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VOIDED - 2014-01243
CITY OF ORONO * 2 0 1 4 — 0 1 2 4 3 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2014 ORONO,MN 55356- 952 249-4600 FAX: (952) 249-4616 ADDRESS 1000 WILLOW DR S PIN 10-117-23-21-0004 LEGAL DESC UNPLATTED 10 117 23 I : LOT 000 BLOCK 000 V U PERMIT TYPE SEPTIC � d fvh; - PROPERTY TYPE RESIDENTIAL V� CONSTRUCTION TYPE NEW �(� ,,�( ' ACTIVITY MOUND SYSTEM-SEPTIC v- �etm14 � �✓�� -w�yoTt-� APPLICANT SEPTIC NEW 200.00 SWEDLUND SEPTIC STATE SURCHARGE SEPTIC 5.00 TOTAL 205.00 930 DEER CREEK PARKWAY MPayment(s) N 56011- 952-657-1034 CHECK 5072 205.00 OWNER KLOMBIES,LINDSAY&ANNA 1000 WILLOW DR S WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. i (/ice D 2 Applicant Permitee Signature Date Issued Signature Date On November 28, 2014 Andrew Mack issued a septic permit#2014-01243 for a new trench mound system when actually a new trench mound system wasn't being installed. The documentation with this permit shows that the drainfield was adequate, but the tanks needed to be replaced. Two 1,000 gallon tanks were proposed which meets State code, but not Orono's. This permit was voided on 8-13-2015. See permit#2015-00648. On May 21, 2015 Lyle Oman issued a septic permit#2015-00648 for tank repair for two, 1,000 gallon tanks again which meet State code, but non Orono's. Roger Peitso reviewed the history and decided to grant a variance for the two 1,000 gallon tanks due the two previous errors by Orono staff. Two 1,000 gallon tanks were installed. The process was inspected by Roger Peitso with final approval on 7-22-2015. 5072 HOMES BY LEGACY LLC aZ o�4 y -,DATE $ PAY TO � V J ' V Q THEQB,DER OF �G 1 .yam d WremerBank 1-800-908-BANK(2265) Bremer.com MEMO ----_-- 1:0960L04L5I: 122875i0411' 05072 City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.012099 Oct 23, 2014 Homes by Legacy Previous Balance: .00 Permits 1000 Willow Dr S 200.00 2014-01243 101-32530 Mechanical/Septic/Other Permits 2014-01243 1000 willow 5.00 Or S 101-20802 Due to govts-State --------------- Total: 205.00 Check Check No: 5072 205.00 Payor: Homes by Legacy Total Applied: 205.00 ----------- Change Tendered: .00 --------------- 10/23/2014 02:23PM t r • Exhibit 1 CITY OF ORONO A street Address: Mailing Address: Telepho-ie(952)249.4600 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616 !gk ES 01� 'k, Orono,MN 55356 Crystal Bay,MN 55323 www.d.orono.mmus H Stipulation Agreement for Upgrade of Non-Compliant Subsurface Septic Treatment System(SSTS) This agreement is between Lindsay&Anna Klombies, owner(s)of real property in Orono Minnesota (Owner(s); and the City of Orono (City). It is hereby agreed that the Subsurface Sewage Treatment System (SSTS) serving property located at 1000 Willow Dr. South, tax property ID No: 10-117-23-21-0004, legally described as: THAT PART OF NE 1/4 OF NW 1/4 AND OF GOVT LOT 6 ALL IN SEC 10 T 117 R 23 DESC AS FOL COM AT SW COR OF SAID NE 1/4 OF NW 1/4 TH ON AN ASSUMED BRG OF N 0 DEG 08 MIN 30 SEC E ALONG W LINE THOF 389.76 FT TH S 36 DEG 06 MIN 22 SEC E DIS 426.62 FT TO MOST ELY COR OF JOHNSTONS FRENCH LAKE 2ND ADDN AND ACTUAL PT OF BEG TH N 53 DEG 30 MIN 36 SEC E DIS 243.02 FT TH S 44 DEG 51 MIN 12 SEC E DIS 248.84 FT TH S 47 DEG 32 MIN 39 SEC W DIS 284 FT TO CENTER LINE OF WILLOW DR TH N 35 DEG 48 MIN 55 SEC W DIS 275.73 FT TO BEG EXCEPT ROAD Lacks sufficient design capacity to serve the Parcel with the proposed remodeling addition to the home which includes and increase in the number of bedrooms. Accordingly, this requires upgrade of the SSTS due to the fact that it is not designed to properly serve the number of bedrooms according to Section 58-77 of the Orono City Code and MPCA Rules 7080-7084. A design was completed for an upgrade to this existing system and was received by the City on October 17, 2014 and is herein referenced as Exhibit A. The system cannot be properly installed this year due to the impending winter weather conditions and the availability of a certified installer to complete the work in a timely manner. The designer indicated that the drain field meets required ground water protection separation and is properly functioning, although the tanks are considered non-compliant by failing to protect ground water and must be replaced. The owner(s) hereby enter into an agreement for SSTS upgrade on or before July 15, 2015,or prior to occupancy of the building addition,whichever occurs later. By entering into this agreement, Owners assure the City they will retain the services of an MPCA Licensed SSTS Installer to permit and install a new SSTS upon the parcel according to MN Rules 7080- 7083 and Section 58 of the City SSTS Code requirements. Failure to comply with this SSTS Stipulation Agreement may result in leg action. w ///Q �7 Lindsay or Anna Klombies Dat 1000 Willow Dr. South Orono, MN 55391 Phone 612-419-5325 These signatures were signed and acknowledged before by thefonregoingpartie o this�Gt-�.� IJP !0 agreements{' Andrew Mack, AICP City of Orono Date NOT l` Community Development Director MONICAA.FADNESS � s NOTARY PUBLIC-MINNESOTA My Commission Expires Jan,31,2017 Y /Y vuND Exhibit A 03 LSERVICES Swedlund Septic Services, Inc. Septic Design Prepared For: 1000 Willow Dr. South Orono, MN 55391 RECEIVED Site Address: Same OCT 17 2014 CITY OF ORONO State Certified 25648 200th Street . Belle Plaine, MN 56011 . 952-873-3292 System Specifications Pump Tank: • A 2.5 inch electrical conduit is to be used for the pump cords • The piping is to accessible from ground level for future repair • The supply line leaving the tank is to be sleeved over any excavated ground in 4" sch 40 PVC and sealed with a 4x2 Fernco • The floats are to be installed on a float tree • The pump must be placed on a pump block • A minimum of a 1/4" drainback hole must be drilled in the supply line to avoid freezing Blow-outs are to be installed on the ends of all pressure lines An "Effluent Filter" is to be installed in the outlet of the second tank. It should be easily accessible from the ground surface for cleaning. The effluent filter will be equipped with an alarm. All run-off water is to be diverted away from the tanks and drainfield areas Plastic bolt down manhole covers are to be used and left at grade level for maintenance access. Pressure rate glue joint fittings must be used. If the septic tanks are less than 2' deep the covers are to be insulated with 2" high-density foam It is the installer's responsibility that all sewerlines leaving the structure have been connected to the new system OSTP Design Summary Worksheet UNIVERSITY Minnesota Pollution OF MINNESOTA Control Agency Property Owner/Client: Lindsay and Anna Klombies Project ID: v 05.13.14 Site Address:11000 Willow Drive South,Orono,MN Date: 10/17/14 1. DESIGN FLOW AND TANKS A. Design Flow: 750 Gallons Per Day(GPD) Note: The estimated design flow is considered a peak flow rate including a safety factor.For long term performance,the average B. Septic Tanks: daily flow is recommended to be<60%of this value. Minimum Code Required Septic Tank Capacity: 1500 Gallons,in Tanks or Compartments Recommended Septic Tank Capacity: 2000 Gallons,in Tanks or Compartments Effluent Screen: Alarm: C. Holding Tanks Only: Minimum Code Required Capacity: Gallons,in Tanks Designer Recommended Capacity: Gallons,in Tanks Type of High Level Alarm: D. Pump Tank 1 Capacity(Code Minimum): Gallons Pump Tank 1 Capacity(Code Minimum): Gallons Pump Tank i Capacity(Designer Rec): Gallons Pump Tank 2 Capacity(Designer Rec): Gallons Pump 1 1 GPM Total Head it Pump 2GPM Total Head it Supply Pipe Dia.=in Dose Volume:E=gal Supply Pipe Dia.E=In Dose Volume:E=gal 2. SYSTEM TYPE (@) Trench 0 Bed 0 Mound 0 At-Grade Gravity Dist iWbon 0 Pressure Distribution-Level 0 Pressure Distribution-Unlevel O Drip 0 Holding Tank 0 DtMr 'Selection Required Benchmark Elevation: existing system it Benchmark Location: System Type Type of Distribution Media: ❑� Drainfield Rods E]Registered Treatment Media: ❑� Type I ❑Type I I �Type III E]Type IV [3 Type V 3. SITE EVALUATION: A. Depth to Limiting Layer: 84 in =it B. Measured Land Slope%: 1.0 % C. Elevation of Limiting Layer: NA D. Soil Texture: Sand E. Loc.of Restricive Elevation: NA F. Soil Hyd.Loading Rate: 0.78 GPD/ft' G. Minimum Required Separation: in =ft H. Perc Rate: 15.0 MPI I. Code Maximum Depth of System: E=in Comments: 4. DESIGN SUMMARY Trench Design Summary Dispersal Area 635 it, Sidewall Depth 20 in Trench Widthit Total Lineal Feet 318 it Number of Trenches Code Maximum Trench Depthin Contour Loading Rate 12.0 ft Designer's Max Trench Depthin Bed Design Summary Absorption Areait, Depth of sidewallin Code Maximum Bed Depthin Bed Width[=ft Bed Length E=ft Designer's Max Bed Depthin 4 OSTP Design Summary Worksheet UNIVERSITY Minnesota Pollution OF MINNESOTA Control Agency Mound Design Summary Absorption Bed Areaft, Bed Lengthft Bed Widthft Absorption Widthft Clean Sand Liftft Berm Width (0-1%) ft Upslope Bern Widthft Downslope Berm Width ft Endslope Berm Widthft Total System Length E::=ft Total System Width E=ft Contour Loading Rate E=gal/ft At-Grade Design Summary Absorption Bed Widthft Absorption Bed Lengthft System Heightft Contour Loading Rategal/ft Upslope Berm Widthft Downslope Berm Widthft Endslope Berm WidthE=ft System Length E=ft System WidthE=ft Level&Equal Pressure Distribution Summary No.of Perforated Laterals Perforation Spacingft Perforation Diameterin Lateral DiameterE=in Min.Delivered Volume==gat Maximum Delivered Volume=gat Non-Level and Unequal Pressure Distribution Summary Elevation Pipe Volume Pipe Length Perforation Size (ft) Pipe Size(in) (gal/ft) (ft) (in) Spacing(ft) Spacing(in) Lateral 1 Minimum Delivered Volume Lateral gal Lateral 3 Lateral 4 Maximum Delivered Volume Lateral 5 gal Lateral 6 5. Additional Info for Type IV/Pretreatment Design A. Calculate the organic loading 1. Organic Loading to Pretreatment Unit =Design Flow X Estimated BOD in mg/L in the effluent X 8.35+1,000,000 gpd X mg/L X 8.35+1,000,000= lbs BOD/day 2. Type of Pretreatment Unit Being Installed: 3. Calculate Soil Treatment System Organic Loading: BOD concentration after pretreatment+Bottom Area =lbs/day/ft2 mg/L X 8.35+1,000,000 ft2= lbs/day/ft2 Comments/Special Design Considerations: I hereby certify that I have completed this work in accordance with all applicable ordinances,rules and laws. Swedlund Septic �,�,J"� 2502 10/17/14 (Designer) �' (Signature) (License#) (Date) 1000 Willow Dr. South Orono, MN Shed poo/ North New 1 Galllon Septic Tanks House 30' * Well o r oa w �a `ro OSTP Trench Design UNIVERSITY Minnesota Pollution Worksheet OF MINNESOTA Control Agency 1. SYSTEM SIZING: Project ID: v 05.13.14 A. Design Flow: 750 GPD B. Code Maximum Depth: inches Designers Maximum Depth: inches C. Soil Loading Rate: 0.78 GPD/ft2 Contour Loading Rate: 12.0 gal/ft D. Required Bottom Area: Design Flow(1.A)-Loading Rate (1.C) = Initial Required Bottom Area 750 1 GPD- 0.78 GPD/ft' = 962 ft E. Select Dispersal Media: 0 Rock (selection required) ❑ Registered Product F. Select Distribution Method: ❑ Pressure Iv Gravity-Drop Gravity-Other G. If distribution media is installed in contact With sandy or loamy sand or with a percolation rate of 0.1 to 5 mpi indicate distribution or treatment method: 2. TRENCH CONFIGURATION: ROCK A. Initial required Sidewall Bottom Area Bottom Area Design trench bottom area Absorption trench — ft2 from 1.D (inches) Reduction Multiplier bottom area ( ): ( ) Cover 6 to 11 1 962 Q 962 Distribution 12 to 17 20% 0.8 769 18 to 23 34% 0.66 635 Sidewall 24 40% 0.6 577 B. Select Sidewall Height: 20 inches = ft ���/� Width C. Design Bottom Area (2.A): 635 ft D. Select Trench Width: 2 ft E. Total Designed Trench Length: Bottom Area :Trench Width =Total Required Trench Length 635 ft _ 2.0 ft= 318 ft I. Calculate Minimum system length based on Contour Loading Rate: Design Flow : Contour Loading Rate = 750 gpd. 12.0 gal/ft = 62.5 ft F. Select No. of Trenches: trenches G. Select Trench Spacing : ft (typically 5 - 12 ft from center to center) H. Calculate Lawn Area:Trench Length (2.E)X Trench Spacing (2.G) =square feet of lawn area 318 ft X ft = 1588 ft2 lawn area J. Select Depth Required to Cover Distribution Pipe: 0.5 ft (0.33 ft for pressure, 0.5 ft for gravity) K. Calculate Rock Volume: (Sidewall Height (2.6) + Depth to Cover Pipe (2.J))X Bottom Area(2.C)=cubic feet ft + 0.50 ft ) X 635 ft, = 1376 ft Divide ft'by 27 ft3/yd 3 to calculate cubic yards: 1376 ft3 + 27 = 51 yd3 3. TRENCH CONFIGURATION: REGISTERED PRODUCTS-CHAMBERS AND EZFLOW A. Initial required Sidewall Bottom Area Bottom Area Design trench bottom area Absorption trench (ftz): (from 1.D) (inches) Reduction Multiplier bottom area 6 to 11 1 12 to 17 20% 0.8 18 to 23 34% 0.66 24 40% 0.6 B. Registered Product: C. Select Sidewall Height: inches ft D. Design Bottom Area (3.A): ft E. Registered Width: ft F. Minimum Designed Trench Length = Bottom Area (3.C):Trench Width (3.D) ft _ ft ft G. Enter the Registered Product Component Length: �ft H. Number of Components=Minimum Total Length Required divided by Component Length (Round up) ft a E:::= ft= components I. Actual Total Trench Length = Number of Components X Component Length: components X ft = ft J. Calculate Minimum length per trench based on Contour Loading Rate: Design Flow:CLR= gpd: gal/ft ft K. Select No. of Trenches: trenches L. Length per trench =Actual Trench Length : Number of Trenches. Recommended to not exceed 3.J. Ift: gal/ft = ft M. Select Trench Spacing ft (typically 5 - 12 ft from center to center) N. Calculate Lawn Area:Trench Length X Trench Spacing =square feet of lawn area ft X ft ft lawn area Comments: 1000 Willow Dr. South Orono, MN This system currently has a drainfield that is compliant and seems to be working properly. The tanks that are on the site are block tanks and will need to be pumped, crushed and abandoned. UNIVERSITY OSTP Preliminary Evaluation Form UL OF MINNESOTA 1.Contact Information v 05.13.14 Property Owner/Client: Lindsay and Anna Klombies Client Phone Number: Mailing Address 1000 Willow Dr.South,Orono,MN 55391 Project ID: Site Address Same Legal Description Parcel ID:I I Latitude Longitude Evaluation for system type ❑New cons.... (DReplaoenert Date October 9,2014 2. Flow Information Client-Provided Information Type(s)of use(all that apply) ❑'Realder" ElCam1vdal ElOtic(wry) No.of bedrooms*(if applicable) 5 Unfinished space (ft') No.of residents in home Adults Children ETeenagers Existing flaw measurements [Ives(if Yes,attach readings) ❑No ❑G-age Disposal QW.WSafonur' 01=Fillin Water-using devices(check all that ❑'Dirtwsstar oswro Pmp• Other(specify) apply) ❑large Badbb/7aom1 ❑High-dency Funace' ❑WrKkyAmge Tub on 2rd Roar Elliot Tub* •Clear water source Water use concerns(check all that ElFaucWrold Leals ❑halaple team of tnadry/Day ❑tang-T. n Paargmh Nem []use of ahu-eaetr w soap apply) ❑LrHorm&mina; E]No lxx saes, ElFrsphsx Eniardadng of goof-Town Gusts Any additional current or future uses on this parcel(specify) Any non-sewage discharges to system (specify) Sewage ejector or grinder pump in home? ❑vas E]No I acknowledge the above is complete and accurate (Client(s)signature and date) Designer-determined Flow Information A.Estimated Design Flow(gallons per day) 750 Anticipated waste strength values: ❑�Dor"eetkSb,.ngth 0HI9h—Vth BOD: mg/L CBOD:�mg/L (TSS):E:::�mg/L 011G:�mg/L 3. Preliminary Site Information B(1).Water supply well(s)within 100 ft of absorption area ❑Yes QNo Well(s)were located ❑Died Obsw4won ❑Canty Wall Index M" ❑personal cannon°tion MN Unique Well Id 1': Depth of well(s) 1 112' ft Well casing depth(s) 112' ft Source Well Index Impervious Layer 13NO Dye If Yes,Define Et Source: Required Setback: 50 it B(2).Site within 200 ft of noncommunity transient supply well Ely's E]No Source B(3).Site within a drinking water supply management area ❑Yes E]No Source B(4).Location of all existing and proposed buildings and improvements on lot(see Site Evaluation map) B(5).Buried water supply pipes within 50 ft of proposed system []Yes E)No C.Location of all easements on lot(see Site Evaluation map) Source D.Elevation of ordinary high water level(OWHL)-MN DNR(if adjacent to parcel) E.Floodplain designation and food elevation Source F.Determine property lines(see Site Evaluation map) ❑sa"w ❑tet Mop 20d.: Hennepin County GIS Site located in a shoreland district/area ❑yes ❑Q No G.Distance of setbacks Oma Unes ❑ONwL ❑wooer suo*Fppns ❑qhs llul lings ❑F ❑-ilis) UNIVERSITY OSTP Preliminary Evaluation Form OF MINNESOTA H.Soil Survey Information(from web soft survey) ❑mw Map Units on Parcel List landforms Slope Range Parent materials-check all that apply Landform Position(check all that apply) ❑mi ❑ANkm ❑-jim ❑Alukdum ❑adFM ❑sua.ox pshodaw ❑aarioklap. ❑Fook.lope []Plain ❑QAwash ❑Laos ❑n.aiodc 0019+w 1 ❑Deyrasalon ❑siwam/TanKe ❑Mannuk ❑Toa slop. Minimum bedrock depth: inches Minimum bedrock depth:-inches Maximum bedrock depth: inches Maximum bedrock depth: inches Septic Tank Absorption Field-Trench(MN) Map Unit Ratings Septic Tank Absorption Field-At-grade(MN) Septic Tank Absorption Field-Mound(MN) 4. Preliminary soil Profile Information(from web soft survey-rim Enter information here or attach map and description. Map Unit Other Depth Texture(s) Structure(s) Consistence Restrictions Color Horizon 1 Horizon 2 Horizon 3 Horizon 4 Horizon 5 Map Unit Other Depth Texture(s) Structure(s) Consistence Restrictions Color Horizon 1 Horizon 2 Horizon 3 Horizon 4 Horizon 5 Map Unit Other Depth Texture(s) Structure(s) Consistence Restrictions Color Horizon 1 Horizon 2 Horizon 3 Horizon 4 Horizon 5 Map Unit Other Depth Texture(s) Structure(s) Consistence Restrictions Color Horizon 1 Horizon 2 Horizon 3 Horizon 4 Horizon 5 5. Local Government Unit Information Name of LGU LGU Contact LGU-specific setbacks LGU-specific design requirements LGU-specific installation requirements I hereby certify that I have completed this work in accordance with all applicable ordinances,rules and laws. Swedlund Septic a lj. 2502 10/17/14 (Designer) (Signature) (License#) (Date) UNIVERSITY OF MINNESOTA OSTP Field Evaluation Form 1.Contact Information Project ID: v 05.13.14 Property Owner/Client Lindsay and Anna Klombies Client Phone Number: Address Same Date Weather Conditions 2. Utility and Structure Information Utility Locations Identified ❑Gopher ate One GII x E::= ❑Any Private utilities Property Lines ❑Determined and Approved W Client Client's Approval(initial) ❑Determined but not Approved ❑Approximate ❑property Lines Surveyed Locate and Verify(see Site Evaluation map) ❑Existing Buildings ❑Improvements ❑Easements ❑Setbacks 3. Site Information Percent Slope 8 Slope Direction Landscape Position shoulder Slope Shape Vegetation type(s) grass Evidence of cut,fill,compacted or disturbed areas ❑Yes No Discuss the flooding or run-on potential of site Identify benchmarks and elevations(Site Evaluation Map)Existing septic tank lid Proposed soil treatment area adequately protected 0 Yes ❑No 4. General Soils Information Original soils El Yes ❑No Type of observation ❑Soil probe Q Soll Boring ❑Soll pit Number of soil observations 3 Soil observations were conducted in the proposed system location 0 Yes ❑No A soil observation was made within the most limiting area of the proposed system ❑Yes ❑No Soil boring log forms completed and attached ❑Yes ❑No Percolation tests performed,forms completed and attached ❑Yes ❑No 5. Phase I.Reporting Information Depth to standing water inches Anticipated construction issues Flood elevation feet Depth to bedrock inches Depth to periodically saturated soil inches Maximum depth of system 48" inches Elevation at system bottom feet Differences between soil survey and field evaluation Percolation rate 15 min/inch Loading rate 0.78 gpd/ft' Contour loading rate 12 gpd/ft Site evaluation issues/comments I hereby certify that I have completed this work in accordance with all applicable ordinances,rules and laws. Swedlund Septic �.J'J'- -k 2502 10/17/14 (Designer) (Signature) (License#) (Date) vuND SEPTIC SYSTEM DESIGN 3 N Date: 10/13/14 SERVICES Owner/Builder: LR KlombieS Address: 1000 Willow Dr South, Orono, MN Site Address:Same Home Phone: The following information has been compiled for a single family home: Bedrooms 5 GPD 750 Garbage Disposal N Lift Pump in Basement N Septic Tank Capacity 2000 Pump Tank Capacity System Type: Mound Trench X Distribution: Gravity X Pressure Land Slope Depth to Limiting Layer 84" Soil sizing factor .78 Perc Rate 15 Trench System: Drainfield Size/Sq. Ft. 635' Lineal Ft. 318' SB2 Number of Laterals 4 Rock(Tons) Rock Width 2' Max Trench Depth 20" Width 5' Mound System: Rock Bed Sand Layer Upslope Downslope Sideslope Sand Depth Topsoil on Site Trucked in Sand (Tons) Rock(Tons) Topsoil (Tons) Pump Manufacturer: _Goulds Requirements: GPM Head Force Main Length Diameter Number of Laterals Length 25648 2001h Street • Belle Plaine, VIN 56011 . 952-873-3292 STATE CERTIFIED UNIVERSITY OF MINNESOTA 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 LINDSAY & ANNA KLOMBIES Property Address 1000 Willow Dr. S. Property ID 10-117-23-21-0004 System Designer Swedlund Septic Services, Inc. Phone 952-873-3292 System Installer J S STEWART COMPANIES INC Phone 763-424-9030 Service Provider/Maintainer Swedlund Septic Phone 952-873-3292 Permitting Authority City of Orono Andrew Mack, AICP Phone 952-249-4626 Permit# 2014- Date Inspected Keep this Management Plan with your Septic System Owner's Guide. The Septic System Owner's Guide includes a folder designed to hold maintenance records including pumping, inspection and evaluation reports. Ask your septic professional to also: • Attach permit information, designer drawings and as-builts of your system,if they are available. • Keep copies of all pumping records and other maintenance and repair invoices with this document. • Review this document with your maintenance professional at each visit;discuss any changes in product use,activities or water-use appliances. For a copy of the Septic System Owner's Guide,call 1-800-876-8636 or go to hap://shop.extension.umn.edu/ http://septic.umn.edu Version 11/03/2010 - 1 - Septic System Management Plan UNIVERSITY for Above Grade Systems OF MINNESOTA Your Septic System ❑ ❑ ---------Cleano ---_Cleanout Manhole t"Pection pipe_ CMU-SWIM of m.te o:ret .tea. Twd rn-pump unk, :! .• .. •,,,. S- Septic System Specifics System Type:&OII©IIIQIV*©V* System is subject to operating permit* r-� System uses UV disinfection unit* (Based on MN Rules Chapter 7080.2200—2400) Type of advanced treatment unit *Additional Management Plan required Dwelling Type Well Construction Number of bedrooms: 5 Well depth(ft): 112 System capacity/design flow(gpd): 750 ❑] Cased well Casing depth: 112' Anticipated average daily flow(gpd): 750 ❑Other(specify): Comments Distance from septic (ft):75' Business? What type? Is the well on the design drawing?QY © N Septic Tank One tank Tank volume: 2000 gallons Pump Tank gallons Does tank have two compartments?©Y QN ❑ Effluent Pump make/model: Two tanks Tank volume: gallons Pump capacity GPM ❑ Tank is constructed of Concrete TDH Feet of head Effluent Screen type: None ❑ Alarm location Soil Treatment Area (STA) Mound/At-Grade area(width x length): _ft x _ft Cleanouts or inspection ports Rock bed size(width x length): _ft x _ft Surface water diversions Location of additional STA: Front Yard Additional STA not available -2 - Septic System Management Plan s UNIVERSITY for Above Grade Systems OF MINNESOTA Homeowner Management Tasks These operation and maintenance activities are your responsibility. Use the chart on page 6 to track your activities. Identify the service intervals recommended by your system designer and your local government. The tank assessment for your system will be the shortest interval of these three intervals. Your pumper/maintainer will determine if your tank needs to be pumped. System Designer: check every months My tank needs to be checked Local Government: check every 36 months State Requirement: check every 36 months every 36 months Seasonally or several times per year • Leaks. Check(listen, look) for leaks in toilets and dripping faucets. Repair leaks promptly. • Surfacing sewage. Regularly check for wet or spongy soil around your soil treatment area. If surfaced sewage or strong odors are not corrected by pumping the tank or fixing broken caps, call your service professional. Untreated sewage may make humans and animals sick. • Alarms. Alarms signal when there is a problem; contact your maintainer any time the alarm signals. • Lint filter. If you have a lint filter, check for lint buildup and clean when necessary. Consider adding one after washing machine. • Effluent screen. If you do not have one, consider having one added the next time the tank is cleaned. Annually • Water usage rate. A water meter can be used to monitor your average daily water use. Compare your water usage rate to the design flow of your system (listed on the next page). Contact your septic professional if your average daily flow over the course of a month exceeds 70% of the design flow for your system. • Caps. Make sure that all caps and lids are intact and in place. Inspect for damaged caps at least every fall. Fix or replace damaged caps before winter to help prevent freezing issues. • Water conditioning devices. See Page 5 for a list of devices. When possible,program the recharge frequency based on water demand (gallons) rather than time (days). Recharging too frequently may negatively impact your septic system. • Review your water usage rate. Review the Water Use Appliance chart on Page 5. Discuss any major changes with your pumper/maintainer. During each visit by a pumper/maintainer • Ask if your pumper/maintainer is licensed in Minnesota. • Make sure that your pumper/maintainer services the tank through the manhole. (NOT though a 4" or 6"diameter inspection port.) • Ask your pumper/maintainer to accomplish the tasks listed on the Professional Tasks on Page 4. - 3 - UNIVERSITY Septic System Management Plan for Above Grade Systems OF MINNESOTA Professional Management Tasks These are the operation and maintenance activities that a pumper/maintainer performs to help ensure long-term performance of your system. Professionals should refer to the O/M Manual for detailed checklists for tanks,pumps, alarms and other components. Call 800-322-8642 for more details. • Written record provided to homeowner after each visit. Plumbing/Source of Wastewater • Review the Water Use Appliance Chart on Page 5 with homeowner. Discuss any changes in water use and the impact those changes may have on the septic system. • Review water usage rates(if available)with homeowner. Septic Tank/Pump Tanks • Manhole lid. A riser is recommended if the lid is not accessible from the ground surface.Insulate the riser cover for frost protection. • Liquid level. Check to make sure the tank is not leaking. The liquid level should be level with the bottom of the outlet pipe. (If the water level is below the bottom of the outlet pipe, the tank may not be watertight. If the water level is higher than the bottom of the outlet pipe of the tank, the effluent screen may need cleaning,or there may be ponding in the drainfield.) • Inspection pipes.Replace damaged caps. • Baffles. Check to make sure they are in place and attached, and that inlet/outlet baffles are clear of buildup or obstructions. • Effluent screen. Check to make sure it is in place; clean per manufacturer recommendation. Recommend retrofitted installation if one is not present. • Alarm.Verify that the alarm works. • Scum and sludge. Measure scum and sludge in each compartment of each septic and pump tank, pump if needed. Pump • Pump and controls. Check to make sure the pump and controls are operating correctly. • Pump vault. Check to make sure it is in place;clean per manufacturer recommendations. • Alarm. Verify that the alarm works. • Drainback. Check to make sure it is operating properly. • Event counter or run time. Check to see if there is an event counter or run time log for the pump. If there is one, calculate the water usage rate and compare to the anticipated average daily flow listed on Page 2. Soil Treatment Area • Inspection pipes. Check to make sure they are properly capped. Replace caps that are damaged. • Surfacing of effluent. Check for surfaced effluent or other signs of problems. • Lateral flushing. Check lateral distribution;if cleanouts exist,flush and clean as needed. • Ponding. Check for ponding. Excessive ponding in at-grade and mound beds indicates problems. All other components—inspect as listed here: -4 - UNIVERSITY Septic System Management Plan for Above Grade Systems OF MINNESOTA Water-Use Appliances and film Equipment in the Home Appliance Impacts on System Management Tips - Uses additional water. - Use of a garbage disposal is not recommended. - Adds solids to the tank. - Minimize garbage disposal use. Compost instead. Garbage disposal - 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 a liquid or easily biodegradable detergents. Washing machine prevent solids from settling out in - Install a ling filter after the washer and an effluent the tank.Unsettled solids can exit screen on your tank. the tank and enter the soil treatment - Wash only full loads. area. - Limit use of bleach-based detergents. - Think even—spread your laundry loads throughout the week. - The rapid speed of water entering - Install an effluent screen in the septic tank to 2°d floor laundry the tank may reduce performance. prevent the release of excessive solids to the soil treatment area. - Be sure that you have adequate tank capacity. - 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". - Scrape your dishes anyways to keep undigested They have a garbage disposal inside. 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 Unsettled solids can exit the tank - Include pump monitoring in your maintenance home) 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 Large bathtub overload your system. same time.For example,don't wash clothes and (whirlpool) - Heavy use of bath oils and soaps can take a 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 - Drip may result in frozen pipes - Re-route water into a sump pump or directly out fumace during cold weather. of the house.Do not route furnace recharge to your septic system. - Salt in recharge water may affect - These sources produce water that is not sewage Water softener system performance. and should not go into your septic system. Iron filter - Recharge water may hydraulically - Reroute water from these sources to another Reverse osmosis overload the system. outlet,such as a dry well,draintile or old drainfield. - Water from these sources will likely - When replacing consider using a demand-based Surface drainage overload the system. recharge vs.a time-based recharge. Footing drains - Check valves to ensure proper operation;have unit serviced per manufacturer directions - 5 - UNIVERSITY Septic System Management Plan for Above Grade Systems OF MINNESOTA Maintenance Log Track maintenance activities here for easy reference. See list of management tasks on pages 3 and 4. go 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 Check annually: Water usage rate(monitor frequency_) Caps: inspect,replace if needed Water use appliances—review use Other: Notes: Mitigation/corrective action plan: "As the owner of this SSTS, I understand it is my responsibility to properly operate and maintain the sewage treatment system on this property, utilizing the Management Plan. If requirements in this Management Plan are not met, I will promptly notify the permitting authority and take necessary corrective actions. If I e a new system, I agree to adequately protect the reserve area for future use as a soil tr ent s tem." Property Owner Signature: ;; Date l / Management Plan Prepared By: Swedlund Septic Services, Inc. Certification# C1659 Permitting Authority: City of Orono - Andrew Mack, Al CP # 8922 ®2010 Regents of the University of Minnesota. All rights reserved. The University of Minnesota is an equal opportunity educator and employer. This material is available in alternative formats upon request. Contact the Water Resources Center,612-624-9282. The Onsite Sewage Treatment Program is delivered by the University of Minnesota Extension Service and the University of Minnesota Water Resources Center. - 6- UNIVERSITY ' ' OSTP Soil Observation Log OF MINNESOTA Project ID: v05.13.14 Client/Address: 1000 Willow dr.S Orono,MN Legal Description/GPS: Soil parent material(s):(Check all that apply) ❑ outwash❑ Lacustrine ❑ Laws ❑ Till ❑ Alluvium ❑ Bedrock ❑ organic Matter Landscape Position:(check one) ❑ Summit ❑ shoulder❑ BaNside slope ❑ Foot slope El Tae sbpeSlope shape Vegetation Soil survey map units Slope% 1.0 Elevation: Weather Conditions/Time of Day: Dry Afternoon Date 10/09/14 Observation#/Location: B1 Observation Type: Auger Depth(in) Texture Rock Matrix Color(s) Mottle Color(s) Redox Kind(s) Indicator(s) I--------Structure-----------I Frag.% Shape Grade Consistence 0-8 Sandy Loam <35% 10YR 2/2 Granular Structureless Friable 9-72 Sand <35% 10YR 4/4 Granular Structureless Loose Comments I hereby car*that I have completed this work in accordance with all applicable ordinances,rules and laws. Swedlund Septic J,,I,f 2502 10/17/14 -(Designer/Ins tor) (Signature) License# Date .nr , RECEIVED a Nov 0 3 2014 CITY OF ORONO Strut Address: 1 Mailing Address: t Telephone(952)249.4600 1 CIT`C';_C rON02750 Kelloy Parkway 11 P.O.Box 66 Fax (952)249-4616 �{ �' It es tO Orono.MN 55356 i Crystal Bay,MN 55323 www.ci,orono.mn.us tff Septic System Permit Application Please complete this applicaton completely. Failure to fill in all of the required information may result in a delay of processing your application. Submit this application,a complete copy of the site evaluation and the design at least 3 working days prior to the projected installation date. Site Address. ::/0016, �l r l t�0w rivr 5 i,..#-1. (fir ova s Owner Name: G i«. ti -/s.j y,�tt`e s Address: w .�t Owner Home Phone: flt - 1 .2: 5 Work Phone: 5,4,"" Designer: License# 6 d Designer Address: I S 6K 6 0 t't' Email: s Iu.N(++.+ ss +br.vKaE Phone:...__q S _` �l7 3 � .................... Installer/Contractor: License.#. S33 Installer Address !✓6iriwe Date to be installed: 7 t Install S •wc. Phone: r _ 7_ - _._.__. Existin Septic System Eyes: No Compliance inspection Date: 0 General,Lot Dimensions wdm:2 5'd. .owh, a;S Total Area: (Ac►es oraQ R} / c Home Type: r` T #of Bedrooms s 14 eaw water SaRenar✓ Garbage Disposal ir" Not TatuWfarin llishwash�rt/' Well..Exisftr New (tone iwstatted) Size of Casing: Depth of Casing: PROPOSED SEPTIC INFORMATION Soil Types: sand Sizing Factor: Septic: New. Replacement Addition X Other Tanks: Qty: 2 New�_ Existing Total 2000 C,allnnc Tank Type Concrete , Capacity 2000 Manufacturerand the Pump Station:Tank Type Capacity Manufacturer (if applicable) Pump Size Type Failure Alarm Type Drainfield Total Length_318, Total Width 10 Maximum Depth BC Trenches w/rock X— Trench w//chambers v Rock below pipe F° inches U Pressure Bed Mound Other(explain) �- Mound Dimensions: Rock Bed x ft Absorption Area x ft Clean Fill below rock bed inches Filter: Type Manufacturer Alarm Type: New designs shall adhere to 2008 MPGA standards. OFFICE USE ONLY Permit# Payment Recd Zoning District Field Checked Date'lns ected P New/Replace SKETCH: licensed site evaluation, design, sketch and management plan with application. pplication. If substantial changes are made to the design during installation, a new design must be submitted with the date and designer's signature prior to installation and inspection. Completed Site Evaluation lkl[Sles UNo Date I tit Completed Design Worksheets Wes E)No Date I o 3-At Compliance Inspection Wes UNo Date 61z/? Management/Monitor Plan ilYes UNo Date Approved IpIL -14 AGREEMENT. INVe the undersigned, hereby make application for work described and located as shown herein. IMe certify that the information contained herein is correct and agree to do the work in accordance with the provisions of the Orono City Code and the State of Minnesota MPCA Rules 7 4._jpe further agree that any plans, specifications, or drawings .n t subi ,itted h th a carat nd shall become part of the application. 19134L"# I SignattVe-of Homeow�ne-r7W�-�ent Date PERMIT. Permission is hereby granted to the above named applicant(s)to perform the work described in the above application. Any and all changes to the approved design shall be reported to the designer and to the permitting agency prior to the completion of the work. This permit is granted upon the express condition that the person to whom it is granted, and his/her agent, employees and workers shall conform in all respects to the Orono City Code and the State of Minnesota 7080-7084 Rules. This permit may be revoked at any time upon violation of said ordinances and codes. This permit expires on December 31 of the year in which it is issued. This permit, with all supporting documents,will become a permanent part of the property records on file t the Orono City Hall. Communit*Developr6`ant Director or Designee Dak I Return this Application to: Physical Address: Mailino Address: City of Orono City of Orono 2750 Kelley Parkway P 0 Box 66 Orono, MN 55356 Crystal Bay, MN 55323 Phone .-952-249-4600 www.ci.orono.mn.us Fax: 952-249-4616 amackiMci.orono.mn.us Septic Permit-Revised 7/812014 Page 2 of 3 r � r UNIVERSITY OSTP Preliminary Evaluation Form OF MINNESOTA 1.Contact Information v 05.13.14 Property Owner/Client:11,)tiombies Client Ptione Number:�— Mailing Address 1000 Wit(ow Dr.South,Grano,MN 55391 _..._...." _ Project N): t Site Addressi Some Legal Description F Parcel ID: Latitude[ Longitude Evaluation for system type Q tirwCmmudtm OR"Wmnent pate October 9,20i4 2. Plow information ..,~~....~_.. Client-Provided Informal on Type(s)of use(all that apply) j7R�d Qtanvrarr el L Mee(spam Nm of bedrooms'(If apptkabte) 5 ) Unfinished space(Eta) _ No.of residents In hone []Adults Children ❑Teenagers Existing flow measurements oyes(it Tes,am" ) Ono ] W aiMpOdal owuter 5.>fanure [guar F*"- Water-using devices(check all that L.jtnshwasnw 05PUMV. Other(specify) OMY) []N;gh taadcrcy rwnuce' ❑uua,,y/tame ruoo"2nd taaar pH0 Tu' •Clear water source Water use concerns(check all that LFewVTaiet Leaks Qhaiega twds d LVxW W0" Oto-q-Tenn Fiesa"M Nods �ttsa dANFDa[6eaa1 Soap apply) plo-iieme amass ['mo n.u$seen EIRTauad en4e,M"of pa-d-roan 6ueas Any additional current or future uses on this parcel(specify) Any non-sewage discharges to system (specify) Sewage ejecta or grinder pump in home? I acknowledge the above is complete and accurate (Citent(s)signature and date) Designer-determinod Flow information A.Estimated Design Flow(gallons per day) > Anticipated waste strength values: O 56en0h awl s W4M BOD:r��mglL CBDD: nq(/L (TSS): mgtl (xG:L�Jras11. 3. Preliminary Site Information " B(1).Water supply welts)within 100 ft of absorption area 0- Welt(s)were located EIM,u coo en,~ Ucm"dy wen indar Napa up"e l cam wkaoa, MN UnitRee Well Id d: Depth of wells) s10D' ft Well casing deptb(s)( '100 .._ft Impervious Lv/er [lift Dor H Yes,Define a Source: r Required Setback: 8(2),Site within 200 it of noncommunity,transient supply wall Ely's Rift Source--1 B(3).Site within a drinking water supply management area Or- )mow Source B(4).Location of all existing and proposed buitdings and improvements ars lot isee Site£wrtuation map) 8(5).Burled water supply pipes within 50 ft of proposed system (]res 0-,M. C.Location of all easements on lot(see Site Evaluation map) 5ourceE — D,Elevation of ordinary high water level(OWHL)-MH DNR(if adjacent to parcel) l E.Floodplain designation and food elevation _ Source F.Determine property lines(see Site Evatuot(on map} (NrMy timet Na(e—'Mower F __ Hennepin County GIS Site hated in a shorcland districVarea �'es G% G.Distance of setbacks ['ROMW tines [30twt Qwxsr newsy P"s C:jomer as r gs )jEas corns j]svdt(a) UNIVERSITY. OSTP Preliminary Evaluation Form OF MINNESOTA H.Soil Survey Information(from web sol(survey) Dials Map Units on Parcel List landforms Slope Rdoyel Parent materials-check all that apply Landform Position(check.((that apply) Fire ocd— ..(]tmuytrV[ CIO. . ......[}fuVF� []Summit ['Jog Ad" ....._ (3-k5k4m [Irvoulwe Clain C]owwam CLaft. Elor%mk ❑=knee+ 09-owence (]"WWWae CITMSW Minimum bedrock depth:❑inches Minimum bedrock depth:❑irxhes Maximum bedrock depth:Qinthes Miidmum bedrock depth:Dinches Septic Tank Absorption Field-Trench(MN) Map Unit Ratings Septic Tank Absorption field-At-grade(MN) Septic Tank Absorption Field-Mound(MN) 4. Prof miteary Soil Profile Information(from web sort survey-fru Enter information here or attach map and description. Map Unit other Depth Texture(s) Structures) Consistence Restrictions Color Horizon 1 Horizon 2 Horizon 3 Horizon 4 Horizon 5 Map Unit Other Depth Texture(s) Structurel$) Consistevace Restrictions Color Horizon 1 Hkrlmn 2 - Horizon 3 Horizon 4 ... Horizon 5 Map unit Other Depth Texture(s) Structure(s) Consistence Restrictions Color Horizon t �. ..... Horizon 2 Horizon 3 Horizon 4 ... Horizon 5 Map unit Other Depth Texture(s) Structures) Consistence Restrictions Cot" Horizon 1 Horizon 2 .. .... .. Horizon 3 Horizon 4 Horizon 5 5. Loci Government Unit Information Name of WU ... LGU Contact .. LGU-specific setbacks LGU-spedfic design requirements LGU-specific irntattation requirements O hereby certify that I have conpleted this wok in acrnrdance with all applicable ordinances,rules and taws. (Designer) (Signature) (LE)ense k} (Date) System Specifications Pump Tank• • A 2.5 inch electrical conduit is to be used for the pump cords • The piping is to accessible from ground level for future repair • The supply line leaving the tank is to be sleeved over any excavated ground in 4" sch 40 PVC and scaled with a 4x2 Femeo • The floats are to be installed on a float tree • The pump must be placed on a pump block • A minimum of a '/4" drainback hole must be drilled in the supply line to avoid freezing Blow-outs are to be installed on the ends of all pressure lines An "Effluent Filter" is to be installed in the outlet of the second tank. It should be easily accessible from the ground surface for cleaning. The effluent filter will be equipped with an alarm. All run-off water is to be diverted away from the tanks and drainfield areas Plastic bolt down manhole covers are to be used and left at grade level for maintenance access. Pressure rate glue joint fittings must be used. If the septic tanks are less than 2' deep the covers are to be insulated with 2" hi&h-density foam It is the installer's responsibility that all sewerlines leaving the structure have been connected to the new system ./ to 1000 Willow Dr. South Orono, MN This system currently has a drainfield that is compliant and seems to be working properly. The tanks that are on the site are block tanks and will need to be pumped, crushed and abandoned. i 1000 Willow Dr. South Orono, MN She oo/ North New 1 0 Galllon Septic Tanks 20, House Well Exis 'ng Dral field We I I :0 w o� 6 0