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Home My WebLink AboutSKY RIDGE LT 12 Sky Ridge Lot 12 #015-275-12 beveflopnvieint Services Department Buildling , Sarfeiry bivision, -Z 7z'N "Al W&er Wcnstevnvat r Programn, -nore Road 4700 Eli RO. Pox 10,6650 Mark Begich Anchorage, A K 99507 S A E" Y Mayor w wmu, nip nLo r q/o r, s ife (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW-,q1j 0� l Date of Issue: Parcel Identification Number: Legal Description Property Owner Name & Address: k� 1411 �� Fkqrlle� 11A(, Pump Installation Date: 7- -25 - �S Pump Intake Depth Below Top of Well Casing: feet Pump Manufacturer's Name: �rug, � �D5 Pump Model: / 0 f q ltd 0-2 - 2 -/ 0 Pump Size � f, , hp Pitless Adapter Burial Depth: la feet IPitless Adapter Manufacturer's Name: C, "10,0 / � (3 -1 t) Pitless Adapter Installer: 11N1 .. 11 YJ G, I' � k Well Disinfected Upon Completion? Yes F] No Method of Disinfection: C� 6"It'k 10; I Comments: IPump Installer Name: Johnny Kay Hefty Drilling, Inc. Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 11IF'OUNICIPALITY OF ANCHORAGE Date Started: 7-19-23 Date Completed: 7-21-23 Is well located at approved permit location? Yes ❑ No ❑ Legal Description: Sky Ridge Lot 12 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 silty sand & gravel 2 60 sand 60 78 clay (grey) _ 78 115 wet clay (grey) w/ gravel 115 138 clay (grey) & gravel 138 190 clay (grey), gravel w/ H2O 190 225 coarse gravel w/ H2O 225 230 Lat: 60.948853 Lon: -149.167187 Water Sample Results: Arsenic: ug/L Nitrates: mg/L Total Coliform Bacteria: colonies/100mL Method of Drilling ❑ air rotary ❑ cable tool Casing type: steel Wall Thickness: •250 inches Diameter:6 inches Depth: 230 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 115 feet Pumping level: feet after hours pumping ___gpm Recovery Rate: 1. 5 wpm Method of Testing: airlift 0 Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet "rout type: ueinoniie volume: zoags Depth: 20' Start 0 feet Stopped _20_ feet Well Disinfected Upon Completion? Yes No Method of Disinfection: tabs Comments: Well Driller: Johnny Kay ❑ ❑ 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 On -Site Water & Wastewater Program �� PO Box 196650 4700 Elmore Road .�• s_ _ ,1°, '` Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite '" r Department On -Site Water System Permit Permit Number: OSP231061 Effective Date: 4/24/2023 Work Type: Well Initial Expiration Date: 4/23/2024 Tax Code Number: 01527512000 Site Legal Address: SKY RIDGE LT 12 G:2634 Site Mailing Address: 11159 RED SKY CIR, Anchorage Owner: HULTQUIST HOMES INC Lot Size in Sq Ft: Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well El 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: S �% a O��i%S Date: 7 Issued By: Date: ( Z 2, Z 3 MUNICIPALITY OF ANCHORAGE Community Development Department 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. 015-275-12 Property owner(s) Hultquist Homes, Inc. Day phone Mailing address 12570 Old Seward Highway Anchorage, AK 99515 Site address 11159 Red Sky Circle Legal description (Sub'd., Block & Lot) Sky Ridge Lot 12 Legal description (Township, Range & Section) Lot Size 21,627 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial X❑ Single Family (SF) X❑ (w/wo AD U) Septic Tank ❑ Upgrade❑ Duplex (D) ❑ Holding Tank El Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private WellX❑ 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. IsT-�—>T> (Signature of property owner or authorized agent) Permit/Rush Fees: ;� 2 2 Waiver Fees: Date of Payment:g�Z A-3 Date of Payment: Receipt Number: 0755? C Receipt Number: Permit No. _P2� /nC / 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 21 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 12 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. Sky Ridge Lot 17 has a septic system installed. This septic system will be decommissioned during development of the lot to allow for connection to AWWU sewer main. 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 OSP231061, Curtis Townsend, 04/24/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231061, Curtis Townsend, 04/24/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231061, Curtis Townsend, 04/24/23 Lot 12, 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 08/09/2023 MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE: (907)564-2762 WASTE A R CONNECT PERMIT 5231008 DATE OF APPLICATION: 1/25/2023 SCHEDULED COMPLETION DATE: 12/31/2023 BLOCK/LOT/TRACT: LT 12/ SINGLE FAMILY SUBDV: SKY RIDGE ❑ DUPLEX ❑ COMMERCIAL TAX CODE: 01527512000 GRID: SW2634 ❑ MULTI -DWELLING No. APTS 0 STREET ADDRESS: AK OWNER: HULTQUIST HOMES INC MAIL ADDRESS: PHONE: CONTRACTOR: Hultquist Homes Inc ASSESSMENTS ❑ Repair Existing Service ❑ Main Line Extension Q On Property Only ❑ City Tap 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. 0 R & R - Main Tap Only Owner Staff CONNECT SIZE 4 in ISSUED WWTGV INSPECTION FEE $112.00 PAID ❑ CASH PERMIT FEE $77.00 CHECK RCC $2.51 OTHER j-25-23 "1?�CV REIMBURSABLE DEPOSIT $0.00 INSPECTED BY WC)b j (IO; NUMBER TOTAL $191.51 DATE t / Z7/Z3 REMARKS PERMITTEE (Please Print) Hultquist Homes Inc MAIL ADDRESS 351 E 104th Anchorage, AK 99515 SIGNATURE EMAIL POST IN A CONSPICUOUS PLACE AT THE JOB SITE INSPECTOR COPY PHONE (907)522-3204 DATE 12/31/2023 TIME 12:00 AM INSPECTOR SCHEDULED SUBDIVISION SKY RIDGE BLOCK/LOT/TRACT LT 12/ INDICATE NORT y K� Gni' Qoc �rr�° ,Sc,' yrrPvc it%y' Bc►w, --- __--_ 4S' e F 4"pv� Cl�c,huv Z,o cr� 11 %Y a BcvtO( 4b `aF ct" Pac G� CGhoJ eI Orr fu C, sxr c,j- SIZE MAIN: TYPE MAIN: DEPTH AT MAIN: AT PROP. LINE: CONNECT LOCATION: 5r S tq� NVj Fro�L4�-COMMENTS:(,,��r� c000tQ u� io Eek( o S b Ke IJV 5 W PrmP CKtw' QvJ ;"s4k< Zr Q� n ro os tj �ibv oc— INSPECTED BY: V. W06,C �_ DATE: ) IZ 7�0 it MUNICIPALITY OF ANCHORAGE o Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-275-12-000 Expiration Date: Legal description SKY RIDGE LT 12 Site address 11159 RED SKY CIR Anchorage AK 99516 Current property owner(s) HULTQUIST HOMES INC 11/15/2023 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 8/15/2023 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 MUHMPAUTY OF A D _ HCHORAGE o- Development Services Department -.7 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. 01527512000 Complete legal description Sky Ridge L12 Location (site address) 11159 Red Sky Cir Anchorage Current property owner(s) 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ®❑ 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 M 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: 110 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 $ H �1! Date of Payment 5!`llZ3 COSA # L.C_)C_ 1290 Waiver Fee $ Date of Payment 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. 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 year, and the water usage of the family being 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 of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore, we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Phone Engineer’s Printed Name Date Lot 12, 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 08/09/2023