Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Leuthner_57000020018011_Septic System Permits_
OTTER TAIL COUNTY LAND & RESOURCE MANAGEMENT PUBLIC WORKS DIVISION WWW.CO OTTER-TAIL MN.USQTTfRTflll GOVERNMENT SERVICES CENTER 540 WEST FIR AVENUE FERGUS FALLS, MN 56537 218-998-8095 FAX: 218-998-8112 06/25/2014 Thomas E Leuthner 27305 330th Ave Underwood MN 56586 9356 RE: Primary Owner: Thomas E Leuthner Sewage Treatment System Servicing Tax Parcel Number: 57000020018011 Described as:Sec 02 Twp Sverdrup Township Sect-02 Twp-133 Range-041 3.94 AC PTGL8COME1/4COR, S Lake: 56-378 E Lost As of 06/12/2014 the sewage treatment system (Sewage Treatment Installation Permit # 22812 servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a 2 bedroom home. Please be advised that this certification is only valid for five years from the date of this mailing 6/25/2019 If you have any questions regarding this matter, please contact our office. Sincerely, Denise Gubrud Inspector 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)connTT-BiniiiiOTA APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. LAKE/RIVER CLASS SECTION TWPNO.RANGE TWP NAMELAKE/RIVER NAMELAKE NUMBER E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED LEGAL DESCRIPTION ■ '3.9^ AC- Daytime Phone No.First Initial Mailing AddressLast Name Property Owner Contractor Lie.#6>4He, Ma/ THIS SPACE FOR OFFICE USE ONLY A.M. , the year of P.M.► This System will be ready for inspection on at. A.M. P.M. L & R OfficialTime ReceivedDate Received SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAW NG TYPE OF NSTALLATION (circle one) Other Est. (E) New (F) Replacement CollectorResidential (C) New (D) Replacement W)_New—:—.. vB) Replacemenh Soil Treatment Area Tank Lift Design Flow (G^lons/Day) <£) 1—2^49^ Effluent Distribution (Vj Gravity ( ) Pressure GIs Ft.(H) 2,500 — 4,999 (I) 5,000 — 10,000 Size Setback To Nearest Well Ft,Ft,Type IIType I (4>0 (27) Rapidly Permeable(20) Trench, Rock ;;7-Ft.Ft.75-Ft.Setback To OHWL(21) Trench, Gravelless (28) Flood Plain Qg) Trench, Chambe^(29) Privies Ft. Ft.Ft.Setback To Bluff(30) Holding Tank (Contract Required) (23) Bed /_^Ft.(24) Mound 74?Ft./rSetback To Dwelling (25) At Grade Type III Setback To Non-Dwelling Ft.Ft.Ft.(31) Other/Problem Soils/<12" Soil(26) Greywater -r/O Type IV(34) Tank Only Setback To Nearest Lot Line Ft.(32) Public Domain & Proprietary Technologies(35) Other Setback To Road Right-Of-WayDepth of Well <5 Total # Bedrooms ^ (33) Performance Ft.Ft. Ft.-r/P -H/O Elevation Above Restrictive Layer 3Ft.Ft.Y / ^Garbage Disposal YAbatement MLII0iini!>l DATA £ijiueu^L-X9ifS'Date of Test Highest RateLicense #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 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. 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 p^mit does not include the building sewer (sewer line). n Permit Fee $Date: Signature of Propel^ Owner/Agent for Owner 2::Rec. No..Date: Lana& Resource Management Official Date StampComments: EDpii% L&R InitialForm No. BK — 04-2014-06 354.250 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota . 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.us ^5 OTTER TAII WHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue)covaTT-aiiiiisoTi APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWPNO.RANGE TWP NAME ¥/17 i/ PARCEL NUMBER (S) OF PROPERTY BEING SERVICED 700'00 vP.r/70// E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD LEGAL DESCRIPTION Last Name First Initial Mailing Address Daytime Phone No. Property Owner ■fViL / /(/{/.'7'77-Contractor Lie. #—7^-)! c~t- 7^/i C , /7a7 THIS SPACE FOR OFFICE USE ONLY 7x\AhJ \\km ^ ____¥\17) . t-oo A.M. ©>■ This System will be ready for inspection on , the year of \H Date Received 'HA.M P.M. Time Received ' L&ROfficiai TYPE OF N STA L LATI O N (circle one)SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWINGResidential (A) New. (B) Replacement Collector Other Est. (E) New (F) Replacement (C) New (D) Replacement Soil Treatment Area LiftTank Design Flow (Gallons/Day) (G) 1—2;499, (H) ‘2,500 — 4,999 (I) 5,000 — 10,000 Effluent Distribution (V^) Gravity ( ) Pressure -GIs GIs Ft. r- .Size Setback To Nearest WeliType I Type II Ft.Ft., - ' Ft. (20) Trench, Rock (27) Rapidly Permeable 7,- Ft.Ft. Ft.Setback To OHWL(21) Trench, Gravelless (28) Flood Plain /(22) Trench, Chambe7,(29) Privies Ft.Ft.Ft.Setback To Bluff(23) Bed (30) Holding Tank (Contract Required)(24) Mound r' Ft.7oSetback To Dwelling /r(25) At Grade Type III 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. ,7 /) Ft.(32) Public Domain & Proprietary Technologies (35) Other Setback To Road Right-Of-WayDepth of Well -m Ft. Ft.Type V -i / ■ Total # Bedrooms (33) Performance Elevation Above Restrictive Layer ___Ft.-- - Ft. Ft.Garbage Disposal Y / '^NAbatement Y / N PERCTEST DATA License # C- x 7 ¥i.H L-LCy<'Designer Agreement: The undersigned hereby makes application for permit to instaii, aiter, repair or extend Sewage Treatment System herein specified, agreeing to do ali such work in strict accor dance with Sanitation Code of Otter Tail County, Minnesota. Appiicant 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 shaii be covered untii 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 instaliation is ready for inspection. Date of Test Highest Rate Permit: Permission is hereby granted to the above named appiicant 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, empioyees and workmen shaii conform in ali respects to the Sanitation Code of Otter Taii County, Minnesota. This permit may be revoked at any time upon vioiation 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). y 7.Date:Permit Fee $ Signature of Properfy Owner/Agent tor Ownerf-^.7^ 7'. ^/myy yDate:Rec. No.. Land & Resource ManagemenfOffl^l Comments: SCANNED Form No. BK — 04-2014-06 IL~- -JTI IWif 354,250 • Victor Lundeert Co., Printors * Fergus Falls. Mirinesota • V SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements SOIL TREATMENT AREA HOLDING SEPTIC TANK OUTHOUSELIFT TANKCATEGORY GLS.2_^5~ FT 2Capacity FT2GLS. 4^^ ft kTSetback from Nearest Well FT FT FT Setback from Buried Water Suction Pipe HIT FT FT FT FT Setback from Buried Pipe Distributing Water Under Pressure FT FT FT FT Setback from OHWL (lake &/or river)FT 7r FT FT FT Setback from Bluff FT FT FT FT ^ FTSetback from Dwelling I? r /7-r ftFT FT Setback from Non-Dwelling FT FT FT FTr-» ^5^Setback from Nearest Property Line FT FT FT FT Setback from Right-of-Way FT FTyOQ’T'FT FT/QO- yElevation above Restrictive Layer FT FT FT FT Holding Tank/Lift Alarm NO Old System Pumped & Destroyed NO SEPTIC TANK(s)FILTER MOUND / AT-GRADE SOIL TREATMENT AREA CALCULATION TRENCH REDUCTION /4-j' RodtjiBnehes with _____inches of sidewall for____ ROCK BED □ YES 'P^NO —Q Manuf. A 2Ft.— Ft. X ___Ft* Ft. reduction / equivalent to Soil Treatment Area. Model # , Inspector's Comments: Sketch: C.«Jb.V/r> e I'OU Time l/L&ROfficial the above described sewage system installation was found to be compliant with the provisions of the Sanitation Code of Otter Tail County. Lands Resoui^ Management Official Form No. BK — 04-2014-06 354,250 • Victor Lurtdoort Co.. Printorc • Forgut Falls, Minnesota SITE DATA WORKSHEET m LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.usOTTER TRIICQtaTT-aiiiifOTt Sewage Treatment System Permit #OWNER: LAST NAME FIRST MIDDLE TELEPHONE NUMBER ADDRESS: J30^Ai/£. ___STR./RT CITY STATE ZIP CODE Tki'>si’-sre €Airr LAKE NAME IM.til. LAKE/RIVER NO.SEC.TWP RANGE TWP NAME LEGAL DESCRIPTION:SOIL BORING LOG 3. 9i At-COLOR & MUNSELL NO. DEPTH (INCHES)TEXTURE STRUCTURE BLOCKY PLATY PRISMATIC NONE BLOCKY PLATY PRISMATIC NONE syc’c^oo a{iP£> / 2)1// PARCEL NUMBER 33ip-^Ai/e. E-911 Address or Directions From Nearest Public Road NUMBER OF BEDROOMS H_______ GARBAGE DISPOSAL: ^YES WELL: CASING DEPTH <g^ ft. SEWER LINE SEPARATION:’f ^ft. FLOODPLAIN: YES (CSS> BLUFF: YES VEGETATION: AQUATIC ("TeRRESTRIM BLOCKY PLATY PRISMATIC NONE BLOCKY PLATY PRISMATIC NONE BLOCKY PLATY PRISMATIC NONE ^ %SLOPE AT INSTALLATION SITE: TYPE OF OBSERVATION: Probe Pit CgSrmS^ dtPARENT MATERIAL: <Z5Sl Outwash ORIGINAL SOIL: CSP Loess Bedrock Alluvium No Date of Soil Boring COMPACTED SOIL: Yes DEPTH OF BORING (To 7' or restrictive layer):.ft.Date of Perc Test PERC TEST #1 PERC TEST #2- TWO TESTS ARE REQUIRED - TIME INTERVAL (MINUTES) START WATER DEPTH WATER DROP PERC RATE INTERVAL(MINUTES)TIME WATER DEPTH WATER DROP PERC RATE START DROPTIME PERC DROP PERCTIME INTERVAL fMINUTESiJlMt WATER DEPTH WATER DROP PERC RATE INTERVAL(MINUTES)TIME WATER DEPTH PERC RATEWATER DROPREFILLREFILL TIME DROP PERC DROPTIME PERC INTERVAL(MINUTES)HM£WATER DEPTH WATER DROP PERC RATE TIME INTFRVAI (MINUTES!WATER DEPTH WATER DROP PERC RATEREFILLREFILL DROP PERCTIME TIME DROP PERC INTERVALIMINUTESI REFILL TIME WATER DE^H PERC RATEWATER DROP INTERVAL (MINUTES)TIME ;PTHWAT El WATER DROP PERC RATEREFILL DROPTIME PERC DROP PERCTIMETIMEINTERVAL (MINUTES) REFILL /ATER DEPTH WATER DROP PERC RATE TIME INTERVAL IMINUTESI WAl\fl DEPTH WATER DROP PERC RATEREFILL DROPTIME PERC DROP PERCTIME TIME INTERVAL (MINUTES) REFILL WATEf^PEPTH WATER DROP PERC RATE TIME INTERVAL(MINUTESI WATER DEPTH WATER DROP PERC RATE 1REFILL DROPTIME PERC DROP PERCTIME TIME INTERVAL IMINUTES)WATER DEPTI WATER DROP PERC RATE TIME INTERVAL IMINUTES)WATER DEPTH WATER DROP PERC RATFREFILLREFILL DROP PERCTIME DROP PERCTIMETIMEINTERVAl IMINUTES)WATER D^H WATER DROP PERC RATE TIME INTERVAL IMINUTES!WATER i/EPTH WATER DROP PERC RATEREFILLREFILL -rDROPTIMEPERC DROP PERCTIME SCANNED”1. SEPTIC TANK MANUFACTURER: PROPOSED DESIGN: UTRENCH BED.ATGRADE MOUND.HOLDING TANK GRAVITY DIST..PRESSURE DIST.. OUTHOUSE.OTHER.SEWER LINE 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. inch(es) equals <^0 feet/grid(s) equals feet, orScale: MPCA LICENSE #: DESIGNED BY:LICENSE CATEGORY: FIRM NAME: Schueller's Septic Soluti 23725 240th Avenue Fergus Falls, MN 56537 DATE:ons ADDRESS:SIGNATURE: CA^r U>^r LAKE. 1 iCcK Q CAAI/¥ h-s-A 0 ■/¥t \ /^eePi^^uu y K-;e IL’ io‘ X ^ 6t>iL \ BK — 04-2014 — 029 354.251 ♦ Viclof Lundaen Co. Printers • Fergus Falls. MN • 1-800-346-4870 University OF Minnesota Septic System Management Plan for Below Grade Systems The goal of a septic system is to protect human health and the environment by properly treating wastewater before returning it to the environment. Your septic system is designed to kill harmful organisms and remove pollutants before the water is recycled back into our lakes, streams and groundwater. 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 maintainer or service provider. However, it is YOUR responsibility to make sure all tasks get accomplished in a timely manner. The University of Minnesota’s Septic System Owner’s Guide contains additional tips and recommendations designed to extend the effective life of your system and save you money over time. Proper septic system design, installation, operation and maintenance means safe and clean water! Property Owner ThomaS Leuthnef Property Address 27305 330th AvG, Underwood, MN 56586 Property ID 2700020018011 Phone 218-770-9119System Designer Bill Schuellaf System Installer Schmidt Excavatiog Phone 218-862-5039 Service Provider/Maintainer Phone Permitting Authority Ottertail County Land and Resource Dept Phone 218-998-8095 I aPermit #Date Inspected Keep this Management Plan with your Septic System Owner’s Guide. The Septic System Owner’s Guide includes a folder to hold maintenance records including pumping, inspection and evaluation reports. Ask your septic professional to also: • Attach permit information, designer drawings and as-builts of your system, if they are available. • Keep copies of all pumping records and other maintenance and repair invoices with this document. • Review this document with your maintenance professional at each visit; discuss any changes in product use, activities, or water-use appliances. For a copy of the Septic System Owner's Guide, call 1 -800-876-8636 or go to http://shop.extension.umn.edu/ http://septic.umn.edu Version 6/10/2010 SCANID -1 - University OF Minnesota Septic System Management Plan for Below Grade Systems Your Septic System , Manhole Ground surface So»i &WK.h ' /I' '< '“•> *, ' s«umed HdAedrod Septic System Speciflcs I I System is subject to operating permit* I I System uses UV disinfection unit* Type of advanced treatment unit_______ * Additional Management Plan required System Type:0lQlI 0*"0*'^*0^* {Based on MN Rules Chapter 7080.2200 - 2400) Dwelling Type Well Construction Number of bedrooms: 2 Well depth (ft): Shallow and deep wells Cased well Casing depth: Other (specify): Distance from septic (ft): 50/100 the design drawing?| ^ |Y | | N B300System capacity/ design flow (gpd): Anticipated average daily flow (gpd): Comments I I What type?Business?Is the well on Septic Tank ^ Pump Tank {if one) Effluent Pump make/model: ^ One tank Tank volume: '*000_____gallons Does tank have two compartments?T71f I IN gallons 500 gallons Two tanks Tank volume:___ □ Tank is constructed of concrete □ Effluent Screen type:_______ Pump capacity TDH GPM Feet of head □ Alarm location Soil Treatment Area (STA) ^ Gravity distribution || Pressure distribution Cleanouts Trenches: _______ Number of trenches: ^ total lineal feet feet eachat Inspection ports | | STA size (width x length): Location of additional STA: ft X ft Additional STA not available -2 University OF Minnesota Septic System Management Plan for Below Grade Systems Homeowner Management Tasks These operation and maintenance activities are your responsibility. Use the chart on page 6 to track your activities. Identity the service intervals recommended by your system designer and your local government. The tank assessment for your system will be the shortest interval of these three intervals. Your pumper/maintainer will determine if your tank needs to be pumped. months months months System Designer. check every____ Local Government'. check every____ State Requirement: check every 36 My tank needs to be checked every 36 months Seasonally or several times per year • Leaks. Check (listen, look) for leaks in toilets and dripping faucets. Repair leaks promptly. • Surfacing sewage. Regularly check for wet or spongy soil around your soil treatment area. If surfaced sewage or strong odors are not corrected by pumping the tank or fixing broken caps and leaks, call your service professional. Untreated sewage may make humans and animals sick. • Alarms. Alarms signal when there is a problem; contact your maintainer any time the alarm signals. • Lint fdter. If you have a lint filter, check for lint buildup and clean when necessary. Consider adding one after washing machine. • Effluent screen. If you do not have one, consider having one installed the next time the tank is cleaned. Annually • Water usage rate. A water meter can be used to monitor your average daily water use. Compare your water usage rate to the design flow of your system (listed on the next page). Contact your septic professional if your average daily flow over the course of a month exceeds 70% of the design flow for your system. • Caps. Make sure that all caps and lids are intact and in place. Inspect for damaged caps at least every fall. Fix or replace damaged caps before winter to help prevent freezing issues. • Water conditioning devices. See Page 5 for a list of devices. When possible, program the recharge frequency based on water demand (gallons) rather than time (days). Recharging too frequently may negatively impact your septic system. • Review your water usage rate. Review the Water Use Appliance chart on Page 5. Discuss any major changes with your pumper/maintainer. During each visit by a pumper/maintainer • Ask if your pumper/maintainer is licensed in Minnesota. • Make sure that your pumper/maintainer services the tank through the manhole. (NOT though a 4” or 6” diameter inspection port.) • Ask your pumper/maintainer to accomplish the tasks listed on the Professional Tasks on Page 4. ♦ -3- University OF Minnesota Septic System Management Plan for Below Grade Systems Professional Management Tasks These are the operation and maintenance activities that a pumper/maintainer performs to help ensure long-term performance of your system. Professionals should refer to the O/M Manual for detailed checklists for tanks, pumps, alarms and other components. Call 800-322-8642for more details. • Written record provided to homeowner after each visit. Plumbing/Source of Wastewater • Review the Water Use Appliance Chart on Page 5 with homeowner. Discuss any changes in water use and the impact those changes may have on the septic system. • Review water usage rates (if available) with homeowner. Septic Tank/Pump Tanks • Manhole lid. A riser is recommended if the lid is not accessible from the ground surface. Insulate the riser cover for frost protection. • Liquid level. Check to make sure the tank is not leaking. The liquid level should be level with the bottom of the outlet pipe. (If the water level is below the bottom of the outlet pipe, the tank may not be watertight. If the water level is higher than the bottom of the outlet pipe of the tank, the effluent screen may need cleaning, or there may be ponding in the drainfield.) • Inspection pipes. Replace damaged caps. • Baffles. Check to make sure they are in place and attached, and that inlet/outlet baffles are clear of buildup or obstructions. • Effluent screen. Check to make sure it is in place; clean per manufacturer recommendation. Recommend retrofitted installation if one is not present. . Alarm. Verify that the alarm works. • Scum and sludge. Measure scum and sludge in each compartment of each septic and pump tank, pump if needed. Pump Pump and controls. Check to make sure the pump and controls are operating correctly. Pump vault. Check to make sure it is in place; clean per manufacturer recommendations. Alarm. Verify that the alarm works. Drainback. Check to make sure it is operating properly. Event counter or run time. Check to see if there is an event counter or run time log for the pump. If there is one. calculate the water usage rate and compare to the anticipated average daily flow listed on Page 2. Soil Treatment Area • Inspection pipes. Check to make sure they are properly capped. Replace caps that are damaged. • Surfacing of effluent. Check for surfaced effluent or other signs of problems. • Gravity trenches and beds. Check the number of gravity trenches with ponded effluent. Identify the percentage of the system in use. Determine if action is needed. • Pressure trenches and beds - Lateral flushing. Check lateral distribution; if cleanouts exist, flush and clean as needed. All other components - inspect as listed here: -4- University OF Minnesota Septic System Management Plan for Below Grade Systems Water-Use Appliances and Equipment in the Home Management TipsImpacts on SystemAppliance Use of a garbage disposal is not recommended. Minimize garbage disposal use. Compost instead. To prevent solids from exiting the tank, have your tank pumped more frequently. Add an effluent screen to your tank. • Uses additional water. • Adds solids to the tank. • Finely-ground solids may not settle. Unsettled solids can exit the tank and enter the soil treatment area. Garbage disposal Choose a front-loader or water-saving top-loader, these units use less water than older models. Limit the addition of extra solids to your tank by using liquid or easily biodegradable detergents. Install a lint filter after the washer and an effluent screen to your tank Wash only full loads. Limit use of bleach-based detergents. Think even - spread your laundry loads throughout the week. • Washing several loads on one day uses a lot of water and may overload your system. • Overloading your system may prevent solids from settling out in the tank. Unsettled solids can exit the tank and enter the soil treatment area. Washing machine Install an effluent screen in the septic tank to prevent the release of excessive solids to the soil treatment area. Be sure that you have adequate tank capacity. • The rapid speed of water entering the tank may reduce performance.2"'^ floor laundry Use gel detergents. Powdered detergents may add solids to the tank. Use detergents that are low or no-phosphorus. Wash only full loads. Scrape your dishes anyways to keep undigested solids out of your septic system. • Powdered and/or high-phosphorus detergents can negatively impact the performance of your tank and soil treatment area. • New models promote “no scraping”. They have a garbage disposal inside. Dishwasher • Finely-ground solids may not settle. Unsettled solids can exit the tank and enter the soil treatment area. Expand septic tank capacity by a factor of 1.5. Include pump monitoring in your maintenance schedule to ensure that it is working properly. Add an effluent screen. Grinder pump (in home) • Large volume of water may overload your system. • Heavy use of bath oils and soaps can impact biological activity in your tank and soil treatment area. • Avoid using other water-use appliances at the same time. For example, don’t wash clothes and take a bath at the same time. • Use oils, soaps, and cleaners in the bath or shower sparingly. Large bathtub (whirlpool) Management TipsClean Water Uses Impacts on System • Drip may result in frozen pipes during cold weather. • Re-route water into a sump pump or directly out of the house. Do not route furnace recharge to your septic system. High-efficiency furnace • Salt in recharge water may affect system performance. • Recharge water may hydraulically overload the system. • These sources produce water that is not sewage and should not go into your septic system. • Reroute water from these sources to another outlet, such as a dry well, draintile or old drainfield. • When replacing, consider using a demand-based recharge vs. a time-based recharge. • Check valves to ensure proper operation; have unit serviced per manufacturer directions Water softener Iron filter Reverse osmosis • Water from these sources will likely overload the system.Surface drainage Footing drains -5- University OF Minnesota Septic System Management Plan for Below Grade Systems Maintenance Log Track maintenance activities here for easy reference. See list of management tasks on pages Sand 4. Date accomplishedActivity Check frequently: Leaks: check for plumbing leaks Soil treatment area check for surfacing Lint filter: check, clean if needed Effluent screen: if owner-maintained Check annually: Water usage rate (monitor frequency Caps: inspect, replace if needed Water use appliances - review use Other: Notes: Mitigation/corrective action plan: "As the owner of this SSTS, I understand it is my responsibility to properly operate and maintain the sewage treatment system on this property, utilizing the Management Plan. If requirements in this Management Plan are not met, I will promptly notify the permitting authority and take necessary corrective actions. If I have a new system, I agree to adequately protect the reserve area for future use as a soil treatment systemylk^ Date 3 ~ ^^ C3332 Property Owner Signature: ill SchuellerManagement Plan Prepared By:Certification # PermittingAuthority: Qttertail Coufity Land and Resource Dept ©2010 Regents of the University of Minnesota, All rights reserved. The University of Minnesota is an equal opportunity educator and employer. This material is available in alternative formats upon request Contact the Water Resources Center, 612-624-9282 The Onsite Sewage Treatment Program is delivered by the University of Minnesota Extension Service and the University of Minnesota Water Resources Center. -6- ‘University OF Minnesota OSTP Preliminary Evaluation Form 1. Contact Information v05.13.14 Thomas Leuthner Client Phone Number: 218-495-3084Property Owner/Client: Mailing Address 27305 330th Ave, Underwood, MN 56586 Project ID: 27305 Site Address Legal Description 27000020018011 LatitudeParcel ID:Longitude SReplacemeniQ New Construcdon June 3. 2014Evaluation for system type Date 2. Flow Information Client-Provided Information ^Residential Qother (Specify)LjCommercial Type(s) of use {alt that apply) ]Unfinished space (ft^) [ [Teenagers Qno No. of bedrooms* (if applicable)2 ^^Adults I I Children QjYes (If Yes, attach readings) No. of residents in home Existing flow measurements OCarbage Disposal [^Dishwasher ["llaroe Bathtub/Jacuzzi r~kaundfv/LafQe Tub on 2nd Floor n Water Softener* QSwnp Pump* QHigh Efficiency Furnace* □Hot Tub* □iron Filter* Other {specify)Water-using devices (check all that apply) * Clear water source □ Long-Term Prescription Meds □Frequent Entertaining of Out-of-Town Guests □use of Anb-Bacterial SoapWater use concerns (check all thatapply)□faucet/Toilet Leaks □iri-Home Business □Mulbpte Loads of Laundry/Day □no Uni Screen Any additional current or future uses on this parcel {specify) Any non-sewage discharges to system {specify) □Yes 0NO gZHTx Sewage ejector or grinder pump in home? I acknowledge the above is complete and accurate Designer-determined Flow Information A. Estimated Design Flow (gallons per day) Anticipated waste strength values: (C/ientfs) sisnature and date) 300 □Domestic Strength □High Strength BOD:mg/L CBOD:(TSS):OftG:mg/Lmg/L mg/L 3. Preliminary Site Information B(1). Water supply well(s) within 100 ft of absorption area □ves Well(s) were located □Direct Observation □County Well Index Maps □no □Personal Communication AAN Unique Well Id #: Depth of well(s)<50, >50 ft Well casing depth(s)ft Source owner Required Setback: I Source □no [IlYesImpervious Layer If Yes, Define 8t Source:ft □y«S □NoB(2). Site within 200 ft of noncommunity transient supply well □Yes BNo B(4). Location of all existing and proposed buildings and improvements on lot {see Site Evaluation map) S^es □no B(3). Site within a drinking water supply management area Source B(5). Buried water supply pipes within 50 ft of proposed system C, Location of all easements on lot (see Site Evaluation mcp)Source D. Elevation of ordinary high water level (OWHL) • MN DNR {if adjacent to parcel)1319.3 E. Floodplain designation and flood elevation Source □Plat Map□survey □other:F. Determine property lines (see Site Evaluation map) □Yes □Property Lines □other Buildings Owner □No East Lost 56-378 RDSite located in a shoreland district/area Qohwl □Easements □water Supply Pipes □WelKs)G. Distance of setbacks University OF Minnesota OSTP Preliminary Evaluation Form SwapH. Soil Survey Information (from web soil survey)Map Units on Parcel Slope RangeList landforms Landform Position {check all that apply) QBackslope QFootslope OPIain n Manmade D^oe Slope Parent materials -check all that apply Lacustrine □eednxk □Cut/Fill (^Shoulder riStream/Terrace ^Alluvium riOroanic □Summit □Depression 0™ □Outwash □OjHuvium □ Loess Minimum bedrock depth:] | Maximum bedrock depth: | | Minimum bedrock depth:] | Maximum bedrock depth:] | inchesinches inchesinches Septic Tank Absorption Field - Trench (MN) Septic Tank Absorption Field - At-grade (MN) Septic Tank Absorption Field - Mound (MN) Map Unit Ratings 4. Preliminary Soil Profile Information {from web soil survey • mt Enter information here or attach map and description. Other RestrictionsMap Unit ColorDepthTexture(s) Structure(s)Consistence Horizon 1 Horizon 2 Horizon 3 Horizon 4 Horizon 5 Other RestrictionsMap Unit ColorDepthStructure(s)ConsistenceTexture(s) Horizon 1 Horizon 2 Horizon 3 Horizon 4 Horizon 5 Map Unit Other Restrictions ColorDepthTexture(s) Structure(s)Consistence Horizon 1 Horizon 2 Horizon 3 Horizwi 4 Horizon 5 Map Unit Other Restrictions ColorDepthStructure(s)Texture(s)Consistence Horizon 1 Horizon 2 Horizon 3 Horizon 4 Horizon 5 5. Local Government Unit Information Name of LGU LGU-specific setbacks LGU-specific design requirements LGU-specific installation requirements Ottertail County Land and Resource Dept LGU Contact 218-998-8095 I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. Bill Schueller L2945 06/03/14 (Designer)(Signature)(License #)(Date) University' OF Minnesota OSTP Field Evaluation Form 27305 v05.13.141. Contact Information Project ID: Client Phone Number: 218-495-3084Property Owner/Client Thomas Leuthner Address Weather ConditionsDate 5/21/2014 2. Utility and Structure Information I 1 Any Private Utilitiesr~1 Gopher State One Call #Utility Locations Identified [71 Determined and Approved by Client r 1 Determined but not Approved n Approximate Q Property Lines Surveyed Client's Approval (initial)Property Lines Locate and Verify (see Site Evaluation mop) □ Existing Buildings Q Easements O Setbacksn Improvements 3. Site Information Slope Direction Slope Shape Percent Slope Landscape Position Vegetation type(s) Evidence of cut, fill, compacted or disturbed areas tZ|f“ Discuss the flooding or run-on potential of site Good run-off, no flooding 1 Grass 0 No Identify benchmarks and elevations (Site Evaluation Mop) □ Ves □ noProposed soil treatment area adequately protected 4. General Soils Information □ no [71 Soil Boring □ Yes □ Soil Probe Original soils Type of observation Number of soil observations Soil observations were conducted in the proposed system location □ soil Pit 3 □ Yes □ no □ Yes □ NoA soil observation was made within the most limiting area of the proposed system □ Yes □no □ Yes □ No Soil boring log forms completed and attached Percolation tests performed, forms completed and attached 5. Phase I. Reporting Information inchesDepth to standing water Flood elevation Depth to bedrock Depth to periodically saturated soil Maximum depth of system Elevation at system bottom Percolation rate 72-t-Anticipated construction issues feet inches 72+inches inches36 feet Differences between soil survey and field evaluation min/inch gpd/ft^ gpd/ft Loading rate Contour loading rate Site evaluation issues / comments 1.2 I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. Bill Schueller L2945 06/03/14 (Signature)(Designer)(License #)(Date) University OF Minnesota OSTP Soil Observation Log Project ID: 27305 v05.13.14 Client/ Address: Legal Description/ GPS:27605 330th Ave PI Outwash [J Lacustrine Q Loess p] Till I ! Alluvium [j Bedrock I I Organic MatterSoil parent material(s): (Check all that apply) O Summit p] Shoulder p] Back/Side Slope P] Foot Slope P] Toe slope5[ope shapeLandscape Position: (check one) Grass Soil survey map units Slope%Elevation:Vegetation Weather Conditions/Time of Day:05/21/14Date Observation #/Location:#1 Observation Type:Auger I Structure IRockDepth (in)Texture AAatrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s)Frag. %ConsistenceShapeGrade LooseLoamy Sand <35%0-12 10YR 3/1 Granular Weak <35% 10YR3/3Sand Loose12-36 Single grain Weak Sand Loose36-48 <35%10YR 3/4 Single grain Weak CO CO Loose48-72 Sand <35%10YR 4/4 Single grain Weak 2-^ Comments I hereby certify that I have completed this work in acc^ance with all applic^le ordinances, rules and laws. Bill Schueller ^ I ^L2945 6/3/2014 (Designer/Inspector)(Signature)(Date)(License #) VWIVKMtlTV^ Onsite: Sii^ WACifc: T «s-; ATfvii-rsiT 5^ O C. H /» fV'. Additional Soil Observation Logs Project ID: 27305 Client/ Address:27605 330th Ave Legal Description/ GPS: [7] Outwash CU Lacustrine O Loess M Till I I Alluvium Q Bedrock L] Organic MatterSoil parent material(s): (Check all that apply) i I Summit Q Shoulder O Back/Side Slope [j Foot SlopeLandscape Position: (check one)n Toe SlopSlope shape Soil survey map unitsVegetation Sloped Elevation: Weather Conditions/Time of Day:05/21/14Date Observation ^/Location:#2 Observation Type:Auger Rock I Structure-IDepth (in)Matrix Color(s)Mottle Color(s)Texture Redox Kind(s)Indicator(s)Frag. %ConsistenceShapeGrade 0-12 Loamy Sand <35%10YR 3/1 Granular LooseWeak 12-30 Sand <35%10YR 3/3 LooseSingle grain Structureless 30-45 Sand <35%Loose10YR 4/4 Single grain Structureless /V.45-60 Sand Loose<35%10YR 5/4 Single grain Structureless 60-72 Sand <35%10YR7/4 CO CO Commentso-a Observation #/Location:#3 Observation Type:Auger Rock I Structure-IDepth (in)Texture Matrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s)Frag. %ConsistenceShapeGrade 0-14 Loamy Sand <35%Loose10YR 3/1 Granular Weak 30-48 Sand <35%10YR 3/3 LooseSingle grain Structureless 48-65 Sand <35%10YR 4/4 LooseSingle grain Structureless Sand <35% 10YR 5/465-72 LooseSingle grain Structureless : Comments ’ t OSTP Design Summary Worksheet University OF MinnesotaMinnesota Rollution Control Agency 27305 V 05.13.14Property Owner/Client: Thomas Leuthner Project ID: Site Address: 27305 330th Ave, Underwood, MN 56586 Date: 6/3/14 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 to be < 60% of this value. Gallons, in 300A. Design Flow:Gallons Per Day (GPD) B. Septic Tanks: Minimum Code Required Septic Tank Capacity:1000 1 Tanks or Compartments Recommended Septic Tank Capacity:1000 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: 500D. Pump Tank 1 Capacity (Code Minimum):Gallons Pump Tank 2 Capacity (Code Minimum):Gallons 500Pump Tank 1 Capacity (Designer Rec):Gallons Pump Tank 2 Capacity (Designer Rec):Gallons 45.0 GPM Total Head 17.1Pump 1 ft GPM Total HeadPump 2 ft Supply Pipe Dia. 2.00 in 75.0 Supply Pipe Dia.Dose Volume:gal in Dose Volume:gal 2. SYSTEM TYPE ® Trench O Bed Q Mound O At-Grade O Drip O Holding Tank O Other ® Gravity Distribution O Pressure Distribution-Level Q Pressure DIstribution-Unlevel * Selection Required Benchmark Elevation:ft Benchmark Location: System Type Type of Distribution Media: n Drainfield Rock Registered Treatment Media:0 Type I □ Type II □ Type III □ Type IV nTypeV High capacity chambers 3. SITE EVALUATION: I 6.0 |ft72A.Depth to Limiting Layer:in B. Measured Land Slope %:2.0 % C.Elevation of Limiting Layer:D.Soil Texture:Sand Loc. of Restricive Elevation:E.GPD/ft^F.Soil Hyd. Loading Rate:1.20 [T^ft36G. Minimum Required Separation: I. Code Maximum Depth of System: in H.Perc Rate:MPI ]in36 Comments: 4. DESIGN SUMMARY Trench Design Summary ft^Dispersal Area 200 Sidewall Depth 12 Trench Widthin 3 ft Total Lineal Feet 68 Number of Trenchesft 4 Code Maximum Trench Depth 36.0 in 0.0Contour Loading Rate ft Designer’s Max Trench Depth 36.0 in Bed Design Summary ft^Absorption Area Depth of sidewall Code Maximum Bed Depthin in Bed Width ft Bed Length Designer's AAax Bed Depthft in SCANNED OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution Control Agency Mound Design Summary ft^Bed WidthBed LengthAbsorption Bed Area ft Berm Width (0-1%)Clean Sand LiftAbsorption Width ftft ft Endslope Berm WidthUpslope Berm Width ft Downslope Berm Width ft ft Total System WidthTotal System Length ft Contour Loading Rate gal/ftft At-Grade Design Summary System HeightAbsorption Bed Length ftAbsorption Bed Width ftft Downslope Berm Widthgal/ft Upslope Berm Width ftftContour Loading Rate System Length System Width ftEndslope Berm Width ftft Level 8t Equal Pressure Distribution Summary Perforation DiameterPerforation SpacingNo. of Perforated Laterals ft in galgalMin. Delivered Volume Maximum Delivered VolumeLateral Diameter in Non-Level and Unequal Pressure Distribution Summary Pipe Length Perforation SizePipe Volume (gal/ft) Elevation Spacing (ft)Spacing (in)Pipe Size (in)(ft)(in)(ft) Lateral 1 Minimum Delivered Volume galLateral 2 Lateral 3 Lateral 4 Maximum Delivered Volume galLateral 5 Lateral 6 5. Additional Info for Type IV/Pretreatment Design A. Calculate the orsanic 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 mg/LX8.35 v 1,000,000 =gpd X 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^ ft^ =Ibs/day/ft^mg/L X 8.35 t 1,000,000 t Comments/Special Design Considerations; I hereby certify that I have completed this worR in accordance with alt applicable ordinances, rules and laws. Bill Schuetler L2945 06/03/14 (Designer)(Signature)(License #)(Date) OSTP Trench Design Worksheet University OF MinnesotaMinnesota Pollution Control Agency v05.13.14Project ID: 273051. SYSTEM SIZING: 300 GPDA. Design Flov^: Designers Maximum Depth:36 36.0 inchesB. Code Maximum Depth:inches GPD/ft^1.20 Contour Loading Rate:gal/ftC. Soil Loading Rate: D. Required Bottom Area: Design Flow (1.A) Loading Rate (1.C) = Initial Required Bottom Area GPD/ft^ =ft^2503001.20GPD- □ Rock 0 Registered Product □ Pressure □ Gravity-Drop 0 Gravity-Other G. If distribution media is installed in contact with sandy or loamy sand or with a percolation rate of 0.1 to 5 mpi indicate distribution or treatment method: E. Select Dispersal Media: (selection required) F. Select Distribution Method: chamber to chamber Serial distribution in 25^ sections 2. TRENCH CONFIGURATION: ROCK Initial required trench bottom area (ft^): (from 1.D) Sidewall Absorption (inches) Design trench bottom area A.Bottom Area Reduction Bottom Area Multiplier Cover 6 to 11 1 Q,......Distribution 0.812 to 17 20% 18 to 23 34%0.66 Sidewail 24 40%0.6 B. Select Sidewall Height:inches ft Width ft^C. Design Bottom Area (2.A): ftD. Select Trench Width: E. Total Designed Trench Length: Bottom Area -f Trench Width = Total Required Trench Length Ift^ft =ft I. Calculate Minimum system length based on Contour Loading Rate: Design Flow t Contour Loading Rate = gal/ftgpd T ft F. Select No. of Trenches:trenches G. Select Trench Spacing :ft (typically 5 - 12 ft from center to center) H. Calculate Lawn Area: Trench Length (2.E) X Trench Spacing (2.G) = square feet of lawn area ft X ft^ lawn areaft = J. Select Depth Required to Cover Distribution Pipe: ft (0.33 ft for pressure, 0.5 ft for gravity) K. Calculate Rock Volume: (Sidewall Height (2.B) + Depth to Cover Pipe (2.J)) X Bottom Area (2.C) = cubic feet ft^ =ft^ft +ft) X( Divide ft^ by 27 ftVyd^ to calculate cubic yards: ft^ - 27 =yd^ 3! TRENCH CONFIGURATION: REGISTERED PRODUCTS - CHAMBERS AND EZFLOW Initial required trench bottom area (ft^): (from 1.D) Design trench bottom area Sidewall Absorption (inches) A.Bottom Area Multiplier Bottom Area Reduction 25016 to 11 20%0.8 20012 to 17250 34%0.66 16518 to 23 40%0.6 15024 High capacity chambersB. Registered Product: 1.0 ft12inchesC. Select Sidewall Height: ft^200D. Design Bottom Area (3.A): 3 ftE. Registered Width: F. Minimum Designed Trench Length = Bottom Area (3.C) t Trench Width (3.D) ft^ -3.0 67200ft =ft 4G. Enter the Registered Product Component Length:ft H. Number of Components = Minimum Total Length Required divided by Component Length (Round up) 17467ft^ft =components I. Actual Total Trench Length = Number of Components X Component Length: ft =4.0 6817 ftcomponents X J. Calculate Minimum length per trench based on Contour Loading Rate: Design Flow t CLR = gpd gal/ft #DIV/0!300.0 ft 4 trenchesK. Select No. of Trenches: L. Length per trench = Actual Trench Length t Number of Trenches./?ecommer7ded to not exceed 3. J. gal/ft68.0 4 17.0ftv ft 6 ft (typically 5 - 12 ft from center to center)M. Select Trench Spacing : N. Calculate Lawn Area: Trench Length X Trench Spacing = square feet of lawn area ft^ lawn area68ft X 6 400ft = Comments: 1 trench = 20 feet 3 trenches = 16 feet each OSTP Basic Pump Selection Design Worksheet University OF MinnesotaMinnesota Pollution Control Agency Project ID: 273051. PUMP CAPACITY ® Gravity O Pressure Selection requiredPumping to Gravity or Pressure Distribution: 45.0 GPM (10 - 45 gpm)1. If pumping to gravity enter the gallon per minute of the pump: 2. If pumping to a pressurized distribution system:GPM 3. Enter pump description: Soil syslem'& point of discharge2. HEAD REQUIREMENTS 9A. Elevation Difference between pump and point of discharge: ft Etesotiofi / nt^ 5B. Distribution Head Loss:ft ft (due to special equipment, etc.)C. Additional Head Loss: Table I.Friction Loss In Plastic Pipe per 100ft Distribution Head Loss Pipe Diameter (inches)Row Rate (GPM)Gravity Distribution = Oft 1 1.25 1.5 2 Pressure Distribution based on Minimum Average Head Value on Pressure Distribution Worksheet: 1.3 0.3109.1 3.1 12.8 4.3 1.8 0.412 Distribution Head LossMinimum Average Head 17.0 5.7 2.4 0.614 5ft1ft 21.8 7.3 3.0 0.716 6ft2ft 18 9.1 3.8 0.9 lOft5ft 20 4.6 1.111.1 25 16.8 6.9 1.7 30 23.5 9.7 2.42.0D. 1. Supply Pipe Diameter:in 12.9 3.235 502. Supply Pipe Length: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 7.35.02 ft per 100ft of pipeFriction Loss =60 8.6 F. Determine Equivalent Pipe Length from pump discharge to soil dispersal area discharge point. Estimate by adding 25% to supply pipe length for fitting loss. Supply Pipe Length (D.2) X 1.25 = Equivalent Pipe Length 65 10.0 70 11.4 75 13.0 85 16.462.550X 1.25 ftft 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 = 62.55.02 3.1ft100ft per 1(X)ft X ft 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 ) 5.09.0 3.1ftft +17.1ftft =ft++ 3. PUMP SELECTION 45.0 17.1A pump must be selected to deliver at least GPM (Line 1 or Line 2) with at least feet of total head. Comments: OSTP Pump Tank Design Worksheet University OF MinnesotaMinnesota Pollution Control Agency Project ID: 27305DETERMINE TANK CAPACITY AND DIMENSIONS v05.13.14 300A. Design Flow (Design Sum. lAj1.GPD 500500 GalGalC.Recommended pump tank capacity:B. Min. required pump tank capacity: D. Pump tank description: MEASURED TANK CAPACITY (existing tanks): 2. A. Rectangle area = Length (L) X Width (W)Widthft^20.05.04.0 X ftft 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, ft^ X 7.5 gal/ft' -r 12 in/ft 12.5 Gallons per inch20.0 D. Calculate Total Tank Volume Depth from bottom of inlet pipe to tank bottom: Total Tank Volume = Depth from bottom of inlet pipe (Line 4.A) X Gallons/inch (Line 2) 12.5 Gallons Per Inch = 40 in 500.0 Gallons40 Xin MANUFACTURER S SPECIFIED TANK CAPACITY (when available): Note: Design calculations are based on this specific tank. Substituting a different tank model will change the pump float or timer settings. Contact designer if changes are necessary. 3. A. Tank Manufacturer: B. Tank Model: GallonsC. Capacity from manufacturer: D. Gallons per inch from manufacturer:Gallons per inch E. Liquid depth of tank from manufacturer: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 ft 2 inches of water covering the pump is recommended) (Pump and block height + 2 inches) X Gallons Per Inch (2C or 3E) in + 2 inches) X 12.5 15010Gallons 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: Gallons (minimum dose) 300 0.25GPD X 75 Gallons (maximum dose) 7. Select a pumpout volume that meets both Minimum and Maximum: 8. Calculate Doses Per Day = Design Flow t Delivered Volume gpd T 75 Gallons Volume of Liquid in Pipegal =300 75 4 Doses 9. Calculate Drainback:Pipe Diameter (inches) Liquid Per Foot (Gallons) 2A.inchesDiameter of Supply Pipe = 50Length of Supply Pipe =B.feet 0.170C.Volume of Liquid Per Lineal Foot of Pipe = Drainback = Length of Supply Pipe X Volume of Liquid Per Lineal Foot of Pipe ft X 0J70 |gal/ft = Gallons/ft 1 0.045 D.1.25 0.078508.5 Gallons 1.5 0.110 10. Total Dosing Volume = Delivered Volume plus Drainback 2 0.17075gal +8.5 gal =84 Gallons 3 0.380 11. Minimum Alarm Volume = Depth of alarm (2 or 3 inches) X gallons per inch of tank in X 4 0.6613gal/in =12.5 37.5 Gallons OSTP Pump Tank Design Worksheet I 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 = GPM13. Flow Rate from Line 12.A or 12.B above. 14. Calculate TIMER ON setting: Total Dosing Volume/GPM gal T Minutes ONgpm = 15. Calculate TIMER OFF setting; Minutes Per Day (1440)/Doses Per Day - Minutes On 1440 min Minutes OFFdoses/day - 16. Pump Off Float - Measuring from bottom of tank: Distance to set Pump Off Float-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 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 = gal/in =6.712.5 Inches84 133in + B. Distance to set Pump On Float=Distance to Set Pump-Off Float + Float Separation Distance in + 10 Inches 6.7 in =2013 Inches C. Distance to set Alarm Float = Distance to set Pump On Float + Alarm Depth (2-3 inches) in +233.0 in =20 Inches FLOAT SETTINGS DEMAND DOSING TIMED DOSING r ] Inches for Dose:6.7 in IT inAlarm DepthAlarm Depth 22.7 in PumpOn 19.7 in Pump Off 13.0 jf, 37.5 Gat 84 Gat Pump Off in n a163 Gal ^SCAiiED !.'“i K sw sfc ' -SIE ' jsi s <^-.'^SJP' mrm ^?*N ^ ..•aPV.vV Iv/] CERTIFICATE OF COMPLIANCE SEWAGE SYSTEM :'ir. 3Ut day n f JonuoAty 19 S6This certificate has been issued this'iif to certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. m The premises covered by this certificate are legally described as: Range__ F.-' 56-37S SveAdA-upSec__1 Twp.Twp. Name.m Lake No.■‘i shady Say ReAoNt m I bll WaJbteA. Schmfdth.Owner: Name. J Rtf2 Sox 198, UndeAMood, MhlAddress. I S6SS6Zip No. 640SPermit No. SP_ Signed by:. M^olm K. Lee, Shoreland Administrator Olfter Tail County, Minnesota MKL-087 1-009 1/ 159035 uiMCta • M- fiiiaTtit. rcaavt r«u*. wa SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White — Oftice Yellow — Inspector Pink — Owner Permit No..LEGAL DESCRIPTION AND Range TWP Name ^ ^78-Ei-i=agt Lake No. Lake Name LOCATION Lake Classif.Sec.TWP IDENTIFICATION; Please Print All Information. Mailing Address — No. Street, City and State Zip No. Tel. No.InitialFirstLast Name ■9^ 9 19 ^ iii7Vfljg\/rOnr^ 4. , fh (0 IaJ^ HerOWNER /SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on. This space for office use only , 19. 319,M Owner or Agent SignaturePhone Call Rec'd ByDate Rec'd Time Rec'd 3NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD I OOO GIs.Sq/Ft.Sq. Ft.Capacity S'o/roOSoFt.Ft.Ft.Distance from nearest well '75•7S Ft.Ft. Ft.Distance from lake or stream ^ olOFt. Ft.Ft.Distance from occupied building 7 / OjOFt.Ft.Ft.Distance from property line 7 3lYlCiFt. Ft. Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on , 19 , Time M By ...n.PERCOLATION TEST DATA:Date of First Test , 19 Rate ...sr (Date of Second Test 19 , Ratef1st Test Taken By .«..Sn L3.J.First Test + 2nd Test 2 Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspectiqnr—^ n~1VC\ VDated Signature Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all rejects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Permit: 7/3/g^IIssued Date; c/Shoreland Management Office ao.wFee $Rec # ira.-U S , pr’fd.SComments: e I f&\f(L Form No. MKL-032085 225239 — Victor Lundeen Co., Printers, Fergus Falls, MN • r ]S <SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White — Office Yellow — Inspector Pink — Owner Boy Permit NoJLEGAL DESCRIPTION AND _Z_^ ^ K o/ q </)-SJt: F,Lake No. Lake Name LOCATION 7 TWP NameLake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State Tel. No.Zip No.First InitialLast Name cl f-1/Jfj /-/ e r y- /l-vi IOWNER 7^U t'-c\ ^\/i 0 4. , fh fJ iSEWAGE SYSTEM INSTALLER Name. 7/s ^; 05This System will be ready for inspection on., 19. This space for office use only ] ,.gS 17^ 1late Rec'd Owner or Agent SignaturePhone Call Rec'd ByTime Rec'd NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: 1SEPTIC TANK SEEPAGE PIT /DRAIN FIELD7 I OOO GIS.Sq/Ft.Sq. Ft.Capacity Bo Ft.Ft.Ft.Distance from nearest well 75USFt.Ft. Ft.Distance from lake or stream oiOFt.Ft. Ft.Distance from occupied building I O)0Distance from property line Ft.Ft. Ft. 7 7haFt.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time ..........JVI By ., 19 , 19............. .f.....aZfp.PERCOLATION TEST DATA:Date of First Test....Rate ■f Ih Clh.Kfil .,...8.t fDate of Second Test , Rate 1st Test Taken By .7.First Test....?.+ 2nd Test 2 Rate2nd Test Taken Bv The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. Dated Signature Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon expressPermit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. ' ' NOTE: Permit void if work is not commenced within six (6) months. /LIssued Date:Shoreland Ma^gement Office c.dO^'1 i Fee Rec #CERT ISSUED I f G iryComments: r Q O /:P<T ^/Cc's Form No. MKL-032085 225239 — Victor Lundeen Co., Printers, Fergus Fans, MN S-TT- r INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYShould B§,------------ 5!^? Actual Should Be Actual Should Be Actual Capacity /&0 O icooGIs.Qls.SF S F S F i <^.5-Soro7:>Distance from Nearest Well F F F F F F ir A^O/SO 2ADistance from Lake or Stream F F F F F F 9o-70'L0_20Distance from Occupied Building F F F F F F 10^/ oDistance from Property Line /oFFFF F F 3 3Distance from Bottom to Water Table F F F F FF / (5 y rB'cA- < -gInspector’s Comments: 4-u^ ujcl! i^o' _____ 0A. / A fiyOy'^ OefUtr- Jl$4rA/hc^&^ J L^:1}Ma fh^r Jc r t ) / /oc/: //If ^ f€) W r22 Date of Inspection 197 ■?: 30Time of Inspection '2'"'24- j. Signature 'ef Inspector ’INTERPRETATION^ OF ABBREVIATIONS AGIs = Gallons SF = Square Feet Job Title F = Linear Feet MKL - 03208S - Backer Agency I PERCOLATION TEST DATA SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No. Owner:Mailing Address: 6>/^4/yiA /''ey Last Name First Middle St. & No.City Zip No.State Legal Description: SEC.LAKE OR RIVER NO.NAME TWP.RANGE TWP NAME TEST HOLE NO. 2TEST HOLE NO. 1 Depth to Bottom of Hole inches; Diameter of Hole inchesDepth To Bottom of Hole,inches; Diameter of Hole inches -7-5 7-3Depth, Inches Soil Texture Soil TextureDepth. InchesDate.Date 7*7//yy ^ '.5 .1 (gV7 ^ >Percolation Test By___ Percolation Test Bv .//-Q TLUFirm Name.Firm Name.cr aLU CC C.IllAddress.QC Address J ^7i~c g»r<7^ {^p'yOL / <^CO Otter Tail County License No..Otter Tail County License No..CO LU Drop In Water ■Levi. UKhes Drop In Water Level. Inclias Measurement, Inches Measurement. InchesTimeRemarksTime Remarks o e,<Dto^■0 I '7 A •7J..7 3 ,(o p fz. ^ /. ^p //-5 a.S', /&,Zi > 3 ‘f.O <e:> .G/■G /. 7 I7- 3r='O 7.5 . 7c5:s■5'. O ■ 7 f V 7//< y7.r7 . ~7 A' ^C3 f / ^.S MKL-0871-028183818 ®ViCTSa UIHtCfa • M (lani See Booklet/'How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. 'i•r- . -■:■r"e;r '- -r^. • > ■KfU' h^hm • ;•'.i;"f ■:.•1?•- .'.V.^4 •!--,f:- ;- \.:•:iv*'CERTIFICATE OF COMPLIANCE SEWAGE SYSTEM •-,- -» »sWji .T. ;v 3?'^r^:l ii#17fch December 79_JZ1This certificate has been issued this day of.If.f. 'i -Ar- to certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. IS.c< The premises covered by this certificate are legally described as: Range Ul M-%Lake No. 56-378 2 T’vvp. 133 Twp. Aame Sverdrupr-. T m fa Sm ' V•X'Shady Bay Resort?- •>' . ■ • £it if. James Backora" ' Owner: . Name.f Route #1, Underwood, Minnesota, Address.t a.f>■?■^6-^86Zip No.s• m. 762j Permit No. SP.:Signed by:. aMalcolm K. Lee, Shoreland Administrator Otter Tail County, Minnesota ii MKL-087 1-009 ,.I . - •••• -'.'“ti' ' r r:fo lj m.!®159035 ’'Xto* LMMIB 4 CO. MiaTfDt, ftlOUO r«U.C. HIIHI•v fciuitceNi^ • ■ • SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEIA/AGF DISPOSAL SYSTEM White — Office Yellow — Inspector Pink — Owner Card — Ownfcr Permit No., LEGAL /9 Date DESCRIPTION AND LOCATION Lake Classif.Sec.TWP TWP NameLake Name RangeLake No. IDENTIFICATION: Please Print All Information. Zip No.Tel. No.Mailling Address —No. Street, City and StateInitialFirstLast_Name / y.':-OWNER r-A SpA-SEWAGE SYSTEM INSTALLER Name This System will be ready for inspection on., 19. This space for office use only 19 M Phone Call Rec'd By Owner or Agent SignatureDate Rec'd Time Rec'd SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD S/r-j Sq. Ft.GIs.Ft.Capacity nL Ft.■4- Ft.Ft.Distance from nearest well Ft.^ Ft.Distance from lake or stream / A Ft.JLLX- /O t Ft.Ft.Distance from occupied building /' ^ Ft.Distance from property line Ft.Ft. 7 V /Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time ..........JVl By. 19 . 19....Z^...., PERCOLATION TEST DATA:Date of First Test Rate .Z3C2Date of Second Test Rate.k^.. 1st Test Taken By , f First Test......-F 2nd Test....... Rate22nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. AppI leant agrees that plot plan, sketches and specifications submitted herewith and wh ich are approved by Shoreland Management Offi cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. (Call or use attached mailer notice.) SignatureDated Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon expressPermit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. oreiand Management Office ^Issued Date:1 . 'Zo■ ' OCJFee O -Surcharge $ Comments:. 158906Form No. MKL-0771-003 v'CToa LuoeciN 8 n.. 9»htim8. pcaeus f«ii.8. SHORELAIMD MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM OfficeWhite . ^Yellow — InspectorPink Card — Owr^er Owner Permit No.,LEGAL Date DESCRIPTION AND LOCATION Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. First Initial Mailling Address —No. Street, City and State Zip No.Tel. No.Last Name OWNER SEWAGE SYSTEM INSTALLER Name /£)~2-'?3 u 3 oThis System will be ready for inspection on.r 19 This space for office use only ,M.19 Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signature SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD GIs.Sq. Ft.Sq. Ft.Capacity 7 Ft.Ft. Ft.Distance from nearest well Ft.Ft. Ft.Distance from lake or stream Ft.Ft.Ft.Distance from occupied buildinq Distance from property line Ft. Ft.Ft. Ft. Ft. Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on „ 19,, Time ,JVI By PERCOLATION TEST DATA:Date of First Test ,, 19 , Rate Date of Second Test , 19 ,, Rate 1st Test Taken By First Test + 2nd Test 2 Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement; strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. (Call or use attached mailer notice.) Dated Signature Permit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE; Permit void if work is not commenced within six (6) months. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express Issued Date: Shoreland Management Office Fee $Surcharge $ “1‘7 ISSUEDComments:.certificate VICTAR LUHBIta * CO.. OOtHTCOO. FtOfUS rM.i.0. «I«M 15S906Form No. MKL-0771-003 % VINSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould be Actual Should be Actual Should be Capacity GIs.GIs.S F S F S F S F Distance from Nearest Well F 75FF 5QF F nDistance from Lake or Stream /■F F F F c /!//Distance from Occupied Building 10 20 20; .F F F F F F Distance from Property Line 10 10F 10FFFF F Distance from Bottom to Water Table 4 4FFFFF F V- ^//■■■■Inspector's Comments:; • /i I T y <■ 19__* >Date of Inspection Time of Inspection M 0/ 7 Signatu^of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF Square Feet F * Linear Feet /. / Job Title Agency MKL-0771-00 3-Backer I 'V' l; PERCOLATION TEST DATA Price $ 1.00 per pad. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No. Owner:Mailing Address: H Underwood, MnJAMESRte 1BACKORA Last Name First Middle St. & No.Zip No.City State Legal Description: LAKE OR RIVER NO. M ■SvoTylmipE.c!t. Ln.'^f.2.133SEC.TWP.RANGE TWP NAMENAME SHA DY Bay Resort TEST HOLE NO. 2TEST HOLE NO. 1 636636Depth to Bottom of Hole inches; Diameter of Hole.JnchesDepth To Bottom of Hole.inches; Diameter of Hole inches Depth, inches Soil Texture Depth, Inches Soil Texture 19_____Date 1-11 LoamLoam1-11 Percolation Percolation Test By____11-3611-38 Test ByMed Sand Firm Name.FirmName.DaLU cc Perham, Mn 56573 LU Address.GC Address < COOtter Tail County License No..Otter Tail County License No.,HcoUJMeasurement, Inches Depth in Water Level, Inches Measurement, Inches I-Depth in Water Level, InchesTimeRemarksTime Remarks o% _JL^ I // yo //3o 7/e-3C// n 9s'//So 2.^ ^ - /^/j //7/st>// 3 73 w Va // //z? W 7cS^3 ^ /i !l£) V' //^ r' /MA c %C /i / //sTHJ//S AV;_4j?£ Min/inchPttKUULATlUN KATE = ^MKL-0871-028 See Booklet, "How to Run a Percolation Test" by Agriculture Ext Service, Un. of Minn. nD.Ni VPJ (LsJ) fV~ (, i-Iq OsJ ft.\