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Home My WebLink AboutDavick-Halfen_25000280179005_Septic System Permits_APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.usWHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after Issue) APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS ^l/.?l SECTION TWP NO.RANGE TWP NAME 56-3’02j- S,7 PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD '^3'^QO OclU^ ^ (T p ^ f 'I ^ OO ^ LEGAL DESCRIPTIONF CrOV l*'T ^ Last Name First Irtitlal Mailing Address Daytime Phone No.OeL,Ul H^L *7^5^Property Owner ,T- LtfU TfHT” /^.O Soy CContractor Lie.# THIS SPACE FOR OFFICE USE ONLY A.M. This System will be ready for inspection on , the year of P.M.at A.M. P.M. Date Received Time Received L&R Officiai TYPE OF NSTALLATION (circle one)SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWINGResidential . (A) New- (idcA (B) Replacement 'vVCollect (C) New (D) Replacement Other Est. (E) New (F) Replacement oil V TreatmentTank Lift Design Flow (Gallons/Day)(^^1 — 2,499 (H) 2,500 — 4,999 (I) 5,000 — 10,000 Effluent Distribution ()C) Gravity ( ) Pressure ^OO IgiBO 4r tiOt IQ% L GIs Ft.Size Setback To Nearest WellType I Type II Ft.Ft.-hn Ft-fioo(20) Trench, Rock (27) Rapidly Permeable Ft.Setback To OHWL Ft.Ft.(21) Trench, Gravelless (28) Flood Plain f/OO jf^^yjTrench, Chamber (29) Privies Ft. Ft.Ft.Setback To Bluff(23) Bed (30) Holding Tank ( ) Monitoring/Disposal Contract(24) Mound 3o Ft.Ft.Ft.Setback To Dwelling 430(25) At Grade Type III Setback To Non-Dwelling(26) Grey water (31) Other/Problem Soils/<12" Soil Ft.Ft.Ft. Type IV Setback To Nearest Lot Line i'S'U Ft.Ft.Ft.f/0Depth of Wellf no (32) Public Domain &Proprietary Technologies Setback To Road Right-Of-Way Ft.T/O Ft.Ft.Type VTotal # Bedrooms Vi5 7v,Abatement Y /AO (33) Performance Garbage Disposal Y~i7y^Elevation Above Restrictive Layer Ft.Ft.Ft. PERC TEST DATA /S •rO< 1 Ill'LlDesigner Agreement: The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accor dance with Sanitation Code of Otter Tail County. Minnesota. Applicant agrees that the Site Data Worksheet 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 tor inspection. Permit: 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 agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. NOTE: I.This permit is vaiid for a period of six (6) months. 2.This permit does not inciude the building sewer (sewer line). License #Date of Test Highest Ratei 7-3-Sigryaiure of Property Owner/Agent f^Owaer Date:Permit Fee $ Date:Rec. No..Land i Resource Management Official^^^ _____dkxP/u/ ^ f!.a>Y>p f 7^Dale StampCommentsiLC. r\ tea X Ho «- L&R InitialForm No. BK — 07-2011-06 345,197 • Victor Lundeen Co.. Printers • Fergus Falls, Minnesota -APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 •CO.otter-tail.mn.usWHITEOffice " YELLOW-L&R Inspector PINK - Owner / Contractor (after issue) re WWW 'i iAPPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME Vo ^5 6 -J0 2 21 I 11L./ ' /t '.3 PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD /f)cJJ'1 kp^i^^-^ VO/7 /•r 3 c:t i LEGAL DES : 3Pa^/-r (j-o\/ ■ 1 iLast Name First Initial Mailing Address Daytime Phone No. DcLiJi }l ' HaL /7»v'Property Owner 5-t ///-.______g35~ /r tff. E 7-^.o /Lo 7 ? 6 K' J'H- <7^ -(5 ^ Contractor Lie.# , I <'4.> TH/S SPACE FOR OFFICE USE ONLY 20 >o-g<5 0>■ This System will be ready for inspection on , the year of /-|;20 A.M. Date Received Time Received L&R Official TYPE OF NSTALLATION (circle one)SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWINGResidential (A) New^ We'V '' (B) Replacement >iCollecto (C) New ‘V (D) Replacement Other Est. (E) New (F) Replacement . Soil Treatment1TankLift 13$E5Design Flow (Gallons/Day) ;'(G5>1 — 2,499 - V Th) 2,500 — 4,999 (I) 5,000— 10,000 Effluent Distribution (y_) Gravity ( ) Pressure 4-Qls GIs Ft.rtjJ ,ir flOO Size Setback To Nearest WeliType I Type II Ft. Ft.Ft.■f (20) Trench, Rock (27) Rapidly Permeable Ft.Ft.Ft.Setback To OHWL(21) Trench, Gravelless (28) Flood Plain T fOO /22)*Trench, Chamber (29) Privies Ft.Ft.Ft.Setback To Bluff(23) Bed (30) Holding Tank ( ) Monitoring/Disposal Contract(24) Mound Ft.Ft. Ft.Setback To Dwelling 3o 3t-(25) At Grade Type III Setback To Non-Dwelling(26) Greywater (31) Other/Problem Soils/<12" Soil Ft.Ft. Ft. Type IV Setback To Nearest Lot Line Ft.Ft.Ft.i I C-*Depth of Well (32) Public Domain & Proprietary Technologies Setback To Road Right-Of-Wayr * f 3 Ft.Ft. Ft.Type VTotal # Bedroorns ■ (33) Performance Elevation Above Restrictive Layer Ft.Ft.r Ft.Abatement Y /, N ?>5 .5Garbage Disposal Y Z^'N) PERC TEST DATA 3/oDesigner Agreement: The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accor dance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet 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. License #Date of TestV u Highest Rate Permit: 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 agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon vioiation of the Sanitation Code. NOTE: t.This permit is valid for a period of six (6) months. 2.This permit does not include the building sewer (sewer line). Signature of Property Owner/Agent foYOwper /7<Date; J ' / ^'(Permit Fee $j \Date;Rec. No..J Land & Resource Martagement Offiaal ■\ Comments>^, , } //r' Y' f ,5^■) r i/ X (i n-; I.CyttGv V-.5- Form No. BK — 07-2011-06 /.99P/ 345,197 • Victor Lundtsn Co.. Printers • Fergus Falls, Minnesota » SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements SOIL TREATMENT AREA HOLfllNG SEPTIC TANK OUTHOUSELIFT TANK_Q-~*—CATEGORY /ypo/^ /GO -U- FT Capacity FT2FT2GLS.GLS. /O OX. FT FT\ FTSetback from Nearest Well Setback from Buried Water Suction Pipe FT FTFTFT Setback from Buried Pipe Distributing Water Under Pressure FTFT/ 6 FT FT 7Setback from OHWL (lake &/or river)FTFT[c\i 'f' ft FT /FT FTFTSetback from Bluff FT FT FTSetback from Dwelling FTFT FT FTFTiSetback from Non-Dwelling FT( U-K \ FTFT FTSetback from Nearest Property Line FT/ (5 7^/Oi FT FT FTSetback from Right-of-Way FT 7 ^FT FT FTElevation above Restrictive Layer FT I , NOHolding Tank/Lift Alarm Old System Pumped & Destroyed NO TMNCH REDUCTIONMOUND / AT-GRADE SOIL TREATMENT AREA CALCULATION SEPTIC TANK(S) # Tanks Installed FILTER ROCK BED inches □ YES of sidewall for.%Ft.Ft. X Ft.Creduction / equivalent toNO FP Soil Treatment Area.X , , '\7 \7Inspector's Comments: sIISketch: cxOs.f J * L. //7c; Time Initial/L & R Official cfydy'/ Dater the above described sewage system installation was found to be compliant with the provisions of the SanitationAs of Code of Otter Tail County. Land & Resour^ Managemei^ Official y iForm No. BK — 07-2011-06 345.197 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Center - 540 West Fir Fergus Falls, MN 56537 PH: 218-998-8095 Otter Tail County’s Website: www.co.otter-tail.mn.us 08/12/2014 Kris H Davick Halfen 835 1st St Ne Little Falls Mn 56345 2315 RE: Primary Owner: Kris Davick Halfen Tst Et Al Sewage Treatment System Servicing Tax Parcel Number: 25000280179005 Described as:Sec 28 Twp Everts Township Sect-28 Twp-133 Range-040 3.01 AC PT GL 3, BG NW COR LOT 1 Lake: 56-302 Silver As of 08/12/2014 the new septic tank and 630 square feet of drain-field added to the existing collector system (Sewage Treatment Installation Permit # 22883 servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for the addition to Unit #1. If you have any questions regarding this matter, please contact our office. Sincerely, Mark Ronning Inspector SCAi:i<tU 1^.,\_uI—4~!-f . I] i.III System! design must be Ito scale! and imustj include the proposed location of the sewage+systemy all existing/proposed buildings, property lines,! thel ordinaryi high! water level'ofi the water body,'wetlands, bluffiand-all waterpWells-within 150^-bf-the-sewage-system. lf-there .are-any questions, seefthe-Universityp of Minnesota Site! Evaluation worksh'eets. ' ' i I L 1 ■4-!■IIIIII-!-!TII ■i-4—rI feet, of .inch(es) equals feet.grid(s): equalsScale;I-I 1 ' ' _,L,I Ii I\Ii f rMPCA LICENSE #: \ -'Si \&.~\ yZHi DESIQNED BY: FIRM NAME: -Xt LICENSE CATEGORY: DATE:,____ ! 1'SIGNAljuRE: -f-—1r i I !j {iIiT'C %]L I Ad''33(7 I !r JADDRESS:!.1 T_y~e rcrs7.r!yu \I [I t 1I ^"1im:I fIII\I I I 4T -t i I.._j.--I— -!•j ,t.„iI.1-.4. n.....4-f-ti 1.rTT■I-..J.. i ;i4-TJT ji ii!..L...j.. ••I-- .i-11...rI -4._.ItliiJ. 4,T ,_.L4.i litIti:“■f 1ITii..I t'..j......■TIi r1 ..1..1 t-■ 1 ■f..—...Tr -!IT..J..,L[■i ..u4r..j..r 1...j 1 i.. 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SITE DATA WORKSHEET f LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Sewage Treatment System Permit #OWNER: LAST NAME FIRST MIDDLE TELEPHONE NUMBER ADDRESS: Lith. faiU STR./RT CITY STATE ZIP CODE S,i DK /?•? 4^0 LAKE/RIVER NO.LAKE NAME SEC.TWP.RANGE TWP. NAME dki COLOR % LEGAL DESCRIPTION:SOIL BORING LOG Pa^'t Lit ^DEPTH (INCHES)TEXTURE STRUCTUREMUNSELL NO. (^BLOCKY^ p.Po/7 9^0 5 0-io PRISMATIC NONE l-CfQ.P. /PARCEL NUMBER DaH hcZ-A-f BLOCKY PLATY CgRISMATlg^E-911 Address or Directions From Nearest Public Road lia_ H^^ToTd. (NONE NUMBER OF BEDROOMS GARBAGE DISPOSAL; YES <N^ WELL: CASING DEPTH ^^ft. SEWER LINE SEPARATION:"f?^ ft. BLOCKY PLATY PRISMATICCfilgr^E^t'fH BLOCKY PLATY PRISMATIC NONE FLOODPLAIN: YES BLUFF: YES TERRESTRIAL^VEGETATION: AOUATIC BLOCKY PLATY PRISMATIC NONE SLOPE AT INSTALLATION SITE:% TYPE OF OBSERVATION; Probe Pit PARENT MATERIAL:Outwash Loess Bedrock Alluvium ORIGINAL SOIL:Date of Soil Boring. COMPACTED SOIL: :zDEPTH OF BORING (To 7' or restrictive layer):.ft.Date of Perc Test PERC TEST # 1 PERC TEST #2- TWO TESTS ARE REQUIRED - TIME INTERVAL IMINUTESI WATER DEPTH WATER DROP PERC RATE TIME INTERVAL IMINUTESI WATER DEPTH WATER DROP PERC RATESTARTSTART -f_____ =TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL IMINUTESI WATER DEPTH WATER DROP PERC RATEREFILLREFIU TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER PROP PERC RATE TIME INTERVAL IMINUTESI WATER DEPTH WATER DROP PERC RATEREFILLREFILL ___ =TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATERffILLREFIU -r_______ =TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATEREFIUREFIU TIME DROP PERC TIME DROP PERC PROPOSED DESIGN: XTRENCH.BED.ATGRADE.MOUND.HOLDING TANK.GRAVITY DIST,PRESSURE DIST. /7SEWER LINE.OUTHOUSE.OTHER.SPECIFY: — SYSTEM DESIGN ON BACK — University OF Minnesota OSTP Soil Observation Log Project ID:v05.31.13 Client/ Address:Legal Description/ GPS: Soil parent material(s): (Check all that apply) □ OutwashQ Lacustrine □ Loess ^ Till □ Alluvium □ Bedrock □ Organic Matter Landscape Position: (check one) O Summit Q Shoulder |2 Back/Side Slope | | Foot Slope Q Toe Slope Slope shape Vegetation Soil survey map units Sloped Elevation:C-> CO Weather Conditions/Time of Day:DateClA»^//7 Observation #/Location:Observation Type: I IRockStructure-Depth (in)Matrix Color(s)Mottle Color(s)Texture Redox Kind(s)Indicator(s)Frag. %ConsistenceShapeGrade T'7^! I ^u.r^/^-7 [B 1-N /o7v^ A 7 ! b —1.^0 —'iv\f -l^%/ Comments I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. A,- . /(Signat^) ____________ #REF! (Designer/InspQCTor)(License #)(Date) Subsoil Indicator(s) of Saturation: 51. Distinct gray or red redox features 52. Depleted matrix (value >/=4 and chroma </=2) 53. 5Y chroma </= 3 54. 7.5 YR or redder faint redox concentrations or redox depletii Textures: c-clay sic-silty clay sc-sandy clay cl-clay loam Consistence: Loose-Intact specimen not available Friable- Slight force between fingers Moderate force between fingers Extremely Moderate force between hands or slight foot pressure Foot pressure Firm- firm- If yes to one of the above indicators then: Topsoil Indicator(s) of Saturation: T1. Wetland Vegetation T2. Depressional Landscape T3. Organic texture or organic modifiers T4. N 2.5/ 0 color T5. Redox features in topsoil T6. Hydraulic indicators Rjgid-sicl-silty clay loam scl-sandy clay loam si-siIt sil-silt loam l-loam sl-sandy loam* Is-loamy sand* s-sand* Slope Shape: Slope shape is described in two directions: up and down slope (perpendicular to the contour), and across slope (along the horizontal contour); e.g. Linear, Convex or LV. *Sand Modifiers co-coarse m-medium f-fine vf-very fine LL.---'AV V ' ' Soil Structure Grade: Massive- VI. VY VIA-'’ No observable aggregates, or no orderly arrangement of natural lines of weakness Poorly formed, indistinct peds, barely observable in place Moderate- Well formed, distinct peds, moderately durable and evident, but not distinct in Durable peds that are quite evident in un-displaced soil, adhere weakly to one another, withstand displacement, and become separated when soil is disturbed No peds, sandy soil Weak- /yi'^'uccStrone- T.niirlsr.npp Position;Loose-Stimxuit Shoulder L “ lirtJ.- V « Cem.K Sv-Ta:* (iiw ,:s:.<;w3y •-■.'I Bnelc/Sida I Foot Slope I ”1 Toe Slope 1 ret t: i ::;t;Soil Structure Shape: Granular- The peds are approximately spherical or polyhedral and are commonly found in topsoil. These are the small, rounded peds that hang onto roots The peds are flat and plate like. They are oriented horizontally and are usually overlapping. Platy structure is commonly found in forested The peds are block-like or polyhedral, and are bounded by flat or slightly rounded surface that are casting of the faces of surrounding peds. Prismatic- Flat or slightly rounded vertical faces bound the individual peds. Peds are distinctly longer vertically, and faces are typically cast or molds of Single Grain- The structure found in a sandy soil. The individual particles are not held together. J Platv- Blockv- University OF Minnesota OSTP Soil Observation Log Project ID:v05.31.13 Client/Address; bO (%,!/, U Legal Description/ GPS: Soil parent material(s): (Check all that apply) O OutwashG Lacustrine □ Loess Till Q Alluvium □ Bedrock r~l Organic Matter Landscape Position: (check one) □ Summit^ Shoulder □ Back/Side Slope □ Foot Slope □ Toe Slope Slope shape I,- »Soil survey map units ^ r-m €-3 CO Sloped Elevation: Weather Conditions/Time of Day:Date Observation #/Location;Observation Type: I IRockStructure'Depth (in)Matrix Color(s)AAottle Color(s)Texture Redox Kind(s)Indicator(s)Frag. %ConsistenceShapeGrade It)-7 t) 6. <r I ^ l>/'HVI if L^<>7^0%iH Comments 1 hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. (Sigfeture) #REF!/ .n#REF!Co ^ ? c? /(Dat^ (Designer/Inspector)(License #) SubsofI Indicator(s) of Saturation: 51. Distinct gray or red redox features 52. Depleted matrix (value >/=4 and chroma </=2) 53. 5Y chroma </= 3 54. 7.5 YR or redder faint redox concentrations or redox depletii Consistence: Loose- Textures: c-clay sic-silty clay sc-sandy clay cl-clay loam Intact specimen not available Friable- Slight force between fingers Moderate force between fingers Extremely Moderate force between hands or slight foot pressure Foot pressure Firm- firm- If yes to one of the above indicators then: Topsoil Indicator(s) of Saturation: T1. Wetland Vegetation T2. Depressional Landscape T3. Organic texture or organic modifiers T4. N 2.5/ 0 color T5. Redox features in topsoil T6. Hydraulic indicators Rjgid-sicl-silty clay loam scl-sandy clay loam si-siIt sil-silt loam l-loam sl-sandy loam* Is-loamy sand* s-sand* Slope Shape: Slope shape is described in two directions: up and down slope (perpendicular to the contour), and across slope (along the horizontal contour); e.g. Linear, Convex or LV. *Sand Modifiers co-coarse m-medium f-fine vf-very fine ..-•xlL!\\^\ Soil Structure Grade: Massive- VCVI. No observable aggregates, or no orderly arrangement of natural lines of weakness Poorly formed, indistinct peds, barely observable in place Moderate- Well formed, distinct peds, moderately durable and evident, but not distinct in Durable peds that are quite evident in un-displaced soil, adhere weakly to one another, withstand displacement, and become separated when soil is disturbed No peds, sandy soil IWeak- S3'Strong- T^iirlscnpp Foxitinn: I SomnaitLoose- V oBnck/Side I Fcwat Sl^c I “1 Toe Slope 1 ■ c: j.’.. :::t; Soil Structure Shape: Granular- The peds are approximately spherical or polyhedral and are commonly found in topsoil. These are the small, rounded peds that hang onto roots The peds are flat and plate like. They are oriented horizontally and are usually overlapping. Platy structure is commonly found in forested The peds are block-like or polyhedral, and are bounded by flat or slightly rounded surface that are casting of the faces of surrounding peds. Prismatic- Rat or slightly rounded vertical faces bound the individual peds. Peds are distinctly longer vertically, and faces are typically cast or molds of Single Grain-The structure found in a sandy soil. The individual particles are not held together. T Platv- Blockv- Land & Resource Management GSC, 540 W Fir, Fergus Falls, MN 56537 218-998-8095; Website: www.co.ottertall.nin.usOTTJRTniJ Subsurface Sewage Treatment System Management Plan Sewage Treatment System Permit Number: Property Owner: Pa iA ~ ___________ Parcel Number: .iCi .COOO ^ ^ O / 7 ^OO *7 Lake Name / Number; lue^r' ___Township Name: / 3~S )e^f 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: Leo/fs-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 applicablej - 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. Section: ^ E-911 Address: 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. 0 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). □ Check manhole cover (accessibility, security, or damage). I understand it is my responsibility to properly ooerate and maintain the sewage treatment system on this property in accordance with this Management Plar\ A (1 Property Owner: signature V Date:Received by Land & Resource Management: ^^Sienature ^ The following link will provide information from the University of Minnesota, regarding a Septic System Owner's Guide: http://www.extension.umn.edu/envirQnment/housinR-technoloev/moisture-management/septic-svstem-owner-guide/ LR: SSTS Management Pian 06-20-2014 ANDREW TUCKER & BEVERLY HANSON /// */ -r*// Department of % fpLAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Center - 540 West Fir Fergus Falls, MN 56537 PH: 218-998-8095 Otter Tail County’s Website; www.co.otter-tail.mn.us Ma'o Otter Tail County Compliance Inspection Form Addendum This form is a required attachment to MPCA Compliance Inspection Form for all Existing Subsurface Sewage Treatment Systems in Otter Tail County as of June 1,2011. Property Information Parcel Number: T ownship: ____________ Property Owner Name(s): /fvL 4 Patr'ic Property Address: Og(r/gyP UU ke^ <T6S1^ Reason for Inspection: $e.l(\Ua____________ Number of Bedrooms: j) Section: In Shoreland Area? Yes / No i T v iLake/River Name, Number, & Class (if applicable): 1^ Si ( System Compliance Status: (circle one) ^CompHantJ^ Non-Compliant Does the soil treatment area have less than 3 feet of vertical separation? 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? Does any part of the septic system fail to meet the minimum OHWL setback requirements for the public water classification? Yes /^) Yes Yes /<@ Yes Yes /1^ "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, 1/24/12 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: Bob Certification Number: c Business License Name & Number: Bobs S^/'\/(Ct b I Signature: QJh^ ecra Date: / /- /3 Page 1 of 2Excel/Compliance Form for OTC 2/29/2012 otter Tail County Compliance Inspection Form Addendum (cont.) Date & Initial: )h i S' ; • Parcel Number: 179 gO.9 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). _________ /&Q<^qje /I -- 6 IIS' Si I l/t U\(^ vW-L&6 Cir^ J^ ■Additional Comments:-C-v^ Page 2 of 2Excel/Compliance Form for OTC 2/29/2012 CANNED 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 For local tracking purposes;Inspection results based on Minnesota Pollution Control Agency (MPCA) requirements and attached forms - additional local requirements may also apply. Submit completed form to Local Unit of Government (LUG) and system owner within 15 days m IP, SQUf^ System Status System status on date (mm/dd/yyyy): (I ) 3 Q Noncompliant - Notice of Noncompliance (See Upgrade Requirements on page 3.) ^ Compliant - Certificate of Compliance (Valid for 3 years from report date, unless shorter time frame outlined in Local Ordinance.) Reason(s) for noncompliance (check all applicable) D Impact on Public Health (Compliance Component #1) - Imminent threat to public health and safety □ Other Compliance Conditions (Compliance Component #3) - Imminent threat to public health and safety □ Tank Integrity (Compliance Component #2) - Failing to protect groundwater O Other Compliance Conditions (Compliance Component #3) - Failing to protect groundwater D Soil Separation (Compliance Component #4) - Failing to protect groundwater □ Operating permit/monitoring plan requirements (Compliance Component #5) - Noncompliant ^ S^Oo I 7^00 S Property Information Parcel id# or sec/Twp/Range: ^ Property address; <^3300 OoY LlqPLnh^.^^f7i<TLi^€.$le5l^Reason for inspection; S'*;-1) 1^ A'v'I'S D<3.v’'c(C~ ____________ Owner’s phone; 37/Property owner; or Representative phone;Owner’s representative; _________ Local regulatory authority; j Brief system description; Comments or recommendations; /^ncigm^tvf~P(r^u<:'FallS^^g'd\at.ory authority phone; <5/^ 9 'i/Zeny uJrHn Dr\^f^^rlr/____________ 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. Inspector name; Business name; <Soks ___________ e>D k Certification number; C 3^9Z' License number; Phone number; Q/P" WQV /939 01 Inspector signature; Necessary or Locally Required Attachments El System/As-built drawing □ Forms per local ordinance0 Soil boring logs □ Other information (list); 651-296-6300 • 800-657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats Page 1 of 3 www.pca.state.mn.us • wq-wwists4-31 • 3/16/12 Property address: Q<^l<Vc,9fInspector initials/Date: t h ^ ^ ' (mm/dd/yyyy) 1. Impact on Public Health - Compliance component #1 of 5 Verification method(s); 0 Searched for surface outlet 0 Searched for seeping in yard/backup in home □ Excessive ponding in soil system/D-boxes 0 Homeo\wner testimony fSee Comments/Explanation) □ “Black soil” above soil dispersal system □ System requires “emergency" pumping □ Performed dye test n Unable to verify (See Comments/Explanation) D Other methods not iisted (See Comments/Explanation) Compliance criteria: D Yes S NoSystem discharges sewage to the ground surface.______________ □ Yes 0 NoSystem discharges sewage to drain tile or surface waters. □ Yes 0 NoSystem causes sewage backup into dwelling or establishment. Any “yes" answer above indicates the system is an imminent threat to public health and safety. Comments/Explanation: 2. Tank Integrity - Compliance component #2 of 5 Verification method(s): 0 Probed tank(s) bottom 0 Examined construction records □ Examined Tank Integrity Form (Attach) □ Observed liquid level below operating depth □ Examined empty (pumped) tanks(s) □ Probed outside tank(s) for “black soil” O Unable to verify (See Comments/Explanation) □ Other methods not listed (See Comments/Explanation) Compliance criteria:________ System consists of a seepage pit, cesspool, drywell, or leaching pit. Seepage pits meeting 7080.2550 may be compliant if allowed in local ordinance. □ Yes 0 No □ Yes 0 NoSewage tank(s) leak below their designed operating depth. If yes, which sewage tank(s) leaks: Any “yes” answer above indicates the system is failing to protect groundwater. Comments/Explanation: 3. Other Compliance Conditions - Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound. □ Yes* 0 No □ Unknown □ Yes* 0 No □ Unknownb. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety. ‘System is an imminent threat to public health and safety. Explain: c. System is non-pratective of ground water for other conditions as determined by inspector. DYes* 0 No *System is failing to protect groundwater. Explain: SCANNED TTY 651-282-5332 or 800-657-3864 • Available in alternative formats Page 2 of 3 www.pca.state.mn.us • 651-296-6300 • 800-657-3864 wq-wwists4-31 • 3/16/12 Property address: 3-33Q0 0alC[5)4^ ^Inspector initials/Date: 9.4^ I Ih ) S' \ 3 (mm/dd/yyyy) 4. Soil Separation - Compliance component #4 of 5 Q UnknownDate of installation:Verification method(s): Soil observation does not expire. Previous soil observations by two independent parties are sufficient, unless site conditions have been altered or local requirements differ. ^ Conducted soil observation(s) (Attach boring logs) D Two previous verifications {Attach boring logs) D Not applicable (Holding tank(s), no drainfield) D Unable to verify fSee Comments/Explanation) D Other (See Comments/Explanation) (mm/dd/yyyy) ShorelandA/Vellhead protection/Food beverage lodging?□ Yes □ No Compliance criteria: □ Yes □ NoFor 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: Drainfield has at least a two-foot vertical separation distance from periodically saturated soil or bedrock. S Yes D No Comments/Explanation: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: Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock.* (5)^4 8 locck □ Yes □ No Indicate depths or elevations“Experimental", “Other”, or “Performance" systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules (7080. 2350 or 7080.2400 (Advanced Inspector License required) Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock. 3g"A. Bottom of distribution media B. Periodically saturated soil/bedrock /O^-F C. System separation 3'D. Required compliance separation* *May be reduced up to 15 percent if allowed by Local Ordinance. Any “no” answer above indicates the system is failing to protect groundwater. Not applicable5. Operating Permit and Nitrogen BMP* - Compliance component #5 of 5 □ Yes □ No If “yes”, A below is required □ Yes □ No If “yes”, B below is required Is the system operated under an Operating Permit? Is the system required to employ a Nitrogen BMP? BMP = Best Management Practice(s) specified in the system design If the answer to both questions is “no”, this section does not need to be completed. Compliance criteria a. Operating Permit number;_____________________ Have the Operating Permit requirements been met?□ Yes □ No □ Yes □ Nob. Is the required nitrogen BMP in place and property functioning? Any “no” answer indicates Noncompliance. Upgrade Requirements (Minn. Slat. § 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, repiaced, or its use discontinued, notwithstanding any iocal ordinance that is more strict. 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 Pose 3 of 3 www.pca.state.mn.us • 651-296-6300 • 800-657-3864 wq-wwists4-31 • 3/16/12 APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM WHITE — Office Yellow — Inspector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 56537 /J962 Permit No.LEGAL DESCRIPTION Abatement: ( ) Yes ( No-0 /AND LOCATION RANGE TWP NAMESECTIONTWP. NO.LAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER / 3 3 Vo fs£i/S(<^' 0 vS / /.P ^■e FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER(S) ^f-6 OG- PT-L3 / 7^-CO 5 IDENTIFICATION; Please Print All Information Mailing Address — No. Street, City and State Zip Code Telephone No.First InitialLast Name >^9 <. //f ^ //yOniJ Tc fijo //•.f/f.Property Owner P/ia, /C-/ c . Sewage System Installer Name A.M. ► This System will be ready for inspection on.P.M., 19-at //This space for office use only NUMBER OF BEDROOMS; A.M. P.M19 ) YES (^)NOGARBAGE DISPOSAL; (Phone Call Rec’d ByTime Rec’dDate Rec’d SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) (yC) Septic tank ( ) Lift station (Alarm required) (yKj) Drain ( ) Trenches ( ) Bed ( ) Mound ( ) Outhouse ( ) Sewer line TANK DRAIN FIELD ^36 3 1370 «<"=,GIs.Capacity Sd//rrcyDistance from nearest well Ft.Ft.rc'\field ?rDistance from lake or stream Ft.Ft.7X /aDistance from building Ft.Ft. /C)Distance from property line /oFt.Ft. 3Distance from bottom to Water Table Ft. Ft. EFFLUENT DISTRIBUTION ()kf) Gravity ( ) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA: WATER WELL DEPTH J Q«L \fj'i LU,^Perc Tester Date of Perc Test. JrO^Ir07Po9Rate of 1 st Test Rate of 2nd Test Average Rate_, Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical 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 responsibilty of the applicant for the permit lo notify the County Shoreland Management that the job is ready lor inspection. ^ ho-nsDATE:. Signature Permit: 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 agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. Issued Date: Land & Resource Management Office'3.5'.Fee $.Rec #. Comments: 277,2)2 • Viclof LunOeen Co.. Priniofs • Fergus Falls. Mirmoosia003 I ’.iAPPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMEtp^SySTEM } t \r.\WHITE — Office Yellow — Inspector Pink — Owner \LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 5653 5 iG-t.■! 1 mu! 9C 3\( s -LEGAL u'fii.oGQL-l,a-if'DESCRIPTION Abatement: ( ) Yes ( So NorAND r-LOCATIONr. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS ^ SECTION TWP. NO.RANGE TWP NAME / 3 3 VD jFc//£ \PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER i 6 0(9- PT - 0'77' C' o S IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No., Street, City and State Zip Code Telephone No. Z^i/e, l/y /oajc^ P^ce t /e/'C . /)1aJ Qa jf /c K ~ tiL f S J~f ■ Bfo^ Property Owner O'g UO-cSewage System Installer Name A.M.C'a.TWs System will be ready for inspection on., 19.P.M. 7]This space for office use only NUMBER OF BEDROOMS: (X)NOGARBAGE DISPOSAL: ( ) YESDate Rec’d Time Rec’d Phone Call Rec’d By SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ()Y) Septic tank ( ) Lift station (Alarm required) (Drain field ( ) Trenches ( ) Bed ( ) Mound ( ) Outhouse ( ) Sewer line TANK DRAIN FIELD P30 3>1370CapacityGIs. 50//(tODistance from nearest well Ft. Ft.50 7fDistance from lake or stream Ft.R. 57T - /d/;>tpDistance from building Ki Ft.Ft. Distance from property line Ft.Ft./O Distance from bottom to Water Table 3Ft.Ft. EFFLUENT DISTRIBUTION (X) Gravity ( ) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA: WATER WELL DEPTH Joe. 10 e LjxL ftPerc Tester.Date of Perc Test, J,%/ o s'Rate of 1st Test Rate of 2nd Test Average Rate Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical 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 responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. * * DATE: Signature Permit: 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 agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. /6UIssued Date: Land & Resource Management Office3V.Fee $.Rec #. Comments: 277.212 • Victor Lundeen Co . Printers * Fergus Falls. MinneostaBK 0795-003 INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS i DRAIN FIELDHOLDING SEPTIC TANK LIFT TANKCATEGORY Actual Minimum Capacity IGtJCP 3^00 GLS./3S^r> SF ft SFGLS. /go 4- ft FTFTDistance from Nearest Well Distance from Buried Water Suction Pipe FT FTFT50FT Distance from Buried Pipe Distributing Water Under Pressure FTFTFTFT10 sn ^ FTDistance from Lake or River (OHWL)FT 10/20 FTFT FTDistance from Nearest Building In /O ft FTFT10Distance from Nearest Property Line IC4^ ft FTFT3FTDistance from Bottom to Water Table YES NOHolding Tank/Lift Alarm NOOld System Pumped & Destroyed DRAINFIELD CALCULATIONSewer Line to Well SeparationINTERPRETATION OF ABBREVIATIONS GLS. = Gallons SF = Square Feet FT = Linear Feet Actual Minimum FT20 SF RrycIC^ j) (L^^A^h Ifi &iff - CjgtvtJisJ — Z^-7 Inspector’s Comments: t SKETCH: \r\spector's S/gnafure Date of Inspection lo<0Time of Inspection System design must be to scale and must include the proposed location of the sewage system, all existing/proposed buildings, property lines, the ordinary high water level of the water body and all water wells within 150' of the sewage system. GRID PLOT PLAN feet SKETCHING FORML__grid(s) equals ^Scale:feet, or inch(es) equals SUBMITTED BY:SIGNATURE: FIRM NAME:DATE: A ADDRESS:MPCA LICENSE #: LICENSE CATEGORY: h WA- y QPACi o aajS ll AjporPi.^^V - Q <b \ \ \i K \ OH f ■1 ? i S/tB'n BK - 0496 - 029 *SITE DATA LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, MN 56537 OWNER: Jy/n^ ir,h LAST NAME FIRST MIDDLE TELEPHONE NUMBER ADDRESS: CITY rM/H}^ STATESTR./RT ZIP CODE LAKE/RIVER NO.LAKE NAME SEC.TWP.RANGE TWP. NAME LEGAL DESCRIPTION:SOIL BORING LOG — Date COLOR 8 MUNSELL NO. DEPTH (INCHES)TEXTURE STRUCTURE BLOCKY PLATY PRISMATIC NONE / 0 yA ^ / 7 ^-~ot> Sh .? t-o »7\S/IPARCEL NUMBER BLOCKY PLATY PRISMATIC NONE r'^FIRE NUMBER 3/i>r ILNUMBER OF BEDROOMS BLOCKY PLATY PRISMATIC ^MDNe------ GARBAGE DISPOSAL: YES NO UlLWELL CASING DEPTH:ft. BLOCKY PLATY PRISMATIC NONE FLOODPLAIN: YES /ter^triaiT^VEGETATION: AQUATIC BLOCKY PLATY PRISMATIC NONE JOSLOPE AT INSTALLATION SITE:% TYPE OF OBSERVATION: Probe Pit 'Ou^aslpPARENT MATERIAL: Till Loess Bedrock Alluvium COMMENTS:. ORIGINAL SOIL: No (3COMPACTED SOIL: Yes 3DEPTH OF BORING:,ft. PERC TEST # 1 PERC TEST #2- TWO TESTS ARE REQUIRED - WATER DEPTH TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DROP PERC RATEALiPSTARTSTARTvT WATER OE^h” TIME DROP PERC TIME DROP PERCTIMEINTERVAL {MINUTES! WATER DEPTH WATER DROP PERC RATE TIME INTERVAL IMINUTES)WATER DROP PERC RATE - - _ - SILZSUMREFILLUijJjeJ- OftOT PERC REFILL S .0,7Sj,eS..S-'-'P--TIME TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL {MINUTES)WATER DEPTH WATER PROP PERC RATEC.'»7 ...3A - WATER DEPTH REFILL ,...sj.rJ..J.’Ju REFILL TIME ' DROP ^ Jins J‘OS sstH, TIME DROP PERC PERC RATE PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP TIME INTERVAL (MINUTES)WATER DROP PERC RATEREFILLSREFILL..jjjlp:.-r DROPTIMEDROPPERCTIME PERCTIMEINTERVAL(MINUTES!WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATErcIJS...^0REFILLREFILLJ‘.A^^fLlS-LiLS ------ ■ “perT ---SJjrr.- - JtZy _SZ€3,SFUJs -r-ar r-TIME DROP PERC TIME DROPTIMEINTERVAL IMINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL [MINUTES)WATER DEPTH WATER DROP PERC RATE3 ^SM4-PSi.sa ...fjjJS- REFILL REFILL xm TIME DROP TIME _ _DROP__ PERC PERC RAT'e______TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROPs//y- $iS? REFILL REFILL TIME PROP PERC ___________ -V- ^...5Ja9.^3:--V-- WATER DEP^ TIME DROP PERC TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DROPREFILLREFILL m.’ .TIME DROP PERC /. oCPROPOSED DESIGN: ATRENCH BED,ATGRADE.MOUND.HOLDING TANK.GRAVITY DIST. PRESSURE DIST, SEWER LINE.OUTHOUSE.OTHER SPECIFY: — S YSTEM DESIGN ON BACK —