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3255 Lexington Ave - Septic Permit & As Built 2024-10-03APPLICATI ION FOR SEPTIC PERMIT Inspectron, Inc. Permit 15120 Chippendale Ave. Suite 202 Rosemount, MN 55068 Date Received: Phone: 651-322-6626 or 800-322-6153 Fax: 651-322-7580 Please print all in;orm2don , Property Owner Name: (Last Marne, First Mame) I Address: (Street or Box, City, State, Zip Code) Site Address T—' 1C//t :910 k-11 r Township: �/ i�4 .r/ Property Identification Number(PIN)' 0z'WCj COPY OF SITE EVALUATION ANIS SYSTEM DESIGN iV�1US i BE ATT ACHED Number of New Tanks Installed ����G•� �G`3/�5 Type of System 7 ��/ Designer:.//✓/ ❑Type I Standard i¢3//�!/�l .53� i\_ e Address Telephone State License z# Installer: (` Gs� yea-7Y3y Gr/ 2 3! Name Address Telephone State License # S'�"STEFW INFORMAT ION Number of New Tanks Installed Building Use Type of System Suiidinc Information PgResidential ❑Type I Standard 2 Number of bedrooms ❑Non -Residential []Type If Holding Tani: f- _Future Bedrooms [175 Feet pg�I-ype Ili Chamber orSS2 Pipe _Solids Grinder/B'smt Tyoe of Improvement OType iV Advanced _Garbage Disposal ❑New System ❑Type V Permormance _ Dishwasher Weplacernent System Well (not meeting above specifications) 050 Feet ❑Aiteraiion or Repair of Existing System ❑Abandonment ❑Tank Replacement Only System Gallons per day System Tvoe Number of New Tanks Installed Trench/Rock Property Lines (� _ Trench/Chamber O Number of Existing T anks _ Pressure Beds ❑'i0 Feet _ Mound � Total Number or Tanks _ At Grade [175 Feet Trench/E% Flora []150 Feet REQUIRED SETBACKS — Check all that apply Septic Tank Drainfieid Property Lines (� ❑ i0 Feet ❑10 Feet Occupied Building ❑'i0 Feet ❑20 Feet Recreation Lake or Tributary Creek ❑75 Feet [175 Feet All Other Shorelands []150 Feet ❑'i50 Feet Buried Pressure Distribution Water Pipes ❑10 Feet ❑90 Feet Well (50 + of casting or 90' of impervious material) ❑50 Feet ❑50 Feet Well (not meeting above specifications) 050 Feet 0'100 Feet f SITE EVALUATION SOIL BORINGS & DESIGN FOR:�� pFi� �i c 1,,,Z-, fZ 191- sod - 3,1j - 3 93G SITE: 12 T_ S___ -Bedroom Type I House BY: JERRY SAUBER MPGA # 925, # 317 OFFICE # (651) 463-7434 CELL # (651) 755-5322 Preliminary ONSITE SEWAGE MINNESOTA POLLUTION TREATMENY Evaluation Worksheet CONTROL AGENCY PlZocaare 1. Contact Information v 04.02.2024 Property Owner/Client: Andy Michaletz Date Completed: 8 30 2024 Site Address: 3255 Lexington Ave. Eagan Mn. Project ID: Email: amichaletzCa�_gmail. com Phone: 507 363 3936 Mailing Address: Alt Phone: Legal Description: Parcel ID: 10.01000.75.010 SEC: TWP: == RNG: 2. Flow and General System Information A. Client -Provided Information Project Type: ❑ New Construction ❑Replacement ❑Expansion El Repair Project Use: I❑ Residential ❑ Other Establishment: Residential use: # Bedrooms: Dwelling sq.ft.: Unfinished sq.ft.: C� # Adults: # Children: # Teenagers: In-home business (Y/N): No If yes, describe: ❑ Garbage Disposal/Grinder ❑ Dishwasher ❑ Hot Tub* Water -using devices: ❑ Sewage pump in basement ❑ Water Softener* ❑ Sump Pump* (check all that apply) ❑ Large Bathtub >40 gallons ❑ Iron Filter* ❑ Self-cleaning Humidifier* ❑ clothes Washing Machine ❑ High Eff. Furnace* ❑ Other: Clear water source -should not go into system Additional current or future uses: type 3 system Anticipated non-domestic waste: none The above is complete Ft accurate: Client signature £t date B. Designer -determined Flow and Anticipated Waste Strength Information Attach additional information as necessary. Design Flow: 450 GPD Anticipated Waste Type: Residential Maximum Concentration BOD: 170 mg/L TSS 60 mg/L Oil & Grease 25 mg/L 3. Preliminary Site Information A. Water Supply Wells Well Depth Casing Confining STA # Description Mn. ID# (ft.) Depth (ft.) Layer Setback Source 1 existing > 50 > 50 2 3 4 Additional Well Information: ON51TE'� Preliminary N$tTE SEWAGEMINNESOTA POLLUTION TREATh1ENT Evaluation Worksheet CONTROL AGENCY PROGRAM Site within 200' of noncommunity transient well (Y/N) No Yes, source: Site within a drinking water supply management area (Y/N) No Yes, source: Site in Well Head Protection inner wellhead management zone (Y/N) No Yes, source: Buried water supply pipes within 50 ft of proposed system (Y/N) No B. Site located in a shoreland district/area? No Yes, name: N/A Elevation of ordinary high water level: N/A ft Source: N/A Classification: N/A Tank Setback: N/A ft. STA Setback: N/A ft. C. Site located in a floodplain? No Yes, Type(s): N/A Floodplain designation/elevation (10 Year): N/A ft Source: N/A Floodplain designation/elevation (100 Year): N/A ft Source: N/A D. Property Line Id / Source: ❑ Owner —1 Survey [21 County GIS ❑ Plat Map ❑ Other: E. ID distance of relevant setbacks on map: ❑ Water ❑ Easements ❑ Well(s) ❑ Building(s) ❑ Property Lines ❑ OHWL ❑ Other:�� 4. Preliminary Soil Profile Information From Web Soil Survey (attach map Et description) Map Units: 342E Slope Range: 15 25 List landforms: Moraines Landform position(s): Shoulder Parent materials: Till Depth to Bedrock/ Restrictive Feature: 66 in Depth to Watertable: na. in Septic Tank Absorption Field- At -grade: Map Unit Ratings Septic Tank Absorption Field- Mound: Septic Tank Absorption Field- Trench: see attached 5. Local Government Unit Information Name of LG U: City of Eagan LGU Contact: 651 3226626 LGU-specific setbacks: LGU-specific design requirements: LGU-specific installation requirements: Notes: house is a 2 bedroom-- sizing for 3 bedroom. 0 nz 0 m C Z w 0 s� �co Z d 0 a� o m 0 6 v U) <D 0 < N CD r- 0 c c 2 0 93" B 4T W 93° 85YW 93° 947W Map Unit Description: Kingsley sandy loam, 15 to 25 percent slopes --Dakota County, Minnesota Dakota County, Minnesota 342E—Kingsley sandy loam, 15 to 25 percent slopes Map Unit Setting National map unit symbol: f9y9 Elevation: 1,000 to 1,300 feet Mean annual precipitation: 23 to 35 inches Mean annual air temperature: 43 to 50 degrees F Frost -free period: 155 to 200 days Farmland classification: Not prime farmland Map Unit Composition Kingsley and similar soils: 85 percent Minor components: 15 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Kingsley Setting Landform: Moraines Landform position (two-dimensional): Shoulder Down-slope shape: Convex Across -slope shape: Convex Parent material: Till Typical profile A - 0 to 8 inches: sandy loam E - 8 to 12 inches: loamy sand Bt,Bw - 12 to 38 inches: sandy loam C - 38 to 60 inches: sandy loam Properties and qualities Slope: 15 to 25 percent Depth to restrictive feature: More than 80 inches Drainage class. Well drained Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.14 to 0.57 in/hr) Depth to water table: More than 80 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum content: 5 percent Available water supply, 0 to 60 inches: Moderate (about 8.4 inches) Interpretive groups Land capability classification (irrigated). None specified Land capability classification (nonirrigated): 6e Hydrologic Soil Group: C Ecological site. R103XY02OMN -Loamy Upland Savannas Forage suitability group: Steep; Fine Texture (G091XN017MN) USDA Natural Resources Web Soil Survey 8/29/2024 Conservation Service National Cooperative Soil Survey Page 1 of 2 Soil Map—Dakota County, Minnesota Map Unit Legend usDA Natural ttesources Web Soil Survey 8/29/2024 1" Conservation Service National Cooperative Soil Survey Page 3 of 3 Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI 279B Otterholt silt loam, 1 to 6 percent slopes 0.7 49.8% 342E Kingsley sandy loam, 15 to 25 percent slopes 0.7 50.2% Totals for Area of Interest 1.4 100.0% usDA Natural ttesources Web Soil Survey 8/29/2024 1" Conservation Service National Cooperative Soil Survey Page 3 of 3 93° 95:rw Fil T N co f0 N W CO O' ON aa^ a+rw 01 A 93' 9 5 W 93° 947"W Septic Tank Absorption Fields — Trench (MN�—Dakota County, Minnesota Septic Tank Absorption Fields — Trench (MN) Rating Acres in AOI Percent of AOI Very limited 0.7 50.2% Not limited 0.7 49.8% Totals for Area of Interest 1.4 100.0% USDA Natural Resources Web Soil Survey 8/29/2024 Conservation Service National Cooperative Soil Survey Page 3 of 5 Map unit Map unit name Rating Component Rating reasons Acres in AOI Percent of AOI symbol name (percent) (numeric values) 279B Otterholt silt Not limited Otterholt (85%) 0.71 49.8% loam, 1 to 6 percent slopes 342E Kingsley sandy Very limited Kingsley (85%) Slope (0.86) 0.7 50.2% loam, 15 to 25 percent slopes Restricted percolation (0.30) Totals for Area of Interest 1.4 100.0% Rating Acres in AOI Percent of AOI Very limited 0.7 50.2% Not limited 0.7 49.8% Totals for Area of Interest 1.4 100.0% USDA Natural Resources Web Soil Survey 8/29/2024 Conservation Service National Cooperative Soil Survey Page 3 of 5 Septic Tank Absorption Fields — Trench (MN)—Dakota County, Minnesota Description Trench septic tank absorption fields are areas in which effluent from a septic tank is distributed into the soil through perforated pipe. In this system the drain field is placed in a trench and covered with soil material. The ratings are based on the soil properties that affect absorption of the effluent, construction and maintenance of the system, and public health. Saturated hydraulic conductivity (Ksat) is evaluated from a depth of 30 to 107 centimeters. Depth to saturation and depth to bedrock are evaluated from the surface to a depth of 203 centimeters. The frequency of ponding and flooding also is evaluated. Excessive slope may cause lateral seepage and surfacing of the effluent in downslope areas. The ratings are both verbal and numerical. Rating class terms indicate the extent to which the soils are limited by all of the soil features that affect this use. "Not limited" indicates that the soil has features that are very favorable for the specified use. Good performance and very low maintenance can be expected. "Slightly limited" indicates that the soil has features that are favorable for the specified use. "Moderately limited" indicates that the soil has features that are moderately favorable for the specified use. The limitations can be overcome or minimized by special planning, design, or installation. Good performance and moderate maintenance can be expected. "Very limited" indicates that the soil has one or more features that are unfavorable for the specified use. The limitations generally cannot be overcome without special design or expensive installation procedures. "Extremely limited" indicates that the soil has one or more features that are very unfavorable for the specified use. The limitations generally cannot be overcome. Numerical ratings indicate the severity of individual limitations. The ratings are shown as decimal fractions ranging from 0.01 to 1.00. They indicate gradations between the point at which a soil feature has the greatest negative impact on the use (1.00) and the point at which the soil feature is not a limitation (0.00). The components listed for each map unit in the accompanying Summary by Map Unit table in Web Soil Survey or the Aggregation Report in Soil Data Viewer are determined by the aggregation method chosen. An aggregated rating class is shown for each map unit. The components listed for each map unit are only those that have the same rating class as the one shown for the map unit. The percent composition of each component in a particular map unit is given to help the user better understand the extent to which the rating applies to the map unit. Other components with different ratings may occur in each map unit. The ratings for all components, regardless the aggregated rating of the map unit, can be viewed by generating the equivalent report from the Soil Reports tab in Web Soil Survey or from the Soil Data Mart site. Onsite investigation may be needed to validate these interpretations and to confirm the identity of the soil on a given site. Rating Options Aggregation Method. Dominant Condition USDA Natural Resources Web Soil Survey 8/29/2024 am Conservation Service National Cooperative Soil Survey Page 4 of 5 �N v m 0 w n� 00 Q m C,) 0 m c O c c 2 CD l< 93° 8' A' W z 93° 94TW Oz 2 93° 8'53"W O ID v 0 m CD v �pQ I O d 0 m n 0 c 0 CD CD m 0 a) 93'947W Depth to Water Table—Dakota County, Minnesota Depth to Water Table Description "Water table" refers to a saturated zone in the soil. It occurs during specified months. Estimates of the upper limit are based mainly on observations of the water table at selected sites and on evidence of a saturated zone, namely grayish colors (redoximorphic features) in the soil. A saturated zone that lasts for less than a month is not considered a water table. This attribute is actually recorded as three separate values in the database. A low value and a high value indicate the range of this attribute for the soil component. A "representative" value indicates the expected value of this attribute for the component. For this soil property, only the representative value is used. Rating Options Units of Measure: centimeters Aggregation Method., Dominant Component Component Percent Cutoff: None Specified Tie-break Rule: Lower Interpret Nulls as Zero: No Beginning Month: January Ending Month: December USDA Natural Resources Web Soil Survey 8/29/2024 Conservation Service National Cooperative Soil Survey Page 3 of 3 Map unit symbol Map unit name Rating (centimeters) Acres in AOI Percent of AOI 279B Otterholt silt loam, 1 to 6 percent slopes >200 0.7 49.8% 342E Kingsley sandy loam, 15 to 25 percent slopes >200 0.7 50.2% Totals for Area of Interest 1.4 100.0% Description "Water table" refers to a saturated zone in the soil. It occurs during specified months. Estimates of the upper limit are based mainly on observations of the water table at selected sites and on evidence of a saturated zone, namely grayish colors (redoximorphic features) in the soil. A saturated zone that lasts for less than a month is not considered a water table. This attribute is actually recorded as three separate values in the database. A low value and a high value indicate the range of this attribute for the soil component. A "representative" value indicates the expected value of this attribute for the component. For this soil property, only the representative value is used. Rating Options Units of Measure: centimeters Aggregation Method., Dominant Component Component Percent Cutoff: None Specified Tie-break Rule: Lower Interpret Nulls as Zero: No Beginning Month: January Ending Month: December USDA Natural Resources Web Soil Survey 8/29/2024 Conservation Service National Cooperative Soil Survey Page 3 of 3 0 30 60ft ©2024 Dakota County —All Rights Reserved Disclaimer https://gis.co.dakota.mn.us/WebappbuiIder/PropertylnformationPubIic/index.htm1 9/2/24, 1:09 PM Page 1 of 1 ONsrm SEWAGE TREATIAENT PROGRAM Field MINNESOTA POLLUTION Evaluation Worksheet MA CONTROL AGENCY 1. Project Information v 04.02.2024 Property Owner/Client: Andy Michaletz Project ID: Site Address:3255 Lexington Ave. Eagan Mn. Date Completed: 8 30 2024 2. Utility and Structure Information Utility Locations Identified 171 Gopher State One Call # 1 651 45400 ❑ Any Private Utilities: Locate and Verify (see Site Evaluation mop) ❑ Existing Buildings 7 Improvements ❑ Easements ❑ Setbacks 3. Site Information Vegetation type(s): parking lot Landscape position: Shoulder Percent slope: F 1.0 % Slope shape: Linear, Linear Slope direction: west Describe the flooding or run-on potential of site: Describe the need for Type III or Type IV system: Note: Proposed soil treatment area protected? (Y/N): No If yes, describe: 4. General Soils Information Filled, Compacted, Disturbed areas (Y/N): Yes If yes, describe: Soil observations were conducted in the proposed system location (Y/N): Yes A soil observation in the most limiting area of the proposed system (Y/N): Yes Number of soil observations: 2 7 Soil observation logs attached (Y/N): Yes Percolation tests performed Et attached (Y/N): 5. Phase I. Reporting Information Depth Elevation Limiting Condition": 66 in ft 'Most Restrictive Depth Identified from List Below Periodically saturated soil: 66 in ft Soil Texture: Fine Sandy Loam Standing water: na. in ft Percolation Rate: 13.0 min/inch Bedrock: na. in ft Soil Hyd Loading Rate: 0.78 gpd/sq.ft Benchmark Elevation: 100.0 ft Elevations and Benchmark on map? (Y/ N): Benchmark Elevation Location: grade west side of house Differences between soil survey and field evaluation: Site evaluation issues / comments: Anticipated construction issues: remove approx. 42"s of compacted soil for bed area and import washed mound sand to bottom of rockbed 0 'aJ v o n F5 o n 0 O O Cn .A O (D '� � rt un CL !- (D "D O N N ID n M (D (D vii (�D CD uo (D 30 o 3 ua < rt f -D `� �' r- r(D r 71T 0 N C:0 N v (D CDD O fli tri pOj cn y cn XLn CDD o rnr CD C G G S .- n ,:n v .. w n O KO N -n r rD rD -0cn 0 0 :;Q uoT Q T 0 0 _CL cA `< O O rt N W n G G G .� ;3D ;;ox j' OO .� N O N I i (D CD n '� 07 O L_l N 1 O W cn O C O Q c v, rr o O oN < n �! 0 N O O (Dsw csi in rD < CD ni El in �s UQ �'* VO A O_ rr C n ➢moi v � — O (CD h j r* a _ n n — 3 CD (Do ZT (D N r ua N Q CD x O N t ❑ 3 O O d O A ) W CD = n Fl N rt o rn Elo 00c > CD Q t_nO N `�,�, � = ii C) Q O Ln r" a m cr v n N cn cn w 0 011 r n-� D n W -i N O (D C.0 trcn to ID GO < C N N Ul ua CD (�'1 ❑ !n :24Z11i (D lD (D O rn s0 y < O W c w N nLn (_n O o .2 n G� m rb v - n x_ r. m X- X- ,�,. ry rD iv ua w tn v v CD c Q CD eD : D ? ' m O o rn rn c v m � rn r, < n o _ W uQ � 3 (DD i co (Dco n o W a oW O o 0 0 - F N 6- N N a p m 4z� j n _r CD O �O � O O A L\n»un of fhin4 ONSITE SEWAGE MINNESOTA POLLUTION TREATFA N7 Design Summary Page CONTROL AGENCY PROGRAAS 1. PROJECT INFORMATION v 04.02.2024 Property Owner/Client: Project ID: Andy Michatetz Site Address: 3255 Lexington Ave. Eagan Mn. Date: F 8 30 2024 Email Address: Phone:507 363 3936 amichatetz@gmail.com 2. DESIGN FLOW Et WASTE STRENGTH Design Flow: 450 GPD Anticipated Waste Type: Residential BOD: 170 mg/L TSS: 60 mg/L Oil Et Grease: 25 mg/L Treatment Level: E=Select Treatment Level C for residential septic tank effluent 3. HOLDING TANK SIZING Holding Tank Sizing: see 7080.2290 Code Minimum Holding Tank Capacity: Gallons with Tanks or Compartments Recommended Holding Tank Capacity: Gallons with Tanks or Compartments The holding tank(s) will be: Existing tank reuse requires a tank integrity assessment Type of High Level Alarm: (Alarm Set @ 75% tank capacity measured from inlet to bottom) Comments: 4. SEPTIC TANK SIZING Sizing: See 7080.1930 .................................................................................................................................................................................................................................................................................................. A. Residential dwellings: Number of Bedrooms (Residential): size for 3 Code Minimum Septic Tank Capacity: 1500 Gallons with Tanks or Compartments Recommended Septic Tank Capacity: 1500 Gallons with Tanks or Compartments The septic tank(s) will be: All New Existing tank reuse requires a tank integrity assessment Comments: Effluent Screen £t Alarm (Y/N):Optional Model/Type: :...................................................................................................................... .... ................................................................. ................................................. ......................................... ........................ ............................................................................. ............... ................................. ....................... ................. ..................................... .............................................................. B. Other Establishments: Waste received by: GPD x Days Hyd. Retention Time 7080 Minimum Septic Tank Capacity: Gallons with Tanks or Compartments Designpd Septic Tank Capacity- Gallons with ��Tanks or Compartments �J The septic tank(s) will be: Existing tank reuse requires a tank integrity assessment Comments: Effluent Screen Et Alarm (Y/N):Model/Type: * Other Establishments Require Department of Labor and Industry Approval and Inspection for Building Sewer n,.r..una ussyc ONSITE SEWAGE M11MINNESOTA POLLUTION TREATMENT Design Summary Page CONTROL AGENCY PROGRAM �\.� 5. PUMP TANK SIZING Sizing: see 7080.2100 Soil Treatment Dosing Tank Other Component Dosing Tank: Pump Tank Capacity (7080 Minimum): 1000 Gal Pump Tank Capacity (7080 Minimum): Gat Pump Tank Capacity (Designed): 1000 Gal Pump Tank Capacity (Designed):Gat Pump Req: 25.0 GPM Total Head 13.8 ft Pump Req:GPM Total Headft 00 Supply Pipe Dia. 2.in Dose Vol: 90.0 gal Supply Pipe Dia. �in Dose Vol: Gal Flow measurement device must be incorporated for any system with a pump 6. SYSTEM AND DISTRIBUTION TYPE Project ID: Soil Treatment Type: Bed Distribution Type: Pressure Distribution -Level Elevation Benchmark: 100.00 ft Benchmark Location: grade west side of house MPCA System Type: Type III Distribution Media: FRock Type III/IV/V Detaits: F- 7. SITE EVALUATION SUMMARY: .................................................................................................................................................................................................................................................................................. 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: 66.0 inches 5.50 ft ��ft Elevations are critical for system compliance. Minimum Req'd Separation: 36 inches 3.00 ft Elevation Distribution Media Bottom: 30 inches 2.50 ft #VALUE! ft #VALUE! *This is the maximum depth to the bottom of the distribution media for required separation. Negative Depth (ft) requires a mound. Designed Distribution Bottom Elevation: ft Mound Minimum Sand Depth: N/A inches ..................................... ............................................................... ...................................... ............................................ ................. ........................................................................... .............. _ A. Soil Texture: Fine Sandy Loam B. Soil Hyd. Loading Rate: 0.78 GPD/ft2 C: Percolation Rate: 13.00 MPI D. Contour Loading Rate: 12.5 Note: E. Measured Land Slope: 1.0 % Note: Comments: 8. SOIL TREATMENT AREA DESIGN SUMMARY Trench: Dispersal Areasq.ft Sidewall Depthin Trench Widthft Total Lineal Feetft No. of Trenches �� Code Max. Trench Depth�in Contour Loading Rate E=ft Minimum Length =ft Designed Trench Depth= in Bed: Dispersal Area 577.0 sq.ft Sidewall Depth 8.0 in Maximum Bed Depth 30 in Bed Width 16 ft Bed Length E=ft Designed Bed Depth 1=in ONSITE SEWAGE TREATMENT PROGRAM ,,�(� \� Design Summary Page ect MINNESOTA POLLUTION CONTROL AGENCY Mound: Dispersal Areasq.ft Bed Lengthft Bed Widthft Absorption Widthft Clean Sand Liftft Berm Width (0-1%)ft Upstope Berm Widthft Downslope Bermft Endslope Berm Widthft Total System Lengthft System Width�ft Contour Loading Rategal/ft At -Grade: Dispersal Areasq.ft Bed Lengthft Bed Widthft Upslope Bermft Downslope Bermft Finished Heightft System Length E==ft Endslope Berm =ft System Widthft Level Et Equal Pressure Distribution Soil Treatment Area No. of Laterals Lateral Diameter 1.50 in Lateral Spacing 3.0 ft Perforation Spacing 3.0 ft Perforation Diameter 3/16 in Drainback Volume 6.8 gal Min Dose Volume 74.8 gal Max Dose Volume E12Egal Total Dosing Volume 96.8 gal Non -Level and Unequal Pressure Distribution Soil Treatment Area (in) Elevation (ft) Pipe Size (in) Pipe Volume (gat /ft) Pipe Length Perf Size Spacing Spacing Minimum Dose Volume gal Lateral 1 Maximum Dose Lateral 2 Volume Lateral 3 gal Lateral Lateral 5 Total Dosing Volume Lateral FJgal I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. ferry ( ft ) (in) (ft) (in) 9. Organic Loading and Additional Info for HSW or Type IVN Design - See Organic Loading tab Organic Loading to Soil Treatment (Based on Waste Strength Data and Organic Loading Design) A. Organic Loading Based on: B. Minumum required area �sq.ft Technology Strength Reduction (Tretment Level or HSW) A. Starting Waste Strength Treatment desinged to meet: Pretreatment Technology:L 77 *Must Meet or Exceed Target Model: Units: Level Disinfection Technology: `Required for Levels A 0 B Model: Units: 10. Comments/Special Design Considerations: fill soil to remove type 3 system sauber 925 8 30 2024 (Designer) (Signature) (License #) (Date) ONSITE Pressure Distribution SEWAGE � MINNESOTA POLLUTION TREATMENT CONTROL AGENCY PROGRAM Design Worksheet Project ID: v 04.02.2024 1. Media Bed Width: 16.0 ft 2. Media Bed Length: 36.0 ft 3. Minimum Number of Laterals in system/zone = Rounded up number of [(Media Bed Width(1.) - 4) : 3] + 1. [( 16 4) : 31 + 1 = 5 laterals Does not apply to at -grades 4. Designer Selected Number of Laterals:laterals Y .. Cannot be less than line 2 (Except in at -grades) 5. Lateral spacing in Bed; Must be greater than 1 foot and no more than 2 feet from Edge: n3.00 ft 6. Length of Laterals = Media Bed Length(2.) - 2 Feet. 36.0 - 2ft = 34.0 ft Perforation can not be closer then 1 foot from edge. 7. Select Perforation Spacing: 3.0 ft 8. Determine the Number of Perforation Spaces. Divide the Length of Laterals(6.) by the Perforation Spacing (7.) and round down to the nearest whole number. Number of Perforation Spaces= 34.0 ft ft = 11 Spaces 9. Number of Perforations per Lateral is equal to 1.0 plus the Number of Perforation Spaces(8.) . 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. Perforations Per Lateral = 11 Spaces + 1 = 12 Perfs. Per Lateral 10. Select Perforation Diameter Size: 3/16 in 0.1875 11. Select Lateral Diameter (See Table) : 1.50 in 12. Select Manifold Connection (End or Center):end If Center Manifold Connection the max number of perfs per lateral in the table can be doubled. Maximum Number of Perforations Per Lateral to Guarantee 00% Discharge Variation /s Inch Perforations 7/32 Inch Perforations Perforation Spacing (Feet) Pipe Diameter (Inches) Perforation Spacing (Feet) Pipe Diameter (Inches) 1 ISL 114 2 3 I 114 114 2 3 2 10 13 18 30 60 2 11 16 21 34 68 214 8 12 16 28 54 DA, 10 14 20 32 64 3 8 12 16 15 52 3 9 14 19 30 60 3/16 Inch Perforations 1/8 inch Perforations Perforation Spacing (Feet) Pipe Diameter (Inches) Perforation Spacing (Feet) Pipe Diameter (Inches) I i'A 114 2 3 1 1% 1'Pt 2 3 2 12 1$ 26 46 87 1 2 21 33 44 74 149 Dt 12 17 24 40 80 2.1 20 30 41 69 135 3 1 12 1 16 1 22 37 75 3 20 29 38 64 128 rn- W+•rmu ONSITE Pressure Distribution SEWAGE -`* M11MINNESOTA POLLUTION Pt0TREATMENT - Design Worksheet CONTROL AGENCY 4GRAM manifold pipe N 1 i pipe from pump lean outs alternate location of pipe from pump END Connection Perf Per Lateral: 12 End Feed Lateral Min Diameter - Cleanouts Manifold pipe, Alternate location of pipe from pump Pipe from pum CENTER onnectton Perf Per Lateral Equal Split: 6 I 6 OPTIONAL Perf Per Lateral Non -Equal Split*: must not exceed maximum number perfs per lateral in table 1.50 Center Feed Lateral Min Diameter: 13. Total Number of Perforations equals the Number of Perforations per Lateral (9.) multiplied by the Number of Perforated Laterals. (4.) 12 Perf. Per Lat. X Number of Perf. Lat. = 60 Total Number of Perf. 14. Calculate the Square Feet per Perforation. Recommended value is 4-11 ft2 per perforation, Does not apply to At -Grades a. Bed Area = Bed Width (ft)(1.) X Bed Length (ft)(2.) 16.00 ft X 36.00 1 ft = 576 sq.ft b. Square Foot per Perforation = Bed Area (14a) , by Total Number of Perfs (13) 576 sqft : 60 perf = 10 sq.ft/pert Perforation Discharge (GPM) Perforation Diameter `Head (ft) 1.0' 0.18 0.41 0.56 0.74 1,5 0.22 1 0.51 1 0.69 0.9 0.32 0.37 0.41 15. Select Minimum Average Head :1.0 ft I 1 foot pennon 0.93 1 1.26 1 3/16 inch to 114 inch 1.17 1.28 1.47 Dwellings with 1/8 inch perforations 16. Select Perforation Discharge based on Table: 0.41 GPM per Perf greetother establishments and NSTSwith 3/16 inch to 1/4 inch perforations 17- Flow Rate = Total Number of Perfs(13.) X Perforation Discharge(16.) 5feet other establishments and NSTSwith 1/8 inch Perforations 60 Perfs X 0.41 GPM per Perforation = 25.0 GPM 18. Volume of Liquid Per Foot of Distribution Piping (Table /I) : 0.110 Gallons/ft Table II 19. Volume of Distribution Piping = Number of Perforated Laterals(4.) X Length Volume of Liquid in of Laterals(6.) X Volume of Liquid Per Foot of Distribution Piping (18.) Pipe Pipe Liquid 5 7 X 34.0 ft X 0.110 gal/ft = 18.7 Gallons Diameter Per Foot (inches) (Gallons) 20. Minimum Delivered Volume = Volume of Distribution Piping (19.) X 4 1 0.045 18.7 gal X 4 = 74.8 Gallons 1.25 0.078 1.5 0.110 21. Maximum Delivered Volume = Design flow x 25% 2 0.170 3 0-380 450 gpd X 25% = 112.5 Gallons 4 0.661 22. Minimum Delivered vs Maximum Delivered evaluation: Volume ratio correct Comments/Special Design Considerations: -..a>a,.,w> ONSITE SEWAGE TREATMENT PROGRAM `J Bed Design Worksheet M1 MINNESOTA POLLUTION CONTROL AGENCY 1. SYSTEM SIZING: Project ID: v 04.02.2024 A. Design Flow: 450 GPD B. Code Maximum Depth: 30.0 inches Designers Maximum Depth: 30.0 inches C. Soil Loading Rate: 0.78 GPD/sq.ft D. Hydraulic Absorption Required Bottom Area: Design Flow (1A) - Soil Loading Rate (1C) 450 GPD - 0.78 GPD/sq.ft 577 sq.ft .......................................................................................................................................................................................................................................................................................................... Optional Upsizing of Dispersal Media Area E. Larger Bed Area Size or Organic Sizing of Bed Area sq.ft (see organic loading sheet - 2G) .................................................................................................................................................."-'--..........................................................................................•....................................................... F. Select Distribution Method: Pressure Notes: G. Select Dispersal Media: Irock Product: H. If distribution media is installed in contact with sand or loamy sand or with a percolation rate of 0.1 to 5 mpi indicate distribution or treatment method: Pressure distribution 2. BED CONFIGURATION: (Less than 6% slope required) A. Select size Multiplier: 1.0 1.0 = pressurized or 1.5 = gravity B. Required Bed Area =Hydraulic Absorption area (1 D) or Upsized Bed Area (1 E) X Size Multiplier (2A) _ 577 sq.ft X 1.0 = 577 sq.ft C. Select Bed Width: 16.0 ft D. Calculate Bed Length: Designed Bottom Area (213) : Bed Width (2C) = Bed Length 577 sq.ft _ 16.0 ft = 36.1 ft E. Contour Loading Rate: Bed Width (2C) x SHLR (1C) Must be less then 12 to be a Type I system 16.0 ft x 0.78 GPD/sq.ft = 12.5 gal/ft 3. ESTIMATED MATERIAL CALCULATION: ROCK A. If drainfield rock is being used, select sidewall height �in 0.67 ft (0.33 ft for pressure, 0.5 ft for gravity) B. Media Volume: (Media Depth(3A) + depth to cover pipe) X Designed Bottom Area(2B) = cu.ft ( 0.7 ft + 0.33 ft) X 577.0 sq.ft = 575.1 cu.ft C. Calculate Volume in cubic yards: Media volume in cubic feet (3A) : 27 = cubic yards 575.1 cu.ft : 27 = 21.3 cu.yd Bed to be constructed to dimensions in design. This is an estimate of materials needed. Individual construction practices may vary quantities. 4. ESTIMATED MATERIAL CALCULATION: REGISTERED PRODUCTS - CHAMBERS AND EZFLOW A. Registered Product: Check registered product information for specific B. Bed Width 16.0 ft application details and C. Bed Length Minimum 36.1 36.1 ft design D. Component depth (see Registration) Cin 5. Dimension Summary Project ID: End View Top View Distribution Pipes must be no less 12 inches and no more than 24 inches from the edge 16 Bed Width (ft) Minimum 12 inch cover Elevation based on Benchmark 8.0 Media Depth (in) #VALUE! ft Below Pipe 30.0 Max Depth (in)- Design #VALUE! ft 36.0 Required Separation (in) #VALUE! ft 66.0 Limiting Condition (in) ft Distribution Media: rock Perforation Size: (in) Comments: 36.1 Bed Length (ft) Manifold Connection: end Perforation Spacing: 1.5 (in) One 4' Inspection pipe per bed required 16.0 Bed Width (ft) Bottom Areas .ft 577 INSPECTRON, INC. CODE COMPLIANCE INSPECTIONS 15120 Chippendale Ave., Suite 202 Rosemount, MN 55068 Phone 651-322-6626 - Fax 651-322-7580 - Toll Free 1-800-322-6153 INSPECTION REPORT PROJECT TITLE, �� I �\ �D % � PERniIT NO. PROJECT LOCATION/ADDRESS , 2 �z��/�� , JURISDICTION 'Cti✓1 OWNER _ CONTRACTOR ~ SCHEDULED FOR DAY ^ DATE`- ❑ RE-INSPJFOLLOW-UP ❑ INSULATION ❑ PLUMBING FINAL. ❑ FOOTINGS ❑ FIRE RATED WALL BOARD ❑ M[ECHANICAL FINAL ❑ POURED WALL ❑ FIRE ALARM SYSTEM ❑ FIREPLACE FINAL ❑ FOUNDATION ❑ FIRE SUPPRESSION R.I. ❑ GAS. PRESSURE TEST ❑ SITE UTH,ITY ❑ FIRESTOPPING ❑ FIRE SUPPRESSION FINAL ❑ FIREPLACE ROUGH -IN ❑ FU MSMOKE DAMPER ❑ BUILDING FINAL ❑ PLUMBING ROUGH -IN ❑FIRE CQDE INSPECTION O PROC KESS ❑ MECHANICAL ROUGH -IN gZSTS STANDARD ❑ COML TLAINT . ❑ FRAMING ❑ LSTS OTHERSYSTEM ❑ ❑ WORK IS SATISFACTORY. OK TO PROCEED ❑ CORRECT WORK THEN OK TO PROCEED ❑ CORRECT WORK. CALL FOR REINSPECT BEFORE COVERING. ❑ STOP WORK EWdEDIATELY! CALL. INSPECTOR ❑ INSPECTION REQUIRED. CALL AND ARRANGE FOR ACCESS. Comments: P 1 ,)s INSPECTED BY (PRINT) �� r 141"HONE NO. DATE INSPECTED: TIME ARRIVED ON SITE: P.COMP TOTAL INSPECTION TIME: INSPECTOR SIGNATURE: I- il r., Ct) `N G) C— zni Ct)m c� co x m WU, Cni Z C G mq K - Au'QIn R: N CY) c -- gi N,W���D -4 M Wim �tco C7- AIt w _ C V UNIVERSITY OF MINNESOTA Septic System Management Plan for Below Grade Systems The goal of a septic system is to protect human health and the environment by properly treating wastewater before returning it to the environment. Your septic system is designed to kill harmful organisms and remove pollutants before the water is recycled back into our lakes, streams and groundwater. This management plan will identify the operation and maintenance activities necessary to ensure long-term performance of your septic system. Some of these activities must be performed by you, the homeowner. Other tasks must be performed by a licensed septic maintainer or service provider. However, it is YOUR responsibility to make sure all tasks get accomplished in a timely manner. The University of Minnesota's Septic System Owner's Guide contains additional tips and recommendations designed to extend the effective life of your system and save you money over time. Proper septic system design, installation, operation and maintenance means safe and clean water! Property Owner Andy Michaletz Email amichaletz@gmail.com Property Address 3255 Lexington Av. Eagan Mn. Property ID 10.01000.75.010 System Designer Sauber P&H Co. Contact info 651 463 7434 System Installer Contact Info Service Provider/Maintainer Contact Info Permitting Authority City of Eagan Contact Info 651 322 6626 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 vcrsion: August 2015 - 1 - UNIVERSITY OF MINNESOTA Septic System Management Plan for Below Grade Systems Your Septic System Septic System Specifics System Type: 0 I 0 II O III 0 IV* 0 V* System is subject to operating permit* (Based on MM Rules Chapter 7080.2200 — 2400) System uses UV disinfection unit* *Additional Management Plan required Type of advanced treatment unit Dwelling Type Well Construction Number of bedrooms: Isxea`°r3 Well depth (ft): ' 50 System capacity/ design flow (gpd): 450 ❑ Cased well Casing depth: Average daily flow (gpd): 225 ❑ Other (specify): Comments Distance from septic (ft): > 50 Business? OY Q N What type? Is the well on the design drawing? Q Y e N Septic Tank ❑ First tank Tank volume: 1500 gallons ❑ Pump tank (if one) 1000 gallons Does tank have two compartments? (F) Y 0 N ❑ Effluent pump make/model: per specs. ❑ Second tank Tank volume: gallons Pump capacity 25 GPM ❑ Tank is constructed of Concrete TDH 14 Feet of head ❑ Effluent screen:O Y O N Alarm O Y Q N ❑ Alarm & Y O N Location house Soil Treatment Area (STA) Trenches: total lineal feet El Gravity Number of trenches: at feet eachdistribution ❑✓ Pressure distribution STA size (width x length): 16 ft x 36 ft Inspection a Cleanouts ports Location of additional STA: ❑ Additional STA not available Type of distribution media: ROCK Surface water diversions -2- UNIVERSITY Septic System Management Plan OF MINNESOTA for Below Grade Systems 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 36 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. • Alarms. Alarms signal when there is a problem; contact your service 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. 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 listcd on the Profcssivnal Tasks on Page 4. -3- UNIVERSITY Septic System Management Plan OF MINNESOTA for Below Grade Systems Professional Management Tasks These are the operation and maintenance activities that a pumper/maintainer performs to help ensure long-term performance of your system. 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 lid. A riser is recommended if the lid is not accessible from the ground surface. Insulate the riser cover for frost protection. • Liquid level. Check to make sure the tank is not leaking. The liquid level should be level with the bottom of the outlet pipe. (If the water level is below the bottom of the outlet pipe, the tank may not be watertight. If the water level is higher than the bottom of the outlet pipe of the tank, the effluent screen may need cleaning, or there may be ponding in the soil treatment area.) • Inspection pipes. Replace damaged or missing pipes and caps. • Baffles. Check to make sure they are in place and attached, and that inlet/oudet baffles are clear of buildup or obstructions. • Effluent screen. Check to make sure it is in place; clean per manufacturer recommendation. Recommend retrofitted installation if one is not present. • Alarm. Verify that the alarm works. • Scum and sludge. Measure scum and sludge in each compartment of each septic and pump tank, pump if needed. Pump • Pump and controls. Check to make sure the pump and controls are operating correctly. • Pump vault. Check to make sure it is in place; clean per manufacturer recommendations. • Alarm. Verify that the alarm works. • Drainback. Check to make sure it is draining properly. • Event counter or elapsed time meter. 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: 96.8 gallons: Pump run time: 3.87 Minutes 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. • Gravity trenches and beds. Check the number of gravity trenches with effluent ponded in distribution media. Identify the percentage of the system in use. Determine if action is needed. • Pressure trenches and beds - Lateral flushing. Check lateral distribution; if cleanouts exist, flush and clean 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- UNIVERSITY OF MINNESOTA Septic System Management Plan for Below Grade Systems Water -Use Appliances and Equipment in the Home Appliance Impacts on System Management Tips • Uses additional water. • Use of a garbage disposal is not recommended. Garbage disposal • Adds solids to the tank. . Minimize garbage disposal use. Compost instead. Finely -ground solids may not settle. To prevent solids from exiting the tank, have your Unsettled solids can exit the tank tank pumped more frequently. and enter the soil treatment area. . Add an effluent screen to your tank. • Washing several loads on one day • Choose a front -loader or water -saving top -loader, uses a lot of water and may overload these units use less water than older models. your system. • Limit the addition of extra solids to your tank by • Overloading your system may using liquid or easily biodegradable detergents. Washing machine prevent solids from settling out in Limit use of bleach -based detergents and fabric the tank. Unsettled solids can exit softeners. the tank and enter the soil treatment . Install a lint filter after the washer and an effluent area. screen to your tank • Wash only full loads and think even — spread your laundry loads throughout the week. • Powdered and/or high -phosphorus • Use gel detergents. Powdered detergents may add detergents can negatively impact the solids to the tank. Dishwasher performance of your tank and soil . Use detergents that are low or no -phosphorus. treatment area. . Wash only full loads. • New models promote "no scraping". They have a garbage disposal inside. . Scrape your dishes anyways to keep undigested solids out of your septic system. • Finely -ground solids may not settle. • Expand septic tank capacity by a factor of 1.5. Grinder pump (in home) Unsettled solids can exit the tank . Include pump monitoring in your maintenance and enter the soil treatment area. schedule to ensure that it is working properly. • Add an effluent screen. • Large volume of water may • Avoid using other water -use appliances at the same Large bathtub overload your system. time. For example, don't wash clothes and take a (whirlpool) • Heavy use of bath oils and soaps can bath at the same time. impact biological activity in your • Use oils, soaps, and cleaners in the bath or shower tank and soil treatment area. sparingly. Clean Water Uses impacts on System Management Tips High -efficiency furnace • Drip may result in frozen pipes • Re-route water directly out of the house. Do not during cold weather. route furnace recharge to your septic system. Water softener • Salt in recharge water may affect • These sources produce water that is not sewage and Iron filter system performance. should not go into your septic system. Reverse osmosis • Recharge water may hydraulically . Reroute water from these sources to another outlet, overload the system. such as a dry well, draintile or old drainfield. . When replacing, consider using a demand -based • Water from these sources will Surface drainage overload the system and is recharge vs. a rime -based recharge. Footing drains prohibited from entering septic • Check valves to ensure proper operation; have unit system. serviced per manufacturer directions MV UNIVERSITY OF MINNESOTA Septic System Management Plan for Below Grade Systems Homeowner Maintenance Log Track maintenance activities here for easy reference. See list of management tasks on pages 3and 4. Activity Date accomplished Check frequently: Leaks: check for plumbing leaks Soil treatment area check for surfacing ** Lint filter: check, clean if needed Alarms ** Check annually: Water usage rate (max 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, l will promptly notify the permitting authority and take necessary corrective actions IfI have a new system, I agree to adequately protect the reserve area for future use as a soil treatment system." Property Owner Signature: Date Management Plan Prepared B Sauber P&H Co. 925 g p Y� Certification # Permitting Authority: City of Eagan ©2015 Regents of the University of Minnesota. All rights reserved. The University of Minnesota is an equal opportunity educator and employer. This material is available in alternative formats upon request. Contact the Water Resources Center, 612-624-9282. The Onsite Sewage Treatment Program is delivered by the University of Minnesota Extension Service and the University of Minnesotn Water Resources Center. i� 5e �. Y ID>sDUAL SInE SS cElli-3UIZI LDaae InstalledPermit No.oaoo33 Owner: 4, o/,,t,� Xa & to Projee, Address c3-2SS- Zc _1Ag2kg A/C. House Typ0-11g)ope ID No. ?IN Q : l 0 : 7 O- / 0 rty No.(?[N) Z _ �_ _ _ _ (Dak Co Tax info 65,=538 X570 or Y,,vmco.dakot:.mn.usl yL[lNew*eplace wp aca Installed for�Bdrms or l/day Commercial Use? Y (Repair(DAddtaon �v Property Transfer Upgrade? Y N mt BsLiz Pumo? Y&Future. Y Jacual? Y(N)Garb DisoYI N Soil Survey Map Uni: Y24- Soil Compactec� Y N =rll Soil o ni e) 5 Circle Soil Texture: p (Faster than 0.1 mpi) Coarse Sand Medium Sandp Loamy Sand 0.83 (� 2 5 FINE ND i.67 sandy Loam t 4 �s 1.67 �LE, Silt Loam, Silt 2.00 Sandy Clay Loam 2.2 tJ �--- Silty Clay Loam Clay Loam A7i,la Silty Clay, Clay 4.2 r� (Slower than 120 mpi) v; �j ll ��5 Soil dry enough for construction N� SETBACKS: Prop -Lines 10 '-�/? Bldgs 10' to Tank rot & 20' to Drnrld_> Well(s) setback )5-o ( )not installed yet Well Depth�()Orig. Well Record ( )Measured Distance to Lakes Creek W Wetland,oi Buried Water Pressure Lines 10' to Tank & Dmrld? r-' System located by Photos C) iii GPS? YC�N) SEPTIC / HOLDING -1ANK(S) X New ❑ Existing Liquid Caty - Z 1 compartment o Made bypacil Watertight? Y it Baffle Type: lastic Fiberglass Sanitary -Ti Concr �e No. of Inspection Pipes= 4" / 6" diam. Tank Level? Y N NO./Diam. Manhole Access 2--,2Y4 Iniet / Outlet/ Center No. & Height of Manhole Risers - " New Tanks 4 if or less below Final Grade" hl Pipes into Tank Sealed? with �'asfit <«r �,e��fy-3 ml Riser into Tank Base Se ed? with ���� I Id Outlet Effluent Filter? Y N�ype MOUND 1 AT GRADE: Percent ope % Scarification Method: Dike Wid'A x U Down Side Clean Ro 1 N Depth Below Pipe inches Clean S nd? Y 1 N Depth Upslope Downslope Inches to Motding__Pipe Size/Spacing Peri Size/Spacing Final Cover Depth " Rock Bed Size Supplier: Sand Base Size Supplier: Upslope needing drainage/diversion? Y 114 Provided? Y / N Grading done: Rough 1 Final ( )Seeding ( )Sod to be done by: I hereby ceniry, as installer, that this individual sewage treatment system was installed according to the approved design, and os applicable, this Municipality's Sewage T2 enF ystem Ordinance, & accurately locates 211 system components f titer location. In er Ston 'ir Aj 70 Line drawn from Tanks to Pump Truck Access 100' Y/ RESERVE AREA HFenced Oz? Owner informed to preserve Reserve Area?([P v I N Owner given Se -"tic System Owner Guide?CYYIq jD,-QJVrjaMxeN�evel?R GRAVELLESS DRA NFiELD: N T1rpe _ concrete / plastic Depth 3a" Width../,A �,-- ' Q"sem'e'61C/ Number of Trenches --Trench Bottom Level Y 1 N Trench Lengths r Spacin Rock Clean Y 2" over Pipe Yid GeoTextile Cover IN Depth Below Pipe?__�_" Soil Backfill Depth_° Gravelless Pipe Size? -- iVIaade by Chamber Size? IJlade by Absorption Area: Sq Ft 7 G l -thea! .� 3�-scu/�S Trench Bouom to mottling 1 bedrock? 3G inches PUMP TANK Made by 6d4-7,1-Capacity�0000 No. & Height of Risers �r—_Sealed2"� N Pump Manufacturer 4 Model == 2Y3-2 Horsepower / GPM Feet of Head _J Y Cycles Per Day 3-Y Gallons Per Cycle LJ Size of Discharge Line 1 b Tvo= of Electrical Hookup past & box b to Alarm Location w A garage 1 basement Alarm: Tank Alert/ Level Alarm i Other amiss-vw cia�� Cycle Counted Y i N Water Meter? Y/ N Prci-ssional Onsite J -P f ! "7 —4c A Lyl PCA Lie. hlo.��2company tJs f � e - Address /UO -7/19, msp / 7 C Sign c� L Date. Hipp ved: filo l� Yes with Conditions: While cooyc unl:r a(IoyrOwner Pink:l iler