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Home My WebLink About37000991238000_Septic System Permits_ff; Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Centcr - 540 West Fir Fergus Falls, MN 56537 PH; 218-998-8095 Otter Tail County's Website; www.co.otter-tail.mn.us August 12, 2008 Paul & Sandra Wohl 13104 73rd Ter W Shawnee, KS 66216 RE: Sewage Treatment System Servicing Tax Parcel Number 39000991238000 Described as Lot 14, Crystal Springs, Section 3 of Lida Township, Crystal Lake (56- 749) As of August 7, 2008, the sewage treatment system (Sewage Treatment Installation Permit #19391) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a 4 bedroom home. If you have any questions regarding this matter, please contact our office. Sincerely Mark Ronning Inspector ., APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM _ . LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, 1^56537 www.co.otter-tail.mn.us ■■ * WHITE - Office VElCow - L & R Inspector PINK - Owner / Contractor (after issue)^^0 ^ IrAPPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED ' ( LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD iS 3.3'000I LEGAL DESCRIPTION cjs lot iqSp/3 Y \n Last Name Firsi Initial Mailing Address Daytime Phone No. 0 r\Property Owner I ^ / L i 1 i '.3 \ vO ill r L— '.J TContlbcJKtr ac yiin'FYt_____________________ I C i' c CL-j-q—f (Yn s-^ r u c-t io THIS SPACE FOR OFFICE USE ONLY ~J%urS(c&ey.^-00 A.M. ► This System will be ready for Inspection on , the year of i-G -0^TimeReceived P.M. Date Received L & R Official SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE) TANK DRAINFIELD Ft'Size GIs.Add-On/ Replacement (32) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Graveiless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade \A Setback to nearest well Ft.Ft. Setback to OHWL (lake &/or river)Ft.Ft. Setback to wetland Ft.Ft.I Setback to dwelling Ft.Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade 1Setback to non-dwelling Ft. Ft. Setback to nearest property line Ft.Ft.Other (41) Tank, Holding (42) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous Setback to road right-of-way Ft. Ft. Elevation above restrictive layer Ft. Ft. ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. DEPTM OFS/V/VERWELL # BEDROOMS GARBAGE DISP. Y / N ABATEMENT Y / N ABSORPTION AREA FOR MOUNDS EFFLUENT DISTRIBUTION ( ) Gravity ( ) Pressure HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( )Yes ( ) No-L&R Can Not Process Ft^ Designer____ ! Designer Lie. # PERCOLATION TEST DATA i A41U ;!Date of Test Highest RateI Agreement; The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accordance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource Management Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. Permit; Permission is hereby granted to the above named applicant to perform the work described i condition that the person to whom it is granted, and his agent, employees and workmen shall oonl^ Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. NOTE; This permit is valid for a period of six (6) months. / Jb^bove statement. This permit is granted upon express in all respects to the Sanitation Code of Otter Tail County, Date:Permit Fee $fny w/Signature of Property Owner/Agent for Own Date:Rec. No.. *Land & Resource Management Office Comments: 3^ S Form No. BK — 0906-003 327,315 • Victor Lundeen Co.. Printors • Fergus Falls. Minnesota N 1 . %SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements SEPTIC TANK DRAINFIELD OUTHOUSELIFT TANKCATEGORY Capacity j O'O 6 / 0O'^ LS.FT2 Setback from Nearest Well FT fOOi- FT FT Setback from Buried Water Suction Pipe FT FT FT FT Setback from Buried Pipe Distributing Water Under Pressure /O FT FT /O^ FT FT Setback from OHWL (lake &/or river)FT3oor- ft FT FT Setback from Setback from Wetland FT FT FT FT 7/Setback from Dwelling ftFTFT FT Setback from Non-Dwelling FT FT FT FT Setback from Nearest Property Line /Q/- ft FT FT FT Setback from Right-of-Way FT FT /O't' FT FT Elevation above Restrictive Layer FT FT 3-f FT FT Holding Tank/Lift Alarm ■'JO Old System Pumped & Destroyed slO SEPTIC TANKfSt FILTER Sewer Line to Well Separation DRAINFIELD CALCULATIONfActualMinimum# Tanks Installed □ YES FTX FTManuf. .ft"FT 20fModel # MOUND CALCULATION MOUND /AT-GRADE ROCK REDUCTIONInspector’s Comments: ABSORBTION AREA Rock trenches with inches of rock under pipe for ^ O .%Ft. X DF.reduction / equivalent toFt2 SKETCH: i O 0N dim /sT^1DateTimeInitial/L & R Official Asof_eA/ML Code of Oner Tail County. the above described sewage system installation was found to be compliant with the provisions of the Sanitation Land & Resource Managemefif^Ucial APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENTLAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) KcGCiVcU SEP 21 2007 LAND & RESOURCE GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.usWHITE - Office YELLOW -L&R Inspector PINK - Owner/ Contractor (after issue) APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME rCru&f-gi^ PARCEL NUMBER (S) OF PRo'rbRTY BEING SERVICED LAKE/RIVER CLASS /)_J SECTION TWP NO.RANGE TWP NAME LicLo- E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD 31-000000 Dr.r/r? LEGAL DESCRIPTION Last Name First Initial Mailing Address Daytime Phone No. 13/04 Tar MTcujlDProperty Owner Shau3iae^ ^ KS l^ACCIr Cortsiru ctio n ^ * CX^Zl X ^ T Contractor Lie. #^5!s70 3HS^■!Llcit2|22- h THIS SPACE FOR OFFICE USE ONLY A.M. > This System will be ready for inspection on , the year of P.M.at A.M. P.M. Date Received Time Received L&R Official SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE)TANK DRAINFIELD ~7ipS/pop Ft"Size GIs.Add-On/__-----New-Swslern ^ J20) Trench, Rock^^ TiHtiL'M braveiiess (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade 111Replacement (32) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination Setback to nearest well Ft.Ft. a 50Setback to OHWL (lake &/or river)Ft.Ft. NjA MiflSetback to wetland Ft.Ft. 1.03 113Setback to dwelling Ft.Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade -lOSetback to non-dwelling Ft.Ft. l-S!0Setback to nearest property line Ft.Ft.Other (41) Tank, Holding (42) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous Setback to road right-of-way Ft.Ft. + 5Elevation above restrictive layer Ft.Ft. ALL DISTANCES ARE SHORTEST DltTANCE BETWEEN NEAREST POINTS.DEPTH OF WATER V^LL # BEDROOMS n ABSORPTION AREA FOR MOUNDS GARBAGE DISP. ABATEMENT YEFFLUENT DISTRIBUTION (X) Gravity ( ) Pressure HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( )Yes ( ) No-L&R Can Not Process Ft^ Designer vm PERCOLATION TEST DATA \ Designer Lie. # Q 0\ ti n'TDate of Test Highest Rate Agreement: The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accordance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource Management Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. NOTE: This permit is valid for a period of six (6) months. Date:Permit Fee $ Signature of Pr lent fqi mer Date:Rec. No..Land & Resource Marmgemenfpmce Comments: Form No. BK — 0906-003 327,315 • Victor Lundoon Co., Phntort • Forgus FoMs. Minnooota SITE DATA WORKSHEET LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Sewage Treatment System Permit #QWBIIEB; Wohl Paul LAST NAME FIRST MIDDLE TELEPHONE NUMBER ADDRESS: KS 6621613104 73rd TerW Shawnee STR./RT CITY STATE ZIP CODE 749 Crystal 3 136 N 42 W Lida LAKE/RIVER NO.LAKE NAME SEC.TWP RANGE TWP. NAME LEGAL DESCRIPTION:SOIL BORING LOG COLOR & MUNSELL NO. DEPTH (INCHES)TEXTURE STRUCTURE BLOCKY PLATY PRISMATIC NONE Oto 16 Sandy Loam Topsoil37-000-99-1238-000 PARCEL NUMBER east of 45752 Crystal Springs Dr BLOCKY PLATY PRISMATIC NONE 16 to 32 Sandy Loam 10 YR E-911 Address or Directions From Nearest Public Road 4/4 NUMBER OF BEDROOMS BLOCKY PLATY PRISMATIC NONE 32 to 48 Sandy Loam 10 YR(3GARBAGE DISPOSAL: YES 5/4+f50sEWER LINE SEPARATIOnI’^^ WELL: CASING DEPTH .ft. BLOCKY PLATY PRISMATIC NONE 48 to 84 Sandy Loam 10 YR FLOODPLAIN: YES BLUFF: YES 6/4 VEGETATION: AQUATIC ERRESTRIAL BLOCKY PLATY PRISMATIC NONE >2%%SLOPE AT INSTALLATION SITE: TYPE OF OBSERVATION:Probe Boring PARENT MATERIAL:(7 Till,Outwash Loess Bedrock Alluvium 61ORIGINAL SOIL:Yes ) No Date of Soil Boring, COMPACTED SOIL: Yes ^In hi84 Inr.hp.c;DEPTH OF BORING (To T or restrictive layer):.Date of Perc Test PERC TEST # 1 PERC TEST #2- TWO TESTS ARE REQUIRED - WATfR DEGTHTIMEINTERVAL(MINUTES)WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE 'M..m.S:::::Ls:..16 U5TIMEDROPPERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME&INTERVAL (MINUTES!WAT^R DEPTH WATER DROP PERC RATE ....m LS..rd/o U3.r^.use.TIME DROP PERC TIME DROP PERCTIMEINTERVAMMINUTES)WATER DEPIHSMS WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEI&2 125^ILBREFILL .LklJ.3..10.fO(a 4^TIME TIME DROP PERCTIMEINTERVAL [MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL -f_____ =TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERC PROPOSED DESIGN: X XTRENCH.BED.ATGRADE.MOUND.HOLDING TANK.GRAVITY DIST.PRESSURE DIST. SEWER LINE.OUTHOUSE.OTHER.SPECIFY. — SYSTEM DESIGN ON BACK — System design must be to scale and must include the proposed location of the sewage system, all existing/proposed buildings, property lines, the ordinary high water level of the water body, wetlands. bluff and all water wells within 150' of the sewage system. If there are any questions, see the University of Minnesota Site Evaluation worksheets.t^ECEIVED itP 21 2007 1^0 & resourceI.inch(es) equalsScale:.grid(s) equals feet, or feet MPCA LICENSE #:S04Wayne JohnsonDESIGNED BY: Designer 1LICENSE CATEGORY:_ 3)|e-| |b;s^3Super Septic Inc.FIRM NAME:01DATE: 46832 Go Hwy 9 ;ADDRESS: SIGNATURE: Rapids, 56572Pelican £l££-£98W iO6#9SU0on ZZS99NW'sPKteyuBO!ied 6M^■o^^£89^ spidey UBDpd p ou| 'ojictes Jsdns uosuqorsu^ Aqpsu&ssQpueuMejQ S3jnpai)s------ ppyu!Eja'j9unj9/v0s — 0unioT — 3U!l)pBq}9S ------ 6ui||3/vy] ,66oes AeM)Z33jg iUBqApues-fr/9yA0h„f8Oi„8^ uieoTApuBS-friSyA0l-„8foJ,ze uiBO^ApuBS-fr/^yA0^^^EO^,Sl LUBOiApues- |iosdoi-,flioi,flo 6oi6uuog ■ 1. 36 3JB9 Oupijed 7T\ 7T\ md33Q,weot p3S0d0Jd ^BM3AUa ,09ett,09 0Z .9Lt8 1 Sly \1/i,92’Ot ^ -\1/\/\L/,eest ^ fl£ = „L8|K)S \ ,338c00Ct8£ZI-66-000-ZE:#|3OJBd JQ s6uuds |B}sZjo 39/92 p |sb9 9oe|d pau aipsiZpacloxIisssjppeoN :U63 Uhdcr- fock. ireiftC^mz 91399 SM'BBuweqs MJBiPJEZWiei ITOapuBssined MOiJJQ sBuuds IB}s/{jqmuon BK - 1003 - 029 315.904 • Victor Lundeen Co, Printers *. Fergus Falls. MN • 1-800-346-4870 NorthPauli Sandra VIbhl . 13104 73rdTerW Shawnee, KS 66216 - E911: No address; property is the next place east cf 25752 Crystal Springs Dr Parcel ft 37-00(W9-123W)00 Scale: 1"=30' tCiyslal Springs Dr ROW--------I I II I i I 22.48'1 Secondary Drainfield site \i 38.22’I i'I I I I »I 1 .iZTNzrII ^ 10.25'I I +L •I . • ’ 1 Mi IiI \\II\\\\\i. \\iIII\\II I 1 81.16'1I i1 '1/1ijI»70.60I 113.60' Driveway «.I III11I 103.04’,1I Proposed IiIi I I DeepI.t IIIIIWelliII Boring Log 00"to 16'-Topsoil -SandyLoam 16'to32"-10YR4/4-SandyLoam 32"to48"-10YR5/4-SahdyLoam 48"to84"-10YR6/4-Sandyloam I I I 1 Tr)/.■■ Paridng 1II1 iIGarageIIII : I I iI \I iI' w .Breezdway ri 'I I 230.99’I I — Setback Line -- - LotLine— Sewer Line & Drain Field —— Structures j I 220.43'I 1 \1 \[ Dwelling I I 1rI I I 1 \\1 I Drawn and Designed by lAi^ JohnsonSuper Septic, Inc. of Pelican Rapids 46832Co.Hwy,9 .Pelican Rapids. MN 56572 License #901 218-863-3373 - II \ . I I I I 1 II I I 1 ■■■1 [ I I )I j II I I \-ii