HomeMy WebLinkAboutBig Pine Lodge_8041306_Septic System Permits_OSTP Design Summary Worksheet University
OF MinnesotaMinnesota Pollution • ;'Control Ageh^ ■
.‘I
Big Pine Lodge Joe and Lisa Harlow Project ID: 43606 v 04.06.2017Property Owner/Client:
Site Address: l|43606 Mosquito Heights Rd, Perham, MN Date: 11/1/2017
Email Address:Phone Number:218-298-2358i
1 ■ DESIGN FLOW, STRENGTH OF WASTE, AND TANKS
i| '■1260A. Residential Design Flow:
Type of Wastewater;
Other Est. flow (select method and provide data):
Waste strength (attach data/estimate basis for Other Est.):
•(B. Septic Tank Sizing ;
1. Residential dwellings
Min Code Required Septic Tank Capacity:
Recommended Septic Tank Capacity:I2. Other Establishments
Waste received by:
Gallons Per Day (GPD) Number of Bedrooms (Residential):2
Residential Treatment Level:C Se/ect Treatment Level C for residential septic tank effluent
r~l Measured Row:[7| Estimated Row: 1260
Jmg/L OU&Grease:r
GPD
]mg/L TSS:[
GPD
BOD:[Jmg/L
Gallons, in Tanks or Compartments
Gallons, in Tanks or Compartments
Gravity
n~i = s
Gallons, in
Manufacturer/Model:
Min Code Required Septic Tank Capacity:1260 Gallons, in Tanks or CompartmentsGPDX
)
Designer Recommended Septic Tank Capacity:4000 3 Tanks or Compartments
; Recommended t3. Effluent Screen ft Alarm (Y/N):
C. Holding Tanks Only:'
Minimum Code Required Capacity:
Designer Recommended Capacity:ii ' “ ■ .
• D.. Pump Tank 1 Capacity (Code Minimum):,il
Pump Tank 1 Capacity (Designer Rec)::>1 -
71 .Oil GPM Total Head
Minimum Capacity: Residential =400 gal/bedroom. Other Establishment = Design Flow x 5.0, Minimum size 1000 gallons
Type of High Level Alarm:Gallons, in Tanks
Gallons, in Tanks
0 Gallons Pump Tank 2 Capacity (Code Minimum):Gallons
1500 Gallons Pump Tank 2 Capacity (Designer Rec):Gallons
20.3 ftPump 1 GPM Total HeadPump 2 ft
Supply Pipe Dia. jl2.00 in 300.0 Supply Pipe Dia.Dose Volume:gal in Dose Volume:
2. SYSTEM AND DISTRIBUTION TYPE
Soil Treatment Area Type:
Benchmark Reference Elev'ation:
MPCA System Type: | Type III
Bed Pressure Distribution-LevelDistribution Type:
Benchmark Location:ft
Registered Product:Type of Distribution Media:
remove existing and fill with clean sand chambersType. Ill/IV Details;
3. SITE EVALUATION SUMMARY:
.'I.I 5.5 |ft66Depth to Limiting Layer:il ,Elevation of Limiting Layer:
Loc. of Restrictive Elevation;
Minimum Required Sepraration:
I
E. Code Maximum Depth of System:
Measured Land Slope:
Loamy SandA.G.in Soil Texture:;■
Soil Hyd. Loading Rate:1.20 , GPD/ft^B.H.
4.0 MPIC.I.Perc Rate;
J. Soil with >35% Rock Fragments Present (yes/no)? | |
If yes describe below: % rock and layer thickness, amount of soil credit and any
additional information for addressing the rock fragments in this design.
I 3.0 [ftD.36 in
30 in
F.%
■)
Comments:
OSTP Design Summary Worksheet University
OF MinnesotaMinnesota Pollution
Control Agency
4. SOIL TREATMENT AREA DESIGN SUAA/MARY
Trench Design Summary
Dispersal Area Sidewall Depth Trench Widthin ft
Total Lineal Feet Number of Trenchesft Code Maximum Trench Depth in
Contour Loading Rate ft Min Trench Length ft Designer's Max Trench Depth in
Bed Design Summary
1080 ft^Absorption Area Depth of sidewall 6.0 Code Maximum Bed Depth 30.0in in
Bed Width 15 ft Bed Length 72.0 ft Designer's Max Bed Depth 30.0 in
Mound Design Summary
ft^Absorption Bed Area Bed Length Bed Widthft ft
Absorption Width Clean Sand Liftft Berm Width (0-1/6)ft
Upslope Berm Width ft Downslope Berm Width Endslope Berm Widthft ft
Total System Length Total System Widthft ft Contour Loading Rate gal/ft
At-Grade Design Summary
Absorption Bed Width ft Absorption Bed Length System Finished Fieightft ft
Contour Loading Rate gal/ft Upslope Berm Width Downslope Berm Widthft
Endslope Berm Width System Lengthft System Widthft ft
Level B Equal Pressure Distribution Summary
No. of Perforated Laterals 5 Perforation Spacing 3 3/16Perforation Diameterft in
Lateral Diameter 2.00 gal 315 galinMin. Delivered Volume 238 Maximum Delivered Volume
Non-Level and Unequal Pressure Distribution Summary
Elevation Pipe Volume
(gal/ft)
Pipe Length Perforation Size
(ft)Pipe Size (in)(ft)(in)Spacing (ft)Spacing (in)
Lateral 1 Minimum Delivered Volume
Lateral 2 gal
Lateral 3
Lateral 4 Maximum Delivered Volume
Lateral 5 gal
Lateral 6
5. Additional Info for At-Risk, NSW or Type IV Design
A. Calculate the organic loading
1. Organic Loading to Pretreatment Unit = Design Flow X Estimated BOD in mg/L in the effluent X 8.35 1,000,000
gpd X mg/L X 8.35 V 1,000,000 =lbs. BOD/day
2. Type of Pretreatment Unit Being Installed:
3. Calculate Soil Treatment System Organic Loading: BOD concentration after pretreatment -r Bottom Area = Ibs./day/ft^
Ibs./day/ft^ft^ =mg/L X 8.35 T 1,000,000 f
Comments/Special Design Considerations:
I hereby certify that 1 have completed this work in accordance with all applicable ordinances, rules and laws.
Bill Schueller Bill Schueller 11/01/17L2945
(Designer)(Signature)(License #)(Date)
OSTP Bed Design
Worksheet University
OF MinnesotaMinnesota Pollution
Control Agency
1. SYSTEM SIZING:Project ID: 43606 V 04.06.2017
A. Design Row:1260 GPD
B. Code Maximum Depth*:
C. Soil Loading Rate:
30 inches Designers Maximum Depth:30 inches
1-20 |GPD/ft^
D. Required Bottom Area: Design Flow (1.A) Loading Rate (1.C) = Initial Required Bottom Area
1260 IcPD-fl Tio GPD/ft^= 1050 Ift^
E. Select Distribution Method: 0 Pressure
□ Gravity
□ Rock
Registered
F. Select Dispersal Type:
chambers
G. If distribution media is installed in contact with sand or loamy sand or with a percolation rate of 0.1 to 5 mpi
indicate distribution or treatment method:Pressure distribution
2. BED CONFIGURATION: (for sites with less than 6% slope)
1.0A. Select size Multiplier:
B. Req'd Bottom Area = Bottom Area (1 .D) X Size Multiplier =
1050.0 ft^ X 1^0 Ift = 1050 Ift^
1.0 = pressurized or 1.5 = gravity
C. Designed Bottom Area:1080 ft Optional upsizing of bed area
D. Select Bed Width:
E. Calculate Bed Length: Designed Bottom Area ^ Bed Width = Bed Length
15 ft
ft^^1080 15.0 72.0 ftft =
3. AAATERIAL CALCUUTION: ROCK
A. If drainfield rock is being used, select sidewall height
ftin
B. Media Volume: (Media Depth + depth to cover pipe) X Designed Bottom Area = ft^
C. Calculate Volume in cubic yards: Media volume in cubic feet t 27 = cubic yards
Ift’ T 27 =
ft’(ft +ft)X
yd’
4. AAATERIAL CALCUUTION: REGISTERED PRODUCTS - CHAMBERS AND EZFLOW
A. Registered Product:Chambers
B. Component Length:
C. Component Width:
D. Component depth (louver or depth of sidewall loading)
E. Number of Components per Row = Bed Length divided by Component Length (Round up)
components
4 ft
3 ft
6 in
72 ftT 4 18ft =
F. Actual Bed Length = Number of Components X Component Length:
ft =18 components X
G. Number of Rows = Bed Width divided by Component Width
15 ft T
4.0 72.0 ft
3 5.0 rows Adjust width so this is an whole number.ft =
H. Total Number of Components = Number of Components per Row X Number of Rows
90 components185X
OSTP Pressure Distribution
Design Worksheet University
OF Minnesota
Minnesota Pollution
Control Agency
Project ID: 43606 V 04.06.2017
1. Media Bed Width:15 ft
2. Minimum Number of Laterals in system/zone = Rounded up number of [(Media Bed Width - 4) t 3] + 1.
15 - 4 ) T 3] + 1 =[(5 Does not apply to at-gradeslaterals
3. Designer Selected Number of Laterals:
Cannot be less than line 2 (accept in at-rtrades)
4. Select Perforation Spacing:
5 laterals
4.V.-. :'v .V' ^4^:! 1'^ .=■:
3.0 ft
•y»* V5. Select Perforation Diameter Size:
6. Length of Laterals = Media Bed Length - 2 Feet.
3/16 in
Ir>~ e« rari'
Pwfwfliw) ffWno! Vj“ to V*" Pwtor*tlJ»« .tpeeing: w
72 70 ft Perforation can not be closer then 1 foot from edge.
Determine the Number of Perforation Spaces. Divide the Length of Laterals by the Perforation Spacing
and round down to the nearest whole number.
2ft
7.
Number of Perforation Spaces = 70 3 23 Spaces
Number of Perforations per Lateral is equal to 1.0 plus the Number of Perforation Spaces. Check table
8. below to verify the number of perforations per lateral guarantees less than a 10% discharge variation. The
value is double with a center manifold.
ft ft■r S
Perforations Per Lateral =23 24Spaces + 1 =Perfs. Per Lateral
MiotHnum Number of ferforadotg Per Lateral to Guarantee <10> Dadarp* Variatem
’/< inch Perforations 7/32 inch PerfMatwns
P^DamtoOnchesj Pipe Diameter (Inches)Perfwation SpacingPerforation %»cing (Feet)
(FeeO1litm23 2 31mm21621121346S1013183060
2»2«8 S41216 28 10 20 32 6414
3 3 9 14 19 30825 521216
3/16lndtPerforatmns 1/8 Inch Perforabons
P^ Diameter (Inches)Pipe Diameter (btdtes)Perforation SpacingPerforation facing (Feet)(Feet)lit1 W 2 13 lit 2m 3
2 12 87182646 33221 44 74 149
2V11217244080 20 30 69 13541
3 312 37 751622 20 29 1283864
9. Total Number of Perforations equals the Number of Perforations per Lateral multiplied by the Number of
Perforated Laterals.
24 Perf. Per Lat. X 5 Number of Perf. Lat. =120 Total Number of Perf.
End10. Select Type of Manifold Connection (End or Center):
2.0011. Select Lateral Diameter (See Table):in
OSTP Pressure Distribution
Design Worksheet University
OF Minnesota
Minnesota Pollution
Control Agency
12. Calculate the Square Feet per Perforation. Recommended value is 4-11 ft ^ per perforation.
Does not apply to At-Grades
a. Bed Area = Bed Width (ft) X Bed Length (ft)
ft'15 ft 72 1080Xft
b. Square Foot per Perforation = Bed Area divided by the Total Number of Perforations.
ft'/perforationsft'1080 120 perforations =9.0T
13. Select Minimum Average Head:2.0 ft
14. Select Perforation Discharge (GPM) based on Table;0.59 GPM per Perforation
15.Determine required Flow Rate by multiplying the Total Number of Perfs. by the Perforation Discharge.
120 Perfs X 0.59 71GPM per Perforation =GPM
16. Volume of Liquid Per Foot of Distribution Piping (Table It):0.170 Gallons/ft
17. Volume of Distribution Piping =
= [Number of Perforated Laterals X Length of Laterals X (Volume of
Liquid Per Foot of Distribution Piping]
table ii
Volume of Liquid in
Pipe
Pipe
Diameter
(inches)
Liquid
Per Foot
(Gallons)
5 70 ft X 0.170 59.5Xgal/ft Gallons
18. Minimum Delivered Volume = Volume of Distribution Piping X4 0.0451
1.25 0.078
59.5 gals X 4 =238.0 Gallons 1.5 0.110
2 0.170
3 0.380
4 0.661
Comments/Special Design Considerations:
OSTP Basic Pump Selection
Design Worksheet
University
OF MinnesotaMinnesota Pollution
Control Agency
1. PUMP CAPACITY Project ID: 43606 V 04.06.2017
Pumping to Gravity or Pressure Distribution:Pressure
1. If pumping to gravity enter the gallon per minute of the pump:GPM (10-45gpm)
2. If pumping to a pressurized distribution system:71.0 GPM
3. Enter pump description:Demand Dosing
Soli treotment muin|& poM of ditcharBe I2. HEAD REQUIREMENTS
A. Elevation Difference
between pump and point of discharge:
8 ft
nietpipe
mm Cleatififl * differenceB. Distribution Head Loss:5 ft
C. Additional Head Loss:ft (due to special equipfoent, etc.)
Table I.Frictlon Loss In Plastic Pipe per 100ft
Distribution Head Loss Pipe Diameter <inches)Flow Rate
(GPM)Gravity Distribution = Oft 1 1.25 1.5 2
Pressure Distribution based on Minimum Average Head
Value on Pressure Distribution Worksheet:
10 9.1 3.1 1.3 0.3
12.812 4.3 1.8 0.4
Minimum Average Head Distribution Head Loss 17.0 5.7 0.6142.4
1ft 5ft 21.8 7.3 3.0 0.7162ft6ft9.1 0.9183.85ftlOft2011.1 4.6 1.1
25 6.9 1.716.8
23.5 9.7 2.430D. 1. Supply Pipe Diameter:2.0 in
35 12.9 3.2
2. Supply Pipe Length:50 ft 16.540 4.1
45 20.5 5.0E. Friction Loss in Plastic Pipe per 100ft from Table I:50 6.1
55 7.3ft per 100ft of pipe
F. Determine Equivalent Pipe Length from pump discharge to soil dispersal area discharge
point. Estimate by adding 25% to supply pipe length for fitting loss. Supply Pipe Length
(D.2) X 1.25 = Equivalent Pipe Length
Friction Loss =11.67
60 8.6
10.065
70 11.4
13.075
85 16.450ftX 1.25 62.5 ft 95 20.1
G. Calculate Supply Friction Loss by multiplying Friction Loss Per 100ft (Line E) by the Equivalent Pipe Length (Line F) and divide by 100.
Supply Friction Loss =
11.67 62.5ft per 100ft X ft 7.3100 ft-r
H. Total Head requirement is the sum of the Elevation Difference (Line A), the Distribution Head Loss (Line B), Additional Head Loss (Line C), and the
Supply Friction Loss (Line G )
8.0 5.0ft 20.37.3ftft +ft =ft++
3. PUMP SELECTION
71.0 20.3A pump must be selected to deliver at least GPM (Line 1 or Line 2) with at least feet of total head.
Comments:
OSTP Pump Tank Design Worksheet
(Demand Dose)University
OF MinnesotaMinnesota Pollution
Control Agency
DETERMNE TANK CAPACITY AND DIMENSIONS Project ID: 43606 V 04.06.2017
A. Design Flow;1.1260 GPD
B. Min. required pump tank capacity:1500GalC.Recommended pump tank capacity:Gal
2.A. Tank AAanufacturer:Thelen B. Tank Model:1500
Note: Design calculations are based on this specific tank.
Substituting a different tank model will change the pump
float or timer settings. Contact designer if changes are
necessary.
C. Capacity from manufacturer:1500 Gallons
D. Gallons per inch from manufacturer:31.0 Gallons per inch
E. Liquid depth of tank from manufacturer:49.0 inches
DETERAUNE DOSING VOLUME
3 Calculate Volume to Cover Pump (The inlet of the pump must be at least 4-inches from the bottom of the pump tank ft 2 inches of water covering the pump is
recommended)
(Pump and block height + 2 inches) X Gallons Per Inch (2C or 3E)
in + 2 inches) X
4 Minimum Delivered Volume = 4 X Volume of Distribution Piping:
- Line 17 of the Pressure Distribution or Line 11 of Non-level
5 Calculate Maximum Pumpout Volume (25* of Design Flow)
Design Flow:
12(31.0 Gallons Per Inch 434 Gallons
238 Gallons (minimum dose)
1260 GPD X 0.25 315 Gallons (maximum dose)S
6 Select a pumpout volume that meets both Minimum and Maximum:
7 Calculate Doses Per Day = Design Flow -f Delivered Volume
300 Gallons Volume of Liquid in
Pipegpd^gal =1260 300 4.20 Doses Liquid
Per Foot
(Gallons)
Pipe
Diameter
(inches)
8 Calculate Drainback:
A.Diameter of Supply Pipe =2 inches
1 0.045B.Length of Supply Pipe =50 feet
1.25 0.078
C. Volume of Liquid Per Lineal Foot of Pipe =
D. Drainback = Length of Supply Pipe X Volume of Liquid Per Lineal Foot of Pipe
ft X 0.170 gal/ft =
9. Total Dosing Volume = Delivered Volume plus Drainback
gal =
0.170 Gallons/ft 1.5 0.110
2 0.170508.5 Gallons 3 0.380
4 0.661300gal +8.5 309 Gallons
10. Minimum Alarm Volume = Depth of alarm (2 or 3 inches) X gallons per inch of tank
in X3 31.0 gal/in =93.0 Gallons
DEAAAND DOSE FLOAT SETTINGS
11. Calculate Float Separation Distance using Dosing Volume.
Total Dosing Volume /Gallons Per Inch
gal T309 31.0 gal/in =10.0 Inches
12. Measuring from bottom of tank:
A. Distance to set Pump Off Float = Pump + block height + 2 inches
in +
B. Distance to set Pump On Float=Distance to Set Pump-Off Float * Float Separation Distance
in +
Inches for Dose: 10.0 in
in “T123in =15 Inches Alarm Depth
Pump On
Pump Off
28.0
25.0 in 93.0 Gal
15 in =10.0 25 Inches 15.0 in 309 Gal J
AC. Distance to set Alarm Float = Distance to set Pump-On Float + Alarm Depth (2-3 inches)
in +
465 Gal
25 in =3.0 28 Inches
OSTP Final Permitting Flow
Worksheet University
OF MinnesotaMinnesota Pollution
Control Agency
r\ji t\t.
From either existing and new
development worksheet1. Flow from Dwellings 300Flow from Dwellings gpd
2. Flow from Other
Establishments
Permitting Flow from Other
Establishments
From either Measured or Estimated-
OE worksheet960SPd
Design flow must include 200
gallons of infiltration and inflow
per inch of collection pipe
diameter per mile per day with a
minimum pipe diameter of two
inches. Flow values can be further
increased if the system employs
treatment devices that will
infiltrate precipitation.
a) Total Length of Collection
Pipe:feet
3. Flow from Collection
System
b) Diameter of Pipe
(Minimum of 2 in):inches
c) Flow from I& I in
Collection System:gpd
4. Final Permitting Flow 1260 Sum of 1, 2 and 3c.gpd
OSTP Percolation
Data Sheet
University
OF MinnesotaMinnesota Pollution
Control Agency
1. Contact Information Project ID;V 04.06.2017
Property Owner/Client:Big Pine Lodge
2. General Percolation Information
Diameter 6 in Date prepared and/or soaked:
Method of scratching sidewall:
Is pre-soak required*?If No, low long for 12" to soak awayNO min
Soak* end
time:hrs of soakSoak* start time:
Method to maintain 12 in of water during soak
* Not required in fast perc soils
3. Summary of Percolation Test Data
ImpiDesign Percolation Rate (maximum of all tests attached) =4.00
Percolation Test
Data
University
OF MinnesotaMinnesota Pollution
Control Agency
Project ID;
Test hole: #1 Location:Depth**;24 inches
Soil texture description:Elevation;feet
Depth (in)Soil Texture
** 12 in. for mounds ft at-
grades, depth of
absorption area for
trenches and beds
Start Reading End Reading Perc rate
(mpi)
% Difference
Last 3 RatesReadingStart Time End Time Pass(in)(in)
4:00 PM1 4:10 PM 6.0 3.0 3.3 NA NA
4:10 PM2 4:20 PM 6.0 3.5 4.0 NA NA
4:20 PM3 4:30 PM 6.0 3.5 4.0 16.7 No
4:30 PM4 4:40 PM 6.0 3.5 4.0 0.0 Yes
5
Chosen Percolation Rate for Test Hole #1 4.0 mpi
Test hole: #2 Location:Depth**:
Elevation:
18 inches
Soil texture description:feet
Depth (in)Soil Texture
** 12 in. for mounds St at-
grades, depth of
absorption area for
trenches and beds
Start Reading End Reading Perc rate
(mpi)
% Difference
Last 3 RatesReadingStart Time End Time Pass(in)(in)
4:05 PM1 4:15 PM 2.56.0 2.9 NA NA
4:15 PM2 4:25 PM 6.0 2.7 3.0 NA NA
4:25 PM3 4:35 PM 2.96.0 3.2 11.4 No
4:35 PM4 4:45 PM 6.0 2.9 3.2 6.1 Yes
Chosen Percolation Rate for Test Hole #2 mpi
Schuellcr’s Sei)tic Solutions, L.L.C.
23725 240"' Avenue
Fergus Falls, MN 56537
Phone: 218-998-0861
Cell: 218-770-9119
E-mail: billschueller@gmail.com
August 9, 2017
To Whom It May Concern:
At the request of Joe and Lisa Harlow, I have put together a septic system design for changes and
additions to Big Pine Lodge.
The following components were designed as noted on the drawing provided by the Harlows:
The Lodge/2 bedroom dwelling is to be moved from its current spot to that as shown on the drawing.
The Lodge is sized based on the number of seats as per MPCA Rules 7081.0130. The attached dwelling is
sized on a minimum 2 bedrooms. These figures for gallons per day and the calculations for the
drainfield sizing are attached.
Proposed new units numbers 23, 27, 28, 29, and 30 will collect to a 2250 gallon holding tank.
Proposed new units numbers 31, 32, and 37 will collect into an existing holding tank now servicing the
lodge/dwelling. On the drawing I have, unit 37 is shown to be on top of the existing holding tank. This
unit will have to be moved to meet required setback distance of 10' from a septic tank.
Proposed new units numbers 33, 34, 35, and 36 will collect to a 2250 gallon holding tank.
If there are any questions regarding this information, I can be reached at the numbers and email shown
above.
Cordially,
Bill Schueller
Land & Resource Management
Otter Tail Courity Government Services Center, 540 W Fir
Fergus Falls. MN 56537
QTTfBTIIIl 218-998-6095
’** www.co.titter-taH.irin^us FAX:218-9&8-8112
SITE DATA WORKSHEET
Property Information:
Lake / River Number
56-130
Lake / River ClassLake / River Name
Big Pine
Section Township Name
Pine LakeGD17
Parcel Number(8)
52000170112006
Property's E-911 Address
43606 Mosquito Heights Rd
Property Owner Information:
Name(s): Joe and Lisa Harlow
Mailing Address: 43606 Mosquito Heights Rd, Perham, MN 56573
Designer Information:
Name: Bill Schueller MPCA License Number: L2945
Firm Name: Schueller‘s Septic Solutions DesignerLicense Category;
Mailing Address: |23725 240th Ave, Fergus Falls, MN 56537
(218) 770-9119E-Mail Address: billschueller@gmail.com Phone Number:
Sewage Treatment System Design Information:
Number of Bedrooms: |2 plus lodge seating
Garbage Disposal: [^Yes No
Well: Casing Depth:|50.o6 | Ft. Sewer Line Separation; ^0-00 I Ft.
Bluff; Yes 0NoFloodplain; ~~]Yes No
Vegetation: ^Aquatic f^Terrestrial
Slope at Installation Site: |7 , |%
Type of Observation; |3] Probe Pit ^ Boring
I Til [^Outwash __Loess I I Bedrock [^AlluviumParent Material:
Original Soil; Yes ]][] No
Compacted Soil: (_jYes |»^No
Depth of Boring (to T or restrictive layer): I5.00 I Ft. IS-00 I In.
09/12/2017Bill Schueller
signature of Licensed Designer
LR: Online Permittiits Forms 2016: SttoDetaWorksheetrillable 0009-2016
Date
1225https://onegov.co.ottertail.mn.us/adrast/viewcard.DhR2card=2&anp=
OTTER TAIL COUNTS
Land & Resource Management
Phone (218) 998-8095
PERMIT NUMBER See Work Authorized
SCANNED
Sewer PermitPERMIT TYPE
Joseph & Lisa HarlowPROPERTY OWNER
LAKE INFORMATION Big Pine
DNR ID(S)130
LOCATION
Parcel(s): 52000170112006
Township Name: Pine Lake Township
Property Address(es): 43606 MOSQUITO HEIGHTS RD
Section/Township/Range: Sect-17 Twp-136 Range-038
Legal: PT GL 1 COM W1/4 COR SEC 17 N 181.5' N 44 DEG E 350' S 45 DEG E 20' S 36 DEG E 316.35'
WORK AUTHORIZED
SEWER PERMIT NO 24941
To Install a 2250 Gallon Holding Tank Servicing Unit Numbers 23, 27, 28, 29, & 30 and Install a 2250
Gallon Holding Tank Servicing Unit Numbers 33, 34, 35 and 36. Also, Install 2 1500 Gallon Tanks, 1 1000
Gallon Tank and a 1500 Gallon Pump Tank along with 1050 Sq. Ft. of Drainfield to Service the Lodge/2
Bedroom Dwelling Unit (Lodge 12).
Amy Busko 09/14/2017 12:40 PM
6df3cbc9175dbc3c200d2e0752527330
ebfe0baf4afdd2990e7f4ce8ec1cab8d 09/14/201809/14/2017
ISSUE DATE DATE EXPIRESLand and Resource Management Official/Date
NOTE:
• This permit must be placed in a conspicuous place not more than 6 feet above grade on the premises
on which work is to be done, and must be maintained there until completion of such work.
• If the terms of this permit are violated, the entire permit maybe revoked and the owner/contractor
maybe subject to legal prosecution.
• Property Owner is legally reponsible for all surface water drainage which may occur.
• Topographical Alteration projects shall be stabilized within 10 days of the completion unless otherwise
stated.
• No part of the Septic System shall be covered until it has been inspected or approved.
• Notify Land & Resource Management when job is ready for inspection (218) 998-8095.
1 of 1 9/14/2017, 12:39 PM
https://onegov.co.ottertail.mn.us/view.php?id=1225#option-resultsOneGov
Land & Resource Management
Government Services Center
540 Fir Avenue West
Fergus Falls MN 56537
QJJ£K JH|l Phone: 218-998-8095
OOlflTT-HiamiOTII
Sewer Pen^ i x' . , iPermit # V /
Valid: 09/14/2017 - 09/14/2018
Applicant Information
Applicant Information;Nam*:
Bill Schueller
Phon«:
(218 )770 -9119
Email AddiMK
billschueller@gmail.com
Mailing Addrate
23725 240th AveI
Fergus Falls MN 56537
Agent/OesignerI am the:
j Is this Sewer Permit Application fora No
I Collector System?
Work Performed Bv
|wofk to be performed by;Contractor
Contractor's Contact Information
Contractor Information;
Eric Ruther
Company or Buanas Nama
Ruther Excavating
Contractor Llconsa Numbor
L3149
Phono:
Additional Phono:
(218 ) 298 -1477 ( )
Email:
eruther@arvig.net
Addre«
37618 390th Ave
Richville MN 56576
PrpBertyjOwner's Contact Information.
Property Owner
Contact Information Joseph and Lisa Harlow
Pho na.
(218 ) 298 - 2358
Email Addroos:
Mailing Address
43606 Mosquito Heights Rd
Peitvam MN 56573 8803
Property Information
Property
Please
search by
one of the
foi lowing:
Parcel #,
name of Physical
Address.
Click the blue
■Seiecr to select
Selected:
Property Attributes Property Address Primary Name/AddressLegal Description
Parcel U Primary Address Line 1 CityProperty Address City Section/TownshIp/Range Legal Description Legal Description Legal Deacription Name
52000170112006 43606 MOSQUITO
HEIGHTS RD
JOSEPH
& LISA MARLOW
43606 MOSQUITO
HEIGHTS RD
PERHAMPERHAMSect-17 Twp-136 Range-038 PT GL 1 COM
W1/4 COR SEC
181 5'N 44 DEG E
350’ S 45
DEG E 20’S 36
DEGE 316.35'
17 N
DevelopedIs the property
Developed or Undeveloped?
ShoreiandIs the property
located in the
Shoreiand or Notv
Sho reland area?
Shoreiand Information
Associated Lakes ;Selected:
DNR ID Lake Class LR CDLake Name
Big Pine 130 GO 56-130
River/Stream Name:Big Pine
Bluff;No
1 of 3 9/14/2017, 12:39 PM
https://onegov.co.ottertail.mn.us/view.php?id=1225#option-resultsOneGov
Project Information
Other Establishment - NewType of Installation;
Design Flow;1 to 2,499 Gallons Per Day
TyR^
Gravity
System Type:
Efiuent Distirbution:
System Components
Type I Components: ]
Depth of Well: •;
Number of Bedrooms:
Abatement:
Garbage Disposal:
Trench • Rock
•*•50 Feet
2
No/No
Ejector No
Number of Tanks;5
Number of Lifts:1
Number of Soil Treatment Areas;I
Septic/Holdina Tank'(s)
Total Capacity of Septic/Holding Tank(s): 8500 Gallons
65 FeetSetback to Nearest Well: |
Setback to Ordirtary High Water Level: 200-*- Feet
Setback to Bluff:^ Feet
12 Feet
12 Feet
15 Feet
15 Feet
Setback to Dwelling; •!
Setback to Non-Dwellirtg:
Setback to Nearest Lot Line:j
Setback to Road Right-of-Way:
Lift Tank(s)
Total Capacity of Lift Tank(s):i]1500 Gallons
Setback to Nearest Well: ^
Setback to Ordinary High Water Level: 200+ Feet
Setback to Bluff;
Setback to Dwelling ; i
Setback to NorvDwellirig;
Setback to Nearest Lot Line:
100+ Feet
^ Feet
^ Feet
10+ Feet
^ Feet
^ Feet;Setback to Road Right-of-Way:
Soil Treatment Area(s)
Total size of Treatment Area:1050 Square Feet
100+ FeetSetback to Nearest Well:
Setback to Ordinary High Water Level: 200+ Feet
m Feet
80 Feet
10+ Feet
25 Feet
25 Feet
Elevation above Restrictive Layer 3 Feet
Setback to Bluff:
Setback to Dwellirvg; |
Setback to NorvDvveliing:
Setback to Nearest Lot Line:■;l
Setback to Road Right-of-Way:
Documentation
Attach Supporting Documentation;File 1: Big_Pine_Lodge_-_ietter_20i7.docx
File 2:Big_Pine_Resort_-_lodge_and_home.xisx
Applicant Approval
Applicant Signature: H
Date Signed: j
Please check to approve: i
Comments: 1
Bill Schueller
V,09/08/2017
1
I understand that checking this box constitutes a legal signature
Drawing provided separate from application
Terms
Agreement
The undersigned hereby mak'es appiication lor permit to instail, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accordance with Sanitation Code of Otter
Tail County. Minnesota.
Applicant agrees that the Attached Documentation submitted herewith and which is approved by a Land & Resource Management Official shall become a part of the permit.
Applicant Further agrees that no part of the system shall be covered until it has been inspected and approved for use.
It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection.
Note
Once a pennit is approved it is velid for a period of twelve (12) months from the date of approval unless otherwise indicated on permit.!|
A sewer permit does not include the buildirvg sewer (sewer line).
Invoice 09/08/2017
Charge Cost Quantity Total
Sewage System Permit-|Licensed Ins^lleredded 09/14/2017 i0:i6 am $175.00 $175.00X 1
Grand Total
Total (Paid) I $175.00
Approvals
Approval Signature
Received and Assignedj Brittany A. Watters - 09/08/2017 12:50 PM5ald2b24b76de610cf909ff4b5e9b443
3ac361be6ae07b2el6062cbb4f72c33c
#2 Application Review Amy Busko - 09/14/2017 12:23 PM020a967c6b4f7204e7d8a4fe859l3d5d
454ded265e72b257e6f2bead5045a0a0
f-#3 Application Approval Amy Busko - 09/14/2017 12:40 PM6df3cbc9175dbc3c200d2e0752527330
ebfe0baf4afdd2990e7f4ce8eclcab8dJ
■i
2 of 3 9/14/2017, 12:39 PM
https://onegov.co.ottertail.mn.us/invoice.php?action=print&app-122...OneGov
Land & Resource Management
Government Services Center
540 Fir Avenue West
Fei^us Falls MN 56537
OTTER tnil Phone:218-998-8095
oounTT-minoitOTA
Sewer PermitiApp. # 55
Bill Schueller !
(218)770-9119
billschueller@gmail.com
23725 240th |\ve, Fergus Falls, MN 56537
Total NoteCostQuantityCharge
$175.00$175.00 X 1Sewage System Permit - Licensed installer added
09/14/2017 10:16AMi|
Grand Total
Total $175.00
Payment
Auto-generated by payment updateMethod:Credit Card Note:)i
Date:09/14/2017
Made By:
i!
Confirmed By:Point and Pay
1
1 of 1 9/14/2017, 12:40 PM
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OSTP Design Summary Worksheet University
OF MinnesotaMinnesota Pollution
Control Agency
43606 V 04.06.2017Property Owner/Client:Big Pine Lodge Project ID:
Site Address:43606 Mosquito Heights Rd, Perham, MN 56573 Date: 8/4/2017
Email Address:Phone Number:218-298-2358
1. DESIGN FLOW, STRENGTH OF WASTE, AND TANKS
A. Residential Design Flow:Gallons Per Day (GPD) Number of Bedrooms (Residential);2
Type of Wastewater:Treatment Level:CResidential Select Treatment Level C for residential septic tank effluent
]gpdCJleasured Flow:0Estimated Flow:
]mg/L Oil8tGrease:[
1260Other Est. flow (select method and provide data):GPD
mg/L TSS:[]mg/LWaste strength (attach data/estimate basis for Other Est.):BOD:
B. Septic Tank Sizing
1. Residential dwellings
Min Code Required Septic Tank Capacity:Gallons, in Tanks or Compartments
Gallons, in Tanks or CompartmentsRecommended Septic Tank Capacity:
2. Other Establishments
Waste received by:Gravity
I 3 [ = I 3780 I Gallons, in
I Gallons, in
Manufacturer/Model:
1260Min Code Required Septic Tank Capacity:Tanks or Compartments1GPDX
4000 3Designer Recommended Septic Tank Capacity:Tanks or Compartments
Recommended Thelen Precast tanks3. Effluent Screen & Alarm (Y/N):
C. Holding Tanks Only:
Minimum Code Required Capacity:
Minimum Capacity: Residential =400 gal/bedroom, Other Establishment = Design Flow x 5.0, Minimum size 1000 gallons
Type of High Level Alarm:Gallons, in Tanks
Designer Recommended Capacity;Gallons, in Tanks
D. Pump Tank 1 Capacity (Code Minimum):1260 GallonsGallonsPump Tank 2 Capacity (Code Minimum):
Pump Tank 1 Capacity (Designer Rec):1500 GallonsGallonsPump Tank 2 Capacity (Designer Rec):
GPM Total Head 30.0 GPM Total Head 9.8Pump 1 ft Pump 2 ft
Supply Pipe Dia.Supply Pipe Dia.2.00 310.0inDose Volume: in Dose Volume:gal gal
2. SYSTEM AND DISTRIBUTION TYPE
TrenchSoil Treatment Area Type:Gravity DistributionDistribution Type:
Benchmark Location:Benchmark Reference Elevation:ft
MPCA System Type:Type I Registered Product:Type of Distribution Media;
High Capacity ChambersType iii/IV Details;
3. SITE EVALUATION SUMMARY:
I 5.5 |ft66 SandA.Depth to Limiting Layer:in G.Soil Texture:
GPD/ft^B.Elevation of Limiting Layer:1.20H. Soil Hyd. Loading Rate:
Loc. of Restrictive Elevation:MPiC.Perc Rate:
J. Soil with >35% Rock Fragments Present (yes/no)? | No |
if yes describe below: % rock and layer thickness, amount of soil credit and any
additional information for addressing the rock fragments in this design.
I.
I 3-0 |ft36D. Minimum Required Separation;in
E. Code Maximum Depth of System:30 in
8.0 %F.Measured Land Slope:
Comments:
OSTP Design Summary Worksheet University
OF MinnesotaMinnesota Pollution
Control Agency
A. SOIL TREATMENT AREA DESIGN SUMAAARY
Trench Design Summary
840 Trench Width 3Sidewall Depth 12Dispersal Area ftin
Number of Trenches Code Maximum Trench Depth 30.0Total Lineal Feet 280 ft 4 in
30.0Min Trench Length #VALUE! ft Designer's Max Trench Depthft inContour Loading Rate
Bed Design Summary
ft^Code Maximum Bed DepthAbsorption Area Depth of sidewall inin
Bed Length Designer's Max Bed DepthBed Width ft inft
Mound Design Summary
f^Absorption Bed Area Bed Length Bed Widthft ft
Berm Width (0-1%)Absorption Width Clean Sand Lift ftft ft
Upslope Berm Width Endslope Berm Widthft Downslope Berm Width ft ft
Total System Length Total System Widthft ft Contour Loading Rate gal/ft
At-Grade Design Summary
Absorption Bed Width ft Absorption Bed Length System Finished Heightft ft
gal/ft Upslope Berm Width Downslope Berm Widthft ftContour Loading Rate
Endslope Berm Width System Length System Widthft ft ft
Level & Equal Pressure Distribution Summary
No. of Perforated Laterals Perforation Spacing Perforation Diameterft in
gal galMin. Delivered Volume Maximum Delivered VolumeLateral Diameter in
Non-Level and Unequal Pressure Distribution Summary
Pipe Volume
(gal/ft)
Perforation SizeElevationPipe Length
(ft)Pipe Size (in)(ft)Spacing (ft)Spacing (in)(in)
Lateral 1 Minimum Delivered Volume
galLateral 2
Lateral 3
Lateral 4 Maximum Delivered Volume
galLateral 5
Lateral 6
5. Additional Info for At-Risk, HSW or Type IV Design
A. Calculate the organic loading
1. Organic Loading to Pretreatment Unit = Design Flow X Estimated BOD in mg/L in the effluent X 8.35 t 1,000,000
gpd X mg/L X 8.35^ 1,000,000 =lbs. BOD/day
2. Type of Pretreatment Unit Being Installed:
3. Calculate Soil Treatment System Organic Loading: BOD concentration after pretreatment v Bottom Area = lbs. /day/ft^
f^ =Ibs./day/ft^mg/L X 8.35 ^ 1,000,000 v
Comments/Special Design Considerations:
These numbers include the lodge restaurant, 2 bedroom home within the lodge building, 6 units along the lake being pumped up to tanks by
lodge then pumped to drainfield gravity trenches
I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws.
Bill Schueller Bill Schueller L2945 08/04/17
(Designer)(Signature)(License #)(Date)
University
OF Minnesota OSTP Soil Observation Log Project ID:V 04.06.2017
Client/ Address: Legal Description/ GPS:Big Pine Resort
n Organic Matter|2]Outwash ^Lacustrine □ Loess C]Till I I Alluvium I I BedrockSoil parent material(s): (Check all that apply)
□summit Dshoulder □ Back/Side Slope □Foot Slope □loe SlopeLandscape Position: (check one)Slope shape
Grass Soil survey map units:Slope %\Elevation:Vegetation:
07/14/17Weather Conditions/Time of Day:Date
Observation #/Location:#1 - Trench #4 Observation Type:Auger
Structure IIRockDepth (in)Texture Matrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s)Frag. %ConsistenceGradeShape
0-24 Loamy Sand 10YR 3/2
1
24-46 Sand 10YR 4/4
46-60 Sand 7.5YR 4/4
-L
60-68 Sand 10YR 5/4
68 Wet
;
Comments
I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws.
Bill Schueller 7/14/2017Bill Schueller L2945
(Date)(Designer/Inspector)(Signature)(License #)
nr MlNMUsmik
UH|1
Onsite
Sewage
T ncATfvir NT PrograiviAdditional Soil Observation Logs Project ID:
Legal Description/ GPS:Client/ Address: Big Pine Resort
I IBedrock n Organic MatterI lOutwash Qlacustrine I I Loess I ItiII I I AlluviumSoil parent material(s): (Check all that apply)
□summit Gshoulder □ Back/Side Slope GPoot Slope Gloe Slope Slope shapeLandscape Position; (check one)
Soil survey map units:Slope %:Elevation:Vegetation:
07/14/17Weather Conditions/Time of Day:Date:
Observation #/Location:#2 - Trench #2 Observation Type:Auger
Structure IIRockDepth (in)Texture Matrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s)ConsistenceFrag. %GradeShape
0-18 Loamy Sand 10YR 3/2
18-30 Sand 10YR 3/4
30-66 Sand 10YR 4/4
10YR 6/266 Sand 10YR 4/4 Depletions
SYR 4/6 Concentrations
4-■1
ULComments
#3 - Trench #1 Observation Type:#/ Location / Elevation:Auger
Structure IIRockDepth (in)Mottle Color(s)Redox Kind(s)Indicator(s)Texture Matrix Color(s)Frag. %ConsistenceGradeShape
0-15 Loamy Sand 10YR 3/2
15-30 Sand 10YR 3/4
30-70 Sand 10YR 4/4
70 Sand 10YR 4/4 10YR 6/2 Depletions
SYR 4/6 Concentrations
t'Comments 70
OSTP Trench Design
Worksheet
University
OF MinnesotaMinnesota Pollution
Control Agency
V 04.06.2017Project ID: 436061, SYSTEM SIZING:
1260 GPDA. Design Row:
30.0 ^ inches
gal/ft
Designers Maximum Depth:30 inchesB. Code Maximum Depth:
1.20 GPD/ft^Contour Loading Rate:C. Soil Loading Rate:
D. Required Bottom Area: Design Flow (1.A) Loading Rate (1.C) = Initial Required Bottom Area
1260 GPD- 1.20 GPD/ft^ = 1050 ft^
El Rock
□ Registered Product
□ Pressure El Gravity-Drop
□ Gravity-Other
G. If distribution media is installed in contact with sand or loamy sand or with a percolation rate of 0.1 to 5 mpi
indicate distribution or treatment method:
E. Select Dispersal Media:
(selection required)
F. Select Distribution Method:
'Serial distribution in 25^ sections
2. TRENCH CONFIGURATION: ROCK
Initial required
trench bottom area
(ft^): (from 1.D)
Sidewall
Absorption
(inches)
Design
trench
bottom area
A.Bottom Area
Reduction
Bottom Area
Multiplier
Cover
105016 to 11 o_..Distribution
20%0.8 84012 to 171050 0.66 69318 to 23 34%Sidewall
6302440%0.6
1.012 ftinchesB. Select Sidewall Height:Width
840 ft^C. Design Bottom Area (2.A):
3 ftD. Select Trench Width:
E. Total Designed Trench Length: Bottom Area f Trench Width = Total Required Trench Length
ft^ +280 ft8403.0 ft =
F. Calculate Minimum system length based on Contour Loading Rate: Design Flow t Contour Loading Rate =
gal/ft #VALUE! ft1260gpd T
#VALUE! 4 Designed Number of TrenchesMinimium base on CLRG. Number of Trenches:
H. Length per trench = Actual Trench Length t Number of Trenches (recommended to be equal or exceed 2F)
ft T 70.0 ft4.0280
6 ft (typically 5 - 12 ft from center to center)J. Select Trench Spacing :
K. Calculate Lawn Area: Trench Length (2.E) X Trench Spacing (2.G) = square feet of lawn area
280 ft X ft^ lawn area16806ft =
0.5 ft (0.33 ft for pressure, 0.5 ft for gravity)L. Select Depth Required to Cover Distribution Pipe:
M. Calculate Rock Volume: (Sidewall Height (2.B) + Depth to Cover Pipe (2.J)) X Bottom Area (2.C) = cubic feet 27 = cubic yards
ft^ =yd'ft'1260 470.50 8401.00 + 27ft +ft) X(
3. TRENCH CONFIGURATION: REGISTERED PRODUCTS - CHAMBERS AND EZFLOW
Initial required
trench bottom area
(ft^): (from 1.D)
Design
trench
bottom area
Sidewall
Absorption
(inches)
A.Bottom Area
Multiplier
Bottom Area
Reduction
6 to 11 1
0.812 to 17 10%
M%0.6618 to 23
40*0.624
B. Registered Product:
ftC. Select Sidewall Height:inches
ft^D. Design Bottom Area (3.A):
E. Registered Width:ft
F. Minimum Designed Trench Length = Bottom Area (3.C) v Trench Width (3.D)
I ft' -ft =ft
G. Enter the Registered Product Component Length:ft
H. Number of Components = Minimum Total Length Required divided by Component Length (Round up)
ft-f ft =components
I. Actual Total Trench Length = Number of Components X Component Length:
components X ft =ft
J. Calculate Minimum length per trench based on Contour Loading Rate: Design Flow -f CLR =
gpd 4 gal/ft ft
Minimium base on CLR Designers Number of TrenchesK. Select No. of Trenches:
L. Length per trench = Actual Trench Length t Number of Trenches. Recommended to be equal or exceed 3.J.
trenches =ftft^
ft (typically 5 - 12 ft from center to center)M. Select Trench Spacing :
N. Calculate Lawn Area: Trench Length X Trench Spacing = square feet of lawn area
ft' lawn areaft X ft =
Comments:
OSTP Basic Pump Selection Design
Worksheet University
OF Minnesota
Minnesota Pollution
Control Agency
V 04.06.2017Project ID: 436061. PUMP CAPACITY
GravityPumping to Gravity or Pressure Distribution:
30.0 GPM (10-45spm)1. If pumping to gravity enter the gallon per minute of the pump:
2. If pumping to a pressurized distribution system:GPM
Demand Dosing' 3. Enter pump description:
2. HEAD REQUIREMENTS Soil ueaunem sysiern A point of discharge
8A. Elevation Difference
betvreen pump and point of discharge:
ft
0B. Distribution Head Loss:ft
ft (due to special equipment, etc.)C. Additional Head Loss:
Table I.Friction Loss in Plastic Pipe per 100ft
Distribution Head Loss Pipe Diameter (inches)Flow Rate
(GPM)Gravity Distribution = Oft 1.25 1.5 21
3.1 1.3 0.3109.1Pressure Distribution based on AAinimum Average Head
Value on Pressure Distribution Worksheet:12.8 4.3 1.8 0.412
17.0 5.7 2.4 0.614Minimum Average Head Distribution Head Loss
5ft1ft 7.3 3.0 0.721.816
6ft2ft 9.1 3.8 0.918
lOft5ft 20 11.1 4.6 1.1
6.9 1.72516.8
9.723.5 2.4302.0D. 1. Supply Pipe Diameter:in
3.23512.9
602. Supply Pipe Length:16.5ft40 4.1
20.5 5.045
E. Friction Loss in Plastic Pipe per 100ft from Table I:50 6.1
7.355
ft per 100ft of pipe2.37Friction Loss =8.660
10.065F. Determine Equivalent Pipe Length from pump discharge to soil dispersal area dischargi
point. Estimate by adding 25% to supply pipe length for fitting loss. Supply Pipe Lengt
(D.2) X 1.25 = Equivalent Pipe Length
70 11.4
13.075
16.485
75.060 ftftX 1.25 20.195
G. Calculate Supply Friction Loss by multiplying Friction Loss Per 100ft (Line E) by the Equivalent Pipe Length (Line F) and divide by 100.
Supply Friction Loss =
1.875.0 ft2.37 ft 100ft per 100ft X +
H. Total Head requirement is the sum of the Elevatian Difference (Line A), the Distribution Head Loss (Line B), Additional Head Loss (Line C), and
the Supply Friction Loss (Line G )
9.81.80 ft8.0 ft =ft ft +ft ++
3. PUMP SELECTION
9.830.0 feet of total head.A pump must be selected to deliver at least GPM (Line 1 or Line 2) vrith at least
Comments:
f.0S7P Pump Tank Design Worksheet
(Demand Dose)University
OF MinnesotaMinnesota Pollution
Control Agency
Project ID: 43606 V 04.06.2017DETERMINE TANK CAPACITY AND DIMENSIONS
1260A. Design Flow:1.GPD
15001260C.Recommended pump tank capacity:GalGalB. Min. required pump tank capacity:
1500 gal pump tankThelen Precast B. Tank Model:A. Tank Manufacturer:2.
Note: Design calculations are based on this specific tank.
Substituting a different tank model will change the pump
float or timer settings. Contact designer if changes are
necessary.
1500 GallonsC. Capacity from manufacturer:
31.0 Gallons per inchD. Gallons per inch from manufacturer:
49.0 inchesE. Liquid depth of tank from manufacturer:
DETERMINE DOSING VOLUME
3 Calculate Volume to Cover Pump (The inlet of the pump must be at least 4-inches from the bottom of the pump tank & 2 inches of water covering the pump
is recommended)
(Pump and block height + 2 inches) X Gallons Per Inch (2C or 3E)
in -r 2 inches) X
4 Minimum Delivered Volume = 4 X Volume of Distribution Piping:
- Line 17 of the Pressure Distribution or Line 11 of Non-level
5 Calculate Maximum Pumpout Volume (25% of Design Flow)
Design Flow:
43431.0 Gallons12Gallons Per Inch(:
0 Gallons (minimum dose)
4650.25 Gallons (maximum dose)1860 XGPD
3106 Select a pumpout volume that meets both Minimum and Maximum:
7 Calculate Doses Per Day = Design Flow t Delivered Volume
1860 gpd -r
Gallons Volume of Liquid in
Pipe
gal =6.0310 Doses Liquid
Per Foot
(Gallons)
Pipe
Diameter
(inches)
8 Calculate Drainback:
2 inchesA.Diameter of Supply Pipe =
0.045160feetLength of Supply Pipe =B.
1.25 0.0780.170 Gallons/ftVolume of Liquid Per Lineal Foot of Pipe =
Drainback = Length of Supply Pipe X Volume of Liquid Per Lineal Foot of Pipe
C.1.5 0.110
D.0.1702
gal/ft =10.260ft X 0.170 Gallons 0.3803
9. Total Dosing Volume = Delivered Volume plus Drainback 0.6614
gal =320310gal +10.2 Gallons
10. Minimum Alarm Volume = Depth of alarm (2 or 3 inches) X gallons per inch of tank
in X 93.031.0 gal/in =3 Gallons
DEMAND DOSE FLOAT SETTINGS
11. Calculate Float Separation Distance using Dosing Volume.
Total Dosing Volume /Gallons Per Inch
gal T gal/in =10.331.0320 Inches
J.Inches for Dose: 10.3 in12. Measuring from bottom of tank:
A. Distance to set Pump Off Float = Pump + block height + 2 inches
in +
T.
in =15123 Inches 28.3 '0Alarm Depth
Pump On
Pump Off
25.3 in 93.0 GalB. Distance to set Pump On Float=Distance to Set Pump-Off Float + Float Separation Distance
in -t-251510.3 in =Inches 15.0 in 320 Gal J
s465 GalC. Distance to set Alarm Float = Distance to set Pump-On Float + Alarm Depth (2-3 inches)
in 283.0 in =25 Inches
University
OF MinnesotaOSTP Tank Buoyancy Worksheet
Minnesota Pollution
Control Agency
1. Tank Specifications
Tank Model:A. Tank Manufacturer:
B. Outside Tank Dimensions and Specifications:
Length:Diameter:Height:in inWidth:inin
Radius of Tank:inftHeight:ftftWidth:Length:
2. Outside Volume of Tank
Circular TankRectangular Tank
A. Area of Tank = nr^ (3.14 X (Radius of Tank)^’A. Area of Tank = Length (ft) X Width (ft)
ft^ft^ = ___
B. Volume of Tank = Area of Tank X Height (ft)
ft^ X
ft^3.14 Xft =ft X
B. Volume of Tank = Area of Tank (2.A) X Height (ft)
ft^ft^ft =ft X ft =
3. Force of Tank Weight (Ftw)
Ibs/ft^Weight of Tank (provided by manufacturer)
4. Force of Soil Weight Over Tank (Fjw)
Weight of Soil
(Ibs/ft^)Soil TypeftA. Depth of Cover Over Tank:in
Ibs/ft’B. Weight of Soil Per Cubic Foot:
C. Volume of Soil Over Tank = Depth of Cover (ft) X Area of Tank (ft^)
Sandy 120
100Loamy
ft^f^ =
D. Weight of Soil Over Tank = Volume of Soil Over Tank X Weight of Soil Per Cubic Foot
ft^X [ Ibs/ft^
ft X Clay 90
lbs Note: Assumes saturation does not get over the lid of the tank il5.Buoyant Force (Fg)
;; ■
Mrt
OBuoyant Force (Fb) = Outside Volume of Tank X Weight of Water Per Cubic Foot (62.4 Ibs/ft^) X 1.2 (Safety Fctr)
X 62.4lbs/ft^ X 1.2 =
■j:
lbs (Fti^
I,!
6. Evaluation of Net Forces J t'.
A. Downward Force = Force of Tank Weight (F™) + Force of Soil Weight of Soil (Fsw);
♦. FgwiaKy(F|)
Fa* 4- Ftw > U X Ft Ff«sVMix80QK/h^
Ftw B Weight of tank
Fi ■ Total tank volume x 62.4 \bilh} (8.35 Ibs/gal)
lbslbs =lbs +
B. Net Difference = Downward Force - Buoyant Force Including Safety Factor
lbs =lbslbs
If the Net Difference is negative, countermeasures will need to be taken to prevent the tank from floating out of the ground.
Comments/Solution:
OSTP Final Permitting Flow
Worksheet University
OF MinnesotaMinnesota Pollution
Control Agency
r\A ^r\4^
From either existing and new
development worksheet300gpdFlow from Dwellings1. Flow from Dwellings
From either Measured or Estimated-
OE worksheet
Permitting Flow from Other
Establishments
2. Flow from Other
Establishments 960 gpd
Design flow must include 200
gallons of infiltration and inflow
per inch of collection pipe
diameter per mile per day with a
minimum pipe diameter of two
inches. Flow values can be further
increased if the system employs
treatment devices that will
infiltrate precipitation.
a) Total Length of Collection
Pipe:feet
3. Flow from Collection
System
b) Diameter of Pipe
(Minimum of 2 in):inches
c) Flow from I6t I in
Collection System:gpd
1260 Sum of 1, 2 and 3c.4. Final Permitting Flow gpd
OSTP Flow EstimationiOther
Establishments
University
OF MinnesotaMinnesota Pollution
Control Agency
V 04.06.2017
Design Flow
per Unit (See
Table I)
Total Avg Daily
Flow7081 Specified Type of Establishment # of UnitsUnitEstablishment
seat (open 16 hours or less, single service
articles)9604820.00Restaurant (short order)1
2
3
4
5
Total Flow 7081 Establishments (gpd)960
Total Avg DailyDesign Flow
per Unit FlowNON 7081 Specified Type of Establishment # of UnitsUnitEstablishment
6
7
8
9
10
Total Flow Non-7081 Establishments (gpd)
Total Flow 7081 and Non 7081 Establishments (gpd)960
Land & Resource Management
GSC, 540 W Fir, Fergus Falls, MN 56537
OrKRTRIl 218-998-8095; Website:
Subsurface Sewage Treatment System Management Plan
Sewage Treatment System Permit Number: !
Zjot >! L/^/{ _________
Property Owner;
Lake Name / Number: "/JPParcel Number: “7^//Jl
7^A/e/7Section:Township Name:
E-911 Address; //e/!^^//73 /^A,
This management plan will identify the operation and maintenance activities necessary to ensure long-term performance
of your septic system. Some of these activities must be performed by you, the homeowner. Other tasks must be
performed by a licensed septic service provider.
Homeowner's Management Tasks - Should Be Checked Every 6 months:
leaks - Check (look, listen) for leaks in toilets and dripping faucets. Repair leaks promptly.
Surfacing sewage - Regularly check for wet or spongy soil around your soil treatment area.
Effluent filter (if applicable) - Inspect and clean twice a year or more.
Pump Tank Alarms - Alarm signals when there is a problem. Contact a service provider any time an alarm signals.
Holding Tank Alarms - Can be either an electronic or a manual float, when activated, service (pumping) is
required.
Event counter or water meter (if applicable) - Record your water use.
Professional's (Licensed Septic Service Provider) Management Tasks - Should Be Checked Every 24 Months (2 Years):
□ Check to make sure tank is not leaking.
□ Check and clean the in-tank effluent filter.
□ Check the sludge/scum layer levels in all septic tanks.
□ Recommend if tank should be pumped.
□ Check inlet and outlet baffles.
□ Check the drainfield effluent levels in the rock layer.
□ Check the pump and alarm system functions.
□ Check wiring for corrosion and function.
□ Provide homeowner with list of results and any action to be taken.
□ Check inspection pipe caps (replace as necessary).
n Check manhole cover (accessibility, security, or damage).
I understand it is my responsibility to properly operate and maintain the sewage treatment system on this property in accordance
with this Management Plan. /\ / /
G a<7 'ODate;Property Owner:7 7^
Signature
P)W)lC0
Jrgnature
Date:Received by Land & Resource Management;
The following link will provide information from the University of Minnesota, regarding a Septic System Owner's Guide:
http://www.extension.umn.edu/envirQnment/housing-technolopv/moisture-management/sePtic-svstem-owner-Ruide/
LR: SSTS Management Plan 06-20-2014
Pre-Application Site Inspection Request
^3
NOTE; Onsite inspections will be done between April 15*^ & October 1®*, unless
the Land & Resource Administrator
determines current weather conditions
are suitabie for onsite inspections.Assigned To/Date:
Lake/River Class Section Twp NameLake / River No.Lake / River Name
>%\^o ft Q.0 n I f
Property (E-911) Address ^ n jParcel(s) No.
S2ooo no\^'zco(^
Property Owner Information:
[4^ [a <0Name(s);
V fa
________V^r-/
Address:
T
■ 'KSS^Daytime Phone:
Type of Request:
Bluff:
Date Stamp
Determination Stake Setback Verify Setback received
JUL 1 7 2017
WND& RESOURCE
x:DeterminationOHWL:Verify Setback^ Stake Setback
0.\£D ye.-Vo \rWNV-e- Sore- ^^n-itTCj IS atjve
Building Line:___Verification Shore Impact Zone:Stake Setback
JA/etland:Shoreland Area:DeterminationDetermination
Soils:Restrictive Layer Determination / Vertical Separation L&R Initiai
d'c. bg44o^Describe Request;________ef
^ A scale drawing must accompany Pre-Application Site Inspection Request
& request must be staked onsite
1^0 ^
1 -/7
77 DateProperty Owner
INSPECTION COMPLETED (Inspection must be done within 10 days of receipt):
lii^pector
cyY\hi^7
Date Onsite Date Property Owner Notified
Fee:-/QL-Receipt Number:
Inspector must provide site drawing or field notes on other side.
mbowman Application & Forms Pre-Application Site Insp Request Form 06/2012L
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Department of
LAND AND RESOURCE MANAGEMENT
OTTER TAIL COUNTY
Government Services Center - 540 West Fir
Fergus Falls, MN 56537
PH; 218-998-8095
Otter Tao. County's Website: www.co.otter-tail.mn.us
R3CEIV=D
SEP 19 2013
Otter Tail County Compliance Inspection Form Addendum LA.\'D & pccoi^iprc
This form is a required attachment to MPCA Compliance Inspection Form for all Existing Subsurface
Sewage Treatment Systems in Otter Tail County as of May 1,2011.
Property Information
Parcel Number: ^2Od0n0H Property Owner Name(s): ZSbg- f!>4
Property Address:4A60fc ^^11
Reason for Inspection:
Number of Bedrooms:
In Shoreland Area? ^^Te^ No
Lake/River Name, Number, & Class (if applicable):
Inspection Results
Does the soil treatment area have less than 3 feet of vertical separation? Yes (Tio
Is the septic tank located less than 50 feet from any well?
Is the soil treatment area located less than 50 feet from any deep well?
Is the soil treatment area located less than 100 feet from any shallow well? Yes /
Does any part of the septic system fail to meet the minimum OHWL setback
requirements for the public water classification?
623
Yes
Yes /Wo
Yes /
"Yes" indicates that the system is failing to protect ground water
and is noncompliant. If "Yes", describe the condition noted:
Required Attachments: System drawing to scale on next page.
Completed MPCA Compliance Inspection form, Pages 1
through 8, revision dated 4/24/09
I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No
determination of future system performance has been nor can be made due to unknown conditions during system construction,
possible abuse of the system, inadequate maintenangs_£iiL£ut
System Compliance Statuy^ompliant
(Circle one)
re water usage.
-Compliant
Ptr I
Non-
D♦ »»iirName:
Certification Number-
Business License Name & Number:
Signature:
z.
Date:
Page 1 of 2Excel/Compliance Form for OTC 2/23/2011
Otter Tail County Compliance Inspection Form Addendum (cont.)
Property Information
Parcel Number: f70ilZdth .
Property Owner Name(s):'Jcc twAfiO
Property Address:" ^sriy
System Drawing
The system drawing must be to scale and include all septic/holding/lift tanks, drainfields, wells within 100 feet of system
(indicate depth of wells), dwelling and non-dwelling structures, lot lines, road right-of-ways, easements, OHWLs, wetlands, and
topographic features (i.e. bluffs).
Additional Comments:
I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No
determination of future system performance has been nor can be made due to unknown conditions during system construction,
possible abuse of the system, inadequate maintenance, or future water usage.
Name: ______
Certification Number:
Business License Name & Number:
Signature:
■» ^
%s-/nDate:
Page 2 of 2Excel/Compliance Form for OTC 2/23/2011
Compliance Inspection FormMinnesota Pollution
Control Agency
520 Lafayette Road North
St. Paul, MN 55155-4194
Existing Subsurface Sewage Treatment Systems (SSTS)
Doc Type: Compliance and Enforcement
Instructions on page 6
Suminary Form (Completed form must be submitted to the local unit of government within 15 days.)
Parcel number: 52000170112006_________________
System status: ^ Compliant □ Noncompliant
(based on all compliance requirements)
For Local Tracking Purposes:
Property Information
Property owner name(s): Joe Harlow (Big Pine Resort)
Property address: 43606 Mosquito Heights, Perham, MN 56573
Property owner address (if different):
County: Ottertail____________
Date system constructed: 1986
Property owner phone;
Permitting authority: Ottertail County
____Reason for inspection: Permit
System Description
Brief system description: 2925 total gal tanks, gravity flow to 1992 sq.ft, drainfield with two holding tanks on property.
Design flow rate:________Number of bedrooms:Local permit number: 6871
Is the system:
In Shoreland area?
An U S. Environmental Protection
Agency (EPA) Class V Injection Well? D Yes S No
□ Yes El NoE Yes □ No In Wellhead Protection Area?
System serving a Minnesota Department
of Heath (MDH) licensed facility?□ Yes E No
Compliance Status (Based on state requirements - additional local requirements may also apply.)
Based on the information gathered and reported on attached forms, the compliance status of this system is (check one);
S Certificate of Compliance - valid until (3 years from date of report)-.
O Notice of Noncompliance - For Noncompliant systems:
The reason for noncompliance is: _____________________
This noncompliant system is classified as (check one below):
□ Imminent threat to public health & safety □ Failing to protect ground water □ Not in compliance with operating permit
9/15/2016
Certification
I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No
determination of future system performance has been nor can be made due to unknown conditions during system construction,
possible abuse of the system, inadequate maintenance, or future water usage.
Name: Phil Stoll____________________________
Business license name and number: Stoll Inspections
Name of local unit QrapvMnrneny ^______________
Signature ______________
Certification number: L2982
or
Date: 9/15/13
Required Attachments
Kl Hydraulic Performance
^ Soil Boring Logs
□ System drawing/As-built drawing □ Any local requirements that are different from what is required on this form
□ Other information (list):
□ Operating Permit Form (if applicable)^ Tank Integrity
S Soil Separation
- V VT H »«-------------------------------
Upgrade Requirements (derived from Minn. Stat. § 115.55) An imminent threat to public health and safety (ITPHS) must be upgraded,
replaced, or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system Is
failing to protect ground water, the system must be upgraded, replaced, or Its use discontinued within the time required by local ordinance. If an
existing system is not failing as defined in law. and has at least two feet of design soil separation, then the system need not be upgraded, repaired,
replaced, or its use discontinued, notwithstanding any local ordinance that is more sthct. This provision does not apply to systems In shoreland
areas. Wellhead Protection Areas, or those used in connection with food, beverage, and lodging establishments as defined in law.
TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
Page 1 of 8
800-657-3864651-296-6300wwvif.pca.state.mn.us •
wq-wwists4-31 • 4/24/09
System status: ^ Compliant □ Noncompliant
(as determined by this form)52000170112006Parcel number;
Hydraulic Performance and Other Compliance - Compliance Inspection Form for Existing SSTS
Compliance Issue #1 of 4
Date of observation: _9/15/13
This form expires upon next inspection or in three years, v\/hichever occurs first: 9/15/16
Reason for observation: Permit
Verification Method*: (Optional)
(Check the appropriate box)
S Searched for surface outlet
Q Performed hydraulic test
H Searched for seeping in yard
□ Checked for backup in home
□ Excessive ponding in soil system/D-boxes
S Homeowner testimony
□ Examined for surging in tank
G “Black soil” above soil dispersal system
□ System requires "emergency" pumping
□ Performed dye test
□ Other: ___________________________
Compliance questions/criteria: (Required)
(Che^ the appropriate box)__________________________
Does the system discharge sewage to the □ Yes E No
ground surface? _____________________
Does the system discharge sewage to drain □ Yes |3 No
tile or surface waters?
□ Yes ^ NoDoes the system cause sewage backup
into dwelling or establishment? ___
Do other situations exist that have the
potential to immediately and adversely
impact or threaten public health or safety
(electrical, unsafe covers, etc.)?
Any “yes" answer indicates that the system is an imminent
threat to pubiic heaith and safety.
Q Yes ^ No
□ Yes G NoDoes the system pose a threat to ground
water for any conditions deemed non-
protective as determined by the inspector?
“Yes” indicates that the system is failing to protect
ground water. If “yes", describe the condition noted:
i
* No standard protocol exists. This list is not exhaustive,
in sequential order, nor does It indicate which
combinations are necessary to make this determination.
Certification
This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's (MPCA) Compliance
Inspection Form for Existing Subsurface Sewage Treatment Systems. Observations, interpretations, and conclusions must be
completed by an inspector. Completed form must be submitted to the local unit of government within 15 days.
Property owner name(s): Joe Harlow (Big Pine Resort) _
Property address: 43606 Mosquito Heights, Perham, MN 56573
Property owner’s address (if different):
County: Ottertail Property owner phone:
I hereby certify that I personally made the observations, interpretations, and conclusions reported on this form and that they are
correct.
Certification number: L2982Phil StollName:
Business license name and number Stoll Inspections or
Name of local unit;6fjgo^rn^^t^y:
Date; 9/15/13Signature:
--------------------------------------------1-— V x/imliwW---------------------
TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
Poge 2 of 8
651-296-6300 . 800-657-3864www.pca.state.mn.us •
wq-wwists4-31 • 4124/09
System status: |3 Compliant □ Noncompliant
(as determined by this form)52000170112006Parcel number:
Tank Integrity and Safety Compliance - Compliance Inspection Form for Existing SSTS
Compliance Issue #2 of 4
Date of observation: 9/15/13___________
This form expires on (three years): 9/15/16
Reason for observation: Permit
Verification Method**: (Optional)
(Check the appropriate box)
Probed tank bottom
□ Observed lo\w liquid level
^ Examined construction records
□ Examined empty (pumped) tank
S Probed outside tank for “black soil”
O Pressure/vacuum check
□ Other:______________
Compliance questions/criteria: (Required)
_ (Check the appropriate box)^ ___________________
Does the system consist of a seepage pit*, □ Yes ^ No
cesspool, drywell, or leaching pit?
□ Yes ^ NoDo any sewage tank(s) leak below their
designed operatjng depjh?
If yes, identify which
sewage tank leaks ______
Arty “yes” answer indicates that the system is faiiing to protect
ground water.
* Seepage pits meeting 7080.2550 may be compliant if allowed
in ordinance by local permitting authority.
** No standard protocol exists. This list is not exhaustive, in
sequential order, nor does it indicate which combinations
are necessary to make this determination.
Safety Check
□ Yes* ^ No
^ Yes □ No*
[3 No
□ Yes* S No
1. Are maintenance hole covers damaged, cracked, or appeared to be structurally unsound?
2. Were maintenance hole covers replaced in a secured manner (e g., screws replaced)?
3. Was secondary access restraint present (safety pan, second cover, or safety netting) - highly recommended. □ Yes
4. Are other safety/health issue present?
Explain: __ ________ _________________
*System is an imminent threat to pubiic health and safety.
Certification
This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency’s (MPCA) Compliance
Inspection Form for Existing Subsurface Sewage Treatment Systems. Observations, interpretations, and conclusions must be
completed by an inspector, maintainer, or service provider. Completed form must be submitted to the local unit of government within
15 days.
Property owner name(s): Joe Harlow (Big Pine Resort)
Property address: 43606 Mosquito Heights, Perham, MN 56573
Property owner's address (if different)
County: Ottertail Property owner phone:
/ hereby certify that I personally made the observations, interpretations, and conclusions reported on this form and that they are
correct.
Certification number: L2982Name: Phil Stoll
Business license name and number: Stoll Inspections or
Name of local unit ®f lovsrnm
9/15/13^/ ii'.ifuUDate:Signature.
TTY 651 -282-5332 or 800-657-3864 • Available in alternative formats
Page 3 of 8
651-296-6300 • 800-657-3864www.pca.state.mn.us •
wq-wwists4-31 • 4/24/09
System status: [3 Compliant □ Noncompliant
(as determined by this form)
52000170112006Parcel number:
Soil Separation Compliance and Other Compliance - Compliance Inspection Form for Existing SSTS
Compliance Issue #3 of 4
Date of observation: 9/15/13
This information on this form does not expire.
Reason for observation: Permit
Verification Method**: (Optional)
(Check the appropriate box)
S Conducted soil observation(s) (attach boring logs)
O Two previous verifications (attach boring logs)
□ Other:_________________________________
Compliance questions/criteria; (Required)
_(Check the appropriate box)________
For systems built prior to April 1, 1996, and not
located in Shoreland or Wellhead Protection
Area or not serving a food, beverage or
lodging establishment:
Does the system have at least a two-foot
verticai separation distance from periodically
saturated soil or bedrock?□ Yes □ No
For non-performance systems built April 1,
1996, or later or for non-performance systems
located in Shoreland or Wellhead Protection
Areas or serving a food, beverage or lodging
establishment:
Does the system have a three-foot vertical
separation distance from periodically saturated
soil or bedrock?*
Soil observation does not expire. Previous observations
by two independent parties are sufficient, unless site
conditions have been altered.
^ Yes Q No
For reduced separation distance systems (i.e.,
“performance" systems under old 7080.0179 or
Type IV or V system under new 7080. 2350 or
7080.2400):
Does the system meet the designed vertical
separation distance from periodically saturated
soil or bedrock?*_______________________
Any "no" answer indicates that the system is fading to protect
ground water.
* May be reduced by up to 15 percent if allowed in local
ordinance.
** No standard protocoi exists. This list is not exhaustive,
in sequentiai order, nor does it indicate which
combinations are necessary to make this
determination.□ Yes □ No
Certification
This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency’s (MPCA) Compliance Inspection Form for Existing Subsurface Sewage Treiment Systems. Observations, interpretations, and conclusions must be
completed by an inspector or designer. Completed form must be submitted to the local unit of government within 15 days.
Property owner name(s): Joe Harlow^ig^Pine Resort)
Property address: 43606 Mosquito Heights, Perham, MN 56573
Property owner’s address (if different):
County. Ottertail Property owner phone.
/ hereby certify that I personally made the observations, interpretations, and conclusions reported on this form and that they are
correct.
Certification number: L2982Name: Phil Stoll_____________________________
Business license nartys and number: Stoll Inspections
Name of local unil/o/govfirniWyrTJ^
SI,nature:
or
Date: 9/15/13
TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
Page 4 of 8
651-296-6300 800-657-3864www.pca.state.mn.us •
wq-wwists4-31 • 4/24/09
Site Sketeb:
Jo-C Am. RiLjivf)^ZOOOi~tDhfieCockr.Name:
^jJl4iyckec} |YU>p'
Soil Borings iQ; Locate each boniig on^ map aboite, iiidicate cm due dg^ of die calunm die soil
tcxtutCr strueturei, ccilcmt depth of each dlffisraxt soil typ^ evidence of uottUngi bedioA sod landing ■water.
Also indicate tftiieniatonal is filL
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i2lComments:
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'iDepartment ofs5
LAND AND RESOURCE MANAGEMENT
OTTER TAIL COUNTYf
Government Services Center • 540 West Fir
Fergus Falls, MN 56537
Ph; 218-998-8095
Otter Tail County’s Website; www.co.ottertail.mn.us
• r
December 18, 2003?
i
)
i
Michael J 85: Laurel M Cooler
44424 450*: Heights Rd
Perham MN '56573-8707
1'
RE:Sewage System Servicing Par-a-dice Resort, Big Pine Lake (56-130)
i
Dear Mr. ;8s Ms. Cooler,
During my onsite visit of your property I found no evidence of failure with
the septic system that was installed under Sewage Permit #6871.
I did riote that the holding tank servicing the Recreational Camping Units
(RCU’s) near the lake does not have an alarm. Because an alarm was not required
when the' holding tank was installed we will not require one now, however we do
highly recommend that you have an alarm installed.
:■
•ii
)1
The system installed under Sewage Permit #6871 is approved for use,
however if in the future any portion of the system should fail it would have to be
bought into compliance immediately.
Please contact me if you have any questions.
i;
jr
Inspector
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CERTIFICATE OF COMPLIANCE
SEWAGE SYSTEM
%
5^:
Ij
1^ -ii
^123fidJa.nu.aAy tlday oJL 19.This certificate has been issued this
■mto certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota.
The premises covered by this certificate are legally described as:
'i.. .Lake No.^^zHR.17 Twp. ^ 36 Twp. Name VLnz LakeRange 3Sat-Sec.
LM
r
m*
Mosquito H-iggkti Re60At
GoveAmznt Lot 1 - Loti E and V (
Stzvz Lzhman«■
al Owner: Name.
R^2 Box 16, PeAham, Minnziota
Address.M
56573Zip No.
mm6S71Permit No. SP_
Signed by :_^^^ >MakTolm K. Lee, Shotefand Administrator
Cjrter Tail County, Minnesota
a
MKL-0871-009
f/
■f ____ ___- __^ ag.
159035 • e». mrrtM. fMtM vmaj. mm
SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 • Fergus Falls, MN 56537
APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM
■->
White — Office
Yellow — Inspector
Pink — Owner
C,<6rkQ.I \ - Lotre-
-
Permit No.LEGAL
DESCRIPTION
AND
Pu ~?e P/'N-f 6/frceSfe'iiP Ri'n R'lve (V.P laLOCATION
TWP NameLake Classif.Sec.TWPake Name RangeLake No.
IDENTIFICATION: Please Print All Information.
Mailing Address — No. Street, City and State Zip No.Tel. No.First InitialLast Name ^)c IL Perk AHLcl/i M hNOWNER
SEWAGE
SYSTEM
INSTALLER
Name.
This System will be ready for inspection on., 19.
This space for office use only
19
Date Rec'd Phone Call Rec'd By Owner or Agent Signature ^ C t / ^3-Time Rec'd
NUMBER OF BEDROOMS:ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
^ SEPTIC TANK ^ ^ ^ GIs.SEEPAGE PIT DRAIN FIELD
Sq. Ft.Capacity Sq. Ft.
lOoSoFt.Ft.Ft.Distance from nearest well
50 50Ft.Ft.Ft.Distance from lake or stream
Ft.Distance from occupied building Ft.Ft.
/o10Distance from property line Ft.Ft.Ft.
Ft.Ft. Ft.Distance from bottom to Water Table
AH distances are shortest distance between nearest points
RECORD OF TESTS:
Inspection was made on ., 19,, Time M By
1,0PERC 'I.ATION test DATA:
Te^/Taly^ B'/j
Date of First Test , 19 , Rate
...... Rate 1,3k~ADate of Second Test....?.19
1st
f.O f.'i li£2.,.2 2
UJL First Test + 2nd Test Rate2nd Test Taken Bv
Agreement:
strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn
esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi
cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the
responsibility fSi the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection.
The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in
V
Dated
Signature
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minne -ota.
This permit may be revoked at any time upon violation of any said ordinance.
NOTE: Permit void if work is not commenced within six (6) months.
Permit:
Issued Date;
Shoreland Management Office
Fee $Rec #
<Th
-vac ^ ^
Form No. MKL-032085,1 , [T i, , ~ M■g^-lJ-^rU -To Pct'A-
Comments:
225239 — Vi^ Lundeen Co.. PrmlBrs. Fwgus Falls. MN
••••r:
♦
I
SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 • Fergus Falls, MN 56537
APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM
«-
White — Office
Yellow — Inspector
Pink — Owner
%
T I - Lot e
- Cot \>
Permit No.,
LEGAL
^pgoir'TDESCRIPTION
AND
hi -f ( A- /C PPPhVi(U2 2131la//'/eLOCATION
TWP NameSec.TWP RangeLake Classif.sjLake NameLake No.
IDENTIFICATION: Please Print All Information.
Mailing Address — No. Street, City and State Tel. No.Zip No,InitialFirstLast Name ii r !'> AHLcT?t^ if u' ^M NNOWNER
SEWAGE
SYSTEM
INSTALLER
Name.
n/s System will be ready for inspection on.19.
This space for office use only
19 ,M
Owner or Agent SignatureDate Rac'd Phone Call Rac'd ByTime Rac'd
NUMBER OF BEDROOMS:ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEEPAGE PITSEPTIC TANK DRAIN FIELD
I cGIs.Sq. Ft.Sq. Ft.Capacity 7^
Bo Ft.Ft.Ft.Distance from nearest well
5050Ft.Ft.'■Ft.Distance from lake or stream
Lq.Ft.Ft.Ft.Distance from occupied building
Distance from property line 1010Ft.Ft.Ft.
3Ft.Ft.Ft.Distance from bottom to Water Table
AH distances are shortest distance between nearest points
RECORD OF TESTS:
Inspection was made on 19 , Time ,JV1 By
\.o%c,Cp...T..APERC.^LATJON TEST DATA:Date of First Test , 19 , Rate
19..^.^/.IDate of Second Test Rate<MJ~'----■
1st Te
l./ro2l.oFirst Test + 2nd Test Rate2nd Test Taken By
The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement:
strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn
esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi
cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the
responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection.
pr/\-A 6DatedlII TSignature
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota.
This permit may be revoked at any time upon violation of any said ordinance.
NOTE: Permit void if work is not commenced within six (6) months.
Permit:
9Issued Date:
Shoreland Manageme^^i^J^^\ S S 1CO
Kig't iNU(c^</-e 5oo tgiA
:xo^Fee $Rec #cB
Comments:
Or; ^ s
\Form No. MKL-032085 225239 — Victor Lundeen Co., Printers, Fergus Falls. MN
C'
INSPECTION RESULTS♦
■r Inspector must make all measurements
SEWAGE DISPOSAL SYSTEM STATISTICS
SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Actual Should Be
Capacity GIs. GIs.S F S F S F S F
Distance from Nearest Well F F F FF F
Distance from Lake or Stream F F F F FF
Distance from Occupied Building F F F F F F
Distance from Property Line F F F F F F
3 3Distance from Bottom to Water Table FFF F F F
Inspector’s Comments:
19Date of Inspection.
MTime of Inspection
Signature of InspectorINTERPRETATION
OF ABBREVIATIONS
GIs = Gallons
SF = Square Feet
F = Linear Feet
Job Title
MKL - 032085 - Backer Agency
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PERCOLATION TEST DATA
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H T‘‘1 Lur^EN C^. PRINTERS. FERGUS FALLS. UINN.
7^ /^/ <4-/^ U? f ^LAND AND RESOURCE MANAGEMENT /
Otter Tail County
Fergus Falls, Minnesota 56537 Ph. No.
L Mailing Address:Owner:L3cix / G>
St. & No.
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TWP. RANGE ,*3, ^ I-/?'/ y ,^
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Description:E/» F,
' NAME
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Depth, Inches Soil Texture Depth. Inches Soil Texture \/ U H <-Date Date.__;
^ f/
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Test By____
Percolation
Test By .S i ^ /lo aQ d - Zg'
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Name.Firm
Name,D'O
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LUAddress.QC Address
<
00Otter Tail County License No.,Otter Tail County License No..H-coLUMeasure
ment,inches
Time
I ntervals minutes
Drop in
water level, inches
Percolation
rate minutes
per inch
H-Time
I nterval, minutes
Percolation
rate minutes
per Inch
Measure-
meht
inches
Drop In
water level, inches
Remarks:Time Remarks:Timeo
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ho See Booklet, "How to Run a Percolation
Test" by Agriculture Ext. Service, Un. of MN,
Percolation rate <=■.minutes per inch
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CERTIFICATE OF COMPLIANCE 1.^
SEWAGE SYSTEM
ft ill HOLVJNG TANK
>■
r%(^aj; nf JaywLOJm15th 19_n.This certificate has been issued this,1
[I
wmto certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota.aii
The premises covered by this certificate arc legally described as:mmTwp. Maine Lafe&Twp. 116Lake No. 56-130 Sec. 17 Range 36
ji la
m?oAt 0^ G.L. 1 catted lot Ch|Ll
mLiGeAatd Betfe&t/Owner: Name.P /
1406 Eo6t 19th Vfimoyitf NebtLCUikaAddress.hm.
w6m5Zip No.'Aj!
ii!
6579Permit No. SP_''i.Signed by:.
mK. Lee, Shoreland Administrator
Otter'Tail County, Minnesotai
m
MKL-087 1-009
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F
SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 • Fergus Falls, MN 56537
APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM
Whita — Office
Yellow — Inspector
Pink — Owner
i (kc. 1 ^6S?fPermit No.
LEGAL
DESCRIPTION
AND
i~? I?6 ^ Pivcn>Bi'gj
vj-ake Name
LOCATION
TWP NameRangeTWPLake Classif.Sec.Lake No.
IDENTIFICATION: Please Print All Information.
Tel. No.Zip No.IVIailing Address - No, Street, City and StateInitialFirstLast Name
F 'FrcHFAftOWNER
N/.e.
/SEWAGE
SYSTEM
INSTALLER
Name.
This System will be ready for inspection on., 19.
This space for office use only
.19 .M
Owner or Agent SignaturePhone Call Rec'd ByDate Rec'd Time Rec'd
aNUMBER OF BEDROOMS:ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEEPAGE PIT■CEPTIC TAf#e DRAIN FIELD
I boo GIs.Sq. Ft.Sq. Ft.Capacity
50 Ft.Ft. Ft.Distance from nearest well
SO Ft.Ft. Ft.Distance from lake or stream
(V Ft.£LFt.Distance from occupied building
ID*'Ft. Ft.Distance from property line Ft.
Ft.Ft.Ft.Distance from bottom to Water Table
AH distances are shortest distance between nearest points
RECORD OF TESTS:
Inspection was made on 19,, Time ,M By
PERC ELATION TEST DATA:Date of First Test , 19 , Rate
Date of Second Test 19 Rate
1st Test Taken By
First Test + 2nd Test 2 Rate2nd Test Taken By
The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement:
strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn
esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi
cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the
responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection.
Y\r^ (A )o III Signature
Dated.
Permit:
condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minne.TOta.
This permit may be revoked at any time upon violation of any said ordinance.
NOTE: Permit void if work is not commenced within six (6) months.
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
Issued Date:
Shoreland Management Office
Fee $ Rec #
Comments:
Form No. MKL-032065 225239 — Victor Lundeen Co., Printers. Fergus Fals, MN
r —- —- Tyyr.-i'
I
i
]
i
¥SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 • Fergus Falls, MN 56537
APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM
White — Olfii^
Yellow — Inspector
Pink — Owner
i C-.c.l ^ ^ ^657?Permit No.
LEGAL
DESCRIPTION
AND
ViHe ( 4DB , Y; R :2s12ILLOCATIONl2■t TWP NameTWPRangeLake Classif.Sec,ake NameLake No.
IDENTIFICATION: Please Print All Information.
]| Zip No,Tel, No,Mailing Address — No, Street, City and StateFirstInitialLast Name
f- rVc^/^>A■/t(let A /c^U4OWNER
Ni.P.
/ iW.i i ASEWAGE
SYSTEM
INSTALLER
y y'LnName,
(,-2^ mmm-This System will be ready for Inspection on.
This space for office use only
19 ,M
Owner or Agent SignatureDate Rec'd Phone Call Rec'd ByTime Rec'd
y
2-NUMBER OF BEDROOMS:ESTIMATED COST:
rSEWAGE DISPOSAL SYSTEM DATA:H .
-SEPT4€-TANK~-SEEPAGE PIT DRAIN FIELD
i oou GIs.Sq. Ft.Sq. Ft.Capacity
BO Ft.Ft. Ft.Distance from nearest well
5^Ft. Ft.Ft.Distance from lake or stream
io Ft.Ft. Ft.Distance from occupied building
\0*'Ft.Ft.Ft.Distance from property line
Ft,Ft.Ft.Distance from bottom to Water Table
AH distances are shortest distance between nearest points
RECORD OF TESTS:
Inspection was made on 19 , Time M By
PERCOLATION TEST DATA:Date of First Test 19 , Rate....*
Date of Second Test 19 Rate
1st Test Taken By
First Test + 2nd Test 2 Rate2nd Test Taken By
The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do ail such work inAgreement;
strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn
esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi
cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the
responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection.
/'i, \1Dated TSignature
J
Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon exoress
condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnt «ta.
This permit may be revoked at any time upon violation of any said ordinance.
NOTE: Permit void if work is not commenced within six (6) months.
,4"Ar/■Issued Date:_i2.bh-- u,
Shoreland Management Office
yu/di ^ I o' jt-
Fee $Rec #
Comments:+
Form No. MKL-032065
225239 — Victor Lundeen Co., Prtntors. Fergus FaHs, MN
^ - •f
. ‘ >r.'
y\
INSPECTION RESULTS
Inspector must make all measurements
SEWAGE DISPOSAL SYSTEM STATISTICS
SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Actual Should Be
Capacity GIs.GIs.S F S F S F S F
Distance from Nearest Well F F F F F F
Distance from Lake or Stream F F F F F F
Distance from Occupied Building F F F F F F
Distance from Property Line F F F F F F
3Distance from Bottom to Water Table 3FFFFF F
Hr.loot)Inspector’s Comments:
M b/cf^ iit*?-nr
tlk,
Ufio u.
A
^1.•ih +Date of Inspection
TJme of Inspection M
\y
Signature of InspectorINTERPRETATION
OF ABBREVIATIONS
GIs = Gallons
SF = Square Feet
F = Linear Feet
Job Title
MKL - 032085 - Backer Agency
■-i- ..■ • r
\i
I Q,h'r^,\Js{
0 Underground Contractors of Perham, Inc.
Janice Weickert, President J
220 4th Avenue North West Perham, Minnesota56573 ^
218-346-6428 X
June 8, 1986
Underground Contractors of Perham Inc. has been granted permission by
Steve Lehman, owner of Mosquito Heights Resort, Big Pine Lake Perham,
Minnesota to install a 1000 gallon holding tank for Gerald Betkey,
owner of Part of G.L, I called lot G on Big Pine Lake, Sec 17, Twp 136,
This holding tank will extend within less than 10'Range 38, Twp Pine Lake,
from the property line of Mosquito Heights Resort.
Steve Lehman, owner
Mosquito Heists Resort
4
Janice M. Weickert, Pres,
Underground Contractors
of Perham Inc.
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