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Home My WebLink AboutDriscoll_58000020010001_Septic System Permits_OTTER TAIL COUNTY LAND & RESOURCE MANAGEMENT PUBLIC WORKS DIVISION W%V'A/.CO.OTTER-TAIL MN.USOTTf R TflII GOVERNMENT SERVICES CENTER 540'WEST RR AVENUE FERGUS FALLS, MN 56537 218-998-8095 FAX: 218-998-8112 6/7/2016 Scott E & Jodi K Driscoll Po Box 637 Watertown SD 57201 0637 RE: Primary Owner: Scott E & Jodi K Driscoll Sewage Treatment System Servicing Tax Parcel Number: 58000010007000 Sec 01 Twp Tordenskjold Twp Sect-01 Twp-132 Range-041 13.61 AC PT GL 6 & 7 & A PENINSULA Described as: Lake: 56-377 S Turtle As of 06/06/2016 the 650 and 1000 gallon tanks along with the 380 square feet of added drainfield (Sewage Treatment Installation Permit # 23973 servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a 6 bedroom home. Please be advised that this certification is only valid for five years from the date of this inspection 6/6/2021 If you have any questions regarding this matter, please contact our office. Sincerely, (}JM Alexander Kvidt Inspector ^ ^ I • -r* APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.useOTTER Tflll WHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue)COHflTY-HIIIAilOTII 2?7?3APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS . SECTION TWP NO.RANGE TWP NAME 4//J;k/ PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD "/3lT7d ^ Last Name First Initial Mailing Address Daytime Phone No. A£//dYPU^e.Property Owner 3T£)A/ M-V OcrCAqPA Y33A/s^7Tr/^AJ3 ^3 / 3^.Contractor Lie.#.sa-sa^L2!^^7 THIS SPACE FOR OFFICE USE ONLY A.M. > This System will be ready for inspection on , the year of at.,P.M. A.M. P.M. Date Received Time Received L&R Officiai TYPE OF NSTALLATION (cmcLEONE)SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWINGResidential (A) New(^-RepJai^ment Add _____ Collector Other Est. (D) New (E) Repiacement (F) Add on (G) New (H) Replacement (I) Add on Soli Treatment Area Tank LiftDesign Fiow (Gaiions/Day)Effiuent Distribution ( ) Gravity(|k) 1—2^^ (0 it.Riu ^^,999 (M) 5,000— 10,000 (V(GIsPressureSize Setback To Nearest WellType i Type il /dPef^- (20) Trench, Rock (27) Rapidly Permeable Setback To OHWL Ft. Ft.Ft.(21) Trench, Gravelless (28) Flood Plain -f'/SO (22) Trench, Chamber (29) Privies Ft.Ft.Ft.Setback To Bluff(23) Bed (30) Holding Tank (Contract Required)(j24) MoundJ Ft.Ft.Setback To Dwelling Ft.OpO(25) At Grade Type IN Setback To Non-Dwelling(26) Greywater (31) Other/Problem Soils/<12“ Soil Ft.Ft. Type iV(34) Tank Only Setback To Nearest Lot Line Ft.Ft.Ft.-Y' /rP -Y /P(32) Public Domain & Proprietary Technologies -Y/P(35) Other Depth of Well XO 'Setback To Road Right-Of-Way Ft./,^Ft.Ft.Type V -Y /P Total # Bedrooms (33) Performance Elevation Above Restrictive Layer ____ Ft.Ft.Ft.3Garbage Disposal 7/^7Abatement Y / N «@YTEST DATA Designer _A. 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. 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. License #Date of Test Highest Rate NOTE: I.This permit Is valid for a period of six (6) months. 2.This permit does not include the building sewer (sewer line). Date:Signature of Profterty Owne^^^Permit Fee $ w Ownei 2cK,-l%Date:Rec. No., Land & Resource Management Official Date StampComments: L&R InitialForm No. BK — 04-2014-06 357,243 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota r APPLIC ON FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENTGOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us OTTCR Tim WHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue)covATT-ainnifOTA APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS, SECTION TWP NO.RANGE TWP NAME 4/ ■ PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD kV LEGAL DESCRIPTION/:.T L-/ /'" ' Last Name First Initial Mailing Address Daytime Phone No. 'aProperty Owner t . ZT/% j/M A A .■ A4L/(/Pi/yrT/<P//£k’//Contractor Lie.#I- / TH/S SPACE FOR OFFICE USE ONLY \ n\ In 26\U> „ S'.CG AM. ► This System will be ready for inspection on , the year of ^\U.\vVcDate Received >•AoPM. Time Received L&R Official TYPE OF NSTALLATION (circle one)SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWINGResidential (A) New (B) Replacement ■(C) Add ort Collector Other Est. (D) New (E) Replacement (F) Add on (G) New (H) Replacement (I) Add on Soil Treatment Area /■Wd4/4 -ro 07j-7//i/4 Tank LiftDesign Flow (Gallons/Day) C4 -0 ..(K) 1 — 2,499 (L) ■^,500 — 4,999 (M) 5,000 — 10,000 Effluent Distribution ( ) Gravity ('■ / ) Pressure GIs .GIsSize Setback To Nearest WellType I Type II 'Ft.Ft.' r (20) Trench, Rock (27) Rapidly Permeable Ft.Setback To OHWL ,,Ft.-Ft.(21) Trench, Gravelless (28) Flood Plain (22) Trench, Chamber (29) Privies Ft.Ft. Ft.Setback To Bluff(23) Bed (30) Holding Tank (Contract Required)(24) Mound ■i’r Ft.Ft.Ft.Setback To Dwelling y-(25) At Grade Type III Setback To Non-Dwelling(26) Greywater (31) Other/Problem Soils/<12" Soil Ft.- - Ft.//. Ft.!I Type IV(34) Tank Only Setback To Nearest Lot Line - Ft.Ft. Ft.•' /,-k(32) Public Domain & Proprietary Technologies(35) Other Setback To Road Right-Of-WayDepth of Well -Ft.Ft.y^,Ft.Type V ■f Total # Bedrooms 4^'/:(33) Performance Elevation Above Restrictive Layer Ft.Ft.T-' Ft.Abatement Y / N Garbage Disposal V / N PERCTEST DATA Designer _ 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 tor the permit to notify Land & Resource Management that the installation is ready for 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 valid for a period of six (6) months. 2.This permit does not Inciude the building sewer (sewer line). License #Date of Test Highest Rate 1 .1 i I I7J.k"-Signature of Property Owne^geriffor Owner»Date:Permit Fee $ AOICIZ//Date:Rec. No. ^: Land & Resource Management Official Comments: v/i i f w > |4TO5?«1Form No. BK — 04-2014-06 357.243 • Victor Lundeon Co., Printers • Fergus Falls. Minnesota 1 «SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS STA (Soil Treatment Area) OUTHOUSE HOLDING SEPTIC TANK TRENCH REDUCTION Rock trencher^tth. LIFT TANKCATEGORY 2Ukm inchesCapacityFT2GLS.GLS. of sidewall for %5Z>^ ftSetback from Nearest Well FT FT ff2Setback from Buried Water Suction Pipe reductidh / equivalent toFT FT FT Setback from Buried Pipe Distributing Water Under Pressure STA CALCULATION ^^oil Treatment Area)10 »■IQ*'toilFT FT FT Setback from OHWL (lake &/or river)FT FT FT Ft. Setback from Bluff FT FT •«a.FT \2 11Setback from Dwelling FT FT FT MOUND / AT-GRADE ROCK BEDSetback from Non-Dwelling FT FT FT Setback from Nearest Property Line FT FT FT Ft.Ft. X _ Ml reSE*'55*-Setback from Right-of-Way FT FT FT 1Elevation above Restrictive Layer FT FT FT SAND IN MOUNDINSTALLERS COMMENTS SEPTIC TANK(s)'^YES □ NOHolding Tank / Lift Alarm # Tanks InstalledOld System Pumped & Destroyed OYES ^NO Weep Holes | | Manuf.'<2Number of Laterals #Lateral Pipe Size IN Hoik-Model #1Perforation Spacing Ft.Perforation Diameter Size □ YES ^^0Feet of Total HeadGallons Per Minute I FILTERSPUMPS Inspector's Comments: Sketch:1 I'KDate As of was found to be compliant with the provisions of the Sanitation Code of Otter Tail Coun the above described sewage system installation Time Initial / L & R Offidat I (\4 Land & Resource Marwgement Offidal litosForm No. BK — 04-2014-06 357.243 • Victor Lundoon Co., Printers • Fergus Falls, Minnesota Sk SITE DATA WORKSHEET LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.usOTTER TflIICOKITT-BIRIIJOTI ;^3V3Sewage Treatment System Permit #OWNER: / LAST NAME FIRST MIDDLE TELEPHONE NUMBER ADDRESS: ___STR./RT CITY STATE ZIP CODE S'^-377 4///Jo-C?^^A/J/<!Zrd?L6/ LAKE/RIVER NO.LAKE NAME SEC.TWP RANGE TWP. NAME LEGAL DESCRIPTION:SOIL BORING LOG DEPTH (INCHES) //. Ad. , . ^Pr “I 7 ^ K ■ .COLOR & MUNSELL NO.TEXTURE STRUCTURE BLOCKY PLATY PRISMATIC NONEPARCEL NUMBER BLOCKY PLATY PRISMATIC NONE E-911 Address or Directions From Nearest Public Road "TATAi^ ^NUMBER OF BEDROOMS BLOCKY PLATY PRISMATIC NONE GARBAGE DISPOSAL: YES WELL: CASING DEPTH SOi.. SEWER LINE SEPARATION: i?3 W FLOODPLAIN: YES BLUFF: YES (<N0> VEGETATION: AQUATIC (fTE^STRIAI BLOCKY PLATY PRISMATIC NONE BLOCKY PLATY PRISMATIC NONE d?-5TSLOPE AT INSTALLATION SITE:% TYPE OF OBSERVATION: Probe Pit Boring PARENT MATERIAL: Till Loess Bedrock Alluvium cA^/y?> - ORIGINAL SOIL: (Jfep No COMPACTED SOIL: Yes (N^ DEPTH OF BORING (To 7' or restrictive layer):. Date of Soil Boring X ft.Date of Perc Test PERC TEST #1 PERC TEST #2- TWO tests ARE REQUIRED - TIME INTERVAL (MINUTES!WATER DEPTH PERC RATEWATER DROP TIME INTERVAL(MINUTES)WATER DEPTH WATER DROP PERC RATEAaSTART TIME DROP PERCTIMEINTERVAL(MINUTES)WATER DEPTH WATER DROP PERC RATE TIME WATER DEPTHINTERVAL(MINUTES)WATER DROP PERC RATEREEILL■RCPItl -----____ =TIME PERCDROP TIME DROP PERCTIMEINTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATE TIME INTERVALIMINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME PERCDROP TIME DROP PERC TIME INTERVAL(MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL IMINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC PERCTIMEDROP TIME INTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATE TIME INTERVAL IMINUTES!WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERC TIME INTERVAL (MINUTES) REFILL WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILL ^ ___ =TIME DROP PERC DROP PERCTIME TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERC TIME INTERVAL (MINUTES) WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERC SEPTIC TANK MANUFACTURER:/.APROPOSED DESIGN:f « v/TRENCH.BED.ATGRADE.MOUND HOLDING TANK GRAVITY DIST..PRESSURE DIST.. SEWER LINE.OUTHOUSE.OTHER.SPECIFY:. — SYSTEM DESIGN ON BACK — 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, bluff and all water wells within 150' of the sewage system. If there are any questions, see the University of Minnesota Site Evaluation worksheets. /feetinch(es) equalsgrid(s) equals feet, orScale: MPCA LICENSE #: L 5^ LICENSE CATEGORY: DATE: ///^_________^ SIGNATURE: DESIGNED BY: FIRM NAME: Schueller s Septic Solutions 23725 240tti Avenue Fergus Falls, MN 56537ADDRESS: tM'P OH^i- -f /so' 2B' ^/£>' c O ? DJ/ 'To MOi^A/d■’S' 1/0£~LL,7^^ Ey.u-f/A/^ /Ufo Ml- A toMP /500(P) -Tu^C/ iSksXi^A>'6S 'To lACr P.!£>C> j£/>r/A Aa/A /poo EbAU UA/' BK — 04-2014 -- 029 354.2&i • Victor Lundeen Co. Printers • Fergus Fails. MN • 1-800-346-4870 SITE DATA WORKSHEET LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 WWW CP otteMall.mn US ' t Sewage Treatment System Permit #OWNER: TELEPHONE NUMBER |1 LAST NAME FIRST MIDDLE ADDRESS: r?3-US~~ gio STR./RT. /Eta STATECITY ZIP CODE TLr4-fie- LAKE NAME TYVP. NAMr /St.zSEC.TWP.RANGELAKE/RIVER NO. LEGAL DESCRIPTION:SOIL BORING LOG COLOR & MUNSELL NO. DEPTH(INCHES!TEXTURE STRUCTURE BLOCKY PLATY pRimaric 5^^( ovaVzS~Fi/OOoo /ooe>7 OOP ^5' It PARCEL NUMBER AL/y -Z-to E-911 Address or Directions Fmm Nearest Public Road BLOCKY PLATY PRISMATIC3(i..I i^jpTip aNUMBER OF BEDROOMS BLOCKY PRISMATIC NONE z’sy^/iZZ-2%GARBAGE DISPOSAL: YESSAyt/Zo O WELL: CASING DEPTH________ft. SEWER LINE SEPARATION: FLOODPLAIN: YES (j^ BLUFF: YES VEGETATION: AQUATIC <JEPRESTRIA^ .ft. /rjo BLOCKY PLATY PRISMATIC NONE BLOCKY PLATY PRISMATIC NONE <~ %SLOPE AT INSTALLATION SITE: TYPE OF OBSERVATION: Probe Pit PARENT MATERIAL: No OutwQsh Loess Bedrock Alluvium (d ' //-3ORIGINAL SOIL.Date of Soil Boring. (n^ COMPACTED SOIL: Yes ^ ft. DEPTH OF BORING (To T or restrictive layer!: / ‘Date of Perc Test PERC TEST #1 PERC TEST #2- TWO TESTS ARE REQUIRED - WATER DHOP PERC RATE TiME INTERVAL IMIWUTISt WATER DEPTH TIME INTERVAL IMIHUTESI WATER depth WATER DROP PERC RATE%j?h.StART START ../yYjs:......S'....ME PERC INTERVAL IMINUTESI tlME~TIME WATER DEPTH WATER DROP PERC HATE INTERVAL (MWUTtS)WATER DEPTH WATER DROP PERC RATE.T.y.REFILL TIME ' OFOP^ PF~rE~ TIME ' OR^ PERC PERC RATE jr WATER DEPTH INTERVAL (MlNUTESlINTERVAL (MINUTES)WATER PROP TSir WATER depth WATER DROP PERC RATE\:t]L fe:4^../Vr TIME ' PROP PERC I REF PERC WTCRVAL (MlNUTESl WATER DEPTH WATER DROP PERC RATE WTERVAL IMlKUTES) TIME ^ater deptiT WATER DROP PERC RATEREFLIREFLL DROP PERC RATE PEltf "YUS" ■ DROP * PERC'Yjgir WATER DEPTH WATER DROPTIME INTERVAL (MlNUTESl TIME INTERVAL (MlNUTESl ^ATEft OEfftT WATER drop'PERC RATEREFIURCFH.I TIMF' ■ bfl^ ” PERC fiMT * "dRoF ~SrT PERC RATE■UTERVAl IMINUTES)WATER OEPTH^WATER CWOP TIME INTERVAL fMINUTESIT1RW WATER depth'WATER DROP PERC RateREFILL REf-AL Time ' prop Ptt^TIME ' PROP * pfac INTERVAL IMINU^TES)'WATER DEPTH WATER DROP PERC RATE TIMETIME INTERViU. IMINUTES!WATER DEPTh*"wtIR OflOF PERC RATE 'REFILL REFILL "Tllig' ^ DROP ’ PER~DROP ~ PERC FimT INTERVAL IMINUTESI WATE^EPfir WATER DROP ^RC rate"TIME TIME INTERVAL fMINUTESI WATER depth'WATER PROP PERC HATEREALIREFIU TIME ‘ OHOP ~Pgfe*onop PROPOSED DESIGN: MOUND tP HOLDING TANK PRESSURE DIST. ^1ATGRADE.TRENCH.BED. __________ GRAVITY DIST. SEWER LINE. OUTHOUSE.OTHER.SPECIFY:. — SYSTEM DESIGN ON BACK — ^£c.\!:::ed m OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution ■ Control Agency Property Owner/Client: Scott and Jodi Driscoll V 05.13.14Project ID:33525 Site Address: 33525 State Hwy 210, Underwood, MN Date: 5/24/15 1. DESIGN FLOW AND TANKS Note: The estimated desisn flow is considered a peak flow rate includins a safety factor. For ions term performance, the avera$e daily flow is recommended to be < 60% of this value. Gallons, In A. Design Flow:450 Gallons Per Day (GPD) B. Septic Tanks: Minimum Code Required Septic Tank Capacity:400 1 Tanks or Compartments Recommended Septic Tank Capacity:500 Gallons, in 1 Tanks or Compartments Effluent Screen:Alarm: C. Holding Tanks Only: Minimum Code Required Capacity:Gallons, in Tanks Designer Recommended Capacity:Gallons, in Tanks Type of High Level Alarm: D. Pump Tank 1 Capacity (Code Minimum):Gallons Pump Tank 2 Capacity (Code Minimum):Gallons Pump Tank 1 Capacity (Designer Rec):Gallons Pump Tank 2 Capacity (Designer Rec):Gallons Pump 1 GPM Total Head ft Pump 2 GPM Total Head ft Supply Pipe Dia.in Supply Pipe Dia.Dose Volume:gal in Dose Volume:gal 2. SYSTEM TYPE O Trench O Bed (® Moutxl O At-Grade O Drip O Holding Tank O Other O Gravity Distribution ® Pressure Distribution-Level O Pressure Distribubon-Unlevel * Selection Required Benchmark Elevation:ft Benchmark Location: System Type Type of Distribution Media: Q Drainfield Rock Q Registered Treatment Media:BTypel OTypell □ Type III nTypelV DTypeV 3. SITE EVALUATION: njjft22Depth to Limiting Layer:A.in B.Measured Land Slope %:% C.Elevation of Limiting Layer:Loamy SandD.Soil Texture: GPD/ft^Loc. of Restricive Elevation:1.20F.Soil Hyd. Loading Rate:E. I 3.0 [ftG. Minimum Required Separation: I. Code Maximum Depth of System: 36 in MPIH.Perc Rate:3.6 ]inMound Comments: 4. DESIGN SUMAAARY Trench Design Summary ft^Dispersal Area Sidewall Depth Trench Width ftin Total Lineal Feet Number of Trenchesft Code Ateximum Trench Depth in Contour Loading Rate ft Designer's Max Trench Depth In Bed Design Summary eAbsorption Area Depth of sidewall Code Maximum Bed Depth inin Designer's Max Bed DepthBed Width Bed Lengthft ft in ^sc^i;?:ed OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution Control Agency Mound Design Summary 380.0 ft^Absorption Bed Area Bed Length Bed Width38.0 ft 10.0 Absorption Width Clean Sand Lift10.0 ft Berm Width (0-1%)12.8ft1.2 ft Upslope Berm Width 12.8 ft Downslope Berm Width Endslope Berm Width12.8 ft 12.8 ft Total System Length 63.6 ft Total System Width 35.6 ft Contour Loading Rate 12.0 gal/ft At-Grade Design Summary Absorption Bed Width Absorption Bed Lengthft System Heightft ft Contour Loading Rate gal/ft Upslope Berm Width ft Downslope Berm Width ft Endslope Berm Width ft System Length System Widthft ft Level B Equal Pressure Distribution Summary No. of Perforated Laterals 0 Perforation Spacing 0 Perforation Diameter 0ft in 0.00Lateral Diameter in galMin. Delivered Volume gal0Maximum Delivered Volume 113 Non-Level and Unequal Pressure Distribution Summary Elevation Pipe Volume (gal/ft) Pipe Length Perforation Size (ft)Pipe Size (in)(ft)Spacing (ft)(in)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 Type IV/Pretreatment 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 i Bottom Area = Ibs/day/ft^ Ibs/day/ft^ft^ =mg/L X 8.35^^1,000,000 Comments/Special Design Considerations: This design summary is for the add-on to the existing mound. The materials list is approximate as the add-on portion will be along and on a small ridge. I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. 05/24/16L2945Bill Schueller (Date)(License #)(Designer) (Signature) OSTP Mound Design Worksheet <1% Slope of Minnesota University Minnesota Pollution Control Agency 1. SYSTEM SIZING;Project ID: 33525 V 05.13.14 TABLE IXaA. Design Flow :450 GPD LOADING RATES FOR DETERMINING BOTTOM ABSORPTION AREA AND ABSORPTION RATIOS USING PERCOLATION TESTSGPD/ft^B. Soil Loading Rate:1.20 Treatment Level C Treatment Lewi A, A-2, B.C. Depth to Limiting Condition:1.8 ft Absc^ptioo Area Loading Rate Absorption Area trading Rate PercolatJon Rate Mound Abs^ption Ratio Mound Absorption Ratio (MPI)D. Percent Land Slope:0.0 % GPD/ft^ 1'°^E. Design Media Loading Rate:1.2 1 1 0 1 to 5 1.2 1 11.6 F. Mound Absorption Ratio:1.00 0 1 to 5 (fine sand and loamy tine sard) 0.6 2 1 1.6 Table I MOUND CONTOUR LOADING RATES: 6 to 16 160.78 1 1.6 16 to 30 0.6 2 20.78 31 to 45Contour Loading Rato: 2.40.5 0.78 2Moasured Pore Rato Toxturo - dortvod mound absorption ratio ;4Bto60OR 2.6045 0.6 2.6 |61 to 120 5 0.3 5.3 >1205i Wmpi 1.0, t.3. 2.0. 2.4. 2.6 ;12 ‘Systems with these values are not Type I systems. Contour Loading Rate (linear loading rate) is a recommended value. 61-120 mpi OR 5.0 ;12 i 120 mpi*>5.0*<6* 2, DISPERSAL MEDIA SIZING A. Calculate Dispersal Bed Area: Design Flow (1.A) t Design Media Loading Rate (1.E) = ft^ GPD/ft^ =450 GPD T 1.2 375 ft^If a larger dispersal media area is desired, enter size:380 B. Enter Dispersal Bed Width:10 ft Can not exceed 10 feet. C. Calculate Contour Loading Rate: Bed Width (2.B) X Design Media Loading Rate (1.E) 10 ft^ X 1.2 GPD/ft^ = 12.0 gal/ft D. Calculate Minimum Dispersal Bed Length: Dispersal Bed Area (2.A) 4- Bed Width (2.B) = Bed Length 380 Ift^ ^ 10 Ift =1 38^0 Ift Can not exceed Table 1 3. ABSORPTION AREA SIZING A. Calculate Absorption Width: Bed Width (2.B) X Mound Absorption Ratio (1.F) = Absorption Width 10.0 1.0ft X 10.0 ft B. For slopes from 0 to 1%, the Absorption Width is measured from the bed equally in both directions. Absorption Width Beyond the Bed: Absorption Width (3.A) - Bed Width (2.B) 4- 2 = Width beyond Bed 1O0 Ift) f 210.0 0.0ft ft( »i»Mr V .. ,0it* 4. DISTRIBUTION MEDIA: ROCK A. Media Volume: Media Depth below and above pipe X Length X Width ft^ T 27 =yd'1.00 ft X 38.0 ft X 10.0 380ft =14.1 5.DISTRIBUTION MEDIA: REGISTERED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW A. Enter Dispersal Media: B. Enter the Component: Length:ft Width:ft Depth:ft C. Number of Components per Row = Bed Length divided by Component Length (Round up) components/rowft T ft = D. Actual Bed Length = Number of Components/row X Component Length: components X ft =ft E. Number of Rows = Bed Width divided by Component Width ft ^ft =rows Adjust width so this is an whole number. F. Total Number of Components = Number of Components per Row X Number of Rows componentsX 6. MOUND SIZING A, Calculate Clean Sand Lift: 3 feet minus Depth to Limiting Condition = Clean Sand Lift (1 ft minimum) 1.8 ft = 1.2 ft Design Sand Lift (optional): B. Upslope Mound Height = Clean Sand Lift + Depth of Media + Depth of Cover (1 ft) Tz ft + Too ft + 1.0 ft = 3L2 Ift 3.0 ft 1.2 ft C. Berm Width = Upslope Mound Height (4.B) X 4 (4 is recommended, but could be 3-12) ftX ft =3.2 4.0 12.8 ft D. Total Landscape Width = Berm Width + Dispersal Bed Width + Berm Width ft +ft +ft =12.8 10.0 12.8 35.6 ft E. Additional Berm Width necessary for absorption - Absorption Width - Total Landscape Width 0 ft if number is negative (<0), value is ZEROft -35.6 ft =10.0 F. Final Berm Width = Additional Berm Width + Berm Width ft 12.8 ft =0 12.8 ft G. Total Mound Width = Final Berm Width + Dispersal Bed Width + Final Berm Width iTs Ift -t-l io!o I ft +\ 12I |ft =1 35^6 |ft H. Total Mound Length = Final Berm Width + Dispersal Bed Length + Final Berm Width ftft -H ft =12.8 38.0 12.8 63.6 ft I. Setbacks from the Bed: Absorption Width - Dispersal Bed Width divided by 2 (I ioo Ift -I io!o I) / 2 ft OSTP Mound Materials Worksheet University OF MinnesotaMinnesota Pollution Control Agency Project ID: 33525 v05.13.14 A. Calculate Bed (rock) Volume : Bed Length (2.C) X Bed Width (Z.B) X Depth = Volume (ft^) ft^38.0 ft X 10.0 380.0ft X 1.0 Divide ft^ by 27 ftVyd’ to calculate cubic yards: ft^ V 27 yd’380.0 14.1 Add 20% for constructability:yd’x 1.2 yd’14.1 16.9 B. Calculate Clean Sand Volume: Volume Under Rock bed: Average Sand Depth x Media Width x Media Length - cubic feet ft X ft’1.2 10.0ft X 38.0 456.0ft = For a Mound on a slope from 0-1% Volume from Length = ((Upslope Mound Height -1) X Absorption Width Beyond Bed X Media Bed Length) ft - 1) X3.20 38X ft Volume from Width = ((Upslope Mound Height - 1) X Absorption Width Beyond Bed X Media Bed Width) 3.20 ft -1)10X ftX Total Clean Sand Volume: Volume from Length * Volume from Width + Volume Under Media ft’ *ft’ +ft’ =ft’456.0456 For a Atound on a slope greater than 1% Upslope Volume: ((Upslope Mound Height - >) x 3 x Bed Length) -f 2 = cubic feet ft’ft - 1) X 3.0 ft{(X )-2 = Downslope Volume: ((Downslope Height - fj x Downslope Absorption Width x Media Length) -f 2 = cubic feet ft-1)ft’((ft XX )-2 = Endslope Volume: (Downslope Mound Height - 1) x 3 x Media Width = cubic feet ft - 1 ) X 3.0 ft ft’(X ft = Total Clean Sand Volume: Upslope Volume + Downslope Volume + Endslope Volume + Volume Under Media ft’ * ’ft’ +ft’ +ft’ =ft’ Divide ft’ by 27 ft’/yd’ to calculate cubic yards; Add 20% for constructability: ft’ ^ 27 yd’X 1.2 yd’456.0 16.9 yd’16.9 20.3 C. Calculate Sandy Berm Volume: Total Berm Volume (approx): ((Avg. Mound Height - 0.5 ft topsoil) x Mound Width x Mound Length) + 2 = cubic feet )ft X3.2 ft’0.5 35.6 3056.6(ft X 63.6 )-2 = Total Mound Volume ■ Clean Sand volume -Rock Volume = cubic feet ft’ -ft’ -ft’ft’ =3056.6 456.0 2220.6380.0 Divide ft’ by 27 ft’/yd’ to calculate cubic yards;ft’ i yd’2220.6 82.227 yd’ X 1.2 yd’Add 20% for constructability:82.2 98.7 D. Calculate Topsoil Material Volume: Total Mound Width X Total Mound Length X .5 ft ft’35.6 63.6 1132.1ft X ft X 0.5 ft Divide ft’ by 27 ft’/yd’ to calculate cubic yards:yd’ft’ T 271132.1 41.9 yd’yd’ X 1.2Add 20% for constructability;41.9 50.3 > •• OSTP Design Summary Worksheet University OF MinnesotaMir.nesota Pollution Control Agency Property Owner/Client: Scott and Jodi Driscoll V 05.13.14Project ID:33525 Site Address: 33525 State Hwy 210, Underwood, MN Date: 5/24/16 1. DESIGN FLOW AND TANKS Note: The estimated desisn flow is considered a peak flow rate includins a safety factor. For tong term performance, the average daily flow is recommended to be < 60% of this value. Gallons, in A. Design Flow:900 Gallons Per Day (GPD) B. Septic Tanks: Minimum Code Required Septic Tank Capacity:2000 1 Tanks or Compartments Recommended Septic Tank Capacity:2100 Gallons, in 3 Tanks or Compartments Effluent Screen:Alarm: C. Holding Tanks Only: Minimum Code Required Capacity:Gallons, in Tanks Designer Recommended Capacity:Gallons, in Tanks Type of High Level Alarm: D. Pump Tank 1 Capacity (Code Minimum):900 Gallons Pump Tank 2 Capacity (Code Minimum):Gallons Pump Tank 1 Capacity (Designer Rec):1000 Gallons Pump Tank 2 Capacity (Designer Rec):Gallons 58.0 GPM Total HeadPump 1 20.8 ft GPM Total HeadPump 2 ft Supply Pipe Dia. 2.00 in 150.0 Supply Pipe Dia.Dose Volume:gal in Dose Volume;gal 2. SYSTEM TYPE O Trench ©Bed ® Mound O At-Giade O Drip O Holding Tank O Other O Gravity Distribution ® Pressure Distribution-Level O Pressure Distribution-Unlevel * Selection Required Benchmark Elevation:ft Benchmark Location: System Type Type of Distribution Media: 0 Drainfield Rock 0 Registered Treatment Media;BTypel □ Type II □ Type III □ Type IV DTypeV 3. SITE EVALUATION: n±]ftDepth to Limiting Layer:22A.in 5.0B.Measured Land Slope %:% C.Elevation of Limiting Layer:Loamy SandD.Soil Texture: Loc. of Restricive Elevation:GPD/ft^1.20F.Soil Hyd. Loading Rate:E. I 3.0 |ft36G. Minimum Required Separation:in MPIH.3.8Perc Rate: Mound inI. Code Maximum Depth of System:Comments: 4. DESIGN SUMMARY Trench Design Summary ft^Dispersal Area Sidewall Depth Trench Widthin ft Total Lineal Feet Number of Trenches Code Maximum Trench Depthft in Contour Loading Rate ft Designer's Max Trench Depth in Bed Design Summary ft^Absorption Area Depth of sidewall Code Ateximum Bed Depthin in Bed Width Bed Length Designer's Max Bed Depthftft in w •(►r ill W n}3f ?>■ OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution Control Agency Mound Design Summary 760.0 ft^Absorption Bed Area Bed Length Bed Width76.0 ft 10.0 Absorption Width 10.0 ft Clean Sand Lift ft Berm Width (0-1%)12.71.2 ft Upslope Berm Width ft Downslope Berm Width ft Endslope Berm Width10.5 ft18.3 14.7 Total System Length i05.3 ft Total System Width ft Contour Loading Rate gal/ft38.9 12.0 At-Grade Design Summary Absorption Bed Width Absorption Bed Lengthft System Heightft ft Contour Loading Rate gal/ft Upslope Berm Width Downslope Berm Widthft ft Endslope Berm Width System Lengthft ft System Width ft Level & Equal Pressure Distribution Summary No. of Perforated Laterals 6 Perforation Spacing 3 Perforation Diameterft 1/4 in 2.00Lateral Diameter galinMin. Delivered Volume 225 gal147Maximum Delivered Volume Non-Level and Unequal Pressure Distribution Summary Elevation Pipe Volume (gal/ft) Pipe Length Perforation Size(ft)Pipe Size (in)(ft)Spacing (ft)(in)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 Type IV/Pretreatment 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 4^ 1,000,000 =lbs BOD/day 2. Type of Pretreatment Unit Being Installed: 3. Calculate Soil Treatment System Organic Loading: BOD concentration after pretreatment = Bottom Area = Ibs/day/ft^ f^ =Ibs/day/ft^mg/L X 8.35 = 1,000,000 = Comments/Special Design Considerations: These design sheets are for the entire system once the add-on portion is completed. -n-. I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. 05/24/16Bill Schueller L2945 (Tigna'ture)(Date)(License #)(Designer) w i i 4. DISTRIBUTION MEDIA: ROCK A. Media Volume: Media Depth below and above pipe X Length X Width ft^ V 27 = 28.1 yd'1.00 ft X 76.0 10.0 ft =ft X 760 5. DISTRIBUTION MEDIA: REGISTERED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW A. Enter Dispersal Media: B. Enter the Component: Length:ft Width:ft Depth:ft C. Number of Components per Row = Bed Length divided by Component Length (Round up) components/rowft 4-ft = D. Actual Bed Length = Number of Components/row X Component Length: components X ft =ft E. Number of Rows = Bed Width divided by Component Width ft V ft =rows Adjust width so this is an whole number. F. Total Number of Components = Number of Components per Row X Number of Rows componentsX 6. MOUND SIZING A. Calculate Clean Sand Lift: 3 feet minus Depth to Limiting Condition = Clean Sand Lift (1 ft minimum) 1.8 ft = 1.2 ft Design Sand Lift (optional): B. Upslope Mound Height = Clean Sand Lift + Depth of Media + Depth of Cover (1 ft) ^2 |ft + | Too |ft+ 1.0 ft=| 3I Ift 3.0 ft ft C. Berm Width = Upslope Mound Height (4.B) X 4 (4 is recommended, but could be 3-12) ftX3.2 ft =4.0 12.7 ft D. Total Landscape Width = Berm Width + Dispersal Bed Width + Berm Width ft +ft-t-12.7 10.0 12.7 ft =35.3 ft E. Additional Berm Width necessary for absorption - Absorption Width - Total Landscape Width 0 ft if number is negative (<0), value is ZEROft =ft -10.0 35.3 F. Final Berm Width = Additional Berm Width + Berm Width ft + 12.7 ft =0 12.7 ft G. Total Mound Width = Final Berm Width + Dispersal Bed Width + Final Berm Width iTt Ift H-l io!o Ift +1 iTt Ift =1 35I Ift H. Total Mound Length = Final Berm Width + Dispersal Bed Length + Final Berm Width iTt Ift -I-1 76^0 Ift +1 nJ Ift =1 101.3 Ift I. Setbacks from the Bed: Absorption Width - Dispersal Bed Width divided by 2 (I io!o Ift -I io!o I) / 2 ft J QMjS^ OSTP Mound Design Worksheet >1% Slope of Minnesota University Minnesota Pollution Control Agency 1. SYSTEM SIZING:Project ID: 33525 v05.13.14 TABLE IXaA. Design Flow:900 GPD LOADING RATES FOR DETERMINING BOTTOM ABSORPTION AREA AND ABSORPTION RATIOS USING PERCOLATION TESTS GPD/ft^B. Soil Loading Rate:1.20 Treatment Levet C Treatment level A, A-2. B,C. Depth to Limiting Condition:1.8 ft Absorption Area LoacKns Misorption Area Loading Rate (jUd/ft*) Perception Rateim) Mound Absorption Ratio Mound >^sorption RatioD. Percent Land Slope:5.0 %Rate (jpdm‘) GPD/ft^E. Design Media Loading Rate:1.2 <01 1 1 01 to 5 1.2 1 1.6 1F. Mound Absorption Ratio:1.00 0 1 to 5 (fine sand and loamy fine sarxi) 0.6 2 1 1.6Table I MOUND CONTOUR LOAOIHG RATES:6 to 15 0,78 1.5 1 1,6 16 to 30 0,6 2 0,78 2Contour Loading Rate; AAeasured Pore Rato Texture • derived mound 9l»orptkm ratio 31 to 45 0,6 2.4 20.78OR ulto 60 0.45 2.6 2.60.6 (61 to 120 5 5.30.3ti 60mpi 1.0. 1.3. 2.0, 2.4, 2,6 112 |>120 61-120 nipi OR 5.0 112 'Systems with these values are not Type I systems. Contour Loading Rate (linear loading rate) is a recommended value.1 120 mpi'^S.O’i6' 2. DISPERSAL MEDIA SIZING A. Calculate Dispersal Bed Area: Design Flow -r Design Media Loading Rate = ft^ 900 IgpD 6 GPD/ft^ =ft^1.2 750 ft^If a larger dispersal media area is desired, enter size: B. Enter Dispersal Bed Width: 760 10.0 ft Can not exceed 10 feet C. Calculate Contour Loading Rate: Bed Width X Design Media Loading Rate 10 ft^ X 1.2 GPD/ft^ = 12.0 gal/ft D. Calculate Minimum Dispersal Bed Length: Dispersal Bed Area 6 Bed Width = Bed Length 760 Ift^ 6 I io!o Ift =1 76^0 |ft Can not exceed Table 1 3. ABSORPTION AREA SIZING A, Calculate Absorption Width: Bed Width X Mound Absorption Ratio = Absorption Width 10.0 ft X TO 10.0 ft B. For slopes >1%, the Absorption Width is measured downhill from the upslope edge of the Bed. Calculate Downslope Absorption Width: Absorption Width - Bed Width ioo Ift =10.0 ft ft 4. DISTRIBUTION MEDIA: ROCK A. Media Volume; Media Depth X Length X Width ft^ 6 27 =yd'1.00 76.0 760ft X ft X 10.0 28ft = 5. DISTRIBUTION MEDIA: REGISTERED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW A. Enter Dispersal Media: B. Enter the Component: Length:Width:ft ft Depth: C. Number of Components per Row = Bed Length divided by Component Length (Round up) ft ft ^ft =components/row D. Actual Bed Length = Number of Components/row X Component Length: ft =components X E. Number of Rows = Bed Width divided by Component Width (Round up) ft ft-ft =rows Adjust width so this is an whole number. F. Total Number of Components = Number of Components per Row X Number of Rows X components 6. MOUND SIZING A. Calculate Minimum Clean Sand Lift: 3 feet minus Depth to Limiting Condition = Clean Sand Lift ft Design Sand Lift (optional): B. Calculate Upslope Height: Clean Sand Lift + media depth + cover (1 ft.) = Upslope Height 1.83.0 ft 1.2ft =ft l^ft +1.2 ft +1.0 3.2ft =ft C. Select Upslope Berm Multiplier (based on land slope):3.33 Land Slope %0 2 31 54 6 7 8 1291011 Upslope Berm 3:1 Ratio 4:1 3.00 2.91 2.83 2.75 2.612.68 2.54 2.48 2.42 2.36 2.31 2.26 2.21 4.00 3.703.85 3.57 3.45 3.33 3.23 3.12 3.03 2.94 2.86 2.78 2.70 D. Calculate Upslope Berm Width: Multiplier X Upslope Mound Height = Upslope Berm Width 3.33 ft X 3.2 ft = 10.5 ft E. Calculate Drop in Elevation Under Bed: Bed Width X Land Slope ^ 100 = Drop (ft) 10.0 ft X 5.0 % ^ 100= 0.50 ft F. Calculate Downslope Mound Height: Upslope Height + Drop in Elevation = Downslope Height Ift +1 050 Ift =1 Tj Ift G. Select Downslope Berm Multiplier (based on land slope):5.00 Land Slope %0 21 3 54 6 7 8 9 10 1211 Downslope 3:1 Berm Ratio 4:1 3.00 3.09 3.19 3.30 3.533.41 3.66 3.80 3.95 4.11 4.29 4.48 4.69 4.00 4.17 4.35 4.54 5.004.76 5.26 5.56 5.88 6.25 6.67 7.14 7.69 H. Calculate Downslope Berm Width: Multiplier X Downslope Height = Downslope Berm Width 5.00 3.7 18.3 ftft =X I. Calculate Minimum Berm to Cover Absorption Area: Downslope Absorption Width + 4 feet Ift +4 ft = 4.0 ft J. Design Downslope Berm = greater of 4H and 41:18.3 ft K. Select Endslope Berm Multiplier: L. Calculate Endslope Berm X Downslope Mound Height = Endslope Berm Width 4.00 ft X 3.7 ft = 14.7 ft M. Calculate Mound Width: Upslope Berm Width + Bed Width + Downslope Berm Width 10.5 ft + 10.0 ft + 18.3 ft = 38.9 N. Calculate Mound Length: Endslope Berm Width + Bed Length + Endslope Berm Width 14J I ft +1 76^0 I ft +1 14^7 I ft =1 105.3 4.00 (usually 3.0 or 4.0) ft ft 7. MOUND DIMENSIONS Upslope (4.D)10.5 \/\t \f \t t I:S Dispersal Bed: (2.B x 2.C)Endstope (4.L)Endslope (4.L)-D c:o fXJod r14.7 1/1 14.71x:m 10.0 X 76.0I c-Q fOi 5^I I T)C iDiO 18 3 /:S \/Downslope (4.J)N 4-> o 105.3Total Mound Length (4.N) 4" inspection pipe ^ 18" cover on top 18.3 , Upslope berm (4.D)Downslope berm (4.J) 10.5 12" cover on sides (6” topsoil)o Clean sand lift (4.A)1.2 Depth to Limiting (1 .C) 1.8Limiting Condition Absorption Width (3.A) 10.0Note: _________ For 0 to 1% slopes, Absorption Width is measured from the ift?c/equaUy in both directions. For slopes >1%, Absorption Width is measured downhill from the upslope edge of the Bed, Comments: Q3N!;V339^ OSTP Mound Materials Worksheet University OF MinnesotaMinnesota Pollution Control Agency Project ID: 33525 v05.13.14 A. Calculate Bed (rock) Volume: Bed Length (2.C) X Bed Width (2.B) X Depth = Volume (ft^) ft^76.0 10.0 760.0ft X ft X 1.0 Divide ft^ by 27 ft’/yd^ to calculate cubic yards: ft' V 27 yd'760.0 28.1 Add 20% for constructability:yd'X 1.2 yd'28.1 33.8 B. Calculate Clean Sand Volume: Volume Under Rock bed: Average Sand Depth x Media Width x Media Length = cubic feet ft X ft'1.4 10.0ft X 76.0 1076.7ft = For a Mound on a slope from 0-1% Volume from Length ^ ((Upslope Mound Height - 1) X Absorption Width Beyond Bed X Media Bed Length) 3.17 ft -1)76X ftX Volume from Width - ((Upslop>e Mound Height - 1) X Absorption Width Beyond Bed X Media Bed Width) 3.17 ft -1)10X ftX Total Clean Sand Volume : Volume from Length + Volume from Width + Volume Under Media ft' r ft' - 1076.666667 ft' =ft'1076.7 For a Mound on a slope greater than 1% Upslope Volume: HUpslope Mound Height - f) x 3 x Bed Length) -r 2 = cubic feet ft'3.2 ft - 1) X 3.0 ft X 76.0 247.0(( Downslope Volume: ({Downslope Height - f) x Downslope Absorption Width x Media Length) -r 2 = cubic feet ft-1)ft'3.7((76.0Xft X ) + 2 = Endslope Volume: (Downslope Mound Height - 1) x 3 x Media Width - cubic feet ft - 1 ) X 3.0 ft ft'3.7 X(10.0 80.0ft = Total Clean Sand Volume: Upslope Volume *■ Downslope Volume + Endslope Volume * Volume Under Media ft' +ft' r247.0 ft' r ft' =ft'80.0 1076.7 1403.7 Divide ft' by 27 ft'/yd' to calculate cubic yards: Add 20% for constructability: ft' r 27 yd'X 1.2 yd'1403.7 52.0 yd'52.0 62.4 C. Calculate Sandy Berm Volume: Total Berm Volume (approx): ((Avg. Mound Height - 0.5 ft topsoil) x Mound Width x Mound Length) 4- 2 = cubic feet )ft X ft'3.4 0.5 38.9 5972.1(105.3ft X )-2 = Total Mound Volume - Clean Sand volume -Rock Volume = cubic feet ft' -ft' -ft'ft' =5972.1 1403.7 760.0 3808.5 Divide ft' by 27 ft'/yd' to calculate cubic yards:ft' r yd'3808.5 141.127 yd' X 1.2 yd'Add 20^ for constructability:141.1 169.3 D. Calculate Topsoil Material Volume: Total Mound Width X Total Mound Length X .5 ft ft'38.9 105.3 2047.6ft X ft X 0.5 ft Divide ft' by 27 ft'/yd' to calculate cubic yards:yd'ft' ^ 272047.6 75.8 yd'yd' X 1.2Add 20% for constructability:75.8 91.0 OSTP Pressure Distribution Design Worksheet University OF Minnesota Minnesota Pollution Control Agency Project ID: 33525 V 05.13.14m ^ I * ^ ^ ■ ‘I I is i 'J .C M1. Media Bed Width:10 ft 2. Minimum Number of Laterals in system/zone = Rounded up number of [(Media Bed Width - 4) t 3] + 1. 10 - 4 ) + 1 =3 Does not apply to at-srades{laterals 3. Designer Selected Number of Laterals: Cannot be less than line 2 (accept in at-qrades) 6 laterals 4. Select Perforation Spacing:3.0 ft 5. Select Perforation Diameter Size:1/4 in 6. Length of Laterals = Media Bed Length - 2 Feet. 36 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. 38 2ft 7. Number of Perforation Spaces =36 ft 3 ft 12 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. -r Perforations Per Lateral =12 13Spaces + 1 =Perfs. Per Lateral Hmmm tfarobwsrfhwferjrfions Lat«ni to Guarantw < 10S Kscharge Variation Vjlnch Perforatiorss 7/32 Irsch Perforatiorts Pipe Diameter (Irxhes)Pipe Dsameter (IfKheslPerf<H-ation SpacingPerforatiors ^sacir^ (Feet) (Feet)I 114 \n 2 3 2 31lUm 2 3421116 6«21101318m60 m 211812 16 28 54 10 14 3220 64 3 3 8 301419 60812 16 25 52 3/16 ItKh Perforations 1 '8 Ifsch Perforatkre Pipe Diameter (Inches)Pipe Diameter (IfKhes)Perforation SpacingPerforation Spac^ (Feet)(Feet)1 m 2 21143 31min 122 18 26 21 33 7487 2 44 14946 m 2n12172440SO 20 30 69 13541 3 3122237 75 20 64162938 128 9. Total Number of Perforations equals the Number of Perforations per Lateral multiplied by the Number of Perforated Laterals. 13 Perf. Per Lat. X 6 78Number of Perf. Lat. =Total Number of Perf. 10. Select Type o/Mon;/o/d Connecf/on (End or Center): □ End 0 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^10 ft 38X 380ft b. Square Foot per Perforation = Bed Area divided by the Total Number of Perforations. ft^/perforationsft^380 78 perforations 4.9T 13. Select Minimum Average Head:1.0 ft 14. Select Perforation Discharge (GPM) based on Table:0.74 GPM per Perforation 15.Determine required Flow Rate by multiplying the Total Number of Perfs. by the Perforation Discharge. 78 0.74Perfs X 58GPM per Perforation =GPM 16. Volume of Liquid Per Foot of Distribution Piping (Table ll):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 Liquid Per Foot (Gallons) Pipe Diameter (inches) 6 36 0.170Xft X 36.7gal/ft Gallons 18. Minimum Delivered Volume = Volume of Distribution Piping X4 0.0451 1.25 0.078 36.7 gals X 4 =146.9 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 Minnesota Minnesota Pollution Control Agency 1. PUMP CAPACITY Project ID: 33525 Pumping to Gravity or Pressure Distribution;o Gravity ® Pressure Selection required 1. If pumping to gravity enter the gallon per minute of the pump:GPM (10-45spm) 2. If pumping to a pressurized distribution system:58.0 GPM 3. Enter pump description:Demand Dosing Soil Treatment 2. HEAD REQUIREMENTS A. Elevation Difference between pump and point of discharge: 12 ft B. Distribution Head Loss:5 ft C. Additional Head Loss:ft (due to special equipment, etc.) Table I.Frictlon Loss In Plastic Pipe per 100ft Distribution Head Loss Pipe Diameter (inches)Flow Rate (GPM)Gravity Distribution = Oft 1.25 1.5 21 Pressure Distribution based on AAinimum Average Head Value on Pressure Distribution Worksheet: 10 3.19.1 1.3 0.3 12 12.8 4.3 1.8 0.4 Minimum Average Head Distribution Head Loss 5.71417.0 2.4 0.61ft5ft7.3 3.01621.8 0.72ft6ft189.1 3.8 0.95ftlOft2011.1 4.6 1.1 25 16.8 6.9 1.7 30D. 1. Supply Pipe Diameter:23.5 9.7 2.42.0 in 35 12.9 3.2 2. Supply Pipe Length;38 ft 40 16.5 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 Len$th from pump discharge to soil dispersal area discharge point. Estimate by adding 25% to supply pipe length for fitting loss. Supply Pipe Lensth (D.2) X 1.25 = Equivalent Pipe Length 8.03Friction Loss =60 8.6 65 10.0 70 11.4 75 13.0 85 16.43847.5ftX 1.25 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 = 8.03 ft per 100ft 47.5 3.8Xft100 ftT- 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 ) 12.0 5.0 3.8 20.8ftftft +ft =ft+ 3. PUMP SELECTION 58.0 20.8A pump must be selected to deliver at least GPM (Line 1 or Line 2) with at least feet of total head. Comments: ^ "«l f, J • ^ ^ m OF Minnesota OSTP Pump Tank Design WorksheetMinnesota Pollution Control Agency DETERMINE TANK CAPACITY AND DIMENSIONS Project ID: 33525 V 05.13.14 1.A. Design Flow (Design Sum. 1A)900 GPD: B. Min. required pump tank capacity:900 Gal C.Recommended pump tank capacity:1000 Gal D. Pump tank description:Demand to Pressure MEASURED TANK CAPACITY (existing tanks): 2. A. Rectangle area = Length (L) X Width (W)Widthft^Xft ft B. Circle area = 3.14r^ (3.14 X radius X radius) 3.14 X 2 ft^ft *Length C. Calculate Gallons Per Inch. Multiply the area from 1 .A or 1 .B, by 7.5 to determine the gallons per foot the tank holds and divide by 12 to calculate the gallons per inch. I ft^ X 7.5 gal/ft^ 112 in/ft Gallons per inch D. Calculate Total Tank Volume Depth from bottom o/ inlet pipe to tank bottom : Total Tank Volume = Depth from bottom of inlet pipe (Line 4.A) X Gallons/Inch (Line 2) Gallons Per Inch = in X 25.0in Gallons MANUFACTURER'S SPECIFIED TANK CAPACITY (when available): Note: Design calculations are based on this specific tank. Substituting a di//erent tank model will change the pump float or timer settings. Contact designer if changes are necessary. A. Tank Manufacturer:3. B. Tank Model; C. Capacity from manufacturer:1000 Gallons D. Gallons per inch from manufacturer:25.0 Gallons per inch E. Liquid depth of tank from manufacturer:40.0 inches DETERMINE DOSING VOLUME 4. 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 2 inches) X12(25.0 350Gallons Per Inch Gallons 5. Minimum Delivered Volume = 4 X Volume of Distribution Piping: - Line 17 of the Pressure Distribution or Line 11 of Non level 6. Calculate Maximum Pumpout Volume (25% of Design Flow) Design Flow: 147 Gallons (minimum dose) 900 0.25GPD X 225 Gallons (maximum dose) 7. Select a pumpout volume that meets both Minimum and Maximum:150 Gallons 8. Calculate Doses Per Day = Design Flow t Delivered Volume Volume of Liquid in Pipegpd F gal =900 150 6 Doses 9. Calculate Drainback; A. Diameter of Supply Pipe =Liquid Per Foot (Gallons) Pipe Diameter (inches) 2 inches B.Length of Supply Pipe =38 feet C.Volume of Liquid Per Lineal Foot of Pipe - Drainback = Length of Supply Pipe X Volume of Liquid Per Lineal Foot of Pipe ft X oTito Igal/ft = 0.170 Gallons/ft 0.0451 D.1.25 0,078386.5 Gallons 0.1101.5 10. Total Dosing Volume = Delivered Volume plus Drainback gal + 0.1702 150 6.5 gal =156 Gallons 0.3803 11. Minimum Alarm Volume = Depth of alarm (2 or 3 inches) X gallons per inch of tank in X 0.6614325.0 gal/in =75.0 Gallons k OSTP Pump Tank Design Worksheet University OF MinnesotaMinnesota Pollution Control Agency TIMER or DEMAND FLOAT SETTINGS Select Timer or Demand Dosing: A. Timer Settings 12. Required Flow Rate: A. From Design (Line 12 of Pressure Distribution or Line 10 of Non-Level*): B. Or calculated: GPM = Change in Depth (in) x Gallons Per Inch / Time Interval in Minutes gal/in i O Timer ® Demand Dose GPM ‘Note: This value must be adjusted after GPM installation based on pump calibration. in X min = 13. Flow Rate from Line 12.A or 12.B above. 14. Calculate TIMER ON setting: Total Dosing Volume/CPM GPM gal T Minutes ONgpm = 15. Calculate TIMER OFF setting: Minutes Per Day (1440)/Doses Per Day ■ Minutes On 1440 min doses/day - 16. Pump Off Float ■ Measuring from bottom of tank: Distance to set Pump Off Ftoat^Gallons to Cover Pump / Gallons Per Inch: ____________ gal T _____________ 17. Alarm Float • Measuring from bottom of tank: Distance to set Alarm Float = Tank Depth(4A) X 90% of Tank Depth in X0.90 = minT Minutes OFF gal/in =Inches in B. DEMAND DOSE FLOAT SETTINGS 18. Calculate Float Separation Distance using Dosing Volume. Total Dosing Volume /Gallons Per Inch gal T 19. Measuring from bottom of tank: A. Distance to set Pump Off Float = Pump + block height + 2 inches in -r B. Distance to set Pump On Float=Distance to Set Pump-Off Float + Float Separation Distance in + 156 25.0 gal/in -6.3 Inches 12 3 in =15 Inches 15 6.3 in =21 Inches C. Distance to set Alarm Float - Distance to set Pump-On Float + Alarm Depth (2-3 inches) in +21 3.0 in =24 Inches FLOAT SETTINGS DEMAND DOSING TIMED DOSING ] Inches for Dose:6.3 in rt. Alarm Depth 24.3 in Pump On 21.3 in inAlarm Depth 75 Gal Pump Off 15.0 jp 156 Gal Pump Off in A375 Gal m Land & Resource Management GSC, 540 W Fir, Fergus Falls, MN 56537 OTTfR^TRIl 218-998-8095; Website: www.co.ottert3ii.mn.us Subsurface Sewage Treatment System Management Plan Sewage Treatment System Permit Number: Property Owner: _________________________________ Parcel Number: jLake Name / Number: v./. S'6~'3'77 Section: E-911 Address: 22^73 ____Township Name: a/J/ 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). □ 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. Property Owner:Date: Signature Received by Land & Resource Management:Date: Signature The following link will provide information from the University of Minnesota, regarding a Septic System Owner's Guide: http://www.extension.umn.edu/environment/housing-technology/moisture-management/septic-system-owner-guide/ LR: SSTS Management Plan 06-20-2014 f ^ 4 m' - OO Pre-Application Site Inspection Request NOTE: Onsite Inspections will be done between April 15'^ & October 1®*, unless the Land & Resource Administrator determines current weather conditions are suitable for onsite inspections.Assigned To/Date: Lake / River No.Lake / River Name Lake/River Class Section Twp Name Parcel(s) No.Property (E-911) Address 3S OOP 0/ r>oc> -7 00(3'^ Property Owner Information: ,5u>//Name(s): j/tCf yiADAddress: Daytime Phone: Type of Request: Bluff: Date Stamp Determination Stake Setback Verify Setback RECEIVED MAY ^ 2 r 1 LAND & RESOURCE OHWL:Determination Stake Setback Verify Setback Building Line:Shore impact Zone:Verification Stake Setback Wetland:Shoreland Area:Determination Determination Soils:Restrictive Layer Determination / Vertical Separation L&R Initial • • f «■5Describe Request: A scale drawing must accompany Pre-Application Site Inspection Request & request must be staked onsite ,rProperty Owner Date INSPECTION COMPLETED (Inspection must be done within 10 days of receipt): T-1 - )C Date Onsite Date Property Owner Notified Inspector Fee:Receipt Number: Inspector must provide site drawing or field notes on other side. mbowman Application & Forms Pre-Application Site Insp Request Form 06/2012 fo^SibVi OA 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 09/23/2013 Scott E & Jodi K Driscoll 1601 12th Ave Ne Watertown SD 57201 6758 RE: Primary Owner: Scott E & Jodi K Driscoll Sewage Treatment System Servicing Tax Parcel Number: 58000010007000 Sec 01 Twp Tordenskjold Twp Sect-01 Twp-132 Range-041 13.61 AC PTGL6& 7 &A PENINSULA Described as: Lake: 56-377 S Turtle As of 09/20/2013 the sewage treatment system (Sewage Treatment Installation Permit # 22415 servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a 3 bedroom home. If you have any questions regarding this matter, please contact our office. Sincerely, Scott Ellingson Inspector SCANNED -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/RIVER CLASS SECTION TWP NO.RANGE TWP NAMELAKE/RIVER NAMELAKE NUMBER r STPUIE-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED S ^QOOo/^>c(s '20 00 33 r ^ i o LEGAL DESCRIPTION £J /je Tjr S^c iI Daytime Phone No.Mailing AddressFirst InitiaiLast Name /(pCc S£Property Owner o// /r^ AfCo^. S£>Hti- cicY/ djh Rihct'h rjc^ Contractor n-c\K^ - !ZJf=r THIS SPACE FOR OFFICE USE ONLY A.M. P.M., the year of at.> This System will be ready for inspection on A.M. P.M. L&R OfficialTime ReceivedDate Received SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWING TYPE OF NSTALLATION (circle one) Other Est. (E) New (F) Replacement Collectoriidentlal (C) New (D) Replacement Soil Treatment Area (I iplacement LiftTank Design Flow (Gallons/Dav) tSTt — 9 499 i (H) 2,500 — 4,999 (I) 5,000— 10,000 Effluent Distribution ( ) Gravity (y)GIs s yo Ft.GIs/oooPressureSize Setback To Nearest Well Ft-Ft.Type I Type II /O / (27) Rapidly Permeable(20) Trench, Rock //^Ft.Ft.Ft.Setback To OHWL //o(28) Flood Plain(21) Trench, Gravelless (22) Trench, Chamber (29) Privies Ft.-----Ft." Ft.Setback To Bluff(30) Holding Tank ( ) Monitoring/Disposal Contract (23) Bed (25) At Grade Vo Ft.d)r Ft.Ft.cPS"Setback To Dwelling Type III Setback To Non-Dwelling Ft.Ft.Ft.(31) Other/Problem Soils/<12" Soil(26) Greywater Type IV Setback To Nearest Lot Line /_5T5 f-Ft./ST5 /-Ft.(32) Public Domain & Proprietary Technologies DwttMrfWeli //Z> - V.Setback To Road Right-Of-Way STDO-Lpt.Ft.Ft.Type VTotal If Bedrooms (33) Performance Elevation Above Restrictive Layer 5 Ft.Ft.Ft.Garbage Disposal YAbatement Y / PERCTEST DATA C3^/3-LHighest RateDate of TestLicense IfDesigner 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. 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 valid for a period of six (6) months. 2.This permit does not Include the building sewer (sewer line). /■7S'ft - 9. /_7 7 Permit Fee $— > O^er/Agent tor OvdierSignature vf Property /V7V-7/Rec. No..Date: Land i Resource Management Official ^e.3. C/€tr\' rw»___________ ~ - Bgo f Ar^a? -Afr I gh Date StampComments: L&R InitialForm No. BK — 07-2011 -06 345.197 • Victor Lundeen Co., Prirtters • Fergus Falls. MinnesotaItoif ml ^ 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.us VWHITS- ^^ce YELLOW -L&R Inspector PINK - Owner / Contractor (after issue) Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED --------------------x; ;TWP NAMESECTIONTWP NO.RANGELAKE/RIVER CLASSLAKE/RIVER NAMELAKE NUMBER ■1"!'n -r;/A V E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD -V PARCEL NUMBER (S) OF PROPERTY BEING SERVICED -TA P. to LEGAL DESCRIPTION tj 1 PT ^ rt £ i./i-> ^yrn<^ 4^. , A ■ >-. /'>cSV /'e" {f-f 2 i Daytime Phone No.Mailing AddressFirstInitialLast Name j -■N 1*-XProperty Owner /trOn /Sf c 4oC If"! \ f O IL 1 5A. ^S'A?: a/ Contractor Lie.#C>r'c/>o, THIS SPACE FOR OFFICE USE ONLY U\P>%<h „ ^'00hla A.M. _^P.M., the year of>• This System will be ready for inspection on ^•\6 lTi A.M. R OfficialTime ReceivedDate Received SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAW NG NSTALLATION (circle one)TYPE OF Other Est. (E) New (F) Replacement Residential (A) New (B) Replacement Collector (C) New (D) Replacement Soil Treatment Area LiftTank Design Flow (Gallons/Day) (G) J -2,499.. (H) 2,500 — 4,999 (I) 5,000 — 10,000 Effluent Distribution ( ) Gravity (\/) Pressure c va Ft.GIs GIsToe>/COQ 'Size Setback To Nearest Well Ft.Ft.Ft.Type IIType I ^0 /O I (27) Rapidly Permeable(20) Trench, Rock v'C Ft.Ft.Ft.Setback To OHWL(28) Flood Plain(21) Trench, Gravelless // 0 (29) Privies(22) Trench, Chamber Ft.Ft.Ft.Setback To Bluff(30) Holding Tank ( ) Monitoring/Disposal Contract (23) Bed (24) Mound ■Vo >^t.Ft.Ft.Setback To Dwelling 5 f Type III(25) At Grade Setback To Non-Dwelling Ft. Ft.Ft.(31) Other/Problem Soils/<12" Soil(26) Greywater Type IV Setback To Nearest Lot Line ^ Ft., -Ft./50 f Ft.(32) Public Domain & Proprietary Technologies Depth of Well i Setback To Road Right-Of-Way 5-'06'J- Ft.Ft.CO + Ft.Type VTotal # Bedrooms (33) Performance Elevation Above Restrictive Layer 3 Ft.Ft. Ft.Garbage Disposal Y /' NAbatement Y / N PERCTEST DATA U ? LDesigner f 'y ' ^'*'>•7 ' License # Agreement: The undersigned hereby makes application tor 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 tor use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. Highest RateDate of Test ; 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 valid for a period of six (6) months. 2.This permit does not Include the building sewer (sewer line). /' /V /' Signature of Pr<^rty ^^er/A^nt for OwOer \ '9 ■: c f Q7^ate: '7- /_//73'Permit Fee $ /V7V7VRec. No..Date: Land & Resource Management ofRcial £3Comments: ^ (. i i i V / C' Y .■< ___^ .9 t( f ~ ^ ^ c I- Y ! If pf I^C .'i•1SCANNEDI f -V K■ILr /t /:■ f" Form No. BK — 07-2011-06 IwTwkI 345.197 • Victor Lundeen Co.. Printers • Fergus Fells. Minnesota ..iTf SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements ' » SOIL TREATMENT AREA HOLDING SEPTIC TANK OUTHOUSELIFT TANKCATEGORY 510 n-2(pcoCapacity FT2GLS.GLS.\ I J5b^SO50 FTFTFT FTSetback from Nearest Well \fSetback from Buried Water Suction Pipe FTFTFTFT /o"\Setback from Buried Pipe Distributing Water Under Pressure \cS FT FTFTFTs ;\i^ FTSo ^ FT /5o' ^ FT FTSetback from OHWL (lake &/or river)( FTFTSetback from Bluff FT FT IcS FT rf-I FTSetback from Dwelling FTFT(O FTFTSetback from Non-Dwelling FT FT / fIloo's FT lOo' S loo'5 FTFTSetback from Nearest Property Line FT I /co'j, FT Zoo's I FTFTSetback from Right-of-Way FTfoo's 3^/FTElevation above Restrictive Layer FT FTFT /1LHolding Tank/Lift Alarm NO Old System Pumped & Destroyed NO MOUN^AT-GRADE TRENCH REDUCTIONSOIL TREATMENT AREA CALCULATION SEPTIC TANK(s) # Tanks Installed FILTER ( ROCK BED/Rock trenches with^inches Manuf.■}of sidewall for.,%___Ft. X 3B Ft.Ft. X Ft.&ft*reduction / equivalent to. Soil Treatment Area. / Model #—-Al2_fv Ft*' 'ii - r- Inspectors Comments: Sketch: ___ d-55' 13 5)'/- Vme Initial/LSnOfncMDate ! ^., the above described sewage system installation was found to be compliant with the provisions of the SanitationAs of Code of Otter Tail County. /■ V,:;/yL Land S ReidSnx Uanagemant 0/Hdal picaForm No. BK — 07-2011-06 348,197 • Victor LundMit Co.. Prlntcm • FcrQUB Palls, Minnesota 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, wetlands, bluff and all water wells within 150' of the sewage system. If there are any questions, see the University of Minnesota Site Evaluation worksheets. feet, or / inch(es) equals 3O feetScale:.grid(s) equals MPCA LICENSE #:DESIGNED BY: /Pj9>,/iv o FIRM NAME: _______ ADDRESS: Po Oe-(r ILICENSE CATEGORY: (c ^y' 13 f 5 DATE: '■/SIGNATURE//,^ ^----' 7^ ‘6-e \ <»-l >0*.SliLi Ct /, / f JO^ 1-/0J>roJ> __ / ^3 /?cr^S> /^6 Qr ^ "n /ooo :^\poo/A U>t n 1^ 3 a /<^-eSCAl fers •. Fergu$ Falls, MN ■ 1-800-346-487031&.904 • Victor Lundeen Co . PiBK — 1003 — 029 :SITE DATA WORKSHEET LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 ^ ' 218^98-6095 : I www.co.6tter-tail.mn.us i ;I ! i t Sewage Treatment System Permit #_____ MIDDLE - - i-TELEPHONE NUMBER OWMER: iI /LAST NAME FIRST-i t ADDRESS: } STR./RT. ‘ l I_________ ___Mi/l STATE I TWF>i ' ■ I SOIL BORING LOG CITY i ZIP CODE 1 I. i TWPInAME'LAKE/RIVER NO.LAKE NAME RANGESEC. ii LEGAL DESCRIPTION:t i !COLOR & MUNSELL NO. DEPTH (INCHES)STRUCTURE!! TEXTURE BLOCKY „ PLATYj/oyAVz/OOO'P OOP b te]■ PARCEL NUMBER ;3 s¥~ MJy o E-911 Address or Directions From Nearest Public Road BLOCKY PLATYS a-k«^>4. - ^2.PRISMATIC a INUMBER OF BEDROOMS__ GARBAGE DISPOSAL: YESSA/f//o o WELL: CASIN|G DEPTH_____ft. SEWER LINE SEPARATION: BLUFF: YESi<N^' VEGETATION:} AQUATIC ClTJ^ESTRIAL^ SLOPE AT INSTALLATION SITE: I BLOCKY 8LArii> : PRISMATIC NONE I i ! c (i^i I Z,Z-2^t :f'' £).ft.\/riT?1 BLOCKY'.......PLATY— : PRISMATIC NONE i FLOODPLAIN; YES it ! I ; BLOCKY i PLATY : PRISMATIC ' NONE % :!; i TYPE OF OBSERVATION: Probe Pit. ' PARENT MATERIAL: No COMPACTED SOIL: Yes DEPTH OF BORING (To 7’ or restrictive layer):_ PERC TEST # 1 i I Outwash Loess Bedrock Alluvium !u ■ j?y'’ //->ORIGINAL SOIL:Date of Soil Boring 1i iZiilft.Date of Perc Test - TWO TESTS ARE REQUIRED -! : PERC TEST #2\TIME INTERVAL-IMINUTESI WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH'WATER DROP PERC RATESTARTSTART./..f/y.3^ I TIME DROP PERC iQm-s..TIME INTERVAL (MINUTES)WA^ DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE T.REFILLiV>/.2 'i S-./ TIME DROPt PERC TIME DROP PERC!TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE6Imr:REFILL€/Vk. /'S TIME DROP PERC s ^/ jr. j- a I TIME DROP PERC ' / ? TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL .TIME DROP PERC PERC 'I TIME DROPTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL .TIME DROP PERC I TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL 1 .TIME DROP PERC ) TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE1 REFILL REFILL •T- __________ =i iTIME 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 PERC i n PROPOSED DESIGN: iMOUND HOLDING TANK__^____ GRAVITY DIST._______ PRESSURE DIST. yi i /0y3K' i___________I TRENCH.BED.ATGRADE_ SEWER LINEJ.. lOTHERIOUTHOUSE.SPECIFY:. SYSTEM DESIGN ON BACK —\ \!! «! 'IS: 'i:-OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution Control Agency V 12.08.06Property Owner/Client: Scott Driscoll Project ID: Site Address: 33525 State Hwy 210 Underwood, MN 56586 Date: 6/24/13 1. DESIGN FLOW AND TANKS Note: The estimated design flow is considered a peak flow rate including a safety factor. For long term performance, the average daily flow is recommended tobe < 60% of this value. Gallons, in 450A. Design Flow:Gallons Per Day (GPD) B. Septic Tanks: Minimum Code Required Septic Tank Capacity:1000 1 Tanks or Compartments 1000 Gallons, inRecommended Septic Tank Capacity:1 Tanks or Compartments Effluent Screen a Alarm?no C. Holding Tanks Only: Number of Holding Tanks:Total Volume of Holding Tanks:Gallons Type of High Level Alarm: 500 Pump Tank 2 Capacity:GallonsD. Pump Tank 1 Capacity:Gallons 2. SYSTEM TYPE T- Type of Distribution-- Type of Soil Treatment and Dispersal Area*------------------- O Trench O Bed ® Mound O At^Srade O Drip O Hoiding TanI O Ottiei O Gravity Distribution ® Pressure Distribution-Level O Pressure Distribution-Unlevel * Selection Required Benchmark Elev =100 ft Benchmark Location:System Type Type of Distribution Media: 0Typel nTypell □Typelll OTypelV DTypeV rock 3. SITE EVALUATION: 22Depth to Limiting Layer:Elevation a Location of Limiting Layer:1.8 ftA.in ft 36 Location:3.0 ftinB.Minimum required separation: Code Metximum Depth of System:5.0 %Measured Percent Land Slope:-140.0 in*B. sandC. Soil Texture:3.6 AAPIPerc Rate:*if value is negative a mound is required 1.20 GPD/ft^12.0D. Soil Hydraulic Loading Rate:E. Contour Loading Rate Gal/ft 4. DESIGN SUAUMARY Trench Design Summary ft^Sidewall Depth Trench WidthDispersal Area inin Code Maximum Trench DepthTotal Lineal Feet Number of Trenchesft in Designer's Max Trench Depth in Bed Design Summary ft^Code Maximum Bed DepthMedia Below PipeAbsorption Area inin Designer's Max Bed DepthBed Width Bed Lengthft ft in Mound Design Summary 570 ft^Bed Width io.O ftBed Length/Absorption /Area ft38 Absorption Width 15.0 ft Clean Sand Lift 1.2 ft Berm Width (slope 0-1%)ft Endslope Berm Width 14.7 ftUpslope Berm Width ft Downslope Berm Width 18.3 ft8.3 Total System Width 36.6 ftTotal System Length 67.3 ft : ' - fe-t OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution Control Agency At-Grade Design Summary Absorption Bed Width ft Absorption Bed Length System Heightft ft^Absorption Bed Area Upslope Berm Width Downslope Berm Widthft ft Endslope Berm Width System Length System Widthftft ft Level Pressure Distribution Summary No. of Perforated Laterals 3 Perforation Spacing 3 Perforation Diameter 1/4ft in 2.00 Supply Pipe Diameter 2.00 in galLateral Diameter 0inMinimum Dose Volume Flow Rate Total Head 1229.0 GPM ft 112.5 galMaximum Dose Volume 5. Additional Info for Type IV/Pretreatment Design A. Calculate the orsank loadins using option 1 or 2 1. Organic Loading = Pounds of BOD X Units Ibs/day X lbs BOD/day 2. Organic Loading to Pretreatment Unit = Design Flow X Estimated BOD in mg/L in the effluent X 8.35 1 1,000,000 |gpd X ____________________ B. Type of Pretreatment Unit Being Installed: C. Calculate Soil Treatment System Organic Loading: lbs. BOD/day * Bottom Area = Ibs/day/ft^ Ibs/day/ft^ mg/L X 8.35 1 1,000,000 =lbs BOD/day ft^ =Ibs/day t Comments/Special Design Considerations: I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. (Designer)(Signature)(License #)(Date) SCANNED J 'OSTP Mound Design Worksheet >1% Slope University OF MinnesotaMinnesota Pollution Control Agency 1. SYSTEM SIZING:Project ID:V 12.08.06 TABLE IXaA. Design Flow:450 GPD GPD/ft^1.20B. Soil Loading Rate:LOADING RATES FOR DETERMINING BOTTOM ABSORPTION AREA AND ABSORPTION RATIOS USING PERCOUTION TESTS 1.8C. Depth to Limiting Condition:ft Treatment Level C Treatment Level A. A*2, B, Absorption Area Loa<Hn9 Rate Absorption Area Loading Rate (fpdm*) 5.0D. Percent Land Slope:PerooUtion Rate <MPt) Mound Absorption Rabo Atound Absorption Ratio % GPD/ft^1.2E. Design Media Loading Rate: 1.50F. Mound Absorption /?otio (Table IXa):<01 1 1 0 1 to5 1.2 1 11.612.0G. Desisn Contour Loading Rate:GPD/ft 0 1 to 5 (fine sand and toamy fine sand) 2 1.60.6 1 Table I MOUND CONTOUR LOADING RATES:6 to 15 0.78 1.6 1 1.6 16 to 30Contour Loading Rato: 0.6 2 0.78 2Moasurod Pore Rato Toxturo - dorivod mound absorption ratioOR 31 to 45 0.5 2.4 0.78 2 46 to 50 0.45 2.6 0.6 2.6 60mpi 1.0, 1.3. 2.0. 2.4. 2.6 i12 61 to 120 5 5.30.3 61-120 mpi OR 5.0 1)1 >120 "Systems with these values are not Type I systems. Contour Loading Rate (linear loading rate) is a recommended value. 120 mpi''5.0' 2. DISPERSAL MEDIA SIZING A. Calculate Required Dispersal Bed Area: Design Flow (1.A) t Design Media Loading Rate (1.E) = ft^ GPD/ft^ =ft^450 1.20 375GPDtIf a larger dispersal media area is desired, enter size:ft^380 B. Calculate Dispersal Bed Width: Contour Loading Rate (1.G) Design Media Loading Rate (1.E) = Bed Width gpd/ft^ =12.0 1.2 10ft T ft C. Calculate Dispersal Bed Length: Dispersal Bed Area (2.A) Bed Width (2.B) = Bed Length ft' ^380 10 38ft =ft rockD. Enter Dispersal Media: inv 12 =E. If using a registered product, enter the Component Length:ft in^ 12 -F. If using a registered product, enter the Component Width:ft G. Number of Components per Row = Bed Length (2.C) divided by Component Length (4. J) (Round up) ft 4 ft =components/row H. Number of Rows = Bed Width (2.B) divided by Component Width (4.K) (Round up) Adjust Contour Loading Rate on Design Summary page until this number is a whole number. Note: CLR of 10.8 gal/ft results in 9 foot wide bed. ft 4 ft =rows I. Total Number of Components = Number of Components per Row X Number of Rows X components SCANNED 3. ABSORPTION AREA SIZING Note: Mound setbacks are measured from the Absorption Area. A. Calculate Absorption Width: Bed Width (2.B) X Mound Absorption Ratio (1.F) = Absorption Width 10.0 1.5 15.0ft X ft B. For slopes >1%, the Absorption Width is measured downhill from the upslope edge of the Bed. Calculate Downslope Absorption Width: Absorption Width (3.A) - Bed Width (2.B) = ft ft =15.0 5.010.0ft ft 4. MOUND SIZING A. Calculate Clean Sand Lift: 3 feet minus Depth to Limiting Condition (1.C) = Clean Sand Lift (1 ft minimum) 1.8 1.23.0 ft ft =ft Design Sand Lift (optional):1.2 B. Calculate Upslope Height: Clean Sand Lift (4.A) + media depth + cover (1 ft.) = Upslope Height ft + 1.0 ft +1.2 3.21.0 ft =ft D-34: Slope Multiplier Table Land Slope %102345676 10 II 12 13 15 16 17 18 19 20 21 22 23 24 25I14 Upslope Berm Ratio 4;i 3.0C 2.91 2.83 2.75 2.‘8 2.61 2,54 2,-18 2.42 2,36 2.31 2,26 2.21 2.17 2.13 2C9 2,06 2.03 2.0C 1.57 1.55 1.53 1.51 1.89 1,87 1.85 4,00 3.85 3.70 3,57 3,45 3.33 3,23 3.12 3.03 2.94 2.86 2.78 2.70 2.62 2,48 2.35 2,29 2.23 2.18 2.13 2.08 2.03 1,98 1.932.55 2.41 Land Slope %0 2 3 5 7 9 10 12 17 18 19 20 21 22 23 24 2546 8 13 15III14 16 Downslope 3;i Berm Ratio 4;i 3.0C 3,05 3.15 3,30 3.53 3,66 3,80 3.55 4.29 4.48 4.65 4,95 5.24 555 5.88 6.24 6,63 7.04 7,47 7,53 8.42 8.93 9,46 10,023,41 4,11 4.00 4.17 4.35 4.54 4.76 5.00 5.26 5.56 5.88 6.25 6,67 7.14 7.65 8.29 8.92 9.57 10.24 10.94 11.67 12.42 13.19 13.99 14.82 15.67 16.54 17,44 ^ Select Upslope Berm Multiplier (based on land slope):2.61 (figure D-34) D. Calculate Upslope Berm Width : Multiplier (4.C) X Upslope Mound Height (4.B) = Upslope Berm Width 2.61 3.2 8.3ft X ft =ft E. Calculate Drop in Elevation Under Bed: Bed Width (2.B) X Land Slope (1.D) -e 100 = Drop (ft) * T 100 =10.0 5.0 0.50 ftft X F. Calculate Downslope Mound Height: Upslope Height (4.B) + Drop in Elevation (4.E) = Downslope Height ft +3.2 0.50 3.7ft =ft Q Select Downslope Berm Multiplier ' (based on land slope): H. Calculate Downslope Berm Width: Multiplier (4.G) X Downslope Height (4.F) = Downslope Berm Width 5.00 (figure D-34) 5.00 3.7 18.3ft =ftX I. Calculate Minimum Berm to Cover Absorption Area: Downslope Absorption Width (3.B or 3.C) + 4 ft. = ft ft +5.0 9.04ft =ft 18.3J. Design Downslope Berm = greater of 4H and 41:ft 4.00K. Select Endslope Berm Multiplier:(usually 3.0 or 4.0) L. Calculate Endslope Berm (4.K) X Downslope Mound Height (4.F) = Endslope Berm Width 14.74.00 3.7ft X ft =ft M. Calculate Mound Width: Upslope Berm Width (4.D) + Bed Width (2.B) + Downslope Berm Width (4.J) = ft ft +8.3 10.0 18.3 36.6 ftft =ft + N. Calculate Mound Length: Endslope Berm Width (4.L) + Bed Length (2.C) + Endslope Berm Width (4.L) = ft ft +14.7 67.314.7 38.0 ft =ftft + Comments: Cf'/it....- I 5. MOUND DIMENSIONS Upslope (4.D)\tOPO/[8.3 \/I I II IDispersal Bed: (2.B x 2.C)Endsiope (4.L) Endslope (4.L)cra T14.7 LTI 14J71038Xc:2 (O I_0>I IKJI■Q ICI3I\O %/Downslope (4.J)(C ,o 18.3 67.3Total Mound Length (4.N) 4" inspection pipe 18" cover on top 18.3Upslope berm (4.D)Downslope berm (4.J) 12" cover on sides (6" topsoil) Clean sand lift (4.A) 1.8 Depth to Limitinq il.Ci Limiting Condition Absorption Width (3.A) 15.0Note: _____________ For 0 to 1% slopes, Absorption Width is measured from the equally in both directions. For slopes >1%, Absorption Width is measured downhill from the upslope edge of the Bed. I » A OSTP Mound Materials Worksheet University OF MinnesotaMinnesota Pollution Control Agency Project ID:V 12.08.06 A. Calculate Bed (rock) Volume: Bed Length (Z.C) X Bed Width (2.B) X Depth = Volume (ft^) 38.0 10.0ft X ft X 380.01.0 Divide ft^ by 27 ftVyd^ to calculate cubic yards: ft’ ^ 27380.0 yd’14.1 Add 20% for constructability:yd’x 1.214.1 yd’16.9 B. Calculate Clean Sand Volume: Volume Under Rock bed: Average Samd Depth x Media Width x Media Length = cubic feet ft’1.4 ft X 10.0 38.0ft X 538.3ft = For a Atound on a slope from 0-1K Volume from Length = ((Upslope Mound Height -1) X Absorption Width Beyond Bed X Media Bed Length) ft - 1) X X ft Volume from Width = ((Upslope Mound Height -1) X Absorption Width Beyond Bed X Media Bed Width) ft -1) X X ft Total Clean Sand Volume: Volume from Length + Volume from Width + Volume Urtder Media ft’ *ft’ +ft’ =ft’ For a Mound on a slope greater than IX Upslope Volume: ({Upslope Mound Height - 1) x 3 x Bed Length) ♦ 2 = cubic feet ft - 1) X 3.0 ft3.2 ft’X 38.0 123.5(() + 2 = Downslope Volume: ((Downslope Height ■ 1) x Downslope Absorption Width x Media Length cubic feet ft-1)3.7 ft’5.0 38.0 253.3((X ft X )-2 = Endslope Volume: (Downslope Mound Height - 1) x 3 x Media Width = cubic feet ft -1 ) X 3.0 ft3.7 ft’X 10.0 80.0(ft = Total Clean Sand Volume: Upslope Volume + Downslope Volume * Endslope Volume + Volume Under Media ft’ +ft’ +ft’ *ft’ =ft’123.5 253.3 80.0 538.3 995.2 Divide ft’ by 27 ft’/yd’ to calculate cubic yards: Add 20% for constructability: ft’ ^ 27 yd’x 1.2 yd’995.2 36.9 yd’36.9 44.2 C. Calculate Sandy Berm Volume: Total Berm Volume (approx): ((Avg. Mound Height - 0.5 ft topsoil) x Mound Width x Mound Length) *2 = cubic feet )ft X ft’3.4 0.5 36.6 67.3 3593.8(ft X ) + 2 = Total Mound Volume - Clean Semd volume -Rock Volume = cubic feet ft’ -ft’ -ft’ =3593.8 ft’995.2 380.0 2218.6 Divide ft’ by 27 ft’/yd’ to calculate cubic yards: Add 20% for constructability: ft’ + 27 yd’2218.6 82.2 yd’ X 1.2 yd’82.2 98.6 D. Calculate Topsoil Material Volume: Total Mound Width X Total Mound Length X .5 ft ft’36.6 67.3 1232.1ft X ft X 0.5 ft Divide ft’ by 27 ft’/yd’ to calculate cubic yards: Add 20% for constructability: ft’ t yd’1232.1 45.627 yd’ X 1.2 yd’45.6 54.8 'l * t OSTP Basic Pump Selection Design Worksheet :.K::University OF MinnesotaMinnesota Pollution Control Agency 1. PUMP CAPACITY Project ID:V 12.08.06 O Gravity ® PressurePumping to Gravity or Pressure Distribution;Selection required GPM (10-45 spm)1. If pumping to gravity enter the gallon per minute of the pump: 2. If pumping to a pressurized distribution system: (Line 11 of Pressure Distribution) 29.0 GPM Soil treatment system & point of discharge 2. HEAD REQUIREMENTS A. Elevation Difference between pump and point of discharge: 7 ft niet pipe Bevation •* B. Distribution Head Loss:5 ft ft (due to special equipment, etc.)C. Additional Head Loss: Table I.Friction Loss in Plastic Pipe per 100ft Distribution Head Ljoss Pipe Diameter (inches)Flow Rate (GPM)Gravity Distribution = Oft 1.25 1.5 21 Pressure Distribution based on Minimum Average Head Value on Pressure Distribution Worksheet: 10 9.1 3.1 1.3 0.3 12 12.8 4.3 1.8 0.4 Minimum Average Head Distribution Head Loss 17.0 5.7 2.4 0.614 1ft 5ft 21.8 7.3 3.0 0.716 2ft 6ft 18 9.1 3.8 0.9 5ft lOft 20 11.1 4.6 1.1 25 16.8 6.9 1.7 30 23.5 9.7 2.4D. 1. Supply Pipe Diameter:2.0 in 3.23512.9 2. Supply Pipe Length:15 ft 16.540 4.1 45 20.5 5.0 E. Friction Loss in Plastic Pipe per 100ft from Table I:50 6.1 55 7.32.23 ft per 100ft of pipeFriction Loss =8.660 F. Determine Equivalent Pipe Lensth from pump discharge to soil dispersal area discharge point. Estimate by adding 25% to supply pipe length for fitting loss. Supply Pipe Length fD.2) X 1.25 = Equivalent Pipe Length 65 10.0 70 11.4 13.075 85 16.41518.8 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 = 2.23 18.8 0.4 ftft per 100ft ft 100X 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 ) 5.0 0.4 12.47.0 ft +ft =ftftft+ + 3. PUMP SELECTION 29.0 12.4A pump must be selected to deliver at least GPM (Line 1 or Line 2) with at least feet of total head. Comments: SCAfiiiED 08/J.4/201-3 0^57 2187472145 ROBERTSON WELL DRLG PAGE 02 H 309.310Minnesota Well and Boring Sealing No, Minnesota Unique Well No, or W-,‘ieris3 No. ervn Nmik l< eiM MINNESOTA DEPARTMENT OF HEALTHWELL OR boring location WELL AND BORING SEALING RECORD County NameOttertail MhneC-0’3 Statures, Chapter lOSi Dai'ii Wull or ^orln^ Con^rruCtddSocilon No. Frac(io«' (sm. -• 19.) I Ooi© 9«>nlnaTa«mr;Wp No. ROPQe No.Township N^meordenskj 41WT 8-T-13Sffi s® s02 4141 Ohg'nal D9plh_,___________________ _______li.Depth Qoiore ______degrees__ rninuios____. eecond?. minutaR_____ seconds l-n^iiude__ LonpUude__ . dep'^nos_____ GPS LOCATION-STATIC WATER LEVELAOUiPER(S) ^3 Single AO'ii^oi* MuHi3dulf<^8-1-13 Nujnaricaf Street Address or PJre Numb/w and Dry 01W911 or Bofng Loceilon____________________________33525 St Hwy 210 Underwood, MWeLLteoniNG ____________________________________________________________________G Wnier-Suppiy Well U Wnii IjMoaeufpd f 1 lEsbrweiep Dole Measured______ - ^ _Ji Tlbe'owSketch wnp of well af OODPp location, showinp properiv •ince, roads, ana h*/Hdings. rj nbove lend curieceShow 0H9Ct location of wolt or hnhng In r-rictlon grid with "X ’(.1 Other__[31 Env. Born Hole CASmOTYPE(S) 1.:I Sieei [J Plastic L I Tile f I Other__________'T^3'...wellhead completion■. I I:T At Gmaa LI eufleci inalde: H Ba'oment Ofl:-oi f1 \Atnll Pll [.’) BurtetT □ Oihai ;Ouinida: n Wnli Houeas■k-r 'h Mill)U PiUess Adoptar/I.init □ Well Pit U Other_________ !it'); I-•I1 MIA CA$1NG(S) Oiacrofor PJ^|ERTY Set In oversire hnin? Annuinr apace initisiiv grouted? n Yes ® No □ Vhn □ No □ Unknown Depth ^2__in from__0___10 3 7 ILPraporty ownar'f; malHrtjr »<Mrocz If dlf^aronj ihor> wad loooBon ert.irflnr. lndlc»fafl obovo1600 9th Ave. SE LI Tes LI No rj UnKnown□ 'fts □ NoWatertown, ■■to______ ___h.In Irorn n Yee O No 0 UnknownIJ Yea 1..1 Non.In. from.to___ SCREENtOPEM hole"wea OWNER'S MAM&COMPANY name 37 41___io________It. Open Mole from__ft. Scrnnrt lrom_to Woll owrusr-fl mnillno SOnrrwr. H difleronr ihan orop9rty ownor'a ftflrtra.v. (rcHcflian aCcvo QSStADCTlQNd (. ) Rods/Drop Pipe 1 1 Fill 1 No Obstniclionj 1 Check Vnivo(s) LlOeona Type of Obstructions iDoftcribei,. ooarructioh.s romoved? [ .1 Yes L.) No OeecribnHARDNUaa OR FORMATION TOPROMGEOLOGICAL MATERIAL COLOR PUMP It not known, ifKlIcBte nniimated formnUon .og fmrr naarpy wqii or Poring.SW JetTypa___^Glacial DriJft 0 41 Hamovao rn Not Pmnonl n other^ METHOD U^EOTO SfsAL ANNULAR SPACE BETWEEN 2 CASINOS. OR CASINO AND BORE HOLE: ^ No Annul:^r Space ExisE [ J Annular Spncr* Grouted with Tremie Pipn _________________in fmm_ O CnCtinp PerforatioiVRemovnI P Perforfifod □ Rnmoved/Lto_______ Q BamoyedLI Perforatedin. horn _a.fo. tVoe n^ Pofforaior______i [_ I other. GROUTING MATERIA L(S)(One bag ot oamnni • 94 lh«., one beg of henfonttc • 60 IPa.) Portland 0 41 Grouting Material______from _____io_fl.bags yards.bagsfrom. to_____n. _______________m___ ... ft,.. varris b,ign OTHER WELLS AND BORfMOS Other vinnr.iied and unusod wall or Dohng of’ properly? 0 Yes S No How rrwny?_____ LICET^EO OR REGISTERED CONTRACTOR CERTIFiCATtON TW? woll Of oorino was sna no in accordance wiHi Minrosoia Rule-?, Ch.opior A72S. The information contained in Ihia report In irja to the be.'t oi my knowiedoe. REMARKS, SOURCE OF DATA. OIFP1CULTIES IN SEALING Robertson Well Drill jpg Inc. Uc»n.'v)gfiusiili?S3 N&mn 1616 f./cfln.Tc or Bop/atraW>n Wo. 84 8-12-13 /7epre.-7i?nropo Signstun? Vince Alickelson Name r>f Pnr^nn Seating Wen or Boring CrrtiT/eg rtep. rvo,Dale tMC'ORTANT-FILC WITH rnoneRTT H PAPCRS-WnU OVWER COfY 309.310 H£-0U?A 13 IC« >40-0433 S/12H SSTS Licensed Individual Search Page 1 of 1 SSTS Certified Individuals Search Results Individual Certification Name Hitark SI C8794 I Boeei, Education Business InfoSpecialty Area Start - Expiration 04/02/2011 - 04/02/2014 N/A #Info g Installer - HestrTcteJTl • Mentored by - Bob Waaggr Results 1 record found. Rennlred SSTS ronflnuino ediiratinn hours Advanced Designers and/or Inspectors are authorized to conduct Intermediate and Basic Designer/Inspector duties. Intermediate Designers and/or Inspectors are authorized to conduct Basic Designer/Inspector duties. For more information: The Design and Inspection Spectrum and Siieciaitv Areas for SSTS Professionais. http://cf.pca.state.mn.us/progr2ims/ists/search_individualResult.cfm?tab=individual 08/30/2013