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HomeMy WebLinkAboutNorthern Lights Resort_14000250197001_Septic System Permits_.OTTER TAIL COUNT Land & Resource Management/ Phone (218) 998-8095 \ > PERMIT TYPE Sewage Treatment System Permits PERMIT NUMBER 26329 or PROPERTY OWNER Seaton Resorts Inc LAKE INFORMATION Dead DNR ID(S)383 LOCATION Parcel(s): 14000250197001 Township Name: Dead Lake Township Property Address(es): 35387 NORTHERN LIGHTS TRL Section/Township/Range: Sect-25 Twp-135 Range-040 Legal: 7.81 AC PT GL 9 COM S 1/4 COR SEC 25,N 2021.91' W 223.26' TO BG, WORK AUTHORIZED Installing TYPE III MOUNDS-EXCAVATING EXISTING DRAIN FIELD TO ORIGINAL SOILS AND REPLACING WITH CLEAN WASHED SAND-NEEDS TO BE VERIFIED BY THE COUNTY INSPECTOR Using existing tanks-see attached compliance inspection install two (2) 148'x9' chamber mounds (296 linear feet combined): 148'x23.4' SAA on each mound CENTER FEED EACH MOUND AS SHOWN ON DESIGN 3' CLEAN SAND LIFT 3" SUPPLY LINE 2" LATERALS 7/32" PERFS 3' SPACING DUAL ALTERNATING PUMPS: 118 GPM 24.5 TFH FLOW MEASUREMENT IS REQUIRED ON THE PUMPS Jessica Fosberg 12/23/2019 01:07 PM 859e4968d39fcda0a67ed07e4e8e71c2 32e4152aff52c02d6dd28811 e8b3e8ad 12/23/202012/23/2019 DATE EXPIRESLand and Resource Management Official/Date ISSUE DATE NOTE: • This permit must be placed in a conspicuous place not more than 6 feet above grade on the premises on which work is to be done, and must be m?'............ " .............................. • If the terms of this permit are legal prosecution. • Property Owner is legally res • No part of the Septic Systerr • Notify Land & Resource Mar later than 4pm the day prior ti itractor may be subject to This System v/ill be ready for inspection on ^'1^______, the year of at ;tion must be called in no 10.a.m., Date Received Time Received SiL & R Offici Land & Resource Management Government Services Center 540 Fir Avenue West Fergus Falls MN 56537 Phone: 218-998-8095CmiR TflltO 0 B A f Y - n I A Q 11 O T D Sewage Treatment System Permit Application Sewage Treatment System Permits Permit # 26329, App. # 1326, UID # 8962 Valid; 12/23/2019 -12/23/2020 Applicant Information Applicant Information:Name: Scott M Ellingson Phone: (216 )205 -1667 Email Address: scottssepticpermit@gmail.com Mailing Address: 201 Meadow Circle 201 Meadow Circle Ashby MN 56309 I am the:Agent/Designer Is this Sewer Permit Application for a ^ Collector System? Work Performed By Work to be performed by:Contractor Contractor's Contact Information Contractor Information:Name; Eric Ruther Company or Business Name: Ruther Excavating Inc. Contractor License Number; 3149 Phone: (216 )296 - 1477 Email; eruther@arvig.net Address; 37618 390th Ave, Richville MN 56576 Property Owner's Contact Information Property Owner Contact Information: Name: Pro's Properties LLC Phone; (763 ) 360 - 0944 Email Address: cprososki@gmail.com Mailing Address: 35387 Northern Lights TRL Richville MN 56576 9672 Property Information Project Location: Legal Description Primary Name/AddressProperty Attributes Property Address Legal Description Primary Address Line 1 CityLegal Description NameParcel #Property Address City Legal Description RICHVILLESEATON RESORTS 35387 NORTHERN LIGHTS TRL RICHVILLE PT GL 9 COM S 1/4 COR SEC 25. N 2021.91'W 223.26' TO BG, 14000250197001 35387 NORTHERN LIGHTS TRL 7.81 AC INC Is the property Developed or Undeveloped? Developed Is the property located Shoreland in the Shoreland or Non-Shoreland area? Shoreland Information Associated Lakes: Lake Class LRCDLake Name DNR ID NE 56-383Dead 383 Bluff: Project Information Type of Installation: Design Flow: S'/stem TypCf. ^ :P Efiuent Distirbution: Other Establishment - Replacement 1 to 2,499 Gallons Per Day Type III Pressure System Components Olher/Problem Soils/<12' SoilType III Components: Depth of Well:Deep Feet Number of Bedrooms:0 Abatement:Yes Garbage Disposal: Ejector: No Number of Tanks:0 Number of Lifts:0 Number of Soli Treatment Areas:2 Soil Treatment Area(s) Total size of Treatment Area:6926 Square Feet 200+ FeetSetback to Nearest Well: Setback to Ordinary High Water Level:100+ Feet Setback to Bluff:NA Feet Setback to Dwelling: Setback to Non-Dwelling: Setback to Nearest Lot Line: 50+ Feet 25+- Feet 200+- Feet Setback to Road Right-of-Way: Elevation above Restrictive Layer: 200+ Feet 3+ Feet Documentation Attach Supporting Documentation:File 1: ^Complele_Design.pdf File 2:Northern_Lights_New_Design.pdf Applicant Approval Applicant Signature: Date Signed: Please check to approve: Ellingson, Scott M 12/11/2019 I understand that checking this box constitutes a legal signature Attention:Jessica Terms 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 accordance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Attached Documentation submitted herewith and which is approved by a Land & Resource Management Official shall become a part of the permit. Applicant Further agrees that no part of the system shall be covered until it has been inspected and approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. Note Once a permit is approved it is valid for a period of twelve (12) months from the date of approval unless otherwise indicated on permit. Inspections need to be called in by 4pm the day prior. A sewer permit does not include the building sewer (sewer line). Invoice #6559 (12/13/2019) Quantity TotalCostCharge $675.00$675.00 x1Advanced Fees - Design (2,501 • 5,000 GPD), All System Types added 12/13/201910:45 AM Includes County Soil Verification Grand Total $675.00Total $675.00Payment 12/15/2019 $0.00Due Approvals signatureApproval Emma Barry -12/11/2019 2:26 PM2e92699f190051132396cd797bll4348 f3f630c424db7d7e6b6916636f9ff3fd #1 Received and Assigned Kyle Westerqard - 12/11/2019 2:29 PMd28bfl09319fl6c605130fb2b5a496dl C5b6b30b8400e50a290cl35dfa294930 #2 Application Review Jessica Fosberg -12/23/2019 1:07 PM859e4968d39fcda0a67ed07e4e8e71c2 32e4152aff52c02d6dd28811e8b3e8ad #3 Appiication Approval ^ublic Notes Text: File(s):[] i’1t Internal Notes Text; File(s):[] Print Viow ■ V oo LflKFrcr Oin OC a UlQ.O'>1 oROCUJ 0^3 oe <<23 ^ >■ «/> O. u.O cut-LU «/> o>OCO £t* z f< J UJ a> o 86^ CO 5 CNO*o(U0> S oCM Onsite Sewage Treatment Program Soil Observation togCJiNlVtlKSnY OF Minnesota Client/Address: ____________________________ Legal Descriptlon/GPS: H000^130 I ^ QQ (Date: Soil Parent Materiai(s): Till (circle all that apply) Lacustrine Alluvium Loess Organic Matter Bedrock ^ Back/Side SlopeLandscape Position: Summit (circle one)____________ Foot Slope Toe Slope Slope Shape; Vegetation: . Soil Survey Map Unit(s);-)0^^ Weather condltlons/TIme o^^^ #/Location/Method: Slope (%): \ - b Elevatioh: I.QOC - Saturated Soil tndlcatprfs) Structure Structure Consistence (see back) .. Shape Grade Mauix Colorls) Mottle Coior(s) Depth (In)Rock Frag% Texture Redox Kindts)y T Modmte Strcna Loose I LooseGninulir Platy10^12USO' \3 iiSConcentrations Depletions Gteyed s 3/*2-wm Extremely Firm algid Unmade Sinsie CfBin Massive \P^TiSDSerate GranuUr Loose rFn3til&■flrnr^&-\3'Z Concentrations Depletions Gleyed strong loose4a Msnutic SlnpeGnln MasitM Extremely RrmRigid Loose Friable Granular Maty ^Weak f ]]^oderat^ Strong'’'^ Loosey'Z'5 Cbncentratiohs Depletions Gleyed SC 5 i prtrffiftic1^*''EJrtfWWr M lyFIrm9n(le Grain' Massive Rigid A\ifi ^^ ;< -<Qncentration5 jiolP ^-2. <^iitionr:5 Gleyed Granular Waly Weak Loose r*l/M5Serne, Friable ^ Strong-^ Loose T^jtrtwi lO'Vii-L5 eBBXW '■mtnnStieSI‘t'H elyRrmSngle Grain Massive Rigid Granular Maty ;BodtyPrismatic Single CrainMassive Weak Moderate .SVong Loose Loose Friable Finn Extremely Firm Rigid Concentrations Depletions Gleyed Granular Weak. Moderate ■Strong Loose Loose Friable Firm Extremely Firm Rigid MatyConcenVations Depletions Gleyed Btoefcy Prismatic •Single G^n Massive Comments: tAm KfQ ^0rQVeS (Ucamea) IDafe) * f Certified Statement: I hereby certify that I have completed this work (n accordance with all applicable ordinances, rules and laws.(Designer)(Signature) ( . ■■'n Preliminary Evaluation Worksheet , MINNESOTA POLLUTIONI CONTROL AGENCY 1. Contact Information V 04.02.2019 Property Owner/Client: Pro's Properties LLC Date Completed: 12/11/2019 ■h Site Address: 35387 Northern Lights TRL Project ID: Email: cprososki@gmail.com Phone:763-360-0944 Mailing Address: 35387 Northern Lights TRL Richville, MN 56576-9672 PT GL 9 Com s 1 /4....Legal Description: 14000250197001 135Parcel ID:TWP:SEC:RNG: 2. Flow and General System Information A. Client-Provided Information Project Type: □ New Construction Project Use: □ Residential □ Other Establishment: □ Expansion D Repair0 Repiacement Residential use: # Bedrooms;Dwelling Sq.ft.:Unfinished Sq. Ft.: # Adults:# Children:# Teenagers: In-home business (Y/N):If yes, describe: ED Garbage Disposal/Grinder Water-using devices: □ Sewage pump in basement (check all that apply) □ Large Bathtub >40 galions □ Iron Filter* 0 Clothes Washing Machine 0 High Eff. Furnace* * Clear water source - should not go into system □ Hot Tub* □ Sump Pump* □ Self-Cleaning Humidifier* □ Other: 0,Dishwasher 0 Water Softener*; ,V Additional current or future uses: Anticipated non-domestic waste: The above is complete & accurate: Client signature & date B. Designer-determined flow Information Attach additional information as necessary. Design Flow: 3104 GPD Anticipated Waste Type: Other Est. - Resid. 170 mg/L TSS 60 25BOD:Oil & Greasemg/L mg/L Well Depth Casing Depth (ft.) Confining Layer STA (ft.)Setback#Description Mn. ID#Source Deep1 2 3 4 Additional Well Information: liP5 Preliminary Evaluation Worksheet MINNESOTA POLLUTIONEl B Q U CONTROL AGENCY NoSite within 200' of noncommunity transient well (Y/N)Yes, source: NoSite within a drinking water supply management area (Y/N)Yes, source: NoSite in a Well Head Protection inner wellhead management zone (Y/N)Yes, source: NoBuried water supply pipes within 50 ft of proposed system (Y/N) DeadYesB. Site located in a shoreland district/area?Yes, name: Elevation of ordinary high water level:ft Source: 100+Classification: NE Tank Setback:Existing ft. STA Setbk:ft. NoC. Site located in a floodplain?Yes, Type(s): Floodplain designation/elevation (10 Year):ft Source: Floodplain designation/elevation (100 Year):ft Source: 13 County CIS □ Plat Map □ Other:[3 Owner □ SurveyD. Property Line Id / Source: E. ID distance of relevant setbacks on map: □ Water □ Easements [3 Well(s) 0 Building(s) 0 Property Lines 0 OHWL □ Other; 4. Preliminary Soil Profile Information From Web Soil Survey (attach map & description) Map Units: 705B Nitche-Kandota-Lida Complex 1-6 %Slope Range: List landforms: Hillslopes on Outwash Plains Landform position(s): Shoulder Outwash / TillParent materials: 25-Depth to Bedrock/Restrictive Feature:Depth to Watertable:in in Septic Tank Absorption Field- At-grade: Not Limited Map Unit Ratings Septic Tank Absorption Field- Mound: Slightly Limited Septic Tank Absorption Field- Trench: Moderately Limited 5. Local Government Unit Information Name of LGU: Ottertail County L&R Chris LeClairLGU Contact: LGU-specific setbacks: LGU-specific design requirements: LGU-specific installation requirements:v’ Installing a Type III Mound with 3' Sand LiftNotes: Field Evaluation Worksheet MINNESOTA POLLUTION CONTROL AGENCYt* ■ V 04.02.20191. Project Information Project ID:Property Owner/Client:Pro's Properties LLC 35387 Northern Lights TRL Date Completed: 12/11/2019Site Address: 2. Utility and Structure Information T;; Utility Locations Identified □ Gopher state One Call # Locate and Verify (see Site Evaluation map) 0 Existing Buildings □ Any Private Utilities; 0 SetbacksD Improvements □ Easements 3. Site Information ShoulderLawnVegetation type(s):Landscape position: north3Slope shape: Linear, Linear Slope direction:Percent slope:% Describe the flooding or run-on potential of site: Describe the need for Type III or Type IV system: Note: No If yes, describe:Elevations and Benchmarks identified on map? (Y/N): No If yes, describe:Proposed soil treatment area protected? (Y/N): 4, General Soils Information Filled, Compacted, Disturbed areas (Y/N):No If yes, describe: YesSoil observations were conducted in the proposed system location (Y/N):,■ YesA soil observation In the most limiting area of the proposed system (Y/N): Yes3Number of soil observations:Soil observation logs attached (Y/N): NoPercolation tests performed £t attached (Y/N): 5. Phase I. Reporting Information Depth Elevation Periodically saturated soil: Standing water: Bedrock: Benchmark: sandy clay loam25ftSoil Texture: Percolation Rate: ft Soil Hyd Loading Rate: in min/inch gpd/ft^ ftin 0.45in ft Benchmarck Location: Differences between soil survey and field evaluation: Site evaluation issues / comments: Anticipated construction issues: • LVivuimgrMiSKTAn* •Onsite Sewage; Treatment Program Soil Observation Log Project ID:V 04.02.2019 Pro's Properties LLC 35387 Northern Lights TRLClient;Location / Address: □ Outwash □ Lacustrine □ Loess □ Till □ Alluvium □ Bedrock □ Organic MatterSoil parent material(s): (Check all that apply) □ Shoulder □ Back/Side Slope□ Summit □ Foot Slope □ Toe SlopeLandscape Position: (check one)Linear, LinearSlope shape Lawn Soil survey map units: 705BVegetation:Slope %:3.0 Elevation: Weather Conditions/Time of Day:Morning Sunnyq 10/31/19Date Observation #/Location:#1 Observation Type:Auger StructureRockDepth (in)Texture Matrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s) Frag. %ConsistenceShapeGrade 10YR 3/2 0"-12'Loamy Sand <5 Blocky Weak Friable 10YR 4/412"-16"Loamy Sand <5 Blocky Weak Friable 10YR 5/4Sandy Clay Loam16"-26'<5 Blocky Moderate Friable Concentrations, depletions10YR 5/4 10YR 5/2 S2Sandy Clay Loam 26'+<5 Blocky Moderate Firm 10YR 4/6 > . Comments 26" I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. Scott Ellingson 12/11/20193947 (Designer/Inspector)(Signature)(Date)(License it) / -{OnSITIsAdditional Soil Observation Logs 'WProject ID:H Client:Pro's Properties LLC Location / Address:35387 Northern Lights TRL Soil parent material(s): (Check all that apply)[3 Outwash □ Lacustrine □ Loess □ Till □ Alluvium □ Bedrock □ Organic Matter □ Summit (3 Shoulder □ Back/Side Slope d Foot Slope □ Toe SlopeLandscape Position: (check one)Linear, LinearSlope shape Lawn Soil survey map units:Vegetation:705B Slope %:3.0 Elevation: Weather Conditions/Time of Day:Morning Sunny 10/31/19Date: Observation #/Location:n Observation Type:Auger Rock StructureI IDepth (in)Texture Matrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s)Frag. %Grade Consistence'Shape 10YR 2/1 0"-5"Sandy Loam <5 Blocky Weak Friable 10YR 3/3 5"-11"Loamy Sand <5 Blocky Weak Friable V>' 10YR 4/4 11"-18'Loamy Sand <5 Blocky FriableWeak 10YR 5/4Sandy Clay Loam18"-25"<5 Blocky Moderate Friable Concentrations, depletions10YR 5/4 10YR 5/2 S2Sandy Clay Loam25'+<5 Blocky Moderate Firm 10YR 4/6 . Comments 25" V ■ :pS ,iilfc i! Design Summary Page 1. "PROJECT INFORMATION V 04.02.2019 Property Owner/Client: Pro's Properties LLC Project ID: 12/j1/19Site Address: 35387 Northern Lights TRL Date: Email Address: cprososki@gmail.com Phone: 763-360-0944 2. DESIGN FLOW & WASTE STRENGTH Attach data / estimate basis for Other Establishments Design Flow:3104 Anticipated Waste Type: Other Est. - Resid.GPD 170 60 mg/L 25 mg/LBOD:mg/L TSS:Oil £t Grease: CTreatment Level:Select Treatment Level C for residential septic tank effluent 3. HOLDING TANK SIZING Minimum Capacity: Residential =400 gal/bedroom, Other Establishment = Design Flow x 5.0, Minimum size 1000 gallons Code Minimum Holding Tank Capacity: Recommended Holding Tank Capacity: Gallons Tanks or Compartments Tanks or Compartments (Set @ 75% tank capacity) in Gallons in Type of High Level Alarm: Comments: 4. SEPTIC TANK SIZING A. Residential dwellings: Number of Bedrooms (Residential): Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: Gallons Tanks or Compartments Tanks or Compartments in Gallons in Effluent Screen & Alarm (Y/N):Model/Type: B. Other Establishments: [Days Hyd. Retention Time Tanks or Compartments Tanks or Compartments GPDxWaste received by: Code Minimum Septic Tank Capacity:Gallons In ExistingRecommended Septic Tank Capacity:Gallons In NoEffluent Screen & Alarm (Y/N):Model/Type: 5. PUMP TANK SIZING 500Purhp Tank 1 Capacity (Minimum):Pump Tank 2 Capacity (Minimum): Pump Tank 2 Capacity (Recommended): IgPM Total Head Dose Vol: GalGal 0 GalPump Tank 1 Capacity (Recommended): Pump 1 118.0 ~|gpm Total Head Supply Pipe Dia. 3.00 in Gal 24.5 ft .ft Pump 2 Supply Pipe Dia.310.0 galDose Vol:Gal Pnsit«! Treatment A— il \MINNESOTA POLLUTION■mj CONTROL ACENCYDesign Summary Page 6. SYSTEM AND DISTRIBUTION TYPE Project ID; Soil Treatment Type:Mound Pressure Distribution-LevelDistribution Type: Elevation Benchmark:ft Benchmark Location: Type IIIMPCA System Type: Type III/IV Details: Registered Product;Distribution Media: Dig out Old Drain Field and Bad Soils Low Pro Chambers 7. SITE EVALUATION SUA^MARY: Describe. Limiting Condition: Redoximorphic Features/Saturated Soils Layers with >35% Rock Fragments? (yes/no)| No | If yes, describe below: % rock and layer thickness, amount of soil credit and any additional information for addressing the rock fragments in this design. Note: Depth Depth Elevation Limiting Condition: 0 inches Minimum Req'd Separation: 36 inches Code Max System Depth: Mound inches This is the rhaximimum depth to the bottom of the distribution media. Negative Depth (ft) means it must be a mound. 0.0 ft ft 3.0 ft Critical for system complianceElevation 3.0 ft-3.0 ft Sandy Clay LoamSoil Texture: GPD/ft^0.45Soil Hyd. Loading Rate:Percolation Raite:MPI 8Contour Loading Rate: Measured Land Slope: Note: 0.0 %Note: Comments:'v 8. SOIL TREATMENT AREA DESIGN SUAAMARY Trench; ft^ Sidewall DepthDispersal Area in Trench Width ft Total Lineal Feet ft Code Max. Trench Depth ft Designed Trench Depth No. of Trenches in Contour Loading Rate ft Min. Length in Bed: ft^ Sidewall DepthDispersal Area Maximum Bed Depthin in Bed Width ft Bed Length ft Designed Bed Depth in Mound; ft'2664.0 296.0Dispersal Area Absorption Width Bed Length Clean Sand Lift 9.0ftBed Width ft 23.4 3.0ft ft 20.0Berm Width (0-1%) Endslope Berm Width ft 20.0 20.0Upslope Berm Width Total System Length ft Downslope Berm 20.0ft ft 336.0 49.0 10.8ftSystem Width ft Contour Loading Rate gal/ftv'-J' Project ID:V ;■ ;iri.iyi«;nr.or »n(»jx- t. o«s.T*:MINNESPTA^POLLUTIONI¥B1J CONTROL AGENCYDesign Summary Page At-Grade: Bed Length gal/ft Upslope Berm System Length ft ft Finished Height Downslope Berm ftBed Width ftContour Loading Rate Endslope Berm ft ft System Width ftft Level & Equal Pressure Distribution No. of Laterals 3 3 7/32Perforation Spacing ft Perforation Diameter in 2.00 298 776in Min Dose Volume gal Max Dose Volume galLateral Diameter Non-Level and Unequal Pressure Distribution Pipe VolumeElevationPipe Size Pipe Perf Size Spacing Spacing (in)Length (ft)(ft)(ft)(in)(in)Minimum Dose Volume (gal/ft) Lateral 1 Lateral 2 gal Lateral 3 Lateral 4 Maximum Dose VolumeLateral 5 Lateral 6 ; gal 9. Additional Info for At-Risk, HSW or Type IV Design A. Starting BOD Concentration = Design Flow X Starting BOD (mg/L) X 8.35 t 1,000,000 mg/L X 8.35-r 1,000,001 =gpd X lbs. BOD/day B. Target BOD Concentration = Design Flow X Target BOD (mg/L) X 8.35 t 1,000i000 mg/L X 8.35 T 1,000,001 =gpd X lbs. BOD/day Lbs. BOD To Be Removed: ‘Must Meet or Exceed Target ‘Required for Levels A £t B PreTreatment Technology: Disinfection Technology: C. Organic Loading to Soil Treatment Area: Ibs./day/ft^ft^gpd X 8.35 T 1,000,000mg/L X 10. Comments/Special Design Considerations: Installing a Type III Mouiid I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. 12/11/20193947Scott Ellingson (Signature)(License #)(Date)(Designer) It Uk tvuun a> UuKrwn Mound Design Worksheet <1% Slope Onsite Sewage Treatment Program MINNESOTA POLLUTION■ 11fj CONTROL AGENCY Project ID:V 04.02.20191. SYSTEM SIZING: TABLE IXa3104A. Design Flow :GPD LOADING RATES FOR DETERMINING BOTTOM ABSORPTION AREA AND ABSORPTION RATIOS USING PERCOLATION TESTSGPD/ft^0.45B. Soil Loading Rate: Treatment Level C Treatment Level A, A»2, B,0.0C. Depth to Limiting Condition:ft Absorption Area Loading Rate (Bxi/rt’) Absorption Area Loadlnf Rate (BkMR') Percolation Rate (AW) Mound Absorption Ratio Mound Absorption Ratio0.0D. Percent Land Slope:% GPD/ft^1.2E. Design Meciia Loaciing Rate:<0.1 1 1 0 1 to5 1.2 1 1.6 1 2.60F. MouncJ Absorption Ratio:0 1 to 5 (Hne sand ond toaniy fine sand)0.6 2 1 1.6 Table I MOUND CONTOUR LOADING RATES; 6 to 15 0.78 1.6 1 1.6 16 to 30 0.6 2 0.78 2 31 to 45 0.6 2A 0.78 2Contour Loading Rato: Measured Perc Rate Texture • derived mound absorption ratio 46 to 60 0.45 2.6 0.6 2.6OR 61 to 120 5 0.3 6.3 >120&60mp\1.0, 1.3, 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 > 120 mpi*>5.0*C6*- » 2. DISPERSAL MEDIA SIZING 2A. Calculate Dispersal Bed Area: Design Flow (1.A) t Design Media Loading Rate (1.E) = ft GPD/ft^ =2587 ft^3104 GPD T 1.2 ft^If a larger dispersal media area is desired, enter size:2664 9B. Enter Dispersal Bed Width:ft Can not exceed 10 feet. C. Calculate Contour Loading Rate: Bed Width (2.B) X Design Media Loading Rate (1 .E) GPD/ft^ =ft^ X9 1.2 10.8 gal/ft Can not exceed Table 1 D. Calculate Minimum Dispersal Bed Length: Dispersal Bed Area (2.A) -r Bed Width (2.B) = Bed Length 9 Ift =1 296.0 Ift2664ft' V 3. ABSORPTION AREA SIZING A. Calculate Absorption Width: Bed Width (2.B) X Mound Absorption Ratio (1.F) = Absorption Width 9.0 2.6 23.4ft X 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) ^2 = Width beyond Bed 9^0 Ift) ^ 223.4 7.2ft ft( Project ID:A. DISTRIBUTION MEDIA: ROCK A. Rock Depth Below Distribution Pipe ftin DISTRIBUTION MEDIA: REGISTERED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW.5. Quick 4 Low Pro ChambersA. Enter Dispersal Media: ft Depth: 0.5 ftft Width: 3B. Enter the Component: Length:4 C. Number of Components per Row = Bed Length divided by Component Length (Round up) 296 744ft =ft ^components/row Check registered product information for specific application and design D. Actual Bed Length = Number of Components/row X Component Length: 74 components X 4.0 ft =296.0 E. Number of Rows = Bed Width divided by Component Width ftv r 3 3.09ft =rows Adjust width so this is a whole number. F. Total Number of Components = Number of Components per Row X Number of Rows 222 components743X 6. MOUND SIZING A. Calculate Clean Sand Lift: 3 feet minus Depth to Limiting Condition = Clean Sand Lift (1 ft minimum) 3.0ft =ft Design Sand Lift (optional):ft3.0 ft B. Upslope Mound Height = Clean Sand Lift + Depth of Media + Depth of Cover (1 ft) ft +ft +ft =0.50 1.50 5.03.0 ft C. Berm Width = Upslope Mound Height (4.B) X 4 (4 is recommended, but could be 3-12) ftX ft =4.0 20.05.0 ft D. Total Landscape Width = Berm Width + Dispersal Bed Width + Berm Width ft -H ft =ft +20.0 9.0 20.0 49.0 ft E. Additional Berm Width necessary for absorption - Absorption Width - Total Landscape Width 23.4 ft - 49.0 ft = 0 ft if number is negative (<0), value is ZERO F. Final Berm Width = Additional Berm Width + Berm Width ft +ft =20.0 20.00 ft G. Total Mound Width = Final Berm Width + Dispersal Bed Width + Final Berm Width ft +ft +ft =9.0 20.0 49.020.0 ft H. Total Mound Length = Final Berm Width + Dispersal Bed Length + Final Berm Width 200 I ft +1 296.0 I ft +1 200 |ft =| 336.0 Ift I. Setbacks from the Bed: Absorption Width - Dispersal Bed Width divided by 2 (I 204 Ift - I OO I) / 2 7.2 ft ( } :Onsite; iwsiiiifpp®::Mound Materials Worksheet Project ID:V 04.02.2019 A. Rock Volume: (Rock Below Pipe + Rock to cover pipe (pipe outside dia + ~2 inch)) X Bed Length X Bed Width = Volume 777.0ft12296.0 ft X 9.0in +3.5 T Divide.ft^ by 27 ftVyd^ to calculate cubic yards: Add 30% for constructability: B. Calculate Clean Sand Volume: Volume Under Rock bed: Average Sand Depth x Media Width x Media Length = cubic feet ft X ft^ ^ 27 yd^X 1.3 yd'777.0 28.8 yd'28.8 37.4 7992.0 ft^3.0 9.0 296.0 ft =ft X 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) 5.00 1ft - 1) X 8524.807.20 296 ftX Volume from Width = ((Upslope Mound Height - 1) X Absorption Width Beyond Bed X Media Bed Width) I 5.00 ~|ft - 1) X Total Clean Sand Volume : Volume from Length + Volume from Width + Volume Under Media________ 8524.8 ft^ + 259.2 ft^ + 7992 = 16776.0 Ift^ 7.20 9 259.20ftX For a Mound on a slope greater than 1% Upslope Volume: ((Upslope Mound Height - 7) x 3 x Bed Length ) -^ 2 = cubic feet ft - 1) X 3.0 ft ft'X )^2=|____________ Downslope Volume: ((Downslope Height ■ 1) x Downslope Absorption Width x Media Length) ^2 = cubic feet ft-1) X Endslope Volume : (Downslope Mound Height - 1) x 3 x Media Width = cubic feet ft - 1 ) X 3.0 ft (( ft^ft X(()^2 = 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 30% for constructability: 16776.0 ft^ T 27 621.3 yd^X 1.3 yd'621.3 yd'807.7 C. Calculate Sandy Berm Volume: Total Berm Volume (approx): ((Avg. Mound Height - 0.5 ft topsoil) x Mound Width x Mound Length) -s- 2 0.5 )ft X I 49.0 ~|ft X Total Mound Volume - Clean Sand volume -Rock Volume = cubic feet 37044.0 ~| ft^ - 16776.0 - ,777.0 ft^ = 19491.0 |ft^ Divide ft' by 27 ft'/yd' to calculate cubic yards: Add 30% for constructability: 37044.0 ft^5.O.,336.0 )^2 =( 19491.0 ft^ V 27 yd' X yd'721.9 yd'721.9 938.51.2 D. Calculate Topsoil Material Volume: Total Mound Width X Total Mound Length X .5 ft 336.0 [ft X 0.5 ft 8232.0 ft^ - 27 yd' X 8232.0 ft^49.0 ft X yd'Divide ft^ by 27 ft^/yd^ to calculate cubic yards: Add 30% for constructability: 304.9 yd'304.9 234.51.3 = r LSirvuinrOf Uit aunt Pressure Distribution Design Worksheet X 2 (Cnsite » Sewage Treatment Program MINNESOTA POLLUTION CONTROL AGENCY Project ID:V 04.02.2019 91. Media Bed Width:ft 2. Minimum Number of Laterals in system/zone = Rounded up number of [(Media Bed Width - 4) t 3] + 1. 9 - 4 ) T 3] + 1 =3 Does not apply to at-grades[(laterals 33. Designer Selected Number of Laterals: Cannot be less than line 2 (Except in at-grades) 4. Select Perforation Spacing : laterals 3.00 ft :V t?"' y.* pftanttwiom 1’ span5. Select Perforation Diameter Size: 6. Length of Laterals = Media Bed Length - 2 Feet. 7/32 in nrwtorjaon ttcr»n. V** » '/•' uan tpaciig to T 148.0 146.0 ft Perforation can not be closer then 1 foot from edge. 7. Determine the Number of Perforation Spaces . Divide the Length of Laterals by the Perforation Spacing and round down to the nearest whole number. 2ft Number of Perforation Spaces =146.0 ft 3.0 ft 48 Spaces Number of Perforations per Lateral is equal to 1.0 plus the Number of Perforation Spaces. Check table below to verify the number of perforations per lateral guarantees less than a 10% discharge variation. The value is double with a center manifold. T 8. Perforations Per Lateral =48 49Spaces + 1 =Perfs. Per Lateral Maximum Number of Perforations Per lateral to Guarantee <10K Oischarie Variation '/4lnchPerforati«)s 7/32 Inch PerforatiofB Pipe Diameter (Inches)Pipe Diameter (Inches)Perforation SpaongPerforation Spacaig (Feet)(Feet)1 114 m 2 3 114 m1 2 3 2 2 21 34 6811161013183060 214 2K812 16 28 54 10 14 20 32 64 3 3 9 14 19 30 6081216 25 52 3/16 Inch Perforadons 1/8 Inch Perforations Pipe Diameter (In^)Pipe Diameter (Inches)Perforation SpacingPerforation Spacmg (Feet)(Feet)IK 114 2 3 2 31 1 114 114 2 12 18 26 87 2 7446213344 149 214 21412 17 24 40 80 20 30 41 69 135 3 312 16 22 37 75 20 29 38 12864 9. Total Number of Perforations equals the Number of Perforations per Lateral multiplied by the Number of Perforated Laterals. 49 3 147Perf. Per Lat. X Number of Perf. Lat. =Total Number of Perf. Spacing of laterals; Must be greater than 1 foot and no more than 3 feet:3.0 ft10. Center10. Select Type of Manifold Connection (End or Center): 2.0011. Select Lateral Diameter (See Table):in lArvuiin or UnrnEtcRt Pressure Distribution Design Worksheet X 2 (Onsite > Sewage Treatment Program mi 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^9 148 1332ftftX b. Square Foot per Perforation = Bed Area divided by the Total Number of Perforations. ft^/perforationsft^1332 perforations =147 9.1■r 2.013. Select Minimum Average Head:ft 14. Select Perforation Discharge (GPM) based on Table:0.80 GPM per Perforation 15.Determine required Flow Rate by multiplying the Total Number of Perfs. by the Perforation Discharge. 147 0.80 118Perfs X GPM per Perforation =GPM 16. Volume of Liquid Per Foot of Distribution Piping (Table II):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) 3 146 ft X 0.170 74.5Xgal/ft Gallons 18. Minimum Delivered Volume = Volume of Distribution Piping X 4 0.0451 1.25 0.078 74.5 gals X 4 =297.8 Gallons 1.5 0.110 2 0.170 3 0.380 4 0.661 Comments/Special Design Considerations: ll*«•tAsma 'tKt«On Se<ISITE . .WAOETreatment Procram MINNESOTA POLLUTIONCONTROL AGENCYrmBasic Pump Selection Design Worksheet X2 V 04.02.2019Project ID:1. PUMP CAPACITY Pumping to Gravity or Pressure Distribution:Pressure 1. If pumping to gravity enter the gallon per minute of the pump:GPM (10 - 45 spm) 118.0 GPM2. If pumping to a pressurized distribution system: Demand Dosing3. Enter pump description; Soil trutnwnt sysUfn A point of2. HEAD REQUIREMENTS A. Elevation Difference betv/een pump and point of discharge: 13 ft Elcvaiion difli5B. Distribution Head Loss:ft C. Additional Head Loss:0.0 ft (due to special equipment, etc.) Table I.Friction Loss In Plastic Pipe per 100ft Distribution Head Loss Pipe Diameter (inches)Flow Rate (GPM)Gravity Distribution = Oft 1.5 21.251 Pressure Distribution based on Minimum Average Head Value on Pressure Distribution Worksheet: 9.1 3.1 1.3 0.310 12.8 4.3 1.8 0.412 Minimum Average Head Distribution Head Loss 2.4 0.617.0 5.714 1ft 5ft 0.721.8 7.3 3.016 2ft 6ft 3.8 0.9189.1lOft5ft2011.1 4.6 1.1 6.9 1.72516.8 9.7 2.43023.5D. 1. Supply Pipe Diameter:3.0 in 12.9 3.235 2. Supply Pipe Length:125 ft 40 16.5 4.1 20.5 5.045 E. Friction Loss in Plastic Pipe per 100ft from Table I:50 6.1 7.355ft per 100ft of pipe4.16Friction Loss =8.660 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 10.065 70 11.4 13.075 85 16.4 155.3 ft125ftX 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 = 6.5155.3 ft ft4.16 100ft per 100ft X -r H. Total Head requirement is the sum of the Elevation Difference (Line A), the Distribution Head Loss (Line B), Additional Head Loss (Line C), and the Supply Friction Loss (Line G ) 5.5 24.55.0 0.0 ft13.0 ft +ft =ftft 3. PUMP SELECTION 24.5118.0 GPM (Line 1 or Line 2) with at leastA pump must be selected to deliver at least feet of total head. Comments: Pump Tank Design Worksheet (Demand Dose) X2 Project ID:DETERMINE TANK CAPACITY AND DIMENSIONS V 04.02.2019 1552 DosingC. Tank Use:1. A. Design Flow (Design Sum. 1A):GPD 500 Existing GalGalD. Recommended pump tank capacity:B. Min. required pump tank capacity: ;• Existing 15002.A. Tank Manufacturer:B. Tank Model: Note: Design calculations are based on this specific tank. Substituting a different tank model will change the pump float or timer settings. Contact designer if changes are necessary. 1500 GallonsC. Capacity from manufacturer: 35.8 Gallons per inchD. Gallons per inch from manufacturer: 43.0E. Liquid depth of tank from manufacturer:inches 'r DETERMINE DOSING VOLUME 3 Calculate Volume to Cover Pump (The inlet of the pump must be at least 4-inches from the bottom of the pump tank & 2 inches of water covering the pump is recommended) (Pump and block height + 2 inches) X Gallons Per Inch (2C or 3E) in + 2 inches) X 4 Minimum Delivered Volume = 4 X Volume of Distribution Piping: ■Item 18 of the Pressure Distribution or Item 11 of Non-level 5 Calculate Maximum Pumpout Volume (25% of Design Flow) Design Flow: 35.8 64416Gallons Per Inch Gallons( 298 8.3Gallons (Minimum dose)inches/dose 388 10.81552X 0.25 inches/doseGallons (Maximum dose)GPD 3106 Select a pumpout volume that meets both Minimum and Maximum:Gallons yplume of Liquid.in Pipe7 Calculate Doses Per Day = Design Flow t Delivered Volume gpd V gal =5.011552310 Doses Pipe Diameter (inches). Liquid Per Foot (Gallons) 8 Calculate Drainback: 3 inchesDiameter of Supply Pipe =A. 125 feetB.Length of Supply Pipe =[0.0]45 : 0.380 Gallons/ftC. Volume of Liquid Per Lineal Foot of Pipe - D. Drainback = Length of Supply Pipe X Volume of Liquid Per Lineal Foat of Pipe ft X 0.380 gal/ft = 9. Total Dosing Volume = Delivered Volume plus Drainback gal + WiMQ i0V3i?0247.5125 Gallons '3-i-S 'OMI•i 431047.5 358gal =Gallons ■. 10. Minimum Alarm Volume = Depth of alarm (2 or 3 inches) X gallons per inch of tank in X2 71.635.8 gal/in =Gallons DEMAND DOSE FLOAT SETTINGS 11. Calculate Float Separation Distance using Dosing Volume. Total Dosing Volume /Gallons Per Inch gal 4 10.035.8 gai/in =358 Inches 1 _LInches for Dose: 10.0 in12. Measuring from bottom of tank: A. Distance to set Pump Off Float = Pump + block height + 2 inches in + 2 in = FL in “1816 Inches Alarm Depth Pump On Pump Off 30.0 71.6 GalB. Distance to set Pump On Float-Distance to Set Pump-Off Float + Float Separation Distance in + C. Distance to set Alarm Float = Distance to set Pump-On Float * Alarm Depth (2-3 inches) in + 28.0 in 10.0 2818in =Inches 18.0 in 358 Gal j SGal 2.0 3028in =Inches '+?o's Tropt'r4(es LLC W00Oe35‘om00l 3*0 3*^ "7 (jt’gWH'TRL- Nitrogen impacts to aquifers from SSTS Worksheet The Nitrogen Impacts to Aquifer Worksheet is a basic approach to determine if there is a significant potential for an SSTS to unacceptably impact an aquifer with nitrate nitrogen. This sheet is designed to be completed by a trained and licensed Advanced SSTS Designer. This assessment is accompanied by an instruction sheet which contains suggested protocols, location of the necessary information, and definitions. Please refer to the instruction sheet for more information. Before beginning this assessment, it may be beneficial to contact the local unit of government to see if any sensitive groundwater areas have been locally designated. Step 1 - Public water supply wells Are there any public water supply wells within 200 feet of the proposed soil dispersal system? Yes - Site not suitable for large or have a hydrological assessment conducted by an AELSLAGID BP. (TtR)>GotoStep2 Step 2 - Private water supply wells Are there any private water supply wells within 200 feet of the proposed soil dispersal system? Yes - A nitrogen BMP must be employed (go to: Nitrogen Reduction Best Management Practice Selection Process), or have a hydrological assessment conducted by an AELSLAGID BP. Go to Step 3 Step 3 -Water supply wells - future location Are the property boundaries for the site or other restn'ctions in place that would prohibit the installation of a private water supply well within 200 feet of the proposed system? ^Yes"^ Go to Step 4 No - A nitrogen BMP must be employed (go to: Nitrogen Reduction Best Management Practice Selection Process), or have a hydrological assessment conducted by an AELSLAGID BP. Step 4 - Public water supply wells - Drinking Water Supply Management Area Is the site for the proposed system located in a Drinking Water Supply Management Area with a high or very high sensitivity rating? Yes - A nitrogen BMP must be employed (go to: Nitrogen Reduction Best Management Practice Selection Process), or have a hydrobgical assessment conducted by an AELSLAGID BP. Go to Step 5. Step 5 - Protactiva layer determination - Web Soil Survey What is the "Aquifer Assessment - 7080 (MN)" rating for the majority of the land area, within a 1/4 mile radius ofthe proposed system as determined by the Web Soil Survey? ScoSl'‘VlV£, Yes - A nitrogen BMP must be employed (go to: Nitrogen Reduction Best Management Practice Selection Process), or have a hydrological assessment conducted by an AELSLAGID BP. Go to Step 6. SSTS Prescriptive Designs and Design Guidance for Advanced Designers • October 2013 Minnesota Pollution Control Agency 142 I step 6 - Protective layer detemiihation - DNR sensitivity map If the map is available, is the sensitivity to pollution high or very^high forthe majority of the land area, within a ^4 mile radius of the proposed sy^em as determined by DNR sensitivity maps? Yes - A nitrogen BMP rhust be employed (go to: Nitrogen Reductidn Be^ Management Practice Selection Process), dr have a hydrdldgical assessment conducted by an AELSLAGID BP. <^N^r no mapping available^ Go to Step 7. St^7 - Prot Jetiva layei’ determinatlohi^ field iborings According to rnultiple onsite field borings, is the soil texture 6 feet below the bottom of the proposed soli dispersal system a sandy soiI(soil texture group! - 4)? Yes - A nitrogen bm p must be eniployed (go to: Nitrogen Reduction Best Management Practice ’ Selection Process), or hayeia hydrologicai assessment conducted by an AELSLAGID BP. Not Sensitive, no BMP necessary. Done with assessment Final conclusionBased on Step I . *7 (fill in the step #); the following has been concluded! (check box): A nitrogen BMP must be employed:(go to: Nitrogen Reduction Best Management Practice Selection Process) A detailed hydrological assessment for impacts has been elected to be conducted. No nitrogen requirement applies, □ □ 1 =5 SSTS Prescriptive Designs and Design Guidance for Advanced Diners • October 2013 Minnesota Pollution Coritrof/^ncy 143 46° 28' 34" U 46° 28’ 32" N 30 60 90 Map projection: Web Mercator Comer coordinates: WGS84 Edge tks: UTM Zone 15N WGS84 USDA Natural Resources Conservation Service Web Soli Survey Nationai Cooperative Soli Survey 12/11/2019 Page 1 of 3 Soil Map—Otter Tail County, Minnesota MAP LEGEND MAP INFORMATION The soil surveys that comprise your AOI were mapped at 1:20,000.Area of Interest (AOI) I I Area of Interest (AOI) Soils Spoil Area - Stony Spot Very Stony Spot ^ Wet Spot ^ Other § Warning: Soil Map may not be valid at this scale. Enlargement of maps beyond the scale of mapping can cause misunderstanding of the detail of mapping and accuracy of soil line placement. The maps do not show the small areas of contrasting soils that could have been shown at a more detailed scale. □Soil Map Unit Polygons Soil Map Unit Lines Soil Map Unit Points□il Special Line FeaturesSpecial Point Features ^ Blowout Borrow Pit Water Features Please rely on the bar scale on each map sheet for map measurements. Source of Map: Natural Resources Conservation Service Web Soil Survey URL: Coordinate System: Web Mercator (EPSG:3857) Maps from the Web Soil Survey are based on the Web Mercator projection, which preserves direction and shape but distorts distance and area. A projection that preserves area, such as the Albers equal-area conic projection, should be used if more accurate calculations of distance or area are required. This product is generated from the USDA-NRCS certified data as of the version date(s) listed below. Soil Survey Area: Otter Tail County, Minnesota Survey Area Data: Version 15, Sep 16, 2019 Soil map units are labeled (as space allows) for map scales 1:50,000 or larger. Date(s) aerial images were photographed: Jul 25, 2014—Mar 13, 2017 The orthophoto or other base map on which the soil lines were compiled and digitized probably differs from the background imagery displayed on these maps. As a result, some minor shifting of map unit boundaries may be evident. Streams and Canals Transportation f++ RailsClay Spot 0 Closed Depression Interstate Highways Gravel Pit US Routes Gravelly Spot Major Roads Landfill Local Roads A.Lava Flow Background 4b mMarsh or swamp Aerial Photography Mine or Quarry ©Miscellaneous Water Perennial Water Rock OutcropV +Saline Spot • • p p Sandy Spot Severely Eroded Spot Sinkhole Slide or Slip Sodic Spot DSDA Natural Resources Conservation Service Web Soil Survey National Cooperative Soil Survey 12/11/2019 Page 2 of 3 Soil Map—Ottpr Tail County, Minnesota Map Unit Legend Acres in AOI Percent of AOIMap Unit Symbol Map Unit Name 100.0%0.8Nitche-Kandota-Lida complex, 1 to 6 percent slopes 705B 100.0%0.8Totals for Area of Interest % ■r 12/11/2019 Page 3 of 3 l^DA Natural Resources Conservation Service Web Soil Survey National Cooperative Soil Survey Map-iJnit Description: Nitche-Kandota-Lida complex, 1 to 6 percent slopes—Otter Tail County,Minhesota Otter Tail County, Minnesota 705B—Nitche-Kandota-Lida complex, 1 to 6 percent slopes Map Unit Setting National map unit symbol: gml5 Elevation: 1,000 to 1,800 feet Mean annual precipitation: 20 to 30 inches Mean annual air temperature: 37 to 45 degrees F Frost-free period: 90 to 140 days Farmland classification: Farmland of statewide importance Map Unit Composition Nitche and similar soils: 40 percent Kandota and similar soils: 30 percent Lida and similar soils: 20 percent Minor components: 10 percent Estimates are based on observations, descriptions, and transects of the mapunit.: Description of Nitche Setting ■ ;>■ Landform: Hillslopes on outwash plains Landform position (two-dimensional): Summit, shoulder, backslope Down-slope shape: Linear Across-slope shape: Linear Parent material: Loamy over sandy and gravelly outwash over loamy glacial till Typical profile Ap,E - 0 to 16 inches: sandy loam Btl - 16 to 24 inches: gravelly sandy loam 2Bt2 - 24 to 33 inches: loamy sand 2Bk - 33 to 55 inches: gravelly sand 3Bk,3C - 55 to 80 inches: sandy loam Properties and qualities Slope: 1 to 6 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Well drained Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high (0.60 to 2.00 in/hr) Depth to water table: More than 80 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum in profile: 20 percent Available water storage in profile: Low (about 5.9 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3s 0- Web Soil Survey National Cooperative Soil Survey 12/11/2019 Page 1 of 4 l^DA Natural Resources Conservation Service Map ynit Desqription: Nitche-Kandota-Lida complex, 1 to 6 percent slopes—Otter Tail County, Minnesota Hydrologic Soil Group: A Ecological site: Mesic Sandy Upland Mixed Forest (F057XY022MN) Forage suitability group: Sloping Upland, Acid (G057XN006MN) Hydric soil rating: No Description of Kandota Setting Landform: Hillslopes on moraines Landform position (two-dimensional): Summit, backslope, shoulder Down-slope shape: Linear Across-slope shape: Linear Parent material: Loamy glacial till Typical profile Ap- Oto 7 inches: sandy loam E - 7 to 11 inches: sandy loam Bt1,Bt2 - 11 to 28 inches: sandy clay loam Btk1,Btk2 - 28 to 48 inches: sandy loam C - 48 to 80 inches: sandy loam Properties and qualities Slope: 1 to 6 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Well drained Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high (0.60 to 2.00 in/hr) Depth to water table: More than 80 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum in profile: 25 percent Available water storage in profile: High (about 9.5 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 2e Hydrologic Soil Group: B Ecological site: Loamy Upland Mesic Hardwood Forest (F057XY021MN) Forage suitability group: Sloping Upland, Acid (G057XN006MN) Hydric soil rating: No Description of Lida Setting Landform: Hillslopes on outwash plains Landform position (two-dimensional): Summit, shoulder, backslope Down-slope shape: Linear Across-slope shape: Linear Parent material: Loamy mantle over sandy and gravelly outwash deposits 1 12/11/2019 Page 2 of 4 Web Soil Survey National Cooperative Soil Survey USDA Natural Resources Conservation Service MaibWnit Description: Nitche-Kandota-Lida complex, 1 to 6 percent slopes—Otter Tail County,Minnesota Typical profile Ap- Oto 9 inches: sandy loam E - 9 to 19 inches: loamy sand 2Bt - 19 to 28 inches: gravelly sandy loam 2C - 28 to 60 inches: gravelly sand Properties and qualities Slope: 1 to 6 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Well drained Capacity of the most limiting layer to transmit water (Ksat): High (2.00 to 6.00 in/hr) Depth to water table: More than 80 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum in profile: 15 percent Available water storage in profile: Low (about 5.0 inches) Interpretive groups Land capability classification (irrigated): None specified Land, capability classification (nonirrigated): 3s Flydrologic Soil Group: A Ecological site: Mesic Sandy Upland Mixed Forest (F057XY022MN) Forage suitability group: Sloping Upland, Low AWC, Neutral (G057XN004MN) Hydric soil rating: No Minor Components Kratka Percent of map unit: 2 percent Landform: Flats, swales Hydric soil rating: Yes Pinelake Percent of map unit: 2 percent Landform: Swales Hydric soil rating: Yes Two inlets Percent of map unit: 2 percent Hydric soil rating: No Oylen Percent of map unit: 2 percent Hydric soil rating: No Cathro Percent of map unit: 1 percent Landform: Depressions Hydric soil rating: Yes Dorset Percent of map unit: 1 percent 12/11/2019 Page 3 of 4 'Web Soil Survey National Cooperative Soil Survey USDA Natural Resources Conservation Service Ma«J>Jnit Des9ription: Nitche-Kandota-Lida complex, 1 to 6 percent slopes—Otter Tail County,Minnesota Hydric soil rating: No Data Source Infbrmation Soil Survey Area: Otter Tail County, Minnesota Survey Area Data: Version 15, Sep 16, 2019 12/11/2019 Page 4 of 4 USDA Natural Resources Conservation Service Web Soil Survey National Cooperative Soil Survey rpipliffiijoiLMlfflEStOTisi ■V Septic System Management Plan for Above 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 perfonned 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! Pro's Properties LLC Email cprososki@gmail.eomProperty Owner PropertylD 14000250197001Property Address 35387 Northem Lights TRL 218-205-1667System Designer SCOtt S SeptiC ServiceS, LLO Contact Info 218-298-1477System Installer Ruther Excavatiog Inc.Contact Info Service Provider/Maintainer Contact Info Permitting Authority OttertaN CoUnty L&R 218-998-8095Contact Info Permit #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-built 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, visit www.bookstores.umn.edu and search for the word “septic” or call 800-322-8642. For more information see http://septic.umn.edu Version: August 2015 - 1 - Septic System Management Plan for Above Grade Systems 'f University OF Minnesota ''Vi"Your Septic System ____Oeanout□ □.Manhole Inspection pipe _ ^ Septic lank T.irl . _ r-'_ Mound - -'- - Perforated Pipe', Uteral deenouu - CrossH«ctlon of mound Dbvibution mediaii»r, Inspection pipe*' '• tMmyfiH ■■ topsoil. _ -:.iS • ■ • ■ _______‘ iiff? SIfrom pump tank^ Septic System Specifics System Type: Ql O” Q V* {Based on MN Rules Chapter 7080.2200 - 2400) System is subject to operating pennit* System uses UV disinfection unit* Type of advanced treatment unit________*Additional Management Plan required Dwelling Type Well Construction Well depth (ft): _______________________ □ Cased well Casing depth: □ Other (specify): Distance from septic (ft): ^00* the design drawing? (^Y N ^^UlTlbcr of bedrooms' ^ b©ds / 23 csbln b©ds / 8 cdrnp sitss System capacity/ design flow (gpd): Anticipated average daily flow (gpd): *^3104 Comments 3104 Business? : (^Y What type?Resort Is the well on Septic Tank □ First tank Tank volume: Exiting Does tank have two compartments? ^^Y N □ Second tank Tank volume: Exisitng gallons □ Tank is constructed of Concrete_____ □ Effluent screenY N Alami Existing 1500 gallonsgallons□ Pump Tank □ Effluent Pump make/model: Pump capacity D8 TDH 24.5 □ Alann location Of’ Tank GPM Feet of head Oy0n Soil Treatment Area (STA) Mound/At-Grade area (width x length): 100 ft x 188 ft fy] _. . j • . j. , , X o Q .c. 1/IQ LVJ Inspection ports / CleanoutsRock bed size (width X length): 2-9 ft x 1^8 ft ,—, ^ ^ L2U Surface water diversions Additional STA not availableLocation of additional STA: _________________ Type of distribution media: Quick 4 Low Pro Chambers 13 -2- Septic System Management Plan for Above Grade Systems■ I’XBiifERpofn OE-MlNiMlSOlM Homeowner Management Tasks These operation and maintenance activities are your responsibility. Chart on page 6 can help track your activities. Your toilet is not a garbage can. Do not flush anything besides human waste and toilet paper. No wet wipes, cigarette butts, disposal diapers, used medicine, feminine products or other trash! The system and septic tanks needs to be checked every ^6___months Your service provider or pumper/maintainer should evaluate if your tank needs to be pumped more or less often. Seasonally or several times per year • Leaks. Check (listen, look) for leaks in toilets and dripping faucets. Repair leaks promptly. • Soil treatment area. 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. Keep bikes, snowmobiles and other traffic off and control borrowing animals. • /I/a/7775. Alarnis signal when there is a problem; contact your seiwice professional any time the alarm signals. • Lint filter. If you have a lint filter, check for lint buildup and clean when necessary. If you do not have one, 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 along with an alarm. 'i Annually • Water usage rate. A water meter or another device 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. Consider updating to demand operation if your system currently uses time, • Review your water usage rate. Review the Water Use Appliance chart on Page 5. Discuss any major changes with your service provider or pumper/maintainer. During each visit by a service provider or pumper/maintainer • Make sure that your service professional services the tank through the manhole. (NOT though a 4” or 6” diameter inspection port.) • Ask how full your tank was with sludge and scum to determine if your service interval is appropriate. • Ask your pumper/maintainer to accomplish the tasks listed on the Professional Tasks on Page 4. -3 - Septic System Management Plan for Above Grade Systems'DSlIitBRSItTfl SEllilWESmi Professional Management Tasks These are the operation and maintenance activities that a pwnper/inaintainer performs to help ensure long­ term performance of your system. At each visit a written report/record must be provided to homeowner. 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 Ud. A riser is reconunended 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 soil treatment area.) • Inspection pipes. Replace damaged or missing pipes and caps. • Baffles. Check to make sure they are in plaee 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 alami 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 alarni works. Drainback. Check to make sure it is draining properly. Event counter or elapsed time we/e/;. Check to see if there is an event counter or elapsed time meter for the pump. If there is one or both, calculate the water usage rate and compare to the anticipated use listed on Design and Page 2. Dose Volume: Minutes gallons: Pump run time:358 NA Soil Treatment Area • Inspection pipes. Check to make sure they are properly capped. Replace caps and pipes that are damaged. • Surfacing of effluent. Check for surfacing effluent or other signs of problems. • Lateral flushing. Check lateral distribution; if cleanouts exist, flush and clean at recommended frequency. • Vegetation - Check to see that a good growth of vegetation is covering the system. All other components - evaluate as listed here: -4- Septic System Management Plan for Above Grade Systems• IXSipRsSS’" DE,MWES£jli Water-Use Appliances and Equipment in the Home Appliance Impacts on System Management Tips • 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 • 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. • 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. Limit use of bleach-based detergents and fabric softeners. • Install a lint fdter after the washer and an effluent screen to your tank • Wash only full loads and think even - spread your laundry loads throughout the week. Washing machine • Powdered and/or high-phosphorus detergents can negatively impact the perfonnance of your tank and soil treatment area. • New models promote “no scraping”. They have a garbage disposal inside. 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. 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. • Fleavy 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) Impacts on System Management TipsClean Water Uses Fligh-efficiency ftirnace • Drip may result in frozen pipes during cold weather. • Re-route water directly out of the house. Do not route furnace discharge to your septic system. • 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 overload the system and is prohibited from entering septic system. Surface drainage Footing drains - 5 - Septic System Management Plan for Above Grade Systems• IlSlWERSlf^ Homeowner Maintenance Log Track maintenance activities here for easy reference. See list of management tasks on pages 3 and 4. Date accomplishedActivity Check frequently: Leaks: check for plumbing leaks* Soil treatment area check for surfacing**. r Lint filter: check, clean if needed* Effluent screen (if owner-maintained)4: 4: * Alarm** Check annually: Water usage rate (maximum gpd Caps: inspect, replace if needed Water use appliances - review use Other: *Monthly **Quarterly ***Bi-Annually Notes: "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 system." DateProperty Owner Signature: CertificationScott EllingsonManagement Plan Prepared By: Ottertail County L&RPennitting Authority: ©2015 Regents of the University ofMinnesola. All rights reserved. The University of Minnesota is an equal opportunity educator and employer. This material is available iit altcnialivc 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- A. UMviMirr Of kikhsota Mound Design Worksheet <1% Slope X 2 Mounds Onsite Sewage Treatment '' j Program » — "r Project ID:V 04.02.20191. SYSTEM SIZING: TABLE IXa1552A. Design Row :GPD LOADING RATES FOR DETERMINING BOTTOM ABSORPTION AREA , AND ABSORPTION RATIOS USING PERCOLATION TESTSGPD/ft^0.45B. Soil Loading Rate: Treatment Level A, A-2, B,Treatment Level C0.0C. Depth to Limiting Condition:ft Absorption Area Loading Rate (gpdm') Absorption Area Loading Rate • (gpd/ft*) Mound Absorption Ratio Percolation Rate (MPI) Mourtd Absorption Ratio0.0D. Percent Land Slope:% 21.2E. Design Media Loading Rate:<0.1 1 1GPD/ft 1.60,1 to 5 1-2 1 1 2.60F. Mound Absorption Ratio:o:i toS,(noe;Mnd and loamy fine Mndl 1-60.6 2 1 Table I MOUND CONTOUR LOADING RATES: 6 to 15 1.60.7B 1.61 P-6-1616 30 ^782 2 ois3110 45 2A 6:78 2Contour Loading Rate: Measured Perc Rate Texture - derived mound absorption ratio 2.646tp,M o;60;45 2.6OR 0:361 IO120 6 6.3 >120£60mpi <121.0, 1.3, 2.0, 2.4, 2.6 ‘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 > 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^ =ft^GPD T 1.2 12931552 ft^If a larger dispersal media area is desired, enter size:1332 9 ft Can not exceed 10 feet. C. Calculate Contour Loading Rate: Bed Width (2.B) X Design Media Loading Rate (1.E) 9 ft^ X 1.2 GPD/ft^ = 10.8 gal/ft D. Calculate Minimum Dispersal Bed Length: Dispersal Bed Area (2.A) -r Bed Width (2.B) = Bed Length 1332 Ift^ V I 9 Ift =1 148.0 Ift B. Enter Dispersal Bed Width: 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 9^0 Ift X 2^6 23.4 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) + 2 = Width beyond Bed 9^0 |ft) T 2 7.2 ft( 23.4 ft jg. DiSTRIBUTION MEDIA: ROCK A. Rock Depth Below Distribution Pipe X Project ID: ftin 5. DISTRIBUTION MEDIA: REGISTERED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW Quick 4 Low Pro ChambersA. Enter Dispersal Media: 3 ft Depth: 0.54ft Width:ftB. Enter the Component: Length: C. Number of Components per Row = Bed Length divided by Component Length (Round up) 148 4 37ft T ft =components/row Check registered product information for specific application and design D. Actual Bed Length = Number of Components/row X Component Length: 37 components X E. Number of Rows = Bed Width divided by Component Width 9 ^ ftT ft =4.0 148.0; 3 3.0ft =rows Adjust width so this is a whole number. F. Total Number of Components = Number of Components per Row X Number of Rows 111 components373X 6. MOUND SIZING A. Calculate Clean Sand Lift: 3 feet minus Depth to Limiting Condition = Clean Sand Lift (1 ft minimum) 3.0 ft ft3.0 ft ft =Design Sand Lift (optional): B. Upslope Mound Height = Clean Sand Lift + Depth of Media + Depth of Cover (1 ft) ft +ft +ft =3.0 0.50 1.50 5.0 ft C. Berm Width = Upslope Mound Height (4.B) X 4 (4 is recommended, but could be 3-12) To ft X 4^0 ft = 2o!o Ift D. Total Landscape Width = Berm Width + Dispersal Bed Width + Berm Width ft-^ ft-^ft =20.0 9.0 20.0 49.0 ft E. Additional Berm Width necessary for absorption - Absorption Width - Total Landscape Width 23.4 ft- 49.0 ft = 0 ft if number is negative (<0), value is ZERO F. Final Berm Width = Additional Berm Width + Berm Width ft -H ft = 20.020.00 ft G. Total Mound Width = Final Berm Width + Dispersal Bed Width + Final Berm Width ft ft = 49.020.0 ■ ft -I-9.0 20.0 ft H. Total Mound Length = Final Berm Width + Dispersal Bed Length + Final Berm Width 20.0 Ift +1 148.0 Ift +\ 200 Ift =1 188.0 Ift I. Setbacks from the Bed: Absorption Width - Dispersal Bed Width divided by 2 ft -2( 23.4 9.0 7.2 ft) / 1 ' W. MOUND DIMENSIONS«Project ID: 's is Department of LAND AND RESOURCE MANAGEMENT 01 TER TAIL COUNTY Governmeot Services center 540 West Fir Avenue - Fergus falls mn 56537 Phone: 218- 998 - 8095 otter Tall County Website: www.ottertallcountvmn.us 9^7TCR TAII AS-BUILT REPORT SUBSURFACE SEWAGE TREATMENT SYSTEM :: . _________________________ a S»TE/OWNERt{)ia^gj^Qifc SiteAddress (\UH^ U(^UdK, Propcrty Owner Propi.^i<-<LS CCC, Mailing Address Os WH TltL- 5Property IDU / V/a0cL3«> l97 ^ I Mail City __________aMail State/Zip ria/ BJMEMMATION .. „1 r MPCA License W Date of Installation S"~H~T<^ Installation Business 7Certified Individual on Job SYSTEM INFORMATION ^0-fl^S»ed Tank o jla^steredTanlrTANKl ManufacturerManufacturer Model NumberModel Number_____ liquid Capacity gallonsLiquid Capacitygallons Date of MantiUctureDate qLMarlufacture nftMaximum Depth AllowedMaximum Depth Allowed ft ftActual Depth BuriedftActual Depth Buried t a Registered Tw* ManufacturerManufacturer Model NumberModel Number gallonsgallonsLiquid CapacityLiquid Capacity Date of Manufacjufe^Date of Manufaettjre Maximi^iR-Efepth AllowedMaximj;p<6epth Allowed ftft Actual Depth BuriedkctSja\ Depth Buried ftft PRESSURE PISTRlBUHON:SI»lgCS^ ^DRAINFIELP SPECS :* Number of Laterals ^O PressurizedTrenches22 Distribution BoxC Drop Box Perforation Diameter inNumber of Trenches Perforation Spacing ftfttip 3Total Lineal Feet of Trenches "■is^ Lateral Spacing ftinDepth of Trenches from Grade Clean-Outs Installed at End Lateralssq ftTotal Area Installed ; PUMP tNFORM/ffm.,PRESSURE BED SPECS ManufacturerXBed Length & Width Model Number U)^ /T Q If-inDepth of Bed from Grade:MMOUND/AT-GRAPE SPECS TREATMENT MEDIA a ftT^egistered Treatment Media W;^ X SOO □ Drainfield RockBed Length & Width in mTreatment MediaSand Below Bed (Upslope Side)S:ftDownslope Berm Width CERTIFICATION ? If hereby certify that the system at the above referenced address was installed according to the Otter Tail County Sanitation Code land Minnesota Rules, Chapter 7080-7083. Installer Signature DateInstallerMPCA Lie # !1S !SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS TRENCH REDUCTIONS1A (SBOlhntmaif Ans; OUTHOUSE HOLDING SEPTIC TANK UFTTANK \CATEGORV^? *1*-. inchesp|-2l Rock trenches wHh _Capacity t QLS.GLS. FT I lot %__FT •yoSetback from Nearest Well FT /\IPI reduction/equivalent toSetback from Buried Water Suction Pipe FTFT P)STA CALCULATION (SoWneatmmtAna)_FI.X_3y_R. I FT^ Setback from Burled Pipe Dtetributinfl Water Under Pressure /FTFT \MfeFTSetbadc from OHWL (lake &/or river)FT rv ^36^ F,FTFTSetba(% from Bluff Setback from Dwelliitg FT MOUND/AT-GRADEFTFT \FT ROCK BEDSetback from Nort-Dwelling V FT FT 3_^{LftSetback from Nearest Property Line ftFT FTV Ft. X l'?3^Setback from RIgM-of-Way FT FT FT R»/ CElevation above Restrictive Layer FT FT FT SAND IN MOUND _RINSTALLERS COMMENTS \SEPTIC TANK(8)(mV -□ NO 0VAt\(JIoD'^Holding Tank'/ Lift Alarm YES Old System Pumped & Destroyed 0YES O NO # Tarrke Inatalled _Weep Holes { Manuf.«=•Number of Laterals #3 Lateral Pipe Size IN Model#Perforation Diameter SizePerforation Spacing 3 Ft.^ IN r/iPUMPSGallons Per Minute [1 FILTERS GYESFeet of Total Head [1 NO ispector’s Comments: iketch:i >J e\lfn) U h.rrz.i:t V. 1}O' “TT iI T6\ I 3 33:~5'8 X , ) I 3I; I3F As o e above described sewage system installation was found to be compliant with the provisions of the Sanitation Code of Otter Taii County.Mgal/LSnoaiclat 'A/\tamf a Rssoinca erm No. BK — 04*2014>0B SST J4S • Vietar Lundeen C». Pvinieni • p imna Mfa uinnMnt* m otter Tail County Land & Resource Management Subsurface Sewage Treatment System Inspection FormOTTER TAtt- COUNTY-MINNESOTA Property ID No | ^ (^QQ'I^QX T? OOI Permit No.Addres □ Non-Shoreland II Type of System Installer/MPCA #MPCA Type I V J^^Mound □ At-Grade □ New □ Repair Replacement □ Other □ Trench □ Pressure Bed Soil Treatment Area InspectionTank inspection Other inspection:Finai Inspection wli^Date Inspector Date Inspector Date Inspector Corrections Corrections Y N Corrections Y N Corrections TREATMENT MEDIA MOUNDS/AT-GRADE 'T'^Mol oPercent SiopeTREATMENT MEDIA □ Drainfield Rock □ Registered Treatment Media □ At-Gradeound Sand Below Bed on Upslope Side(in):Bed Width(fl):0|Registered Treatment Media:Bed ^^(ft): SEWAGE/HOLDING TANKS Downslope(ft): Upslope(ft): Sldeslope(ft): CMojnrlbcrSCapacity (Gallons) Manufactuer Model No. RyuU DtluwPlpe(in).' PRESSURE DISTRIBUTION1st Tank:□ New □ Existing □ Combo □ New D Existing □ Cornbo Number of Latemis:Laterai Spacing(ft) Lateral Dia(in)2nd Tank: ^tsT*^ N□ New □ Existing □ Combo Perforation Dia(i Perforation Spacing(ft)CleanoPump Tank TRENCHES/PRESSURE BEDS PUMP INFO □ Pump Trench Pressure ^ Bed□ bmp Box End Fed □ Dist Box □ Gravity Pump Manufacturer/Modei No: □ (.^v^nt Counter □ Run-Time ClockRock Below Pipe(in)Flow Measurement Reading:□ Drop Box banter Fed □ 6 □ 12 □ 24 SETBACKSTrench Depth (in)T2 Ts Ta T5 Dwelling Non>Dwelling Dwelling Non-DwellingT3,T,Trench Length (ft)Ta Ts Building(s) to tanks(ft) Building(s) to STA(ft) 7Mo 1^Ts T,oTrench Depth (in)Surface water(ft)Well(s)Sensitive Well MdTeT7Te1.9 T,oTrench Len(1)Property lines BluffRoad R.O.W. Depth ofRestriction(in): /**^Depth of ^System(in7r Vertical Separation Provided(in):Bed Length(ftJ>Bed Width(ft):Pressure Bed Dimensions f2) /^8x'9 GhayT)bi^ MoiLrn:!';,______ ____-2i^ "fjPfPt gY\ ■ccwh r)n<hLn Comments. y Final Inspectt^ SignatureSSTS Inspection Form 04-28-2020 PT-873169 • Victor leen Co., Printers • Fergus Falls, MN • 1-800-346-4870 m otter Tail County Land & Resource Management Subsurface Sewage Treatment System Inspection Form» *■ 9OTTER TAVL" COUNTY - MINNESOTA ) HO/^7 // iAddress^^\ •Property ID No.Permit No.□ Non-Shoreland‘ ■/ -i •ft' LCity/Twp. ^1 V Installer/MPCA #MPCA Type I II III IV □ New □ Repair □ Replacement □ Other P MoundType of System □ Trench □ Pressure Bed □ At-Grade Soil Treatment Area InspectionTank Inspection Other Inspection:Final Inspection J1!“Inspector Inspector Date Inspector Inspector /Corrections Y/ N Corrections Y N Corrections Y N Corrections TREATMENT MEDIA MOUNDS/AT-GRADE /'o[^/MoundTREATMENT MEDiA □ Drainfield Rock □ Registered Treatment Media Percent SiopeO At-Grade Sand Below Bed on Upslope _Side(in):Registered Treatment Media:(ft):^ Bed Len^th(ft):Bed Width SEWAGE/HOLDING TANKS Downslope(ft):Upslope(ft): ^Sideslope(ft):7-0 To />Capacity (Gallons) Manufactuer Model No.Rook OofowPipg(tn)r"\ , PRESSURE DISTRIBUTION1st Tank:□ New □ Existing □ Combo □ New □ Existing □ Combo2nd Tank:Number of Laterals: Lateral Spacing(ft)Lateral Dia(in) ^;2 Perforation Dia(inf)/ '^ytsf"^ N□ New □ Existing □ ComboPump Tank Perforation Spacing(ft)Cleano■T TRENCHES/PRESSURE BEDS PUMP INFO □ Pump T ranch Pressure ^ Bed□ Drop Box End Fed □ Dist Box n Gravity Pump Manufacturer/Model No: Rock Below Pipe(in)□ Drop Box Center Fed □ 6 □ 12 □ 18 □ 24 Flow Measurement Reading:□ jEvent Counter □ Run-Time Clock T,T2 SETBACKSTrench Depth (in)T3 T4 Ts Dwelling Non-Dwelling Dwelling Non-DwellingTiT2Trench Length (ft)T3 T4 Ts Bullding(s) to tanks(ft)Building(s) to STA(ft) pj ^ ^ - 2-L/ oTrench Depth (in)Ts T7 Te T9 T,o Surface water(ft)Well(s)Sensitive Well Property linesjjl^4dTrench Length (ft)Te Tr Te Ts T10 BluffRoad R O W. Depth of Restriction(in): / Depth of ^ System(in):Vertical Separation Provided(in):Bed Length(ft):'v_Pressure Bed Dimensions Bed Width(ft): /t_/g)x9 Ch£ur)hg<- MouniJ2Comments; IQ i'CiCyhl y /(Final Inspector^ SignatureSSTS Inspection Fonn 04*28*2020 typdw Co., Printers ■ Fergus Falls, MN ■ 1-800-346-4870PT-873169 • VktOf OTTER TAIL COUNTY LAND & RESOURCE MANAGEMENT PUBUC WORKS DIVISION WWW.COOTTER-TAILMN.USpnCRTilll GOVERNMENT SERVICES CENTER 540 WEST FIR AVENUE FERGUS FALLS, MN 56537 218-998-8095 FAX: 218-998-8112 10/31/2016 Pro's Properties Lie 35387 Northern Lights TrI RichvilleMN 56576 9672 RE:Primary Owner: Pro's Properties Lie Sewage Treatment System Servieing Tax Pareel Number: 14000250197011 Deseribed as:See 25 Twp Dead Lake Township Seet-25 Twp-135 Range-040 6.36 AC PTGLS 9 & 10 COM SE COR Lake: 56-383 Dead As of 10/13/2016 the sewage treatment system (Sewage Treatment Installation Permit # 24317 servieing your property was determined to be in eomplianee with the provisions of the Sanitation Code of Otter Tail County for a 600 gallon per day system. Please be advised that this eertifieation is only valid for five years from the date of this inspeetion 10/13/2021 If you have any questions regarding this matter, please eontaet our offiee. Sineerely, Erie Babolian Inspeetor "1f 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 OTTCR Tnit WHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue)COUnTY-ailHICIOTR 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 >40(. LateWO/55 PARCEL NUMBER (S) OF PROPERTY BEING SERVICED LEGAL DESCRIPTION ^ vJc >4 Gb T E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD 3^321 CoU4j Ir] COIaa. Last Name First Initial Mailing Address Daytime Phone No. 353g-7 Trl TtcVvoi lie, . 5'to5^lc-9(<nO Property Owner S13M3I 6xcctoq\iw>^jiS~Contractor Lie.#T?i'CU>^cU-c ^ A1/V Slp^Kff 1417 5m THIS SPACE FOR OFFICE USE ONLY A.M. >• This System will be ready for inspection on , the year of ,P.M.at A.M. P.M. Date Received Time Received L&R Official TYPE OF NSTALLATION (circle one)SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWINGResidential (A) New (B) Replacement (C) Add on Y'—^*4 (b) New) (hTReplacemenl Other Est.lector (G) New (H) Replacement (I) Add on Soil Treatment Area (F) Add on Tank LiftDesign Flow (Gallons/Day)Effluent Distribution (V ) Gravity ( ) Pressure Size(M) 5,000 — 10,000 Setback To Nearest WellType I Type II Ft.Ft.Ft.-/■-h (20) Trench, Rock (27) Rapidly Permeable Setback To OHWL Ft.Ft.(21) Trench, Gravelless (28) Flood Plain -t JSo(^2) Trench, Chamb^(29) Privies ____ Ft.Ft.Ft.Setback To Bluff(23) Bed (30) Flolding Tank (Contract Required)(24) Mound Ft. Ft.Setback To Dwelling + /O -f'/O -r(25) At Grade Type III Setback To Non-Dwelling(26) Greywater (31) Other/Problem Soils/<12" Soil Ft.-r /oType IV(34) Tank Only Setback To Nearest Lot Line .^/^Ft.(32) Public Domain & Proprietary Technologies(35) Other Setback To Road Right-Of-WayDepth of WelFrij Type V Total # Bedrooms i«CD a p (33) Performance 3 Ft.Elevation Above Restrictive Layer Ft.Ft.Y / X.^Garbage Disposal Y / "VlAbatement PgH^TEST DATA Designer License #Date of Test Highest Rate 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). «»o Permit Fee $ 'Date: 77P^7 Date:Rec. No.. Land & Resource Management Official Date StampComments:FitCElVED SFP l ‘l 2016 L&R Initial lands resource /LX i am Form No. BK — 04-2014-06 357,243 • Victof Lundsen 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 .q218-998-8095 ^ www.co.otter-tail.mn.us « 1 i OTTER Tflil WHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue)CODIITT.aillllKOTII APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWPNAME ] '35 I' » j PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD 3 5'?- -v h i// O ! ' I ; ^to I LEGAL DESCRIPTION 1 Gt W J C) St COV 1f3I 1 Daytime Phone No. ?Last Name First Initial Mailing Address ■J/V'G.Property Owner 3 ■ M )X‘k'.1-74I Tto •c; , 1 1I(-r ) ..'3j'Contractor Lie.#.■1 933 3-'4, .H'/V .1 ! THIS SPACE FOR OFFICE USE ONLYS 9.HL^ 12. '.OCt .ML ► This System will be ready for inspection on , the year of Date Receivetr 'Time Received P.M. L&R Official TYPE OF NSTALLATION (circle ONE)SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWINGResidential (A) New (B) Replacement (C) Add on Collector iO) New; (E) Replacement (F) Add on Other Est. (G) New (H) Replacement (I) Add on /Soil Treatment Area Tank LiftifAy/rrDesign Flow (Gallons/Day) ,, . ,(K) 1 — 2,499 " (L) ?;5D!r^4,999 (M) 5,000 — 10,000 Effluent Distribution ( ) Gravity ( ) Pressure GIs'•'rv-?size Setback To Nearest WellType I Type II .) 3/ Ft../ .r', - Ft.Ft.T"J (20) Trench, Rock (27) Rapidly Permeable ^Ft.-Ft.Ft.Setback To OHWL(21) Trench, Gravelless 't(28) Flood Plain / •-7 //' : (22) Trench, Chamber (29) Privies Ft.Ft.Ft.Setback To Bluff(23) Bed (30) Holding Tank (Contract Required)(24) Mound Ft. Ft.Ft.Setback To Dwelling i />'V //(25) At Grade Type III Setback To Non-Dwelling(26) Greywater (31) Other/Problem Soils/<12” Soil Ft.. Ft./c-r Type IV(34) Tank Only Setback To Nearest Lot Line Ft.■ ) Ft.^ /r-(32) Public Domain & Proprietary Technologies > /(35) Other Setback To Road Right-Of-WayDepth of Well Ft./c Ft.Type V * /G Total # Bedrooms (33) Performance Elevation Above Restrictive Layer Ft.- -- Ft.Ft.Garbage Disposal Y / NAbatement Y / N PERC TEST DATA IILicense # "Designer—Date of Test Highest Rate i Agreement: The undersigned hereby makes application for permit to instali, alter, repair or extend Sewage Treatment System herein specified, agreeing to do ali such work in strict accor- -i 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 Officiai shail 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.f 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). II/ S]gr\atuve of Property Owner/Agent tor Q^rwr Q lUuiZi iDate: L7 ':'S \lPermit Fee $JwdlX 13 .ti - f 79-/-Sc- - Z Rec. No. lih I ’-7Date: Land & Resource Management Official Comments: 1 Form No. BK — 04-2014-06 l«w wkL 357,243 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota ft '•"SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS< V STA (Soil Treatment Area) OUTHOUSE HOLDING SEPTIC TANK TRENCH REDUCTIONLIFT TANKCATEGORY f La y 9 foRoekfronohec with '•Zc oS/t^qls.Capacity inchesFT 2GLS. z,oof sidewall for %ft Z(^o^ ftSetback from Nearest Well FT Setback from Buried Water Suction Pipe reduction / equivalent to ft®FT FT FT Setback from Buried Pipe Distributing Water Under Pressure FT ft STA CALCULATION fSotf Treatment Area) ^____Ft. X _ 3^FT FTftSetback from OHWL (lake &/or river)ft Ft. Setback from Bluff /oc? ft/ FT f oo"^ FT Setback from Dwelling FT FT FT MOUND / AT-GRADEV ROCK BEDSetback from Non-Dwelling FT FT FT ftSetback from Nearest Property Line FT FT Ft. X Ft. 1>0 ^ FT /i. ~ FTSetback from Right-of-Way FT FP 3Elevation above Restrictive Layer FT FT FT SAND IN MOUNDINSTALLERS COMMENTS S/ Pi P'-* SEPTIC TANK(s) # Tanks Installed ^_____ Holding Tank / Lift Alarm j^YES □ NO CtjJ~ dvOrZ Weep HolesOld System Pumped & Destroyed □ YE^/f □ NO Manuf.Number of Laterals #Lateral Pipe Size IN Zoac^ /Model ttPerforation Spacing Ft.Perforation Diameter Size IN Gallons Per Minute j Feet of Total Head [□ YES ^NOFILTERSPUMPS Inspector's Comments: Sketch: 4- —/ I I I 7U f/7T tz —■> 7fZ'iC f'/Orr 35 zo F.r y Z ^|co|o)-\oj A- ZOoClt^ -D S’r-n ii —Tprevirtxtt. I >'•)«./ {0f b)0 lollil As of . the above described sewage systemlinstallation was found to be compliant with the provisiona of thei Sanitation Cnrln of Otter Tail County.\Date Time Initial / L & R Official Land & Resource Management Official Form No. BK — 04-2014-06 3S7.243 * Victor Lundoen Co., Printers • Fergus Falls, Minrtesota 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 rmCOOaTT-BIBDaiOTft OMXj Sewage Treatment System Permit #OWNER: LAST NAME FIRST MIDDLE TELEPHONE NUMBER ADDRESS: y/^/C7J^£?CV -TyCL. ___STR./RT.CITY STATE ZIP CODE .AeA^i LAKE/RIVER NO..LAKE NAME SEC.TWP.RANGE TWP. NAME LEGAL DESCRIPTION:SOIL BORING LOG hr,COLOR & MUNSELL NO. DEPTH (INCHES)TEXTURE ■STRUCTURE BLOCKY PLATY PRISMATIC NONE /4oc>o:;i^C>/970n PARCEL NUMBER 35'3i^7 z/^/C-fMe/Cv C/a^/z-rs BLOCKY PLATY PRISMATIC NONE E-911 Address or Directions From Nearest Public Road NUMBER OF BEDROOMS GARBAGE DISPOSAL: YES ■FtnWELL: CASING DEPTHTJ^ ft. SEWER LINE SEPARATION: FLOODPLAIN: YES BLUFF: YES VEGETATION: AQUATIC Cj^ESTR]A^ BLOCKY PLATY PRISMATIC NONEft.BLOCKY PLATY PRISMATIC NONE BLOCKY PLATY PRISMATIC NONE SLOPE AT INSTALLATION SITE:% (fSSfTng^TYPE OF OBSERVATION: Probe Pit PARENT MATERIAL: Outwash ORIGINAL SOIL: No Loess Bedrock Alluvium Date of Soil Boring COMPACTED SOIL: Yes Iz.DEPTH OF BORING (To T or restrictive layer):__ PERCTEST #1 ft.Date of Perc Test PERC TEST #2- TWO TESTS ARE REQUIRED - TIME INTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATE TIME INTERVAL IMINUTESI WATER DEPTH WATER DROP PERC RATESTARTSTART TIME DROP PERC DROP PERC RATE PERCTIME INTERVAL (MINUTES!TIME WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES!WATER DEPTH WATER DROPREFILLREFILL TIME DROP PERC PERCTIMEDROP TIME INTERVAL (MINUTFSt WATER DROPWATER DEPTH PERC RATE TIME INTERVALIMINUTESl WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME OROP PERC PERCTIMEOROP 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 DROPWATER DEPTH PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC'RATE REFILL REFILL DROPTIME PERC PERCTIMEDROP INTERVAL (MINUTESI WATER DROPTIMEWATER DEPTH PERC RATE TIME INTERVALIMINUTESl WATER DEPTH WATER DROP PFRC RATEREFILLREFILL TIME DROP PERC TIME DROP PERC TIME INTERVAL IMINUTESl WATER DROPWATER DEPTH PERC RATE TIME INTERVAL (MINUTESI WATER DEPTH WATER DROP PERC RATE S REFILL REFILL riME DROP PERC TIME OROP PERC TIME INTERVAL IMINUTESl WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTESI REFILL WATER DEPTH WATER DROP PERC RATEREFILL TIME DROP PERC DROP PERCTIME SEPTIC TANK MANUFACTURER: PROPOSED^SIGN: v/BED.MOUND HOLDING TANKTRENCHATGRADE.GRAVITY DIST..PRESSURE DIST.. OUTHOUSE.SEWER LINE.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. grid(s) equals feet, or inch(es) equalsScale:feet MPCA LICENSE #: LICENSE CATEGORY: 9//f//U____________ DESIGNED BY: FIRM NAME:Schueller's Septic Solutions - 23725 240th Ave Fergus Falls, MN 56537 DATE: ADDRESS: SIGNATURE: Je£ A-rr/iiMed STH&C- uJiTMJeuJ&i ~ ^- (//y^ ^UA/frs> BK - 04-2014 - 029 2bi • Viouii LunaecM Co. Pmnefs » Feigus> Fails. MN • 1'800-346 4670 , : ,c£'C'-'"-'='.'(Sysep ^j.co e '^. -- ~7 S7.4r ajT Cf =IL'7'- £V 5,iTE P4VLETTE JP1B4BZ pmcB. utaxxgsomai ,K>smmopmv~TQjE_pURCh^^!AL REPRE:SS.7A7r.TS SEED 339033 -vO'^CrCTf^ **T> Vm^ immm * X t ■ \/trC?’J / Ibj(^.3 I! a j S.F-*..'l- ■■>■-."' ' * ^ ' I'-';-.1 ■'1} -^ ': r ' •: •.II; ■ r"• '.j Ci~r-\ \i'-C3'■ \i ;■■..■■ '': \oc•••.1V1'j: _____C5V- ■■: P;..'V. Sf?:■■■-. V^- O irQi\ .ii/‘'XCft u- OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution Control Agency V 05.13.14Property Owner/Client: Northern Lights Resort Project ID:35387 Site Address: 35387 Northern Lights Trail, Richville, MN 56576 Date: 8/17/16 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. A. Design Flow:600 Gallons Per Day (GPD) B. Septic Tanks: Minimum Code Required Septic Tank Capacity:1800 Gallons, in 1 Tanks or Compartments Recommended Septic Tank Capacity:2000 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: 600D. Pump Tank 1 Capacity (Code Minimum):Gallons Pump Tank 2 Capacity (Code Minimum):Gallons 650Pump Tank 1 Capacity (Designer Rec):GallonsGallonsPump Tank 2 Capacity (Designer Rec): 30.0 GPM Total Head 28.3 ftPump 1 GPM Total HeadPump 2 ft Supply Pipe Dia. 2.00 in 100.0 Supply Pipe Dia.in Dose Volume:Dose Volume:gal gal 2. SYSTEM TYPE (ft) Gravity Distribution O Pressure Distribution-Levei Q Pressure Distribution-Unlevei(® Trench O Bed O At-GradeO Mound O Drip O Holding Tank O Other * Selection Required Benchmark Elevation:ft Benchmark Location: System Type Type of Distribution Media: i I Drainfield Rock [7] Registered Treatment Media:HTypel OTypell □Typelll DTypelV OTypeV High Capacity Chambers 3. SITE EVALUATION: I 5.8 |ft70Depth to Limiting Layer:25.0A.in B.Measured Land Slope %:% Sandy Clay LoamC.Elevation of Limiting Layer:D.Soil Texture: GPD/ft'Loc. of Restricive Elevation:0.45Soil Hyd. Loading Rate:F.E. 36G. Minimum Required Separation:in MPIH.Perc Rate: I. Code Maximum Depth of System:34 in Comments: 4. DESIGN SUMMARY Trench Design Summary 1076 ft'Dispersal Area Sidewall Depth 12 Trench Width 3 ftin Total Lineal Feet 360 ft 3 Code Maximum Trench Depth 34.0Number of Trenches in 34.00.0Contour Loading Rate Designers Max Trench Depth inft Bed Design Summary ft'Code AAaximum Bed DepthDepth of sidewallAbsorption Area inin Designer's Max Bed DepthBed Length inBed Width ft ft OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution Control Agency Mound Design Summary ft^Absorption Bed Area Bed Length Bed Widthft Absorption Width Clean Sand Liftft Berm Width (0-1%)ft ft Upslope Berm Width Endslope Berm Widthft Downslope Berm Width ft ft Total System Length Total System Widthft ft Contour Loading Rate gal/ft At-Grade Design Summary Absorption Bed Width Absorption Bed Length System Height ftftft Contour Loading Rate gal/ft Upslope Berm Width Downslope Berm Width ftft Endslope Berm Width System Length System Widthft ftft Level ft Equal Pressure Distribution Summary No. of Perforated Laterals Perforation Spacing Perforation Diameterft in galgalLateral Diameter Min. Delivered Volume Maximum Delivered Volumein Non-Level and Unequal Pressure Distribution Summary Elevation Pipe Volume (gal/ft) Pipe Length Perforation Size Spacing (in)(ft)Pipe Size (in)(ft)Spacing (ft)(in) Lateral 1 Minimum Delivered Volume galLateral 2 Lateral 3 Lateral 4 Maximum Delivered Volume galLateral 5 Lateral 6 Additional Info for Type IV/Pretreatment Design5. 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 v 1,000,000 mg/LX 8.35 4^ 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 ^ Bottom Area = Ibs/day/ft^ Ibs/day/ft^ft' =mg/L X 8.35 + 1,000,000 + Comments/Special Design Considerations: I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. 08/17/16L2945Bill Schueller (Date)(License #)(Signature)(Designer) OSTP Trench Design Worksheet University OF MinnesotaMinnesota Pollution Control Agency 1. SYSTEM SIZING:Project ID: 35387 v05.13.14 A. Design Flow:600 GPD B. Code Maximum Depth:34 Designers Maximum Depth: 34.0 inches 0.45 GPD/ft^ Contour Loading Rate: D. Required Bottom Area: Design Flow (1.A) Loading Rate (1.C) = Initial Required Bottom Area 600 |gPD-t| 0.45 GPD/ft^ = 1333 ~[ft^ □ Rock 0 Registered Product F. Select Distribution Method: □ 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: inches C. Soil Loading Rate:gal/ft E. Select Dispersal Media: (selection required) chamber to chamber 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 Distribution12 to 17 20*0.8 18 to 23 34*0.66 Sidewall 24 40*0.6 B. Select Sidewall Height:inches ft Width ft^C. Design Bottom Area (2.A): D. Select Trench Width:ft E. Total Designed Trench Length: Bottom Area i- Trench Width = Total Required Trench Length Ift^ V ft =ft I. Calculate Minimum system length based on Contour Loading Rate: Design Flow -f Contour Loading Rate = gal/ftgpd 4 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^ =1 ft^ft +ft) X( Divide ft^ by 27 ftVyd^ to calculate cubic yards: ft^yd'27-r 3. TRENCH CONFIGURATION: REGISTERED PRODUCTS - CHAMBERS AND EZFLOW Initial required trench bottom area (ft^): (from 1.D) Sidewall Absorption (inches) Design trench bottom area A.Bottom Area Reduction Bottom Area Multiplier 6 to 11 13331 12 to 17 20%0.8 1067133318 to 23 34%0.66 880 24 40%0.6 800 B. Registered Product:High Capacity Chambers C. Select Sidewall Height:12 1.0inches ft 1076 ft^D. Design Bottom Area (3.A): 3E. Registered Width:ft F. Minimum Designed Trench Length = Bottom Area (3.C) f Trench Width (3.D) ft^ -r1076 3.0 359 ftft = G. Enter the Registered Product Component Length:4 ft H. Number of Components = Minimum Total Length Required divided by Component Length (Round up) 359 90ftT4ft =components I. Actual Total Trench Length = Number of Components X Component Length: ft =90 4.0 360 ftcomponents X J. Calculate Minimum length per trench based on Contour Loading Rate: Design Flow -f CLR = gpd ^600.0 gal/ft =#DIV/0! ft 3K. Select No. of Trenches:trenches L. Length per trench = Actual Trench Length t Number of Trenches. Recommended to not exceed 3.J. 360.0 3 gal/ft 120.0 ftftT M. Select Trench Spacing :8 ft (typically 5 - 12 ft from center to center) N. Calculate Lawn Area: Trench Length X Trench Spacing = square feet of lawn area ft^ lawn area36082869ft X ft = Comments: ■ " Owsire ^ Sl^WAOK P XKliA I Mlif'i r k • ' P.r<oo»-cAM i Additional Soil Observation Logs Project ID: 35387 Northern Lights ResortClient/ Address:Legal Description/ GPS; Soil parent material(s): (Check all that apply)Q Outwash Q Lacustrine Q Loess. Q Till I I Alluvium I I Bedrock I I Organic Matter Landscape Position: (check one)r~1 Summit n Shoulder Q Back/Side Slope []] Foot Slope □ Toe siop6lope shape Vegetation Soil survey map units Slope%Elevation: Weather Conditions/Time of Day:07/29/16Date Observation #/Location:#2 Observation Type:Auger Rock Structure'IDepth (in)Texture Matrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s)Frag. %Shape ConsistenceGrade 0-6 Sandy Loam <35%10YR 2/1 6-14 Loamy Sand <35%10YR 3/3 Sandy Clay Loam14-20 <35%10YR 4/4 Coarse Sandy Loam 20-34 <35%7.5YR4/3 Sandy Clay Loam34-38 <35%10YR 4/4 Loamy Coarse Sand38-70 <35%7.5YR 4/4 Comments Observation #/Location:#3 Observation Type;Auger Rock Frag. % I-------- Structure-IMottle Cdlor(s)Redox Kind(s)Matrix Color(s)Depth (in)Texture Indicator(s)ConsistenceShapeGrade 10YR 2/10r6Sandy Loam <35% 6-17 Sand <35%10YR 3/3 Sandy Clay Loam17-50 <35%10YR 4/4 Sandy Clay Loam50-56 <35%2.5Y 5/4 56-70 Sand <35%10YR 5/3 ■•i' Comments University OF Minnesota OSTP Soil Observation Log Project ID: 35387 v05.13.14 Client/ Address;Northern Lights Resort Legal Description/ GPS: I I Outwash []]] Lacustrine Q Loess (3 Till I I Alluvium I I Bedrock r~l Organic MatterSoil parent material(s): (Check all that apply) I I Summit []]] Shoulder 0 Back/Side Slope 0 Foot Slope 0 Toe Slope s[ope shapeLandscape Position: (check one) Wooded Soil survey map unitsVegetation Sloped 20.0 Elevation: Weather Conditions/Time of Day:07/29/16Date Observation #/Location:#1 Observation Type:Auger I Structure IRockDepth (in)Texture Matrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s)Frag. %ConsistenceShapeGrade 0-6 Sandy Loam <35%10YR 2/1 6-19 Loamy Sand <35%10YR 3/3 Sandy Clay Loam19-48 <35%10YR 4/4 48-68 Sandy Loam <35%10YR 5/4 68 Sand <35%10YR 5/4 Comments I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. Bill Schueller campsite with sL2945 7/29/2016 (Designer/Inspector)(Signature)(Date)(License tt) Land & Resource Management GSC, 540 W Fir, Fergus Falls, MN 56537 OITjtR^THIl 218-998-8095; Website: www.co.ottertaii.mn.u<i Subsurface Sewage Treatment System Management Plan Sewage Treatment System Permit Number:A Property Owner: Parcel Number: / 5^/^"7^/ /Lake Name / Number: ^ Township Name: _________ E-911 Address: ^ Section: /u^y 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 - Mam 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. I- ! • 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). 1- I understand it is my responsibility to properly operate and onaintain the sewage treatment system on this property in accordance with this Management Plan. / J i Property Owner:Date: Signature iC>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.extpnsion.umn.edu/environment/housing-technology/moisture-management/septic-svstem-owner-guide/ LR: SSTS Management Plan 06-20-2014 OTTER TAIL COUNTY LAND & RESOURCE MANAGEMENT PUBUC WORKS DIVISION WWW.CO OTTER-TAIL MN US^TTjERTflll GOVERNMENT SERVICES CENTER 540 WEST RR AVENUE FERGUS FALLS. MN 56537 218-998-8095 FAX: 218-998-8112 10/31/2016 Pro's Properties Lie 35387 Northern Lights TrI RichvilleMN 56576 9672 RE: Primary Owner: Pro's Properties Lie Sewage Treatment System Servieing Tax Pareel Number: 14000250197011 Deseribed as:See 25 Twp Dead Lake Township Seet-25 Twp-135 Range-040 6.36 AC PT GLS 9 & 10 COM SE COR Lake: 56-383 Dead As of 10/13/2016 the sewage treatment system (Sewage Treatment Installation Permit # 24316 servieing your property was determined to be in eomplianee with the provisions of the Sanitation Code of Otter Tail County for a 500 gallon per day system. Please be advised that this eertifieation is only valid for five years from the date of this inspeetion 10/13/2021 If you have any questions regarding this matter, please eontaet our offiee. Sineerely, XIErie Babolian Inspeetor 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 OTTER TRII WHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue)coiitiTTaiiniiiiOTa 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 PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD ________________ _________________________________ ___________________LEGAL DESCRIPTION f ^ TTI TTTT , ___, c.9 ? ^ - • 79CU Last Name First Initial Mailing Address Daytime Phone No. JS'3^OSMrSProperty Owner A/d/ZA/ui^e. /V/c/ ~9C>7^ .//Yb.AaP'Contractor Lie.# THIS SPACE FOR OFFICE USE ONLY A.M. >• This System will be ready for inspection on , the year of P.M.at A.M. P.M. Date Received Time Received L&R Official TYPE OF NSTALLATION (circle one)SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWINGResidential (A) New (B) Replacement (C) Add on Hector Other Est. D) Ne (G) New (H) Replacement (I) Add on (epiacement IriAJ/'f'S Soil Treatment Area (F) Add on Tank LiftDesign Flow (Gallons/Day) (L) i^.ouu -^^999 (M) 5,000 — 10,000 Effluent Distribution ('A') Gravity ( ) Pressure GIsGIs/JVO \Size Setback To Nearest WellType I Type II Ft.Ft.Ft.t SO -r 5€>(20) Trench, Rock (27) Rapidly Permeable Ft.Setback To OHWL Ft.(21) Trench, Gravelless (28) Flood Plain -t/SEp ^^) Trench, Chamb^(29) Privies Ft.Ft.Ft.Setback To Bluff(23) Bed (30) Flolding Tank (Contract Required)(24) Mound Ft. Ft.Setback To Dwelling -f(25) At Grade Type III Setback To Non-Dwelling(26) Greywater (31) Other/Problem Soils/<12" Soil Ft.Ft.+ /0 Type IV(34) Tank Only Setback To Nearest Lot Line Ft. Ft.r /£> Ft.-i" /iP(32) Public Domain & Proprietary Technologies(35) Other Depth of Well ^Sl 'Setback To Road Right-Of-Way Ft./^Ft.-r /O Ft-Type V ■r Total It BedroomsCj:) t.(33) Performance Elevation Above Restrictive Layer Ft. Ft.Abatement Y / N Garbage Disposal Y PERC TEST DATA 6/cl- 9utue:u^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 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). filLOjiu q -AL, - lip 175'."'=X-Date:Permit Fee $ •ignature of Property Owner/Agent for Owner RECEIVED Date;Rec. No Land & Resource Management Offt Date StampComments: SEP 22 2016 LAND & RESOURCE 1^15^L&R InitialForm No. BK — 04-2014-06 357,243 • Victor Lundeen Co., Printers > Fergus Falls, Minnesota APPLICATION FOR PERMIT TO^^TALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 10 218-998-8095 www.co.otter-tail.mn.us f; 1 * OTTER TRIl -•WHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after Issue)eounTTMianfioTM me.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. '1LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS . SECTION TWP NO.RANGE TWP NAME Jt'mmm \/^cA/i 1isPARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD 3^7 //A-X'r7m/ m/A/A TXU/47 >3/LEGAL DESCRIPTION ,AX 9 ? JC Om djp-r X, Last Name First Initial Mailing Address Daytime Phone No. J7bA7a/aX/A>€X7/77C a/A/sa-aaT? \^/7A>r7Xr/c5 / / .T'Property Owner A/AXv/LLe, AUJ I (a/X a97j‘I7^~JT,/a/A , AaX.J7U/X.Contractor Lie.#/ THIS SPACE FOR OFFICE USE ONLY VC)ll^2-0llx> .,17'(10 AM, <2>► This System will be ready for inspection on , the year of \o\u4\U); Time Received ------^ P.M... Date Received L&R Official TYPE OF NSTALLATION (circle one)SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWINGResidential (A) New (B) Replacement (C) Add on - GqI lector(LllNevy- (E) Replacement (F) Add on Other Est. (G) New (hi) Replacement (I) Add on 'f,Soil Treatment Area Tank Lifti-fX/rZDesign Flow (Gallons/Day) (j) -a-------^1 - 2,49.^- ' (L) '2:500^4,999 (M) 5,000— 10,000 Effluent Distribution () Gravity ( ) Pressure .■ t GIs GIs Ft.\Size \ Setback To Nearest WellType I Type II Ft.Ft.Ft.-f AO 7 X (20) Trench, Rock (27) Rapidly Permeable 1 Ft.Ft., ,Ft.Setback To OHWL y(21) JreriQtu. Gravelless (28) Flood Plain ' /r(2?) Trench, Chambe>(29) Privies /. Ft.Ft.Ft.Setback To Bluff(23) Bed (30) Holding Tank (Contract Required)(24) Mound -t /O Ft-Ft. Ft.Setback To Dwelling (25) At Grade Type III Setback To Non-Dwelling(26) Greywater (31) Other/Problem Soils/<12" Soil Ft. Ft. Ft.-4 /i? Type IV(34) Tank Only Setback To Nearest Lot Line Ft.Ft. Ft.Y /O/i'(32) Public Domain & Proprietary Technologies(35) Other \Setback To Road Right-Of-WayDepth of Well iA! ':^Ft.Ft.Ft.Type V \-/ ,/T" Total # Bedrooms (33) Performance Elevation Above Restrictive Layer Ft. Ft.: Ft.Abatement Y / N Garbage Disposal Y / N PERCTEST DATA J I'^A(/t,AyA7Designer—^ 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- 1 dance with Sanitation Code of Otter Tall County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which Is approved by a Land & Resource Management ii 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. ■i.License #Date of Test Highest Rate .1 ■'( \1Permit: 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. ;l NOTE: I.This permit is valid for a period of six (6) months. 2.This permit does not inciude the building sewer (sewer line). ] Xo lU f .Permit Fee $Date:"Signature of Property Owner/Agent for Owner X X' 4 ■•i C t-;'Date:Rec. No Land i Resource Management Offic^ Comments: ^3 1 Form No. BK — 04-2014-06 357,243 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota ■ KSEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS STA (Soil Treatment Area) OUTHOUSE HOLDING SEPTIC TANK TRENCH REDUCTIONLIFT TANKCATEGORY Rock trenches withI S^o!2- GLS.Capacity inchesH9S- n-2GLS./V2r'^ ft Setback from Nearest Well zaof sidewall forZ’70'*~ FT FT FT reduction / equivalent to mSetback from Buried Water Suction Pipe FT FT FT Setback from Buried Pipe Distributing Water Under Pressure FT STA CALCULATION (Soil Treatment Area) ____Ft. X fdO p|2 -TC t FT FT 3Setback from OHWL (lake &/or river) FT FT FT Ft. ^ FTSetback from Bluff FTf oo Setback from Dwelling FT FT FT MOUND / AT-GRADE ROCK BEDSetback from Non-Dwelling FT FT FT Setback from Nearest Property Line FTFTFT Ft. X Ft.TO Z.S' FT /L t FTSetback from Right-of-Way FT Ft* Elevation above Restrictive Layer FT FT FT SAND IN MOUNDINSTALLERS COMMENTS SEPTIC TANK(S)Holding Tank / Lift Alarm □ YES □ NO Lif Tanks InstalledOld System Pumped & Destroyed □ YES □ NO Weep Holes Manuf.Number of Laterals #Lateral Pipe Size IN Model #Perforation Spacing c^rforation Diameter SizeFt.IN □ YES J^NOGallons Per Minute FILTERSPUMPSFeet of Total Heaff inspector's Comments: Sketch: 01)'^ " *”1f(r ■ / 115- -h I (I i /D-| 'rt VI_ ♦-j— ,.1 MToof't-e)^o_o}oi -I i>r/M0 To(2 'zy rr- 53^TS U - vV ( < —// 1 [3 i /—\f-T / I /ol(^h(fi ef}>As of /o/l5hf^ the abo'tj'e described sewage system installation was found to be compliar^t with tie provisions of the Sanitation Code of Otter Tail County.loUiTL Vme initial / L A R Official LiliiU A ffuMpurce Management Official Forn».M». BW---8< aau 8ft Minneaota 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 Tflil COSDTT BIIIRIIOT* Sewage Treatment System Permit #OWNER: LAST NAME FIRST MIDDLE TELEPHONE NUMBER ADDRESS: ___STR./RT CITY STATE ZIP CODE - 3^^ ABAIJ LAKE/RIVER NO.LAKE NAME SEC.TWP RANGE TWP NAME LEGAL DESCRIPTION:SOIL BORING LOG DEPTH (INCHES) ((7, AC'COLOR a MUNSELL NO.TEXTURE STRUCTURE BLOCKY PLATY PRISMATIC NONE /4ooo:;i^C>/970/l A-rrAdJ^^J7t:e PARCEL NUMBER 35^3^7 a/^/&A//^zCv 7/&//rs y/€(^BLOCKY PLATY PRISMATIC __NONE___ BLOCKY PLATY PRISMATIC _ NONE,__ BLOCKY PLATY PRISMATIC NONE E-9H Address or Directions From Nearest Public Road O jfe Jesj&>A/ - /dV dAfzti/i//-rA3NUMBER OF BEDROOMS GARBAGE DISPOSAL: YES <6^ CASING DEPTHTJr? ft. SEWER LINE SEPARATION: FLOODPLAIN: YES BLUFF: YES VEGETATION: AQUATIC CtE^RESTRJA^ WELL:.ft. BLOCKY PLATY PRISMATIC __NONE__ SLOPE AT INSTALLATION SITE:% (?S6rTn[[,^TYPE OF OBSERVATION: Probe Pit PARENT MATERIAL: Outwash Loess Bedrock Alluvium ORIGINAL SOIL: No Date of Soil Boring COMPACTED SOIL: Yes Iz.DEPTH OF BORING (To T or restrictive layer):.ft.Date of Perc Test PERC TEST # 1 PERC TEST #2- TWO TESTS ARE REQUIRED - PERC RATE;fMVLlMlNUI£S±vyATxn DEPTH .WAILP DROL’PERC RATE _LLM£-INTERVAL (MINUTES!WAILR Dt P]ti -WAILfi-DflOP-__ START START TIME DROP PERC TIME DROP PERC WATER DEPTH PERC RATETIMEINTERVAL IMINUTESI WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES!WATER DROP REFILLREFILL DROP PERCTIMEPERCTIMEDROP WATER DEPTH WATER DROP PERC RATETIMEINTERVAL IMINUTESI REFILL WATER DROP PERC RATE TIME INTERVAL (MINUTES!WATER DEPTH REFILL TIME DROP PERC-T!ME-DROP PERC WATER DEPTH WATER DROP PERC RATELAL(MINUTES) WATER DEPI .WAUB.Q^_PERC RATE TIME INTERVAL IMINUTESIREFILLREFILL TIME DROP PERCDROPTIMEPERC INTERVAL IMINUTESI WATER DEPTH WATER DROP PERC RATETIMEINTERVAL (MINUTES) REFILL WATER DEPTH -JVAl£R_PRaP_„PERC RATE TIME REFILL V DROP PERCTIMETIMEDROP____ PERC PERC RATE______WATER DROP PERC RATEJJMLINTERVAL IMINUTES) REFILL WATER DEPTHTIMEINTERVAL (MINUTES) REFILL WATER DEPTH WATER DROP DROPTIME PERCTIMEDROPPERC PERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES) WATER DROP PFRC RATE TIME INTERVAL (MINUTES)TIME WATER DEPTH REFILLREFILL DROP PERCDROPTIMETIMEPERC WATER DROP PERC RATEWATER DROP PFRC RATE TIME INTERVAL (MINUTES) REFILL WATER DEPTHTIMEINTERVAL (MINUTES) WATER DEPTH JREFILL DROP PERCTIMETIMEDROPPERC SEPTIC TANK MANUFACTURER: PROPOSED^SIGN: PRESSURE DIST.GRAVITY DISTMOUND.HOLDING TANKBEDATGRADE.TRENCH SPECIFY:OTHER.SEWER LINE.OUTHOUSE. — 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. Scale;grid(s) equals feet, or inch(es) equals feet MPCA LICENSE #:Z/L.UDESIGNED BY:LICENSE CATEGORY: 9//9//UFIRM NAME:Schueller's Septic Solutions - 23725 240th Ave Fergus Falls, MN 56537 DATE: ADDRESS:SIGNATURE: J^i5'7CAi i/ry'£/t ^ 9 TS BK — 04-2014029 'll-"-. • fcii'a MN • I ■fl'.."r,-34t-48^C\ ■ , .ii'.ie-i' V*/• ^ • *:. * i\I , Q5 / ' I 1 *■ iJf' I u. h1 tiiS / I Ni\ \;| \I!\S rt)QI'Sl\C3i «)Qc : 44I 9 1 CD :: P:I??i-j <0^ 4k OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution Control Agency Property Owner/Client: Northern Lights Resort 35387 V 05.13.14Project ID: Site Address: 35387 Northern Lights Trail, Richville, MN 56576 Date: 8/16/16 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. A. Design Flow:500 Gallons Per Day (GPD) B. Septic Tanks: Minimum Code Required Septic Tank Capacity:1500 Gallons, in 1 Tanks or Compartments Recommended Septic Tank Capacity:1500 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 GPM Total HeadPump 2 ft Supply Pipe Dia.Supply Pipe Dia.in Dose Volume:in Dose Volume:gal gal 2. SYSTEM TYPE ® Gravity Distribution O Pressure Distribution-Level O Pressure Distribution-Unlevel * Selection Required (§) Trench O Bed O Mound O At-Grade O Drip O Holding Tank O Other Benchmark Elevation:ft Benchmark Location: System Type Type of Distribution Media: r~l Drainfield Rock Q Registered Treatment Media:0Type I □ Type II □ Type III □ Type IV nTypeV High Capacity Chambers 3. SITE EVALUATION: I 5.8 [ft70A.Depth to Limiting Layer:in Measured Land Slope %:25.0B.% C.Elevation of Limiting Layer:Sandy Clay LoamD.Soil Texture: GPD/ft^Loc. of Restricive Elevation:E.F.Soil Hyd. Loading Rate:0.45 I 3.0 |ftG. Minimum Required Separation:36 in MPIH.Perc Rate: ]inI. Code Maximum Depth of System:34 Comments: 4. DESIGN SUMAUtRY Trench Design Summary ft^Dispersal Area 900 Sidewall Depth 12 Trench Width 3in ft Total Lineal Feet 300 ft Number of Trenches 3 Code Maximum Trench Depth 34.0 in 0.0Contour Loading Rate 34.0ftDesigner's AAax Trench Depth in Bed Design Summary ft^Absorption Area Depth of sidewall Code Maximum Bed Depthin in Bed Width Bed Length Designer's Max Bed Depthftft in % OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution Controi Agency Mound Design Summary ft'Absorption Bed Area Bed Length ft Bed Width Absorption Width Clean Sand Lift Berm Width (0-1%)ft ft ft Upslope Berm Width ft Downslope Berm Width Endslope Berm Widthft ft Total System Length Total System Widthft ft Contour Loading Rate gal/ft At-Grade Design Summary Absorption Bed Width Absorption Bed Length System Heightftft ft Contour Loading Rate gal/ft Upslope Berm Width Downslope Berm Widthft ft Endslope Berm Width System Length System Widthftft ft Level Et Equal Pressure Distribution Summary No. of Perforated Laterals Perforation Spacing Perforation Diameterft in gal galLateral Diameter in Min. Delivered Volume Maximum Delivered Volume Non-Level and Unequal Pressure Distribution Summary Elevation Perforation SizePipe Volume (gal/ft) Pipe Length (ft)Pipe Size (in)(ft)Spacing (ft)Spacing (in)(in) Lateral 1 Minimum Delivered Volume galLateral 2 Lateral 3 Lateral 4 Maximum Delivered Volume galLateral 5 Lateral 6 Additional Info for Type IV/Pretreatment Design5. 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-r 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' ft' =Ibs/day/ft'mg/L X 8.35 = 1,000,000 = Comments/Special Design Considerations: I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws.1 08/16/16L2945Bill Schueller (Date)(Signature)(License #)(Designer) OSTP Design Summary Worksheet University OF MinnesotaMinnesota Pollution Control Agency Mound Design Summary reAbsorption Bed Area Bed Length Bed Widthft Absorption Width Clean Sand Lift Berm Width (0-1%)ft ft ft Upslope Berm Width Endslope Berm Widthft Downslope Berm Width ft ft Total System Length Total System Widthft ft Contour Loading Rate gal/ft At-Grade Design Summary Absorption Bed Width Absorption Bed Lengthft System Heightft ft Contour Loading Rate gal/ft Upslope Berm Width Downslope Berm Widthft ft Endslope Berm Width System Length System Widthftft ft Levei ft Equal Pressure Distribution Summary No. of Perforated Laterals Perforation Spacing Perforation Diameterft in gal galLateral Diameter in Min. Delivered Volume Maximum 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)Spacing (in)(in) Lateral 1 Minimum Delivered Volume galLateral 2 Lateral 3 Lateral 4 Maximum Delivered Volume galLateral 5 Lateral 6 Additional Info for Type IV/Pretreatment Design5. A. Calculate the organic loading 1. Organic Loading to Pretreatment Unit = Design Flow X Estimated BOD in mg/L in the effluent X 8.35 ^ 1,000,000 gpd X mg/L X 8.35 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^ ft^ =Ibs/day/ft^mg/L X 8.35 ^ 1,000,000 v Comments/Special Design Considerations: I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. 08/16/16L2945Bill Schueller (Date)(License #)(Signature)(Designer) OSTP Trench Design Worksheet University OF MinnesotaMinnesota Pollution Control Agency 1. .SYSTEM SIZING:Project ID: 35387 v05.13.14 A. Design Flow:500 GPD B. Code Maximum Depth:34 Designers Maximum Depth: 34.0 inches 0.45 GPD/ft^ Contour Loading Rate: D. Required Bottom Area: Design Flow (1.A) -h Loading Rate (1.C) = Initial Required Bottom Area ~ 500 IgPD^I 0.45 GPD/ft^ = 1111 □ Rock B Registered Product F. Select Distribution Method: □ Pressure □ Gravity-Drop B Gravity-Other chamber to chamber 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: inches 1 ■C. Soil Loading Rate:gal/ft E. Select Dispersal Media: (selection required) 1 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 X X Cover 6 to 11 1 o.Distribution 12 to 17 20%0.8 18 to 23 34%0.66 Sidewall J'24 40%0.6 V,.B. Select Sidewall Height:inches ft Width ft^C. Design Bottom Area (2.A): D. Select Trench Width:ft E. Total Designed Trench Length: Bottom Area ^ Trench Width = Total Required Trench Length ft^ft =ft I. Calculate Minimum system length based on Contour Loading Rate: Design Flow f Contour Loading Rate = gal/ft =gpd 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 = r ft^ lawn areaft X 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) x| Divide ft^ by 27 ftVyd^ tp calculate cubic yards: . ft' -r 27 ft' =ft'ft +( yd' t . z. 3. TRENCH CONFIGURATION: REGISTERED PRODUCTS - CHAMBERS AND EZFLOW Initial required trench bottom area (ft^): (from 1.D) Sidewall Absorption (inches) , A.Design trench bottom area Bottom Area Multiplier Bottom Area Reduction 6 to 11 1 1111 12 to 17 20%0.8 889111118 to 23 34%0.66 733 24 40%0.6 667 . ;B. Registered Product: C. Select Sidewall Height: D. Design Bottom Area (3.A): E. Registered Width: F. ' Minimum Designed Trench Length = Bottom Area (3.C) t Trench Width (3.D) ft^ High Capacity Chambers 12 1.0 ftinches ft^900 3 ft 900 3.0 300 ftft = G. Enter the Registered Product Component Length: H. Number of Components = Minimum Total Length Required divided by Component Length (Round up) 4 ft 300 ftT 4 ft =75 components I. Actual Total Trench Length = Number of Components X Component Length: ft =75 4.0 300 ftcomponents X J. Calculate Minimum length per trench based on Contour Loading Rate: Design Flow t CLR = gpd V500.0 gal/ft #DIV/0! ft K. Select No. of Trenches:3 trenches ■■f L. Length per trench = Actual Trench Length t Number of Trenches. Recommended to not exceed 3.J. 300.0 3 gal/ft 100.0 ftft V M. Select Trench Spacing :8 ft (typically 5 - 12 ft from center to center) N. Calculate Lawn Area: Trench Length X Trench Spacing = square feet of lawn area if ft^ lawn area3008ft X 2400ft = Comments: I University OF Minnesota OSTP Soil Observation Log Project ID: 35387 v05.13.14 Northern Lights ResortClient/ Address:Legal Description/ GPS: i I Outwash Q Lacustrine Q Loess Q Till I I Alluvium Q Bedrock I I Organic MatterSoil parent material(s): (Check all that apply) I I Summit Q Shoulder [3 Back/Side Slope [3 Foot Slope □ Toe Slope Slope shapeLandscape Position: (check one) Soil survey map unitsWoodedVegetation Sloped 20.0 Elevation: Weather Conditions/Time of Day:07/29/16Date Observation #/Location:#1 Observation Type:Auger StructureI IRockDepth (in)Texture Matrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s)Frag. %ConsistenceShapeGrade 10YR 2/10-6 Sandy Loam <35% 6-19 Loamy Sand <35%10YR 3/3 Sandy Clay Loam19-48 <35%10YR 4/4 48-68 Sandy Loam <35%10YR 5/4 68 Sand <35%10YR 5/4 Comments I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. campsite with sBill Schueller 7/29/2016L2945 (Designer/Inspector)(Signature)(Date)(License #) UXJVliBXjJ V i»R Ml>Nl:kll»A SewaoeXRIiATfVflisNT PROGRAfVJ , Additional Soil Observation Logs Project ID: 35387 Client/ Address:Northern Lights Resort Legal Description/ GPS: I I Outwash Q Lacustrine Q Loess CU Till I I Alluvium n Bedrock I I Organic MatterSoil parent material(s): (Check all that apply) I I Summit Q Shoulder Ql Back/Side Slope Qj Foot SlopeLandscape Position: (check one)□ Toe siop6lope shape Soil survey map unitsVegetation Slope%Elevation: Weather Conditions/Time of Day:07/29/16Date Observation #/Location:#2 Observation Type:Auger Rock I Structure'IDepth (in)Texture Matrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s)Frag. %ConsistenceShapeGrade 0-6 Sandy Loam <35%10YR 2/1 6-14 Loamy Sand <35%10YR 3/3 Sandy Clay Loam14-20 <35%10YR 4/4 Coarse Sandy Loam20-34 <35%7.5YR 4/3 Sandy Clay Loam34-38 <35%10YR 4/4 Loamy Coarse Sand38-70 <35%7.5YR 4/4 Comments Observation #/Location:#3 Observation Type:Auger - Structure—......--IRock Frag. % IDepth (in)Texture Matrix Color(s)Mottle Color(s)Redox Kind(s)Indicator(s)ConsistenceShapeGrade ■ 0-6 Sandy Loam <35% .10YR 2/1 6-17 Sand <35%10YR 3/3 Sandy Qay Loam17-50 <35%10YR 4/4 Sandy Clay Loam50-56 <35%2.5Y 5/4 56-70 Sand <35%10YR 5/3 Comments Land & Resource Management GSC, 540 W Fir, Fergus Falls, MN 56537 218-998-8095; Website: www.co.ottertaii.mn.usqTTjER.Xflll Subsurface Sewage Treatment System Management Plan Sewage Treatment System Permit Number: ________ Property Owner: Parcel Number: //9''7^y /Lake Name / Number: Township Name: _________ E-911 Address: L'<A'/5 7^/ y Section: 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. f'Zc,- ^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.pxtpnsion.umn.edu/environment/housing-technology/moisture-management/sePtic-system-Qwner-Euide/ LR: SSTS Management Plan 06-20-2014 i 'j:^S S'.’ « CERTIFICATE OF APPROVAL SEWAGE SYSTEM 'i 0 H 21st 97Febi'uaryThis certificate has been issued this to certify that the sewage system installed as per sewage permit number indicated below has been approved for use by Otter Tail County, Minnesota. day of 19 KrlSS' 1 The premises covered by this certificate are legally described as:n rlTwp. Name DEAD LAKE56-383 Sec.135 RangeLake No.Twp.mmi 25 135 40 7. 81 IlEG 223'W OF I NT E LINE LOT 9 LAKE, W 1034'. N TO LAKE HEQ 9 TO BG EX TR m nm ELY 8^ SELY TO PT N OF HARRIS, MICHAEL E CHERYL AmM Owner: Name RR 1 BOX 147, RICHVILLE, MMAddress wA 56576Zip No. 11229Permit No. SP (System for 8 Campsites & 2 bedroomDv/elling) Signed by: Land & Resource Management Official Otter Tail County. MinnesotaMKL-098700I JT 279005 Victor Lundeen Co.. Printers. Fergus Fills. Mbuiesou APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM WHITE — Office Yellow — Inspector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - FERGUS FALLS, MN 56537 LEGAL Permit No. DESCRIPTION I ( C,Abatement; ()Yes (^)Norf~jVj O rAND «-r nLOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWP NAME NE PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER 3-3>IY -2-sr- o IT') ^ f IDENTIFICATION: Please Print All Information Initial Mailing Address — No. Street, City and StaleLast Name First Zip Code Telephone No. Z ^ f IHll-\<\ TV '(_>Property Owner ^iCL^vV/ v U miJU Sewage System Installer tv-y V-Name u AM. This System will be ready for inspection on., 19.P.M.at This space for office use oniy 'NUMBER OF BEDROOMS: A.M. 19 P.M GARBAGE DISPOSAL: ( ) YES { ) NODate Rec'd Time Rec'd Phone Call Rec'd By SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) l^lding tank (Alarm Required) ( ylTSeptic tank ( ) Lift station (Alarm required) ( ) Drain field ( ^^^)^Tfenches ( ) Bed ) Mound ( ) Outhouse ( ) Sewer line TANK DRAIN FIELD ]2^0(DCapacity GIs.Sq Ft. ]ECD Distance from nearest well Ft. Ft. Distance from lake or stream 1^0 Ft.Ft. Distance from building to Ft.Ft. ( /oDistance from property line iCP Ft.Ft. 3/Distance from bottom to Water Table Ft. Ft. =FLAJ^I .'''gravity EFFLU DISTRIBUTION All distances are shortest distance between nearest points ( PERCOLATION TEST DATA:) Pressure(/ WATER WELL DEPTH Perc Tester,Date of Perc Test ./Average Rat^.Rate of 1st Test Rate of 2nd Test Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Flealth. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. t \/ 2-1 Kj)DATE: Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. S'-Issued Date: \nagement Office Fee $.Rec #. 4a hiO Kit- 5; y 5 ')< L ^ ) Lsx. ^ cl I -l~\ 0 o G. ^ ^ Q_v( y 3 S" k Comments: La \rt /v>t0 VA. A y G_ \ o A-Sl '[AKt' v\\ Vo ‘f ‘ \ Y-v YW t.oV"+■0 277,212 • Victor Lundeen Co.. Printers • Fergus Falls. MinnoostaBK 0795-003 APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTi WHITE — Office Yellow — Inspector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone; (218) 739-2271 - FERGUS FALLS, MN 56537 ; « LEGAL Permit No. DESCRIPTION i f \ ^"^3 Abatement: ( ) Yes ( ^) Notl6y M r ' SoAND3r nLOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWP NAME /3rNE PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER - EOO -2-ST' O I'll - /.3.' V IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. / rhcpy 1h iku 'TVProperty Owner i U V^yJ(l Y V Sewage System Installer Name 3o r>ooThis System will be ready for inspection on . 19-at This space for office use only 'X NUMBER OF BEDROOMS: 9-/6 19 GARBAGE DISPOSAL: ( ) YES ( ) NODate Rec’d Time Rec’d Phone Call Rec'd By SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ( V VSeptic tank ( ) Lift Station (Alarm required) ( ) Drain field ( ^-)'Trenches ( ) Bed ( ) Mound ( ) Outhouse ( ) Sewer line TANK DRAIN FIELD \2.00Capacity GIs.Sq Ft. ionDistance from nearest well Ft.Ft. Distance from lake or stream 1^0 Ft. Ft. Distance from building Ft. Ft./O 2-0 Distance from property line Ft.Ft.I /I /Distance from bottom to Water Table Ft.Ft. EFFLUENT DISTRIBUTION ( - ) Gravity ( ) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA: WATER WELL DEPTH r Perc Tester.Date of Perc Test Y- »Average RaW^.Rate of 1st Test Rate of 2nd Test Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. Y ./2-1 Id 'X }> hrDATE: signature Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. ■1 C;, !..t.’Issued Date: 'and & Resource Management Office Fee $. Comments: X' A OO ' 'y Rec #. K p S' ( f g 5 ^ JSl h(*rr~Q^ X I V X c \ Vrx '• L.VsIV-V40 w / Y'sY v-> '<■- ^- y I S Vvjv^yC rv-xLI7^J r r, XD '\\‘■o-.j \ r’ V. ''. C; VJ V-T72T - \ >A id C.:C (*. Vs \277.212 • Victor Lundeen Co . Primers • Fergus Falls. Mirtneosta•'•»«6-003 INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS DRAIN FIELDHOLDING SEPTIC TANK LIFT TANKCATEGORY Actual Minimum GLS. -)^3C> (p SF/5~ GLS.SFCapacity ACdi'f FTft FTDistance from Nearest Well FT Distance from Buried Water Suction Pipe FTFTFTFT 50 Distance from Buried Pipe Distributing Water Under Pressure FT FTFT10FT /^Oi FT FT FTDistance from Lake or River (OHWL)FT is ft 10/20 FTFT FTDistance from Nearest Building FT 106^^ ftFT FT10Distance from Nearest Property Line /9-^FTDistance from Bottom to Water Table FT FT 3 YES NOHolding Tank/Lift Alarm YES NOOld System Pumped & Destroyed Sewer Line to Well Separation DRAINFIELD CALCULATIONINTERPRETATION OF ABBREVIATIONS GLS. = Gallons SF = Square Feet FT = Linear Feet Actual Minimum 0 ^FTX .FT FT FT20 SF Inspector’s Comments: SKETCH: A ! V \ \ tnspectc 's Signature Date of Inspection Time of Inspection PERCOLATION TEST DATA LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, MN 56537 OWNER: C<^n) '75 TELEPHONE NUMBERMIDDLEFIRSTLAST NAME ADDRESS: 0>/ //g- STR./RT. A a/ ZIP CODESTATECITY Llo<^6 RANGE TWP. NAMESEC. TWP.LAKE NAMELAKE/RIVER NO. LEGAL DESCRIPTION:^^S0r~h /^/--Odb-'OO / PARCEL NUMBER he 35 4NUMBER/BEDROOMSFIRE NUMBER — TWO TESTS ARE REQUIRED — TEST HOLE NO. 2TEST HOLE NO. I inches; Diameter of Hole inchesinches Depth To Bottom of Holeinches; Diameter of Hole,Depth To Bottom of Hole 19Date Date 19Depth, Inches Soil Texture Soil TextureDepth. Inches Percolation Test By _ Firm Name ___ Percolation Test By___ Firm Name ___ Address Address Otter Tail County License No. Otter Tail County License No. PERC TEST # 2PERC TEST # 1 PERC RATE INTERVAL (MTNUTBSy WiOTRDBmt WATER DROPINTERVAL OtCNirraa WATER DEPTH WATER DROP PERORATETIME STARTSTART f r DROP PERC 'flKH" * DROP AbRcS”PERORATEPERORATE TIME INTERVAL OiflNUTBSIWATER DEPTH WATER DROP WATER DEPTH WATER DROPTIMEINTERVAL IMINUTBSI REFILLREFILL T " dr6F "<»brcTBCB~ * 5KBF" P&kCPERORATE INTERVAL fMINlTTESy WATER DEPTHWATER DEPTH WATER DROP TIME WATER DROP PERC RateINTERVAL IMINUTBSITIME REFILLREFILL 4 4 TIKS DROP PERC 'tIMU DROP i^BRC PERC RATH TIME WATER DROP INTERVAL IMlNinHS)WATER DEPTH WATER DROP PERORATEINTERVAL IMINUTBft WATER DEPTHTIME REFILLREFILL T T BK55F" PfiRf TTMB DROP PBRCTIMEINTERVAL IMINllTBft WATER DEPTHWATER PROF rate RATE WATER PROP PERORATEINTERVAL IMPfUTBS)WATER DEPTHTIME REFILLREFILL 4 4 HMM DROP PERC TKIB" Bk<5P i>ERC rate RATE TIME INTERVAL rMINVTES)INTERVAL (MINUTES)WATER PROP water depth WATER PROP PERC RATEWATER t«PTHTIME REFILLREFILL 4 4 TIMH DROP PBRC TlMXi DROP i>ERC PERC RATE TIME INTERVAL (MPfUTES)WATER DEPTH PERC RATEINTERVAL (MPfUTES)WATER DEPTH WATER DROP WATER PROFTIME REFILLREFILL 4 4 TIME DR6p PfiRt TlMJtt DR6p~ PERCTIMEPERORATEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEINTERVAL (MINUTES)WA1TO DEPTH WATER DROPT»^ REFILLREFILL 4 time DROP PERC TIME DRCSF PBRC La S ^ COMMENTS/CALCULA TIONS: -j-c 'p>5L~r'CL S’ sf a ) >n O 250,815 — Victor Lundeen Co., Printers, Fergus Falls, MinnesotaMKL — 0390 - 005 GRID PLOT PLAN SKETCHING FORM — (Must Be To Scale) feet / inchesScale: Each grid equals Dated: Please sketch your lot indicating' setbacks from road right-of-way,' lake and sideyard for each building currently on lot and any proposed structures. 19 Signature \ : ; — 16 «. so Y K) ^1-4 -Vo 12-00 L. IwJjjL d^-Oy-sV Vvo v^SQ—•t~a \r\^^w ,a v^«.^ j | / i*- Vvo ' I Nwo V.-lrK *5'a. ^ ^ ■ V“(^Cl^< k-V S~€/'r"v-«. ^Tv~3 (U K iv*f 1'.V ew*=.^9 ^ -KQvC.>n SC«. -VN '*s • ’ dl hd P^ot? ^9^ o s ^ ^ |- /M'5-e,(.“VV, o.v-e_a -Ki <^X V 5'^W <» KV>^ .2r; vV .vl \ V\} ^S w fcv *K V«- 0 V>y * »>> S Vs-C)Vij 5J— »I '~ ^ B2- 0>-"»-^Vv ■pycir^ C^(n,^'\ I ~ yvj C 17 i'lp a n-.7-~ C d ^I'/ ^\CJ V/v-O)--^ e-v" i I . \ - ] It H t( cab-}>^3 4 m f/. D W ® t i I SkoV-NClP WO'VS-A- C<g, CATwp^^S ^ A a-p __/ ttc s a-p-flco’k^k. P^Hir C^oo g*<5^ u i af< -;. ) a<L in^vj d W'a'll'('i^\ VJ\.1\ Cor\n(to4? "J'Lx- ci[it:7 \^ ill K«»-C<\b‘iy>^ K*^ Vj^yvXV^ VjWI V.g^ S\Z,«-c5 Vxt 151:30 1 3/</ -It y\X- 'T7\ju dw<bU‘ VjvM V^c- ■?\2a-^ Pc Vj_> VVV. CfN Vo \i- W> V y^ ^4?. T (- ^ll^—Q>onr«^5 C**. p H y z - ^ / 3 ^ X - 6 -K 3 -H 3 3 ISO^1 QJ.X X O.^l 2X\5 /=r^i r^/-^2\^o A r-?^ 23C3 V II 2S 3H'5^.yQ-g^ J r>v" ..-T? k'< ; as •'■ J '/] CERTIFICATE OF APPROVAL SEWAGE SYSTEM 79 MFEBRUARY16THThis certificate has been issued this to certify that the sewage system installed as per sewage permit number indicated below has been approved for use day of m by Otter Tail County, Minnesota. 0A^L-The premises covered by this certificate are legally described as: Twp. Name PEA3 LAKERange ^^Twp. 1^5Lake No. 56 ~3 83 Sec. 2.5 ml 25 133 40 7.81 9EG 223'W OF INT £ LINE LOT 9 ? LA<£^ W 1034'/ N' T7‘ LAKE/ ELY J SELY TO PT N OF 9EG S TO 3G EX TR 'Wlml 4■1STA?^S/ EDUARD J. S. LOIS L.Owner: Name L^::,X 147, RICHVILLE/Address ^■^71 56576Zip No.*c ■ 7?6?Permit No. SP I' Signed by:. MaLrolm K. Lee, Land & Resource Management Administrator Otter Tail County, MinnesotaMKL-0987001 237.987 — Victor Lundeen Co.. Primers. Fergus Falls. Minnesota 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 Yeliow — Inspector Pink — Owner 6 eg ^9 3' OO b LWL' LOT<r Lu ' /[/ LA/ce. ebi ro pr /u ore>^6r s ro S6- r/t Permit No. LEGAL . '-i DESCRIPTION AND p£Arc/2jr ji2iTaJ.E.LOCATION . 5*^-3 gl3 TWP NameLake Clastif.Sac.TWP RangeLake NameLake No. IDENTIFICATION; Please Print All Information. Mailing Address — No. Street, City and State Zip No.Tel. No.InitialFirstLast Name :T R-)-! H,a}iu///€. , ri/o<3y^^s . JE^rLuj^ i^i J7OWNER SEWAGE SYSTEM INSTALLER ^ y 4 /Name.(. This System will be ready for inspection 19.on. This space for office use only .19 .M Date Rec'd Owner or Agent Signa.turePhone Call Rec'd ByTime Rec'd 21NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD 2 . IS Sq. Ft.3.GIs.Sq. Ft.Capacity j 100Ft.Ft.Ft.Distance from nearest well Ft.Ft.Ft.Distance from lake or stream 10 20Ft.Ft. Ft.Distance from occupied building IVDistance from property line Ft.Ft.Ft. 3Ft.Ft. Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19., Time .JM By o"7Z .±Z.2i ^2PERCOLATION TEST DATA: Date of First Test yiA/C£ COUEXf^fL . 19 ...I Rate . 19...^..2.,.^...'.21.Date of Second Test Rate 1st Test Taken Byli n 5)\n uO yUFirst Test + 2nd Test Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn­ esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi­ cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. Signature Dated Permit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County 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 zia nIssued Date: Shor^and Management Office2o‘^Fee $Rec # S ’lU Vckl ‘T C 'Comments: ^ / Form No. MKL-032085 225239 — voot LiMmu Co.. PrMm. Fngus Fak, MN 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 * Whit^— Office Yellow — Inspector Pink — Owner ■JT'i ^ , Lu ’ /\J fa /' /TAt . ^ ru /^r /u 6^^- 3 tiS- A A T/C ^-jZ'V. Permit No.,JLEGAL />DESCRIPTION AND py A c/ry-vLOCATION SC-Z 135 in /• TWP NameLake No. Lake Name Lake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information. Mailing Address — No, Street, City and State Zip No,Tel. No.First InitialLast Name H y." , i ,L JI iri -'/ / 5OWNER 3 9C - ASEWAGE SYSTEM INSTALLER '/ fName. This System will be ready for inspection on., 19. This space for office use only 19 Date Rec'd Owner or Agent SignatureTime Rec'd Phone Call Rec'd By NUMBER OF BEDROOMS: C/ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD 0, 6 i 5 Sq. Ft. /loo 3, -nf GIs.Sq. Ft.Capacity 50 Ft.Ft.Ft.Distance from nearest well I ^ ^1Ft.Ft.Distance from lake or stream Ft. rt /O ZQ_Ft.Distance from occupied building Ft.Ft. r \dDistance from property line Ft.Ft.Ft. 3Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time ,JV1 By C?.2.,O * 3pPERCOLATION TEST DATA; Date of First Test VIa/cf a. , 19 Rate r A±z.2\.Date of Second Test 19 Rate 1st Test Taken By I : - . 5)) !Q. S3IPO . LFirst Test + 2nd Test i 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. A■- r ■■ A j ■s Dated Signature Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County 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: / ' 1Issued Date: Shoreland Management Office\(\.j>Fee $Rec #\SS Comments: Form No. MKL-032085 225239 — Victor Lundeen Co., Prtntors. Fergus FsHs. MN ~w\ Go o 1500 . 0,000 ( I - t^) yfi «- l^oQ INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS 2\ y SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYShould BeActual Should BeActual Actual Should Be 3.W SFCapacityGIs. GIs.S F S F S Fi Distance from Nearest Well F F F F F F iSo-(<30Distance from Lake or Stream F F F F F F 't 10Distance from Occupied Building F F F F F F -f-r /oDistance from Property Line F F F F F F I 3Distance from Bottom to Water Table 3FFFFF F Inspector’s Comments: i 3 > jy -2.(^4 t) t mr r- 4 19^Date of Inspection Time of Inspection M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F * Linear Feer Job Title MKL - 032085 - BapMr Asrency B D *1 21SS02® VICTOR LUNDCEN CO., PRINTERS. FERGUS FALLS, UINN.PERCOLATION TEST DATAMKL -0871 -028 LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. Mailing Address:Owner: Zip No.StateMiddleCitySt. & No.FirstLast Name Legal Description: TWP NAMETWP.RANGESEC.NAMELAKE OR RIVER NO. TEST HOLE NO. 2TEST HOLE NO. 1 Depth to Bottom of Hole inches; Diameter of Hole JnchesDepth To Bottom of Hole,Diameter of Holeinches;inches 4/-^7Depth, Inches Soil Texture Depth. InchesSmI Text^eDate19 PercolaticJfT^/w Test By , CL Percolatli Test ByJDUJ F irm Name.F irm NameQC D £l aLU QC LUAddress.DC Address < COOtter Tail County License No..Otter Tail County License No.,I-coLUMeasure­ ment, inches Drop in water level, inches Time I ntervals minutes Percolation rate minutes per inch I-Time ! nterval, minutes Percolation rate minutes per inch Measure­ ment inches Drop in water level, inches Remarks:Remarks:Time Timeo I-a/.-oo 4z:r /9I //.\5Sff.'oS r 515/f-0 ^/h'5ZO- ///Vo/(.(o 2^//V^- See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN Percolation rate =.minutes per inch minutes per inchPercolation rate = L TO BE COMPLETED BY PERSON INSTALLING SYSTEM I hereby attest that I am familiar with the minimum standards required by the OTTER TAIL COUNTY SHORELAND MANAGEMENT ORDINANCE regarding systems and that I have installed the below system insewageaccordance with those standards. Please complete and return along with a plot plan of the land within 150' of the subject sewage system which includes the separation distances between the sewage system and any existing or proposed buildings, property lines, water supply wells, buried water pipes, the ordinary high water mark of lakes, rivers, streams or flowage as well as the location, size and design of all parts of the sewage system within 10 days to Land & Resource Management Office, Court House, Fergus Falls, Minnesota 56537. o.CLake Name.Classification^Lake No.^ Twp . 13^ Ranee Twp . Name ^v-/ L-(J/t-j? Permit No . Z'Sec . ^ jLegal Description:cr^ CC tJ 52- p. OhI /^OwnersOy'‘ ^AddressOwners Name ■Date of InstallationLicense No Septic TankFill in below:Drainfield f, Ct)0 I—“■Canacitv nifitancp from Nearest Well Distance from Lake or Stream Distance from Occupied Building Distance from Property Line Distance from Bottom to Water Table Signature Date w* u< • I ouiu un iUl r I P