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Home My WebLink AboutSKY RIDGE LT 25mm" Alft A Aolr& � Ab !30% or_— am am 7 4 f Vm,-Mf� em MUNICIPALITY OF ANCHORAGE ment Services Department o Development t P p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Well Log Permit Number: # 231292 Date of Issue: 9-1-23 Parcel Identification Number: Date Started: 11-1-23 Date Completed: 11-2-23 Is well located at approved pennit location? Yes 9 No ❑ Legal Description: Sky Ridge Lot 25 G:2634 Property Owner Name & Address: Hultquist Homes, Inc. Borehole Data: Depth (ft) Method of Drilling 0 air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel casing stick up 0 2 clay (brown) w/ gravel 2 25 gravel 25 32 moist clay (brown) 32 36 clay (brown) w/ gravel 36 50 silt & gravel 50 56 clay (grey) w/ gravel 56 59 silt & gravel 59 100 moist silt & gravel 100 140 clay (grey) w/ gravel 140 175 silt & gravel w/ H2O 175 185 coarse gravel w/ H2O 185 190 Wall Thickness: .250 inches Diameter: 6 inches Depth: 190 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 78 feet Pumping level: feet after hours pumping gpm Recovery Rate: 20 gpm Method of Testing: airlift Well Intake Opening Type: 0 Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite Volume: 2 bass Depth: 20 Start 0 feet Stopped 20 feet Well Disinfected Upon Completion? Yes No Method of Disinfection: tabs Comments: Well Driller: ,Johnny Kay El El Cotnpany: Hefty Drilling, Inc. Mailing Address: po box 112130 Anch AK 9956 Water Sample Results: Arsenic: /Vo ug/L Nitrates: /vQ mg/L Total Coliform Bacteria: !'SSG colonies/100mL 1 Attention: The well driller shall provide a well to to the t 3 / 2� 3 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: _______________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. OSP231292 9 1 23 Sky Ridge 25 Hultquist Homes, Inc. 11 7 23 132 Grundfos 10SQE07-240 3/4 12 Cambell SS Hultquist yes - Chlorine tabs Dylan Kay Hefty Drilling, Inc. po Box 112130 Anch AK 99516 Lot 25, 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 As Built 11/03/2023 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: OSP231292 Work Type: Well Initial Tax Code Number: 01527525000 Site Legal Address: SKY RIDGE LT 25 G:2634 Site Mailing Address: 11043 SKY RIDGE DR, Anchorage Owner: HULTQUIST HOMES INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date cnt (rte- lw-`a C 1�rpartment Lot Size in Sq Ft Total Bedrooms: 9/1/2023 8/31/2024 20276 ❑ 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 Issued By: GC/ Date: Date: 4 JJ`` M� J/ � Ijj, A Ijjf Y � �\ Ij�I �jj�(j� " �� (�c,� Ll U� °✓ �V � L:J � �� La � � [1 O � � IJ V � IJ ll O ll U� �:.J Community Development Department `- 7 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. 015-275-25 Property owner(s) Hultquist Homes, Inc Mailing address 12570 Old Seward Hig Site address 11043Sky Ridge Drive Day phone _ hway Anchorage, AK 99515 Legal description (Sub'd., Block & Lot) Sky Ridge Lot 25 Legal description (Township, Range & Section) Lot Size 20,276 Sq. Ft. Number of Bedrooms 0 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial X❑ Single Family (SF) X❑ Septic Tank ElUpgrade 1-1(w/wo ADU) (D) El Holding Tank ❑ Renewal ElDuplex Multiple Dwellings ❑ Privy ❑ (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. 5';2y (Signature of property owner or authorized agent) Permit/Rush Fees: - ) (50 Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. i2_9 2, 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 29 August 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 25 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 OSP231292, Deb Wockenfuss, 09/01/23 FOR CONSTRUCTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231292, Deb Wockenfuss, 09/01/23 FOR CONSTRUCTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231292, Deb Wockenfuss, 09/01/23 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 Parcel I.D. 015-275-25 Legal description SKY RIDGE LT 25 Site address 11043 SKY RIDGE DR Anchorage AK Current property owner(s) HULTQUIST HOMES Expiration Date: 2 / 2 o Z 17 X The On -site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 11 /17/2023 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 ;�- Development Services Department On -Site Water &Wastewater Section ANCHORAGE PU5" Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 01527525 Complete legal description Sky Ridge L25 Location (site address) 11043 Sky Ridge Dr Current property owner(s) HultquiSt Homes 2. ON -SITE SYSTEMS SIZED FOR 4 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 [F] 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: 0 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 $_ / ',?0 Date of Payment [ i 1 'p z j COSA # (:) S 3 I y Lt 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: 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' Community Sewer Manhole/Cleanout > 100' ■o Yes if No ft no Yes if No ft Neighboring Tank > 100' 0■ Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' ❑■ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q■ Yes if No ft Qi Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft Q 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 Surface Water > 100' [:]Yes if No ft Tank to Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No ft Private Wells > 100' _ [--]Yes if No ft Water Main > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No ft Water Service Line > 10' ❑ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS Well only COSA 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 Pannone Engineering Services Engineer's Printed Name Steven R Pannone P.E., F. ASCE COSA Checklist June 2022 Phone 907-745-8200 Date 1111412023