:
r
Receipt Number: CI ZZ `l G Receipt Number:
Permit No. asP a:? 106 t -I 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
11 April 2023
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 26
Well Permit Request
Well Design Narrative
This is a design narrative for a permit to install a private well to be issued 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, PE, F. ASCE
Owner/Civil Engineer
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231064, Curtis Townsend, 04/24/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231064, Curtis Townsend, 04/24/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231064, Curtis Townsend, 04/24/23
MUNICIPALITY OF ANCHORAGE
WATER & WASTEWATER UTILITY
3000 ARCTIC BLVD.
PHONE:(907)564-2762
BLOCK/LOT/TRACT: LT 26/
SUBDV: SKY RIDGE
TAX CODE: 01527526000 GRID: SW2634
STREET ADDRESS: OA -
OWNER: HULTQUIST HOMES INC
MAIL ADDRESS:
WASTEWATER
CONNECT PERMIT
DATE OF APPLICATION: 1/11/2023
SCHEDULED COMPLETION DATE: 12/31/2023
❑
SINGLE FAMILY
❑
DUPLEX
❑
COMMERCIAL
❑
MULTI -DWELLING No. APTS 0
PHONE:
CONTRACTOR: Hultquist Homes Inc
ASSESSMENTS
❑ Repair Existing service
❑ Main Line Extension
0 On Property Only
❑ City Tap
O Have Been Levied
❑ Hydrant Only
❑ To Be Levied
❑ Main Tap - To Property Line Only
❑ Cured in Place Pipe
Comments:
❑ Main Tap & On Property Connect
❑ Disconnect
Row No.
E]R & R - Main Tap Only
Owner Staff
CONNECT SIZE 4 in
ISSUED WWBER
INSPECTION FEE
$112.00
PAID ❑ CASH
PERMIT FEE
$77.00
❑ CHECK
RCC
$2.51
OTHER i
REIMBURSABLE
DEPOSIT
$0.00
l�
INSPECTED BY -c-1WC I
NUMBER
TOTAL
$191.51
DATE
REMARKS
PERMITTEE (Please Print) Hultquist Homes Inc
MAIL ADDRESS 351 E 104th Anchorage, AK 99515
SIGNATURE
EMAIL
PHONE (907)522-3204
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
INSPECTOR COPY
DATE 12/31/2023 TIME 12:00 AM 1NSPEC I UK
SCHEDULED
SUBDIVISION SKY RIDGE BLOCK/LOT/TRACT LT 26/
INDICATE NORTH
Iln�� SKY Rc�rj.c Ar.
5 04- 4a �►L
L—Zi
(, -2s
C1tcnov�
Ili/4�aMP
SIZE MAIN:
TYPE MAIN:
DEPTH AT MAIN:
AT PROP, LINE:
CONNECT LOCATION: ' E 0�
COMMENTS:&, rk6af CoNNc �J et( rf 51f4b
c(rfk. 1("130G
i--57W(.5` o- q n C i,o vm •seok
INSPECTED BY: K-DATE
i l►`23
MUNICIPALITY OF ANCHORAGE
0t
Development Services Department
p p Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 015-275-26
Legal description SKY RIDGE LT 26
Site address 11065 SKY RIDGE DR
Current property owner(s) HULTQUIST HOMES INC
Expiration Date: 7/19/2024
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for
Comments or advisories:
bedrooms, with the following stipulations:
By:- Original Certificate Date: 12/4/2023
This Certificate 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, Development Services 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 work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval_June 2022
MUNICIPALITY OF
Development Services Department
On -Site Water & Wastewater Section
ANCHORAGE USN
Phone: 907-343-7904
Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 01527526000
Complete legal description Sky Ridge L26
Location (site address) 11065 Sky Ridge Dr Anchorage
Current property owner(s) HUltquist Homes Day phone
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
3. TYPE OF WATER SUPPLY: IN 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 ❑ Plastic ❑ Concrete ❑ Fiberglass
Age - 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:❑
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 $_) 20 Waiver Fee $
Date of Payment l l Aq f23 Date of Payment
COSA # G 21'7 15� 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.
Name of Firm Phone
Engineer’s Printed Name Date
Pannone Engineering Services
Steven R Pannone P.E., F. ASCE 11/29/2023
Lot 26, Sky Ridge Subdivision
Land Surveying
Land Development Consultants
Subdivision Specialists
Construction Surveying
124 E 7th Avenue
Anchorage, Alaska 99501
(907) 306-8104
mail@S4AK.com
AKCAN 173042
Group
S4 Asbuilt
11/30/2023