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5.a Design Summary Report_12408 228th St N Scandia 11/28/2020       SSTS Design  12408 228th Street North Scandia, MN 55073 PID # 09.032.20.22.0035 Version 1.0 Kloeppner Services & Designs, LLC  MPCA LICENSE # 4043    763.843.4114  CONNECT@KSD‐MN.COM  Prepared by KSD @ 2020 www.ksd‐mn.com      SSTS Design Summary Report 11/28/20    On November 19th, 2020, a site evaluation was conducted at 12408 228th St N, Scandia, MN 55073 to  design a new Subsurface Sewage Treatment System (SSTS) for an existing 2‐bedroom home.  The PID  number is 09.032.20.22.0035.      Prior to submitting for permit from Washington County please review and sign all pages which require a  signature.    Wastewater Sources & Peak Flow Rate  The expected waste strength is Residential Wastewater with a Peak flow of 300 gallons per day (GPD)  for a 2‐bedroom house.  The Expected Daily Flow should be less than 70% of the Peak Flow (210 GPD).     Type III ‐ Mound  The dispersal area will be a Type III Mound. The Mound Soil Absorption Area required is 600 sqft (20’ x  30’).  The existing At‐Grade will be removed, and the new mound will be built in the same footprint.    The minimum required materials for the sewer line, distribution network, pumps, supply line, sand, rock, fill and cover are  detailed in the design worksheets included with this design.   Actual values may change slightly and will need to be field verified  for correctness.    Design Notes  1. Reuse existing Tanks: 1st Tank ‐ 1,500‐gallons (split compartment) and Pump Tank ‐ 1,000‐ gallons (single compartment).  2. Existing Tanks must be certified by licensed Maintainer (Pumper) or Inspector to be water‐tight  and structurally sound.  3. Existing At‐Grade Rockbed and Soil Cover must be removed.  Handle all contaminated soil as  sewage and hazardous waste.  4. Prepare soil below mound absorption area carefully throughout 20' x 30' Soil Absorption Area.   Be careful not to compact soil during deconstruction of At‐Grade.  5. Time‐Dosing Control Panel will be used to control flow to a maximum of 210‐gallons per day and  measure usage daily.  6. A High‐Level Alaram will be activated if household uses more that 210‐gallons is a 24‐hour  period.  7. A small retaining wall may be necessary to allow access to door of Garage.  Discuss options and  costs with homeowners.  8. The existing Sewer and Pump Supply Lines must be inspected if either is reused.  9. Northwest end of mound berm calculation extends beyond small deck to south of the house.   Installer must discuss options to blend berm or build retaining wall beyond the absorption are to  keep soil cover from impacting deck.  Construction Notes  Building Permit requirements  No construction shall be allowed by any local unit of government until the permit required for the  subsurface sewage treatment system has been issued.   Site Protection  Prior to and during construction or lot improvements, the proposed initial and replacement soil  treatment and dispersal areas shall be protected from disturbance, compaction, or other damage by use  of stakes and silt fence or snow fence.  Prepared by KSD @ 2020 www.ksd‐mn.com      MR 7080.2100, Subpart 1. F  Electrical installations must comply with applicable laws and ordinances including the most current  codes, rules, and regulations of public authorities having jurisdiction and with part 1315.0200, which  incorporates the National Electrical Code.  As‐Built Drawing  The Licensed Installer must provide an As‐Built of the final location of all components.  The attached Site  Plan is only for reference and should not be considered as final survey or location of system  components.    Protection from Freezing for Supply Line  The Mound supply line must drain back and empty pipe after each dose.  To avoid potential freezing,  additional depth or insulation may be necessary to keep line from freezing if buried too shallow.  Soil Erosion & Protection from Freezing  The dispersal area must have seed and grass established throughout the excavated areas to maintain  proper protection from soil erosion and freezing.  12408 228th St N, Scandia 0 20 4010 ft 0 7 143.5 m 1:2 50 Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document and should not be substituted for a title search,appraisal, survey, or for zoning verification. ~ 7 5 ' - 2 " S C H 4 0 P I P E HOU S E BENCHMARK = 100.0' Threshold of Back Door Need variance for 16' setback from house to mound STA 5.0ft 8.0 f t 16.0 f t20.0 f t 20.0 f t HOU S E 5.0ft w Deep Well 50.0ft 13.3ft15' -0 " 15.0ft WALL STAIR S 110.81 DIGOUT EXISTING AT-GRADE 16' X 42' ROCK BED GRADE UPSLOPE TO LEVEL @102.5' SHED (slab o n gr a d e) 14' X 2 0' Tanks must be certified. Contact Smilie's Sewer for Certification. SP1 INSPECT 2" SUPPLY LINE GAS GA S GA S GA S G A S GA S GA S GA S GA SGA S G A S G A S G A S G A SGA S G A S G A S G A S G A SGA S G A S G A S G A S G A SGA S 8.0ft SB3 SB2 SB1 ADD E F F L U E N T SCR E E N PUMP TANK 1,500 COMBOTANK30'20'ABSORPTION AREA ROCK BED13.5%3%27.2ft 10.0ft GARAGE 2' ROOF LINE21.0ft9.5ft21.5ft24.5ftInstall Timed Dosing Control Panel for Pump NOTES: 1. Reuse existing Tanks: 1st Tank - 1,500-gallons (split compartment) and Pump Tank - 1,000-gallons (single compartment). 2. Existing Tanks must be certified by licensed Maintainer (Pumper) or Inspector to be water-tight and structurally sound. 3. Existing At-Grade Rock bed and Soil Cover must be removed. Handle all contaminated soil as sewage and hazardous waste. 4. Prepare soil below mound absorption area carefully throughout 20' x 30' Soil Absorption Area. Be careful not to compact soil during deconstruction of At-Grade. 5. Time-Dosing Control Panel will be used to control flow to a maximum of 210-gallons per day and measure usage daily. 6. A High-Level Alarm will be activated if household uses more that 210-gallons is a 24-hour period. 7. A small retaining wall may be necessary to allow access to door of Garage. Discuss options and costs with homeowners. 8. The existing Sewer and Pump Supply Lines must be inspected if either is reused. 9. Northwest end of mound berm calculation extends beyond small deck to south of the house. Installer must discuss options to blend berm or build retaining wall beyond the absorption are to keep soil cover from impacting deck. - THIS IS ONLY A SITE PLAN - ALL SEPTIC LOCATIONS AND MEASUREMENTS ARE ONLY ESTIMATES - AS-BUILT WILL NEED TO BE PROVIDED BY INSTALLER AFTER CONSTRUCTION Kloeppner Services & Designs, LLC Lic # 4043 Approved by: Jesse Kloeppner Date - 11/20/20 LEGEND: W = Well SB = Soil Boring SP = Soil Pit = Benchmark NORTH MOUND DIMENSIONS Rockbed - 10' x 30' Absorption Bed - 20' x 30' Total Mound - 37.1' x 58.2' Upslope Elev. - 102.5' Min: Sand Height - 18" @ 105.0' Rockbed Laterals Elev. - 105.8' Height @ Crown Elev. - 107.3' LATERALS 3 - Laterals @ 28' of 1-1/2" SCH40 Spacing - 3' Drilled Holes - 3/16" NW - 100.4' SB1 - 102.5' NE - 101.9' SB2 - 102.1' SW - 102.5' SB2 - 100.2' SE - 102.5' SP1 - 101.8' Wood Deck Preliminary Evaluation Worksheet 1. Contact Information v 04.01.2020 Property Owner/Client: Site Address: Legal Description: Parcel ID: SEC: TWP: RNG: A. Client-Provided Information Project Type: Project Use: Residential use:# Bedrooms: Dwelling Sq.ft.: Unfinished Sq. Ft.: # Adults: # Children: # Teenagers: In-home business (Y/N): If yes, describe: * Clear water source - should not go into system Additional current or future uses: Anticipated non-domestic waste: The above is complete & accurate: B. Designer-determined flow Information Attach additional information as necessary. Design Flow: GPD Anticipated Waste Type: BOD: mg/L TSS mg/L Oil & Grease mg/L 3. Preliminary Site Information A. Water Supply Wells 1 2 3 4 Client signature & date 300 <25<60<170 Confining Layer STA Setback 50' Source MN Well Index Residential 2 Project ID: 32 209 Emmy and Leif Lundeen Date Completed: No Water-using devices: (check all that apply) 11/19/2020 2. Flow and General System Information 09.032.20.22.0035 12408 228th St N, Scandia, MN 55073 THAT PT LT A HOLSTENS SHORES DESC AS FOLL COM AT NELY COR SD LT A THN ON ASM BRG S55DEG 10'55"W ALG NLY LN SD LT DIST 67.89FT TO POB THN S26DEG55' 01"E DIST 194.61FT TO SLY LN SD LT THN WLY ALG SD SLY LN TO PT DIST 178.70FT SWLY FROM SE LY COR SD LT THN NWLY TO PT ON NLY LN SD LT DIST 178.70FT SW LY 50'12410 228th St N 614264 MN Well Index #DescriptionMn. ID# Well Depth (ft.) Casing Depth (ft.) 12408 228th St 779609 208 Additional Well Information: 138 168 128 New Construction Replacement Residential Other Establishment: Garbage Disposal/Grinder Large Bathtub >40 gallons Self-Cleaning Humidifier* Water Softener*Sump Pump* High Eff. Furnace* Hot Tub* Iron Filter* Repair Clothes Washing Machine Sewage pump in basement Other: Dishwasher Expansion Preliminary Evaluation Worksheet Site within 200' of noncommunity transient well (Y/N) Yes, source: Site within a drinking water supply management area (Y/N) Yes, source: Site in Well Head Protection inner wellhead management zone (Y/N) Yes, source: Buried water supply pipes within 50 ft of proposed system (Y/N) B. Site located in a shoreland district/area?Yes, name: Elevation of ordinary high water level: ft Source: Classification: Tank Setback: ft. STA Setbk: ft. C. Site located in a floodplain?Yes, Type(s): Floodplain designation/elevation (10 Year): ft Source: Floodplain designation/elevation (100 Year): ft Source: D. Property Line Id / Source: E. ID distance of relevant setbacks on map: Map Units: Slope Range: % List landforms: Landform position(s): Parent materials: Depth to Bedrock/Restrictive Feature: in Depth to Watertable: in Septic Tank Absorption Field- At-grade: Septic Tank Absorption Field- Mound: Septic Tank Absorption Field- Trench: Name of LGU: LGU Contact: LGU-specific setbacks: LGU-specific design requirements: LGU-specific installation requirements: Notes: 6-12158C; Zimmerman fine sand No 4. Preliminary Soil Profile Information From Web Soil Survey (attach map & description) No N/A N/A N/A N/A N/A No No No No 5. Local Government Unit Information Septic Tanks: 2-bedroom = 1,000-gal & 500-gal >80 Rises Backslope, shoulder, summit Sandy glaciofluvial deposits Very Limited Moderately Limited Map Unit Ratings Washington County Public Health & Environment - 651-430-6655 >80 Slightly Limited Survey Plat Map Property Lines Other:OHWL EasementsWater Well(s) Building(s) Owner County GIS Other Field Evaluation Worksheet 1. Project Information Site Address: Utility Locations Identified Locate and Verify (see Site Evaluation map ) Landscape position: Percent slope: % Slope shape: Slope direction: 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): If yes, describe: If yes, describe: Soil observations were conducted in the proposed system location (Y/N): A soil observation in the most limiting area of the proposed system (Y/N): Number of soil observations: Soil observation logs attached (Y/N): Percolation tests performed & attached (Y/N): in ft *Most Restrictive Depth Identified from List Below Periodically saturated soil: in ft Soil Texture: Standing water: in ft Percolation Rate: min/inch Bedrock: in ft Soil Hyd Loading Rate:gpd/ft2 Benchmark Elevation: ft Elevations and Benchmark on map? (Y/N): Benchmark Elevation Location: Differences between soil survey and field evaluation: Site evaluation issues / comments: Anticipated construction issues:The soil absorption area for new mound must be protected. The existing Tanks and Pump Supply Line must be inspected. Stakes space for lot. Filled, Compacted, Disturbed areas (Y/N): 4. General Soils Information Threshold of Backdoor of House 0.6 100.0 Yes 18 Project ID: Vegetation type(s): Lawn Shoulder Convex, Convex 2. Utility and Structure Information 3. Site Information 14 The existing dispersal area will be reused due to limited fine loamy sand Yes 4 No Yes 5. Phase I. Reporting Information ElevationDepth 18 Limiting Condition*: v 04.01.2020 No Yes north Yes Date Completed: 11/19/202012408 228th St N, Scandia, MN 55073 Property Owner/Client:Emmy and Leif Lundeen Direct run-off around upslope of mound. Gopher State One Call #Any Private Utilities: Existing Buildings Improvements Easements Setbacks Project ID:Client:Soil parent material(s): (Check all that apply)Landscape Position: (select one) Slope %: 3.0 Slope shape 102.5Vegetation:100DateShape Grade10YR 3/210YR 4/310YR 4/410YR 5/310YR 5/410YR 5/3 10YR 5/6 Concentrations S110YR 6/3 Depletions S110YR 6/2 7.5YR 5/6 Concentrations S110YR 7/2 Depletions S2CommentsI hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws.L4043(License #)Soil Observation Log v 04.01.2020Emmy and Leif LundeenLocation / Address: 12408 228th St N, Scandia, MN 55073Shoulder Convex, LinearElevation-relative to benchmark:Lawn Soil survey map units: 158C; Zimmerman fine sand Limiting Layer Elevation:Weather Conditions/Time of Day: Sunny 1:30PM 11/19/20Observation #/Location:SB1 See Map Observation Type: AugerIndicator(s)I-------- Structure-----------IConsistence0-5Loamy Fine Sand0%Granular Weak FirmDepth (in) TextureRock Frag. %Matrix Color(s) Mottle Color(s) Redox Kind(s)Loose5-10 Fine Sand 0%Single grain Structureless Loose10-16 Fine Sand 0%Single grain StructurelessLoose16-22 Fine Sand 0%Single grain Structureless Loose22-30 Fine Sand 0%Single grain StructurelessLimiting Layer = 30"Jesse Kloeppner11/19/2020(Designer/Inspector) (Signature) (Date)Loose30-36 Fine Sand 5%Single grain Structureless Loose36-42 Fine Sand 5%Single grain StructurelessOutwashLacustrineLoessTillAlluviumBedrockOrganic Matter Project ID:Client:Soil parent material(s): (Check all that apply)Landscape Position: (select one) Slope %: 14.0 Slope shape 102.1Vegetation:99.4DateShape Grade10YR 3/410YR 5/310YR 5/410YR 5/3 10YR 4/3 Lamallae NoneBanding10YR 5/3 10YR 5/6 Concentrations S110YR 6/2 Depletions S210YR 5/2 10YR 5/8 Concentrations S17.5YR 5/6 10YR 5/2 Depletions S1CommentsI hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws.L4043(License #)Limiting Layer = 32"Jesse Kloeppner11/19/2020(Designer/Inspector) (Signature) (Date)Loose46-52 Fine Sand 5%Single grain Structureless Loose42-46 Fine Sand 5%Single grain StructurelessLoose32-42 Fine Sand 5%Single grain Structureless Loose22-32 Fine Sand 5%Single grain StructurelessLoose18-22 Fine Sand 0%Single grain Structureless Loose5-18 Fine Sand 0%Single grain StructurelessRedox Kind(s) Indicator(s)I-------- Structure-----------IConsistence0-5Loamy Fine Sand0%Single grain Structureless LooseDepth (in) TextureRock Frag. %Matrix Color(s) Mottle Color(s)Weather Conditions/Time of Day: Sunny 1:40PM 11/19/20Observation #/Location:SB2 See Map Observation Type: AugerShoulder Convex, LinearElevation-relative to benchmark:Lawn Soil survey map units: 158C; Zimmerman fine sand Limiting Layer Elevation:Soil Observation Log v 04.01.2020Emmy and Leif LundeenLocation / Address: 12408 228th St N, Scandia, MN 55073OutwashLacustrineLoessTillAlluviumBedrockOrganic Matter Project ID:Client:Soil parent material(s): (Check all that apply)Landscape Position: (select one) Slope %: 14.0 Slope shape 100.2Vegetation:97.5DateShape Grade10YR 3/310YR 4/410YR 4/610YR 5/310YR 5/410YR 5/3 7.5YR 4/4 Concentrations S1CommentsI hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws.L4043(License #)Soil Observation Log v 04.01.2020Emmy and Leif LundeenLocation / Address: 12408 228th St N, Scandia, MN 55073Shoulder Convex, LinearElevation-relative to benchmark:Lawn Soil survey map units: 158C; Zimmerman fine sand Limiting Layer Elevation:Weather Conditions/Time of Day: Sunny 1:50 PM 11/19/20Observation #/Location:SB3 See Map Observation Type: AugerIndicator(s)I-------- Structure-----------IConsistence0-4Loamy Fine Sand0%Granular Weak FriableDepth (in) TextureRock Frag. %Matrix Color(s) Mottle Color(s) Redox Kind(s)Loose4-14 Fine Sand 0%Single grain Structureless Loose14-20 Fine Sand 0%Single grain StructurelessLoose20-24 Fine Sand 5%Single grain Structureless Loose24-32 Fine Sand 0%Single grain StructurelessLimiting Layer = 32"Jesse Kloeppner11/19/2020(Designer/Inspector) (Signature) (Date)32-40 Fine Sand 0%Single grain Structureless LooseOutwashLacustrineLoessTillAlluviumBedrockOrganic Matter Project ID:Client:Soil parent material(s): (Check all that apply)Landscape Position: (select one) Slope %: 3.0 Slope shape 101.8Vegetation:100.3DateShape Grade10YR 3/610YR 4/4 10YR10YR 4/4 10YR Concentrations S110YR Depletions S210YR 5/4 10YR Concentrations S110YR 5/3 7.5YR Concentrations S110YR 5/2 7.5YR Concentrations S1CommentsI hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws.L4043(License #)Limiting Layer = 18" MoundJesse Kloeppner11/19/2020(Designer/Inspector) (Signature) (Date)Loose32-36 Fine Sand 0%Single grain StructurelessLoose28-32 Fine Sand 0%Single grain Structureless Loose24-28 Fine Sand 5%Single grain StructurelessLoose18-24 Fine Sand 5%Single grain Structureless Loose7-18 Fine Sand 0%Single grain StructurelessRedox Kind(s) Indicator(s)I-------- Structure-----------IConsistence0-7Loamy Fine Sand0%Granular Weak FriableDepth (in) TextureRock Frag. %Matrix Color(s) Mottle Color(s)Weather Conditions/Time of Day: Sunny 2:05PM 11/19/20Observation #/Location:SP1 See Map Observation Type: PitShoulder Convex, LinearElevation-relative to benchmark:Forest Soil survey map units: 158C; Zimmerman fine sand Limiting Layer Elevation:Soil Observation Log v 04.01.2020 Location / Address: 12408 228th St N, Scandia, MN 55073OutwashLacustrineLoessTillAlluviumBedrockOrganic Matter Textures:CClayCoSiC Silty ClayMSC Sandy ClayFCL Clay LoamVFSiCL Silty Clay LoamSCL Sandy Clay LoamSi SiltSiL Silt LoamSubsoil Indicator(s) of Saturation:LLoamS1. Distinct gray or red redox featuresSL Sandy Loam*S2. Depleted matrix (value >/=4 and chroma </=2)LS Loamy Sand*S3. 5Y chroma </= 3SSand*S4. 7.5 YR or redder faint redox concentrations or redox depletionsShape:Slope Shape:Grade:Poorly formed, indistinct peds, barely observable in placeNo observable aggregates, or no orderly arrangement of natural lines of weaknessConsistence:Fine T3. Organic texture or organic modifiersVery Fine*Sand Modifiers: Topsoil Indicator(s) of Saturation:Coarse T1. Wetland VegetationMedium T2. Depressional LandscapeT4. N 2.5/ 0 colorT5. Redox features in topsoilGranularThe peds are approximately spherical or polyhedral and are commonly found in topsoil. These are the small, rounded peds that hang onto roots when soil is turned over.BlockyThe peds are block-like or polyhedral, and are bounded by flat or slightly rounded surface that are castings of the faces of surrounding peds. Blocky structure is commonly found in the lower topsoil and subsoil.PlatyThe peds are flat and plate like. They are oriented horizontally and are usually overlapping. Platy structure is commonly found in forested areas just below the leaf litter or shallow topsoil.T6. Hydraulic indicatorsWeakModerateWell formed, distinct peds, moderately durable and evident, but not distinct in undisturbed soilLooseNo peds, sandy soilSlope shape is described in two directions: up and down slope (perpendicular to the contour), and across slope (along the horizontal contour); e.g. Linear, Convex or LV'. Single GrainThe structure found in a sandy soil. The individual particles are not held together.PrismaticFlat or slightly rounded vertical faces bound the individual peds. Peds are distinctly longer vertically, and faces are typically casts or molds of adjoining peds. Prismatic structure is commonly found in the lower subsoil.RigidFoot pressureStrongDurable peds that are quite evident in un-displaced soil, adhere weakly to one another, withstand displacement, and become separated when soil is disturbedMassiveLooseIntact specimen not availableFirmModerate force between fingersFriableSlight force between fingersExtremely FirmModerate force between hands or slight foot pressure Design Summary Page 1. PROJECT INFORMATION v 04.01.2020 Property Owner/Client: Project ID: Site Address: Date: 2. DESIGN FLOW & WASTE STRENGTH Attach data / estimate basis for Other Establishments Design Flow: GPD Anticipated Waste Type: BOD: mg/L TSS: mg/L Oil & Grease: mg/L Treatment 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: Gallons in Tanks or Compartments Recommended Holding Tank Capacity: Gallons in Tanks or Compartments Type of High Level Alarm: (Set @ 75% tank capacity) Comments: 4. SEPTIC TANK SIZING A. Residential dwellings: Number of Bedrooms (Residential): Code Minimum Septic Tank Capacity: Gallons in Tanks or Compartments Recommended Septic Tank Capacity: Gallons in Tanks or Compartments Effluent Screen & Alarm (Y/N): Model/Type: B. Other Establishments: Waste received by: Days Hyd. Retention Time Code Minimum Septic Tank Capacity: Gallons In Tanks or Compartments Recommended Septic Tank Capacity: Gallons In Tanks or Compartments Effluent Screen & Alarm (Y/N): Model/Type: 5. PUMP TANK SIZING Pump Tank 1 Capacity (Minimum): Gal Pump Tank 2 Capacity (Minimum): Gal Pump Tank 1 Capacity (Recommended): Gal Pump Tank 2 Capacity (Recommended): Gal Pump 1 GPM Total Head ft Pump 2 GPM Total Head ft Supply Pipe Dia. 2.00 in Dose Vol: gal Dose Vol: Gal 11/24/2012408 228th St N, Scandia, MN 55073 1500 2 Emmy and Leif Lundeen 2 1500 1000 13.0 Supply Pipe Dia. 300 Residential <170 28.5 <60 <25 C GPD x 500 2 Yes PolyLok 525 70.0 Design Summary Page 6. SYSTEM AND DISTRIBUTION TYPE Soil Treatment Type: Distribution Type: Elevation Benchmark: ft Benchmark Location: MPCA System Type: Distribution Media: Type III/IV Details: 7. SITE EVALUATION SUMMARY: Describe Limiting Condition: Layers with >35% Rock Fragments? (yes/no) No Note: Depth Elevation of Limiting Condition Limiting Condition: inches 1.5 ft ft Minimum Req'd Separation: inches 3.0 ft Critical for system compliance Code Max System Depth: inches -1.5 ft ft This is the maximimum depth to the bottom of the distribution media for required separation. Negative Depth (ft) means it must be a mound. Soil Texture: Soil Hyd. Loading Rate:GPD/ft2 Percolation Rate: MPI Contour Loading Rate: Note: Measured Land Slope: % Note: Comments: 8. Trench: Dispersal Area ft2 Sidewall Depth in Trench Width ft Total Lineal Feet ft No. of Trenches Code Max. Trench Depth in Contour Loading Rate ft Length ft Designed Trench Depth in Bed: Dispersal Area ft2 Sidewall Depth in Maximum Bed Depth in Bed Width ft Bed Length ft Designed Bed Depth in Mound: Dispersal Area ft2 Bed Length ft Bed Width ft Absorption Width ft Clean Sand Lift ft Berm Width (0-1%) ft Upslope Berm Width ft Downslope Berm ft Endslope Berm Width ft Total System Length ft System Width ft Contour Loading Rate gal/ft10.037.1 1.5 10.0 14.0 Type III 300.0 30.0 20.0 19.3 58.2 7.8 0.60 SOIL TREATMENT AREA DESIGN SUMMARY Depth 18 Pressure Distribution-Level Threshold of Backdoor of House Project ID: If yes, describe below: % rock and layer thickness, amount of soil credit and any additional information for addressing the rock fragments in this design. Remove existing At-Grade; Build Mound 100 14.1 Redoximorphic Features/Saturated Soils 36 Mound 10 Mound fine loamy sand Elevation Design Summary Page At-Grade: Bed Width ft Bed Length ft Finished Height ft Contour Loading Rate gal/ft Upslope Berm ft Downslope Berm ft Endslope Berm ft System Length ft System Width ft Level & Equal Pressure Distribution No. of Laterals Perforation Spacing ft Perforation Diameter in Lateral Diameter in Min Dose Volume gal Max Dose Volume gal 9. A.Starting BOD Concentration = Design Flow X Starting BOD (mg/L) X 8.35 ÷ 1,000,000 = lbs. BOD/day B.Target BOD Concentration = Design Flow X Target BOD (mg/L) X 8.35 ÷ 1,000,000 = lbs. BOD/day Lbs. BOD To Be Removed: PreTreatment Technology: *Must Meet or Exceed Target Disinfection Technology: *Required for Levels A & B C.Organic Loading to Soil Treatment Area: mg/L X gpd x 8.35 ÷ 1,000,000 ÷ ft2 =lbs./day/ft2 10. Comments/Special Design Considerations: I hereby certify that I have completed this work in a ccordance with all applicable ordinances, rules and laws. Project ID: (Date)(Designer) (Signature) Jesse Kloeppner L4043 11/24/20 gpd X mg/L X 8.35 ÷ 1,000,00 (License #) 1. Reuse existing Tanks: 1st Tank - 1,500-gallons (split compartment) and Pump Tank - 1,000-gallons (single compartment). 2. Existing Tanks must be certified by licensed Maintainer (Pumper) or Inspector to be water-tight and structurally sound. 3. Existing At-Grade Rockbed and Soil Cover must be removed. Handle all contaminated soil as sewage and hazardous waste. 4. Prepare soil below mound absorption area carefully throughout 20' x 30' Soil Absorption Area. Be careful not to compact soil during deconstruction of At-Grade. 5. Time-Dosing Control Panel will be used to control flow to a maximum of 210-gallons per day and measure usage daily. 6. A High-Level Alarm will be activated if household uses more that 210-gallons is a 24-hour period. 7. A small retaining wall may be necessary to allow access to door of Garage. Discuss options and costs with homeowners. 8. The existing Sewer and Pump Supply Lines must be inspected if either is reused. 9. Northwest end of mound berm calculation extends beyond small deck to south of the house. Installer must discuss options to blend berm or build retaining wall beyond the absorption are to keep soil cover from impacting deck. gpd X mg/L X 8.35 ÷ 1,000,00 Additional Info for At-Risk, HSW or Type IV Design 3 3/16 75371.50 3 1. SYSTEM SIZING:v 04.01.2020 A.Design Flow: GPD B.Soil Loading Rate:GPD/ft2 C.ft D.Percent Land Slope: % E.Design Media Loading Rate:GPD/ft2 F.Mound Absorption Ratio: 2. DISPERSAL MEDIA SIZING A.Calculate Dispersal Bed Area: Design Flow ÷ Design Media Loading Rate GPD/ft2 =ft2 ft2 B.Enter Dispersal Bed Width: ft Can not exceed 10 feet C.Calculate Contour Loading Rate: Bed Width X Design Media Loading Rate ft2 X GPD/ft 2 =gal/ft Can not exceed Table 1 D.Calculate Minimum Dispersal Bed Length: Dispersal Bed Area ÷ Bed Width ft2 ÷ ft = ft 3. ABSORPTION AREA SIZING A.Calculate Absorption Width: Bed Width X Mound Absorption Ratio ft X = ft B.For slopes >1%, the Absorption Width is measured downhill from the upslope edge of the Bed. Calculate Downslope Absorption Width: Absorption Width - Bed Width ft - ft = ft 4. DISTRIBUTION MEDIA: ROCK A. in ft Depth to Limiting Condition Mound Design Worksheet ≥1% Slope Project ID: 10.0 Rock Depth Below Distribution Pipe 60.50 10.0 1.5 300 2.00 1.0 14.0 0.60 Project ID: *Systems with these values are not Type I systems. Contour Loading Rate (linear loading rate) is a recommended value. 1.0 300 If a larger dispersal media area is desired, enter size: 10.0 300 10.0 10 2.0 300 GPD ÷ 20.010.0 20.0 30.0 10.0 1.0 5. DISTRIBUTION MEDIA: REGISTERED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW A.Enter Dispersal Media: B.Enter the Component: Length: ft ft Depth: ft C.Number of Components per Row = Bed Length divided by Component Length (Round up) ft ÷ ft = components/row D.Actual Bed Length = Number of Components/row X Component Length: components X E.Number of Rows = Bed Width divided by Component Width (Round up) ft ÷ ft = rows Adjust width so this is a whole number. F.Total Number of Components = Number of Components per Row X Number of Rows X=components 6. MOUND SIZING A.Calculate Minimum Clean Sand Lift: 3 feet minus Depth to Limiting Condition = Clean Sand Lift 3.0 ft - ft = ft Design Sand Lift (optional): ft B.Upslope Height: Clean Sand Lift + Depth of Media +Depth to Cover Pipe+ Depth of Cover (1 ft) ft + ft + ft + ft = ft C.Select Upslope Berm Multiplier (based on land slope): D.Calculate Upslope Berm Width: Multiplier X Upslope Mound Height ft X ft = ft E.Calculate Drop in Elevation Under Bed: Bed Width X Land Slope ÷ 100 = Drop (ft) ft X ft F.Calculate Downslope Mound Height: Upslope Height + Drop in Elevation ft + ft = ft G.Select Downslope Berm Multiplier (based on land slope): H.Calculate Downslope Berm Width: Downslope Multiplier X Downslope Height xft =ft I.Calculate Minimum Berm to Cover Absorption Area: Downslope Absorption Width + 4 feet ft + ft = ft J.Design Downslope Berm = greater of 4H and 4I: ft K.Select Endslope Berm Multiplier:(usually 3.0 or 4.0) L.Calculate Endslope Berm X Downslope Mound Height = Endslope Berm Width ft X ft = ft M.Calculate Mound Width: Upslope Berm Width + Bed Width + Downslope Berm Width ft + ft + ft = ft N.Calculate Mound Length: Endslope Berm Width + Bed Length + Endslope Berm Width ft + ft + ft = ft 37.119.3 58.2 4.7 14.1 10.0 14.0 19.34.11 14.130.0 19.3 14.1 3.00 7.8 3.00 4 % ÷ 100 = 0.30.5 Check registered product information for specific application details and design 14.0 2.36 3.3 7.8 ft = 1.5 4.7 3.3 2.36 1.0 10.0 1.403.3 4.7 1.5 10.0 1.40 4.11 1.5 Width: 7. MOUND DIMENSIONS Comments: Project ID: The mound slopes are calculated at 9% slope and 3:1 ratio. The 9% slope is used to estimate action material amounts needed to 3% on East side and 13.5% on the West side of mound absorption area.Total Mound WidthUpslope Downslope Clean SandClean Sand Endslope EndslopeDispersal Bed: X Total Mound Length v 04.01.2020 A.Rock Volume : (Rock Below Pipe + Rock to cover pipe (pipe outside dia + ~2 inch)) X Bed Length X Bed Width = Volume (in + 3.0 ft X ft =ft3 Divide ft3 by 27 ft3/yd3 to calculate cubic yards: ft 3 ÷ 27 =yd3 Add 30% for constructability: yd3 X 1.3 =yd3 B.Calculate Clean Sand Volume: Volume Under Rock bed : Average Sand Depth x Media Width x Media Length = cubic feet ft X ft X ft =ft3 For a Mound on a slope from 0-1% Volume from Length = ((Upslope Mound Height - 1) X Absorption Width Beyond Bed X Media Bed Length) ft - 1)X Xft= Volume from Width = ((Upslope Mound Height - 1) X Absorption Width Beyond Bed X Media Bed Width) ft - 1)X Xft= Total Clean Sand Volume : Volume from Length + Volume from Width + Volume Under Media ft3 + ft 3 + ft 3 = ft 3 For a Mound on a slope greater than 1% Upslope Volume : ((Upslope Mound Height - 1 ) x 3 x Bed Length ) ÷ 2 = cubic feet (( ft - 1) X ) ÷ 2 =ft3 Downslope Volume : ((Downslope Height - 1) x Downslope Absorption Width x Media Length ) ÷ 2 = cubic feet (( ft - 1) X ft X ) ÷ 2 =ft3 Endslope Volume : (Downslope Mound Height - 1) x 3 x Media Width = cubic feet ( ft - 1 ) X ft =ft3 Total Clean Sand Volume : Upslope Volume + Downslope Volume + Endslope Volume + Volume Under Media ft3 + ft 3 + ft 3 + ft 3 =ft3 Divide ft3 by 27 ft3/yd3 to calculate cubic yards: ft 3 ÷ 27 =yd3 Add 30% for constructability: yd3 X 1.3 =yd3 C.Calculate Sandy Berm Volume: Total Berm Volume (approx): ((Avg. Mound Height - 0.5 ft topsoil) x Mound Width x Mound Length) ÷ 2 (-)ft X ft X ) ÷ 2 =ft3 Total Mound Volume - Clean Sand volume -Rock Volume = cubic feet ft3 - ft 3 - ft 3 = ft 3 Divide ft3 by 27 ft3/yd3 to calculate cubic yards: ft 3 ÷ 27 =yd3 Add 30% for constructability: yd3 x 1.3 =yd3 D.Calculate Topsoil Material Volume: Total Mound Width X Total Mound Length X .5 ft ft X ft X 0.5 ft =ft3 Divide ft3 by 27 ft3/yd3 to calculate cubic yards: ft 3 ÷ 27 =yd3 Add 30% for constructability: yd3 x 1.3 =yd340.0 52.0 65.9 225.0 103.5 2184.6 600.0 10.0 1079.8 40.0 3779.1 10.0 37.1 58.2 1079.8 10.8 30.0 555.0 1369.5 1369.5 50.7 50.7 111.0 3779.1 1369.5 58.2 225.0 225.0 8.3 2.0 10.0 8.3 10.030.0 30.0 600.0 in ) ÷ 12 X 2184.6 80.9 80.9 105.2 4.0 0.5 37.1 4.7 3.0 ft X 103.5 555.0 111.0 Mound Materials Worksheet 4.7 6 3.3 3.0 ft X Project ID: 30.0 v 04.01.2020 1. Media Bed Width:ft 2. Minimum Number of Laterals in system/zone = Rounded up number of [(Media Bed Width - 4) ÷ 3] + 1. [(laterals 3. Designer Selected Number of Laterals :laterals Cannot be less than line 2 (Except in at-grades) 4. Select Perforation Spacing :ft 5. Select Perforation Diameter Size:in 0.1875 6.Length of Laterals = Media Bed Length - 2 Feet. -2ft= ft Perforation can not be closer then 1 foot from edge. 7. Number of Perforation Spaces = ft ÷ ft = Spaces 8. Spaces + 1 =Perfs. Per Lateral 3- 4 ) ÷ 3] + 1 = Determine the Number of Perforation Spaces . Divide the Length of Laterals by the Perforation Spacing and round down to the nearest whole number. 910 93.028.0 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. Pressure Distribution Design Worksheet 10 Does not apply to at-grades Perforations Per Lateral = 3.00 Project ID: 3 3/16 10 30.0 28.0 Pressure Distribution Design Worksheet 9. Perf. Per Lat. X Number of Perf. Lat. = Total Number of Perf. 10.ft 11. Select Type of Manifold Connection (End or Center): 12.Select Lateral Diameter (See Table):in 13.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) X Bed Length (ft) ft X ft = 300 ft2 b.Square Foot per Perforation = Bed Area ÷ by the Total Number of Perfs ft2 ÷ perf =ft2/perf 14. Select Minimum Average Head :ft 15. Select Perforation Discharge based on Table: GPM per Perf 16. Perfs X GPM per Perforation = GPM 17.Volume of Liquid Per Foot of Distribution Piping (Table II): Gallons/ft 18.Volume of Distribution Piping = X ft X gal/ft = Gallons 19. Minimum Delivered Volume = Volume of Distribution Piping X 4 Gallons Comments/Special Design Considerations: 10 30 30 End Spacing of laterals; Must be greater than 1 foot and no more than 3 feet: 3.0 10 Total Number of Perforations equals the Number of Perforations per Lateral multiplied by the Number of Perforated Laterals. 3 Flow Rate = Total Number of Perfs X Perforation Discharge. 0.41 1.0 10.030 1.50 gals X 4 = = [Number of Perforated Laterals X Length of Laterals X (Volume of Liquid Per Foot of Distribution Piping] 9.2 3 37.0 28 0.110 9.2 0.110 300 30 0.41 13 1. PUMP CAPACITY v 04.01.2020 A.If pumping to gravity enter the gallon per minute of the pump: GPM (10 - 45 gpm) B.GPM C.Enter pump description: A.ft B.ft C. D.in ft E. Friction Loss = F. ft X 1.25 = ft G. ft per 100ft X ft ÷ 100 = ft H.Total Head requirement is the sum of the Elevation Difference + Distribution Head Loss, + Additional Head Loss + Supply Friction Loss ft + ft + ft + ft = ft GPM with at least feet of total head. Basic Pump Selection Design Worksheet If pumping to a pressurized distribution system: 2. HEAD REQUIREMENTS Project ID: Pumping to Gravity or Pressure Distribution: 13.0 2.0 75 between pump and point of discharge: Distribution Head Loss: 5 Additional Head Loss: ft (due to special equipment, etc.) Equalization/Time Dosing Pressure 1. Supply Pipe Diameter: 2. Supply Pipe Length: Elevation Difference 23 0.5 Friction Loss in Plastic Pipe per 100ft from Table I: 0.50 ft per 100ft of pipe 75 93.8 Calculate Supply Friction Loss by multiplying Friction Loss Per 100ft by the Equivalent Pipe Length and divide by 100. Supply Friction Loss = 0.50 93.8 Comments: 23.0 5.0 28.50.5 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 X 1.25 = Equivalent Pipe Length 3. PUMP SELECTION A pump must be selected to deliver at least 13.0 28.5 v 04.01.2020 1. A.Design Flow (Design Sum.1A):GPD B. Tank Use: C. Percentge of Design Flow 70 % Gal Up to 75% design flow is normal for Design percentage D. Min. required pump tank capacity: Gal E. Recommended capacity: Gal 2. A. Tank Manufacturer: B. Tank Model: C. Capacity from manufacturer: Gallons D. Gallons per inch: Gallons per inch E. Liquid depth of tank from manufacturer: inches 3. ( in + 2 inches) X Gallons Per In = Gallons 4. -Item 18 of the Pressure Distribution or Item 11 of Non-level Gallons (minimum dose) inches/dose 5. Calculate Maximum Pumpout Volume (25% of Design Flow) Design Flow: GPD X 0.25 = Gallons (maximum dose) inches/dose 6.Gallons 7.Calculate Doses Per Day = Percentage Design Flow ÷ Delivered Volume Doses 8. Calculate Drainback: A.Diameter of Supply Pipe = inches B. Length of Supply Pipe = feet C.Volume of Liquid Per Lineal Foot of Pipe = Gallons/ft D.Drainback = Length of Supply Pipe X Volume of Liquid Per Lineal Foot of Pipe ft X gal/ft = Gallons 9.Total Dosing Volume = Delivered Volume plus Drainback gal + gal = Gallons 10.Working Storage Volume = Tank Volume -Volume to Cover Pump - Reserve Capacity gal - gal - =Gallons 11.Required Flow Rate : A. From Pump Curve - Must verify after Install: GPM* B. Calculated GPM = Change in Depth (in) x Gallons Per Inch / Time Interval in Minutes min = GPM 12.Select Flow Rate from Line 11.A or 11.B: GPM* 12.8 83 0.170 70 25.0 1000 Gallon Pump Tank 1000 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. 40.0 3.0 10 Select a pumpout volume that meets both Minimum and Maximum: (Pump and block height + 2 inches) X Gallons Per Inch Pump Tank Design Worksheet (Time Dose) 210 DETERMINE DOSING VOLUME 25.0 300 Minimum Delivered Volume = 4 X Volume of Distribution Piping: 37 300 75 70 1000 300 580 120 in X 25.0 gal/in ÷ 30.0 30 DETERMINE TANK CAPACITY AND DIMENSIONS Project ID: 300 500 210 75 0.170 12.8 2 75 gpd ÷ 70 Volume to Cover Pump (The inlet of pump should be 4 in from the bottom of the tank & 2 in covering the pump recommended) 3.0 1.5 gal = Dosing 1000 *Note: This value must be adjusted after installation based on pump calibration. Pump Tank Design Worksheet (Time Dose) NORMAL OPERATION TIMER SETTINGS* 13.Calculate TIMER ON setting*: Total Dosing Volume ÷ GPM HR MIN SEC gal ÷ Minutes ON*0 2.0 45 14.Calculated TIMER OFF setting*: Minutes Per Day (1440)/Doses Per Day - Minutes On HR MIN SEC 3min=Minutes OFF* 7 57.0 15 OPTIONAL PEAK ENABLE DOSING* - Desingers option for peak flow operation 15.Peak Percentage of Design Flow % 16.Peak Pump Volume that meets both Minimum and Maximum Volume gal + gal 17. gal HR MIN SEC 18. gal ÷ 30 gpm = min ON 0 2.0 45 HR MIN SEC 19. 3 2.8 min On min Off 7 57.0 15 20.Pump Off Float - Measuring from bottom of tank: Distance to set Pump Off Float=Gallons to Cover Pump / Gallons Per Inch: gal ÷ Inches 580 Gal 16.8 in 21.Alarm Float - Measuring from bottom of tank (90% recommended):120 Gal Distance to set Alarm Float = Tank Depth X % of Tank Depth (0.9 recommended) Inches 12.0 in 300 Gal 22.Reserve Capacity in gallons = (Tank Depth - Alarm Depth) X GPI ( = gallons Gal Alarm Depth 40.0 300 25.0 477.21440 min ÷ 2.8 Reserve Capacity Peak TIMER OFF:1440 min ÷ 40.0 in + 16.8 in) X 580.025.0 in X % = gal/in = 16.842 Storage Capacity Normal Dose Volume Pump Off *Note: This value must be adjusted after installation based on pump calibration. 83 gpm = 2.8 83 12.870 DrainBack 70 Peak TIMER ON 2.883 Peak Dose Volume 83 doses/day - FLOAT SETTINGS 477.2 12.0 doses/day - 30.0 www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • Use your preferred relay service • Available in alternative formats wq-wwists4-38 • 10/12/18 Page 3 of 3 Optional section: Sewage Tank Compliance Certification This form does not represent a complete system inspection report and only certifies sewage tank compliance status. Instructions: This section of the form may be completed and signed by a Designated Certified Individual (DCI) of a licensed SSTS Maintenance Business who personally conducts the necessary procedures to assess the compliance status of each sewage tank in the system. When this section of the form is signed by a qualified certified professional, it becomes necessary supporting documentation to an Existing System Compliance Inspection Report: Compliance inspection form - Existing system (wq-wwists4-31b). This form can be found on the MPCA website at https://www.pca.state.mn.us/water/ssts-and-msts-technical-and-compliance-criteria. The information and certified statement on this form is required when existing septic tank compliance status is determined by an individual other than the SSTS Inspector that submits the inspection report. It represents a third party assessment of SSTS component compliance and is allowable under Minn. R. 7082.0700, subp. 4 Item (B) subitem (1). This form is valid for a period of three years beyond the signature date on this form unless a new evaluation is requested by the owner or owner’s agent or is required according to local regulations. Additional Administrative Rule references for this activity can be found at Minn. R.7082.0700, subp. 4 Items B, C, and D; 7083.0730 Item C. Certificate of sewage tank compliance Affirm all three statements: The SSTS does not contain a seepage pit, cesspool, drywell, leaching pit, or other pit. It does not contain a sewage tank that was designed to be watertight, but subsequently leaks below the designed operating depth. It does not represent an imminent safety threat by reason of unsecured, damaged, or weak maintenance hole cover(s) or other unsafe condition. Notice of sewage tank non-compliance Select all that apply: The SSTS has a seepage pit, cesspool, drywell, leaching pit, or other pit – “Failure to Protect Groundwater.” It has a sewage tank that was designed to be watertight, but subsequently leaks below the designed operating depth – “Failure to Protect Groundwater.” It presents a threat to public safety by reason of unsecured, damaged, or weak maintenance hole cover(s) or other unsafe condition – “Imminent Threat to Public Health or Safety.” Company information Designated Certified Individual (DCI) information Company name: Print name: Business license number: Certification number: I personally conducted the work described above as a Designated Certified Individual of a Minnesota-licensed SSTS Maintenance Business. I personally conducted the necessary procedures to assess the compliance status of each sewage tank in this SSTS: Designated Certified Individual’s signature: Date (mm/dd/yyyy): - 1 - 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 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 Email Property Address Property ID System Designer Contact Info System Installer Contact Info Service Provider/Maintainer Contact Info Permitting Authority Contact 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 Septic System Management Plan for Above Grade Systems - 2 - Your Septic System Septic System Specifics System Type: I II III IV* V* (Based on MN Rules Chapter 7080.2200 – 2400) *Additional Management Plan required  System is subject to operating permit*  System uses UV disinfection unit* Type of advanced treatment unit ______________ Dwelling Type Well Construction Number of bedrooms: ______________________ System capacity/ design flow (gpd): __________ Anticipated average daily flow (gpd): __________ Comments________________________________ Business? : Y N What type? _______________ Well depth (ft): __________________________  Cased well Casing depth: ___________  Other (specify): ___________________ Distance from septic (ft):____________________ Is the well on the design drawing? Y N Septic Tank  First tank Tank volume: ________ gallons Does tank have two compartments? Y N  Second tank Tank volume: ________ gallons  Tank is constructed of __________________  Effluent screen: Y N Alarm Y N  Pump Tank _________ gallons  Effluent Pump make/model:_______________ Pump capacity ___________ GPM TDH _________ Feet of head  Alarm location _________________________ Soil Treatment Area (STA) Mound/At-Grade area (width x length):____ ft x ____ ft Rock bed size (width x length): _____ ft x _____ ft Location of additional STA: _______________________ Type of distribution media: _______________________  Inspection ports  Cleanouts  Surface water diversions  Additional STA not available Septic System Management Plan for Above Grade Systems - 3 - 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 _____ 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 listed on the Professional Tasks on Page 4. Septic System Management Plan for Above Grade Systems - 4 - 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/outlet baffles are clear of buildup or obstructions. •Effluent screen. Check to make sure it is in place; clean per manufacturer recommendation. Recommend retrofitted installation if one is not present. •Alarm. Verify that the alarm works. •Scum and sludge. Measure scum and sludge in each compartment of each septic and pump tank, pump if needed. Pump •Pump and controls. Check to make sure the pump and controls are operating correctly. •Pump vault. Check to make sure it is in place; clean per manufacturer recommendations. •Alarm. Verify that the alarm works. •Drainback. Check to make sure it is 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: __________ gallons: Pump run time: _________ 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. •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: Septic System Management Plan for Above Grade Systems - 5 - Water-Use Appliances and Equipment in the Home Appliance Impacts on System Management Tips Garbage disposal •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. •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. Washing machine •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 filter after the washer and an effluent screen to your tank •Wash only full loads and think even – spread your laundry loads throughout the week. Dishwasher •Powdered and/or high-phosphorus detergents can negatively impact the performance of your tank and soil treatment area. •New models promote “no scraping”. They have a garbage disposal inside. •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. Grinder pump (in home) •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. Large bathtub (whirlpool) •Large volume of water may overload your system. •Heavy use of bath oils and soaps can impact biological activity in your tank and soil treatment area. •Avoid using other water-use appliances at the same time. For example, don’t wash clothes and take a bath at the same time. •Use oils, soaps, and cleaners in the bath or shower sparingly. Clean Water Uses Impacts on System Management Tips High-efficiency furnace •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. Water softener Iron filter Reverse osmosis •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 Surface drainage Footing drains •Water from these sources will overload the system and is prohibited from entering septic system. Septic System Management Plan for Above Grade Systems - 6 - Homeowner Maintenance Log Track maintenance activities here for easy reference. See list of management tasks on pages 3 and 4. Activity Date accomplished Check frequently: Leaks: check for plumbing leaks* Soil treatment area check for surfacing** Lint filter: check, clean if needed* Effluent screen (if owner-maintained)*** 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.” Property Owner Signature: Date Management Plan Prepared By: Certification # Permitting Authority: ©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 Minnesota Water Resources Center. SITE RESEARCH 12408 228th St N, Scandia Acres 0.41 ZIP4 NULL Square Footage 17835 State MN Parcel ID 0903220220035 Plat Name HOLSTEN'S SHORES Owner Name LUNDEEN LEIF D & EMMY G Block Owner More NULL Lot A Owner Address 12408 228TH ST N Multi Uses N PO Box Homestead Y City State ZIP SCANDIA MN 55073 Dwell Type Single-Family / Owner Occupied Estimated Land Value $95,200 Home Style 1 Story Frame Estimated Building Value $128,300 Finished SqFt 1279 Estimated Total Value $223,500 Garage Sale Date 8/18/2017 Garage SqFt Sale Value $202,000 Basement Y School District ISD2144 Heating H. Water Watershed District WS COMFORT LAKE- FOREST LAKE Cooling N Class Code 1 100 Res 1 unit Year Built 1975 Class Code 2 Number of Units 1 Class Code 3 Green Acre N Class Code 4 Open Space N Building Number 12408 Ag Preserve N City CITY OF SCANDIA SITUS_ADDRESS 12408 228TH ST N, CITY OF SCANDIA City USPS SCANDIA TAXDESCRIPTION THAT PT LT A HOLSTENS SHORES DESC AS FOLL COM AT NELY COR SD LT A THN ON ASM BRG S55DEG 10'55"W ALG NLY LN SD LT DIST 67.89FT TO POB THN S26DEG55' 01"E DIST 194.61FT TO SLY LN SD LT THN WLY ALG SD SLY LN TO PT DIST 178.70FT SWLY FROM SE LY COR SD LT THN NWLY TO PT ON NLY LN SD LT DIST 178.70FT SW LY ZIP 55073 TAXPIN 09.032.20.22.0035 Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document and should not be substituted for a title search,appraisal, survey, or for zoning verification. Map Scale 1 inch = 42 feet 11/19/2020 12408 228th St N, Scandia November 19, 2020 0 40 8020 ft 0 10 205 m 1:500 Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document and should not be substituted for a title search,appraisal, survey, or for zoning verification. 6 Custom Soil Resource Report Soil Map 5013860501387050138805013890501390050139105013920501393050138605013870501388050138905013900501391050139205013930511450 511460 511470 511480 511490 511500 511510 511520 511530 511540 511550 511560 511450 511460 511470 511480 511490 511500 511510 511520 511530 511540 511550 511560 45° 16' 43'' N 92° 51' 14'' W45° 16' 43'' N92° 51' 9'' W45° 16' 41'' N 92° 51' 14'' W45° 16' 41'' N 92° 51' 9'' WN Map projection: Web Mercator Corner coordinates: WGS84 Edge tics: UTM Zone 15N WGS84 0 25 50 100 150 Feet 0 5 10 20 30 Meters Map Scale: 1:539 if printed on A landscape (11" x 8.5") sheet. Soil Map may not be valid at this scale. Washington County, Minnesota 158B—Zimmerman fine sand, 1 to 6 percent slopes Map Unit Setting National map unit symbol: 2q12w Elevation: 720 to 1,540 feet Mean annual precipitation: 28 to 36 inches Mean annual air temperature: 39 to 46 degrees F Frost-free period: 100 to 150 days Farmland classification: Not prime farmland Map Unit Composition Zimmerman and similar soils:90 percent Minor components:10 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Zimmerman Setting Landform:Rises Landform position (two-dimensional):Backslope, shoulder, summit Down-slope shape:Convex Across-slope shape:Linear Parent material:Sandy glaciofluvial deposits Typical profile Ap - 0 to 8 inches: fine sand Bw - 8 to 22 inches: fine sand E - 22 to 45 inches: fine sand Bt - 45 to 46 inches: loamy fine sand E and Bt - 46 to 80 inches: fine sand Properties and qualities Slope:1 to 6 percent Depth to restrictive feature:More than 80 inches Drainage class:Somewhat excessively drained Capacity of the most limiting layer to transmit water (Ksat):High to very high (6.00 to 20.00 in/hr) Depth to water table:More than 80 inches Frequency of flooding:None Frequency of ponding:None Maximum salinity:Nonsaline (0.0 to 1.0 mmhos/cm) Available water capacity:Low (about 4.7 inches) Interpretive groups Land capability classification (irrigated): 4s Land capability classification (nonirrigated): 4s Hydrologic Soil Group: A Forage suitability group: Unnamed (G091BN022MN) Other vegetative classification: Unnamed (G091BN022MN), Central Dry Oak- Aspen (Pine) Woodland (FDc25) Hydric soil rating: No Custom Soil Resource Report 10 Minor Components Cantlin Percent of map unit:5 percent Landform:Rises Landform position (two-dimensional):Backslope, summit Down-slope shape:Linear Across-slope shape:Linear Other vegetative classification:Sloping Upland, Low AWC, Acid (G091BN008MN) Hydric soil rating: No Isanti, drained Percent of map unit:2 percent Landform:Depressions, flats Landform position (two-dimensional):Footslope, toeslope Down-slope shape:Concave, linear Across-slope shape:Linear Other vegetative classification:Level Swale, Low AWC, Acid (G091BN007MN) Hydric soil rating: Yes Lino Percent of map unit:2 percent Landform:Swales Landform position (two-dimensional):Footslope Down-slope shape:Linear Across-slope shape:Linear Other vegetative classification:Level Swale, Low AWC, Acid (G091BN007MN) Hydric soil rating: No Soderville Percent of map unit:1 percent Landform:Rises, flats Landform position (two-dimensional):Footslope, backslope Down-slope shape:Linear Across-slope shape:Linear Other vegetative classification:Sloping Upland, Low AWC, Acid (G091BN008MN) Hydric soil rating: No 158C—Zimmerman fine sand, 6 to 12 percent slopes Map Unit Setting National map unit symbol: 2wl5z Elevation: 720 to 1,540 feet Mean annual precipitation: 28 to 36 inches Mean annual air temperature: 39 to 46 degrees F Frost-free period: 100 to 150 days Farmland classification: Not prime farmland Map Unit Composition Zimmerman and similar soils:85 percent Custom Soil Resource Report 11 Minor components:15 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Zimmerman Setting Landform:Rises Landform position (two-dimensional):Backslope, shoulder, summit Down-slope shape:Convex Across-slope shape:Convex Parent material:Sandy glaciofluvial deposits Typical profile Ap - 0 to 8 inches: fine sand Bw - 8 to 22 inches: fine sand E - 22 to 45 inches: fine sand Bt - 45 to 46 inches: loamy fine sand E and Bt - 46 to 80 inches: fine sand Properties and qualities Slope:6 to 12 percent Depth to restrictive feature:More than 80 inches Drainage class:Somewhat excessively drained Capacity of the most limiting layer to transmit water (Ksat):High to very high (6.00 to 20.00 in/hr) Depth to water table:More than 80 inches Frequency of flooding:None Frequency of ponding:None Maximum salinity:Nonsaline (0.0 to 1.0 mmhos/cm) Available water capacity:Low (about 4.7 inches) Interpretive groups Land capability classification (irrigated): 6s Land capability classification (nonirrigated): 6s Hydrologic Soil Group: A Forage suitability group: Unnamed (G091BN022MN) Other vegetative classification: Unnamed (G091BN022MN), Central Dry Oak- Aspen (Pine) Woodland (FDc25) Hydric soil rating: No Minor Components Cantlin Percent of map unit:5 percent Landform:Rises Landform position (two-dimensional):Backslope, summit Down-slope shape:Linear Across-slope shape:Convex Other vegetative classification:Sloping Upland, Low AWC, Acid (G091BN008MN) Hydric soil rating: No Lino Percent of map unit:4 percent Landform:Swales Landform position (two-dimensional):Footslope Down-slope shape:Linear Across-slope shape:Linear Custom Soil Resource Report 12 Other vegetative classification:Level Swale, Low AWC, Acid (G091BN007MN) Hydric soil rating: No Isanti, drained Percent of map unit:4 percent Landform:Depressions, flats Landform position (two-dimensional):Footslope, toeslope Down-slope shape:Concave, linear Across-slope shape:Linear Other vegetative classification:Level Swale, Low AWC, Acid (G091BN007MN) Hydric soil rating: Yes Soderville Percent of map unit:2 percent Landform:Rises, flats Landform position (two-dimensional):Footslope, backslope Down-slope shape:Linear Across-slope shape:Linear Other vegetative classification:Sloping Upland, Low AWC, Acid (G091BN008MN) Hydric soil rating: No Custom Soil Resource Report 13 Septic Tank Absorption Fields (MN)–Washington County, Minnesota Map symbol and soil name Pct. of map unit Septic Tank Absorption Fields - At-Grade Septic Tank Absorption Fields - Mound Septic Tank Absorption Fields - Trench Rating class and limiting features Value Rating class and limiting features Value Rating class and limiting features Value 158B—Zimmerman fine sand, 1 to 6 percent slopes Zimmerman 90 Not limited Slightly limited Moderately limited Slope 0.15 Excessive percolation 0.53 Fine Sands 0.21 158C—Zimmerman fine sand, 6 to 12 percent slopes Zimmerman 85 Slightly limited Very limited Moderately limited Slope 0.05 Slope 0.85 Excessive percolation 0.53 Fine Sands 0.21 Slope 0.05 Custom Soil Resource Report 16 12408 228th St N, Scandia, Minnesota, 55073 UTM: 511169 (x), 5013888 (y) Latitude/Longitude: 45.27840 / -92.85760 Click map to get township, range and section Minnesota Department of Health, Environmental Health Division, Drinking Water Protection S… + – 0 0.5 1mi Layer Name Layer Label Legend Wells Selected Wells Public Wells Domestic Wells Irrigation Wells Monitor Wells Other Wells Sealed Wells Unverified Wells Township Range Section DWSMA SWBCA Zoom to see wells, TRS, DWSMA and SWBCA DWSMA: The area managed by a public water supplier to protect their source water SWBCA: Special Well and Boring Construction Area layer ⇗ Minnesota Department of Health Minnesota Well Index Search by Zoom to Tools Base Maps Other Links Help 12408 228th St N, Scandia, MN, 55073, USA  Version 2.0.62, 07/15/19 1:39PM 12408 228th St N, Scandia, Minnesota, 55073 UTM: 511668 (x), 5013925 (y) Latitude/Longitude: 45.27873 / -92.85123 Click map to get township, range and section MN Department of Health | Minnesota Geological Survey, University of Minnesota and the Mi… + – 0 150 300ft Layer Name Layer Label Legend Wells Selected Wells Public Wells Domestic Wells Irrigation Wells Monitor Wells Other Wells Sealed Wells Unverified Wells Township Range Section DWSMA SWBCA Zoom to see wells, TRS, DWSMA and SWBCA DWSMA: The area managed by a public water supplier to protect their source water SWBCA: Special Well and Boring Construction Area layer ⇗ Minnesota Department of Health Minnesota Well Index Search by Zoom to Tools Base Maps Other Links Help 12408 228th St N, Scandia, MN, 55073, USA  Version 2.0.62, 07/15/19 1:39PM UTM: 511534 (x), 5013872 (y) Latitude/Longitude: 45.27825 / -92.85294 Click map to get township, range and section MN Department of Health | Minnesota Geological Survey, University of Minnesota and the Mi… + – 0 150 300ft Layer Name Layer Label Legend Wells Selected Wells Public Wells Domestic Wells Irrigation Wells Monitor Wells Other Wells Sealed Wells Unverified Wells Township Range Section DWSMA SWBCA Zoom to see wells, TRS, DWSMA and SWBCA DWSMA: The area managed by a public water supplier to protect their source water SWBCA: Special Well and Boring Construction Area layer ⇗ Minnesota Department of Health Minnesota Well Index Search by Zoom to Tools Base Maps Other Links Help 12408 228th St N, Scandia, MN, 55073, USA  Version 2.0.62, 07/15/19 1:39PM Well List selected Highlighted are Field Verified Wells. Click Unique Well ID to see detailed well infomation Unique Number Well Name Address City County Township Range Section Depth(ft)Elevation(ft)Casing Depth(ft)Casing Diameter 779619 SCHAFER, TOM & KALSTA, SHANNON 12408 228TH ST SCANDIA Washington 32 20 9 208 936 168 4 614264 HUBBERTY, LAURIE 12410 228TH ST N SCANDIA Washington 32 20 9 138 928 128 4