Loading...
HomeMy WebLinkAbout61000230108000_Conditional Use Permits_04-08-2019THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER APPLICATION FOR CONDITIONAL USE PERMIT COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER 540 WEST FIR, FERGUS FALLS, MN 56537 (218) 998-8095 Otter Tail County’s Website: www.co.ottertail.mn.us Application Fee / F Receipt Number /V3/4 7 Accepted By / Date j-5 -y DAYTIME PHONE JZ' COMPLETE THIS APPLICATION IN BLACK INK /-lPROPERTY OWNER(S) / _______LAKE CLASS HIP MAILING ADDRESS jZZ^/yt/^ RANGE^Z^a^: / LAKE NAMELAKE NUMBER TOWNSHIP OWNSSECTION PARCEL NUMBER E-911 ADDRESS LEGAL DESCRIPTION rZf ,5^Z’5 ZvZ- aCLojikuU) CONDITIONAL USE PROJECT REQUESTED (Please circle the appropriate request) Industrial UseTopographical Alteration Forest Land Conversion Commercial Use Cluster Development Extractive Use Miscellaneous SPECIFY YOUR REQUEST. PLEASE BE BRIEF AS THIS WILL BE USED FOR PUBLIC NOTIFICATION. . ^ o4 Za ZZtr>*A. c/r X Z. , TT-wV ZZ /Z ^. •> ^/dC^ A? <i?/r>55/>Y r«=^ tP ^ Xt ir A dj f I UNDERSTAND THAT APPROVAL OF THIS REQUEST APPLIES ONLY TO THE USE OF THE LAND. I ALSO UNDERSTAND THAT OTHER PERMITS MAY BE REQUIRED, IT IS MY RESPONSIBILITY TO CONTACT LAND & RESOURCE MANAGEMENT REGARDING THIS MATTER. DATESfGl^URE OF PROPERTY 6wNER / AGENT FOR OWNER APPLICANT MUST BE PRESENT AT THE HEARING (Applicant Will Receive Notification As To The Date/Time Of Hearing)‘ \ Date Of Planning Commission Hearing Time Planning Commission Recommendation April 8, 2009 - Motion: A motion by Gill, second by Schwartz to approve as presented, provided: 1. The ditches are seeded and stabilized. 2. The culvert size is approved by the WOT SWCD. 3. The fill in the wetlands is removed pursuant to the Wetland Conservation Act. Chairman/otter Tail Co^jnfy Planning Commission County Board Action Approved As Recommended Denied As Recommended Other Chairman/Otter Tail County Board of Commissioners Date of Final Action CONDITIONAL USE PERMIT # L & R Official/Date Permit(s) required from Land & Resource Management Yes (Contact Land & Resource Management)No 4/Z.3 (OC) Copy of Application Mailed to Applicant, Co. Assessor and MN DNR L & R Official/Date bk 062007-006 LAND AND RESOURCE MANAGEMENTOTTER TAIL COUNTY, GOVERNMENT SERVICES CENTER, FERGUS FALLS, MN 56537 STATE OF MINNESOTA ) ) ss COUNTY OF OTTER TAIL ) I, Marsha Bowman, duly appointed and Acting Secretary of the Otter Taii County Plannnjjig Commissjpi^or Otter Tail County, Minnesota, do hereby certify that on ^5j^day of v'/2dAJU_, 2009, the attached Notice of Hearing and was dulythe. served upon the following: CourthouseCounty Sheriff County Highway Engineer Otter Tail COLA, John Matteson, 23562 W Silver Lk Rd, Battle Lake, MN 56515 MPCA, 116 E Front St., Detroit Lakes, MN 56501 Terry Lejcher, DNR, Div. of Waters, 1509 1st Ave N, Fergus Falls, MN 56537 Bruce Winterfeldt, DNR, Trails & Waterways Arlin Schalekamp, DNR, Div. of Fisheries Doug Hedtke, DNR, Div. of Wildlife Planning Commission Members (The above receive a// Notices) Lake Improvement District (if project is located on their lake, mall Notices to the Lake Improvement District) Pelican, Fi^Bass & Little PgliCefn: Pelican Grou\Lake Imp. Di§ Turtle Lake Imp. Dist., %Bto Little Pine S^igTift^ Pine Lakes Imp. Dist^^^5(9'€ox4 onald, Kerbs as^ul: McDonaWTakes Imp. Dist., City^p^ (if located within 2 miles of a city) MNDQ^^ist. Office, 1000 Hwy 10 W, Detroit Lakes, MN 56501 (if located on a State or Fed Hwy) Adjacent Count^^^ng Administrator (If the County is in the “Buffer) - check their website for name/address Becker County Audji^T^otify in addition to their Zoning Administrator) - check their website for name/address Per BK, do not notify individuals within a City Limit Same Envelope 'oFred Manu^, 26271 Otosoj3,B©rDetroit Lakes MN 56501 lore Ln, Underwood, MN 56586STJanet Johnsen, 32790 Perham, MN 56573^ Box 133, (®^am, MN 56573 South Turtle L^: Little ^Township Clery Lake A'^^ciation, su^l^or (if appropriate), those listed on the attached sheej..., Pimhhtdb, eM low sta. 15 ,Dy placing a true ana correct copy thereopin a sealed envelope, postage prepaid, and by depositing them in the U.S. Mail at Fergus Falls, MN, properly addressed to each of the above named at the addresses shown above. Secretary If parcel owner is “USA”, mail to Fish & Wildlife Service, 18965 Co. Hwy 82, Fergus Falls, MN 56537 If parcel owner is “DNR”, ignore as they are receiving a notice as stated above If parcel owner is “St. of MN. 375 Centennial Bldg. Spec Asst, to Atty General St. Paul, MN “, mail to DNR Lands & Minerals 2115 Birchmont Beach Rd NE Bemidji, MN 56601 PC Affidavit 1/09 PLAKfNEi^G COt\/EIVSBSSEOi^ ISSGTBFECATBO^ WORKSHEET AppBicant: n^ikJut ULorRMeeting Date:Lake: Date Assigned:Assigned To: Completed:Return By: * \y V2 Mile (2640’) Preliminary PlatV4 Mile (1320’) Conditional Use App *Township / County Roads: Sherry (GIS) will get map, listing, labels (she has an advanced mapping system), unless it is adjacent to the parcel(s) that run the length of the road project. Be sure to list the road name(s) and the parcel number(s) involved with the project on this sheet for Sherry. lUPf L/fonn /<^ (J)j dp^diM/rct TMif. 6Mb /3 tn\M /)K. 6 ////H zH It((!0 Cf PCiWorksheet Notification 09/08 Page 1 of 1OTC Parcel GISMO Output- NOT a Legal Document Otter Tail County Parcel GISMO s V ■9 I10^2[ii 1 'J• f7\ nf rIik ru:0. t it )r‘1J pi5\ 1 ; z /.tf ,54k / ‘I /o'.' '/ ^ ■ ^o\Lidz'£<(«««i..tzi 7‘24,. , : •■ .H 4 p r nI11n1"V I-p I unrIft-CiISJ/^-1 ii !%2R \H,. 2 52627‘licr'N A > ■■:l....- II C/ Z'I Li i;pSfpq£m5esI] ^ I__- \- 'i 5fe-, o %>■:■ W|-• 2M2 f1X.FOR REFERENCE USE ONLY-Copyright (C) 2009 Otter Tail County, MN http://www.ottertailcounty.net/servlet/com.esri.esrimap.Esrimap?ServiceName=parcelsco... 03/17/2009 LIST PARCELS IN BUFFER 03/17/2009 Parcel Number Namel Name2 Street Addr Addr2 CSZ 61000130059000 BRUTLAG LAND CO 61000140060000 DAVID H STOCK 61000140061000 DAVID H & DEBORAH STOCK 61000140063001 WESTERN PRESBYTERIAN CHURCH 61000140064000 BRUTLAG LAND CO 61000140065001 JOHN P & KAYLA R WANNEMACHER 61000140065900 BRUTLAG LAND CO 61000140066001 BRUTLAG LAND CO 61000150067001 GERMAN LUTHERAN CHURCH WENDELL MN 56590 9701 FERGUS FALLS MN 56537 725 FERGUS FALLS MN 56537 725 FERGUS FALLS MN 56537 829 WENDELL MN 56590 9701 FERGUS FALLS MN 56537 726 WENDELL MN 56590 9701 WENDELL MN 56590 9701 27113 COUNTY ROAD 11 15545 COUNTY HIGHWAY 112 15545 COUNTY HIGHWAY 112 ATTN TOM BRAUSE 21611 HILLSIDE BEACH RD 27113 COUNTY ROAD 11 j15159 130TH ST 27113 COUNTY ROAD 11 27113 COUNTY ROAD 11 61000220105000 GENEVA DAVENPORT ET AL TRUSTE 61000220105001 WESTERN TOWNSHIP 61000220106000 BRUTLAG LAND CO 61000230107001 PAULA MARIE & CORY L PEDERSON 61000230107900 IRVING J DEWEY 01O(M)23O108000 iDON E & MARION E DAVENPORT 61000230109000 4300 RIVER PKWY W APT 106 14962 COUNTY HIGHWAY 112 27113 COUNTY ROAD 11 11998 150TH AVE 1704 ASPEN LN il2752 COUNTY HlGHWAYirT"" 12752 COUNTY HIGHWAY 15 4300 RIVER PKWY W APT 106; J27113 COUNTY ROAD 11 ;12121 165TH AVE MINNEAPOLIS MN 55406 3696 FERGUS FALLS MN 56537 725 WENDELL MN 56590 9701 GAMPBELLMN 56522 9325 FERGUS FALLS MN 56537 241 FERGUS FALLS MN 56537 722 ATTN WADE LEE ..I DON E & MARION E DAVENPORT 61000230110000 GENEVA DAVENPORT ETAL TRUSTE 61000240111000 BRUTLAG LAND CO 61000240114001 DALE & SHERI MEIS FERGUS FALLS MN 56537 722 MINNEAPOLIS MN 55406 3696 WENDELL MN 56590 9701 FERGUS FALLS MN 56537 720 Page 1 .P4ed vol Cc^f” >TT Page 1 of 1OTC Parcel GISMO Output- NOT a Legal Document Otter Tail County Parcel GISMO ■ff, t111a 1!| . 3 Meta'S FOR REFERENCE USE ONLY-Copyright (C) 2009 Otter Tail County. MN A'^uJ-Ui looo' >f PhBf^O^ 'PjiojpjJb fyiuUMo dtyiXSAb pjte^uKtU M-tlk) iSbitj iHu^ ^ yAuO Jld<L&Xo&7V. http://www.ottertailcounty.net/servlet/com.esri.esrimap.Esrimap?ServiceName=parcelsco... 03/04/2009 I OTTER TAIL COUNTY PLANNING COMMISSION NOTICE OF PUBLIC HEARING Don Davenport 12752 Co Hwy 15 Fergus Falls, MN 56537 APPLICANT: HEARING DATE/LOCATION: April 8, 2009 at 6:30 P.M. ** |Commissioner's Room, 'Government Services Center |West Fir Fergus Falls, MN 56537 CONDITIONAL USE PERMIT APPLICATION REQUEST (as stated by the Applicant): This is an After-The-Fact Request Clean ditch & reshape side to prevent more dirt form falling in. Insert tile in bottom of the ditch. Place a crossing in with a 24” culvert. Approx. 1046 yards of dirt removed to clean & shape ditch. Approx. 959 ydsjto fill crossing. Leveled existing spoil piles and spoil piles from this cleaning. LAKE NAME/NUMBER/CLASS: Upper Lightning Lake (56-957), NE E-911 ADDRESS: 12752 Co Hwy 15 LEGAL DESCRIPTION: Fr’l NE1/4, Section 23 of Western Township ** Weather Conditions may change the (tearing date and time. If bad weather occurs, please listen to the local Fergus Falls Radio Stations or contact the Land & Resource Management Office, by 4:30 p.m., for possible rescheduling of the Hearing.__________________________j____________________ ________________________________ The above Applicant has made Application to the Otter Tail County Planning Commission for a Conditional Use Permit las per the requirements of the Shoreland Management Ordinance of Otter Tail Countyi Details of the Application are available for viewing at the Land & Resource Management Office, Government Services Center 540 West Fir, Fergus Falls, MN 56537. Any comments regarding this request may be expressed at the Hearing or mailed to the Land & Resource Management Office at the above address. INDIVIDUALS REQUIRING SPECIAL ACCOMMODATIONS SHOULD CONTACT THE LAND & RESOURCE MANAGEMENT OFFICE PRIOR TO THE HEARING. March 25. 2009Bert Olson Mailing DateChairman Planning Commission OTC B^rd of Commissioners Minute! L ApriM4,200< PsQe i Conditional Use Permit - Dora Township: Motion by Froemming, second by Erickson, and unanimously carried to approve a Conditional Use Permit to rebuild Mac Circle Road subject to conditions as recommended by the Planning Commission. The property is described as Mac Circle Rd, Pt of GL 2 & SI/2 SE1/4 ex trs & ex plat & Lot 3 ex tr & ex plat, Section 23 and Lot 2 ex platted & ex tract. Section 24 of Dora Township; West & Big McDonald Lake (56-386), RD & Hoffman Lake (56-1627), RD. Conditional Use Permit - Don Davenport: Motion by Huebsch, second by Lindquist, and unanimously carried to approve an after-the-fact Conditiooal Use Permit to clean and reshape a ditch and install a 24” culvert subject to conditions as recommended by the Planning Commission. The property is described as Fr’l NE1/4, Section 23 of Western Township; Upper Lightning Lake (56-957), NE. Conditional Use Permit - Gary W. & Craig J. Anderson: Motion by Froemming, second by Lindquist, and unanimously carried to approve a Conditional Use Permit to remove soil from a 190’ x 200’ x 6” area that is 135’ from Otter Tail River subject to conditions as recommended by the Planning Commission. The property is described as GL 6 ex trs & ex flowage. Section 5 of Buse Township; Otter Tail River (56-OTR), AG. Conditional Use Permit - “Elks Point". Fergus Falls. MN Elks Lodge #1093: Motion by Lindquist, second by Rogness, and unanimously carried to approve a Conditional Use Permit to increase the authorized number of campsites within the existing campgrounds from 14 to 28 sites subject to conditions as recommended by the Planning Commission. The property is described as Pt of GL 1 (5 AC), Section 4 & pt of GL 8 (20 AC), Section 9 of Dane Prairie Township; Wall Lake (56-658), GD. Conditional Use Permit - “Leaf Lake Pleasure Grounds”. Red Barn Investments. LLC: Motion by Huebsch, second by Froemming, and unanimously carried to approve a Conditional Use Permit to convert the existing resort to a personal property cooperative subject to conditions as recommended by the Planning Commission. The property is described as Leaf Lake Pleasure Grounds Lots 6,7,8 & 9 & pt Res Lot C and pt GL’s 3,4 & 5, Section 22 of Leaf Lake Township; East Leaf Lake (56-116), RD. Relocation Request - “Stalker Lake Golf View Shores”. Smedsrud Development LLC: Motion by Rogness, second by Froemming, and unanimously carried to concur with the Planning Commission recommendation to allow the existing clubhouse to remain onsite provided it is properly relocated and that it is the only dwelling onsite. This approval must be completed no later than September 1, 2009. Prairie Snow Drifters Trail Association Otter Tail County Resolution No. 2009 - 20 Commissioner Huebsch offered the following and moved its adoption: WHEREAS, Otter Tail County has sponsored Grant-In-Aid Systems in the past; and WHEREAS, acceptance of the Grant-In-Aid Systems proposed extensions are subject to the review and approval of the County Attorney. THEREFORE, BE IT RESOLVED that Otter Tail County shall continue to sponsor Grant-In-Aid Trail Systems as they exist for the Prairie Snow Drifters Trail Association Snowmobile Club for the 2009- otter Tail County, Planning Commission April 8, 2009; Page 2 tract, Section 24 of Dora Township: West & Big McDonald Lake (56-386), RD & Hoffman Lake (56-1627), RD. Daryl Haarstick, Norb Benke, and David Antonsen represented the Application. Cathleen Aim had questions regarding the design of the road. Brian Olson had questions regarding the effect on existing approaches, spoke in favor of the project, stated that safety does need to be addressed, and had a question regarding the extent of the project near the public access. Bill Nerdahl had questions regarding the project in regards to the centerline and speed control Motion: A Motion by Schwartz, second by Gill to approve with the following conditions: 1. The Applicant complies with the Wetland Conservation Act. 2. The Applicant stays within their existing right-of-way, except for the borrow area. 3. A civil engineer reviews the project and insures there is not any adverse water displacement. 4. The Applicant follows the recommendations of the County Highway Engineer. Voting Yes: Gill, Kinzier, Olson, Schwartz, & Wilson. Voting No: Boyer (lack of information, i.e. no typical section), Maske, & Zimmerman. Don Davenport-Approved With Conditions: A Conditional Use Permit Application (as stated by the Applicant): (This is an After-The-Fact Request.) Clean ditch & reshape side to prevent more dirt form falling in. Insert tile in bottom of the ditch. Place a crossing in with a 24” culvert. Approx. 1046 yards of dirt removed to clean & shape ditch. Approx. 959 yds to fill crossing. Leveled existing spoil piles and spoil piles from this cleaning. The property is described as Fr’l NE1/4, Section 23 of Western Township: Upper Lightning Lake (56-957), NE. Don Davenport & Hollis Davenport represented the Application. David Stock spoke in favor of the project. Motion: A motion by Gill, second by Schwartz to approve as presented, provided: 1. The ditches are seeded and stabilized. 2. The culvert size is approved by the WOT SWCD. 3. The fill in the wetlands is removed pursuant to the Wetland Conservation Act. Voting: All members in favor, except Boyer and Maske abstained. DLM LLC % David Moenkedick & Jon Saetre - Tabled to May 13, 2009: A Conditional Use Permit Application (as stated by the Applicant): #1. Rebuild old existing road for farm use on Parcel 20000110064001 (Jon Saetre). The road will be approx. 18’ wide & approx. 585’ long with max depth of 18”± and min. depth of 0’ (0-18”±). Type of fill material used on road project will be sand and gravel. Approx. 390± yd of fill. Borrow pit on parcel #20000120070001 (DLM). #2. Parcel 20000110064005 (DLM) - Construct a low maintenance road that will start from Little McDonald Dr. E. The road will be approx. 18’ wide and approx. 550’ long with max depth of T (majority of fill in field will be very minimal, 183 cu yds). Construct an approach off Little McDonald Dr E with approx. 50 yds of fill (183 -I- 50 = 233±). Amount of fill material from borrow pit will be approx. 1013 yds± (780 + 233 yds of fill) from parcel #20000120070001. The property is described as Pt of GL 2 & 3 & ELY portion along W shores of lakes of SE1/4, Section 11 and Pt of Lot 4, Section 12 of Edna Township: Moenkedick Lake (56-336), NE & Ceynowa Lake (56-337), GD. Jason Lina (Attorney) and David Moenkedick represented the Application. Bill Kalar read a letter from Jon Saetre requesting the Application be tabled to May 13, 2009. A. H. Moenkedick attested to the long time use of the road for farm use. Motion: A motion by Wilson, second by Maske to table, at both Applicants’ request, to May 13, 2009. Voting: All members in favor. 1- WAIVER OF 60-DAY RULE THIS WAIVER MUST BE FILED AND SUBMITTED TO THE OFFICE OF LAND & RESOURCE MANAGEMENT BETWEEN OCTOBER 1^^ & MARCH 1^^ I understand that, due to snow cover, the Planning Commission Members and/or the Board of Adjustment Members may not be able to view my property/project (Tax Parcel described in my _____ dated 5^ Application , As a result, it may not be possible for Otter Tail County to meet the legal requirement to take action within 60 days of the receipt of the completed Application(s). I understand that in the absence of a waiver of the 60-Day Requirement, the County may have no alternative but to deny my Application(s). Therefore, I hereby agree to waive the 60-day time limit in order to allow time for the Planning Commission Members and/or Board of Adjustment Members to view the property before taking action on my Application(s). ^ER } n ATED PROPERTY 0 11-02-04 Mbowman forms-apps waiver 60 day rule ; ---------- VM-09Tax parcel Number(s) >-r I / Drawing must be to scale. Drawir^g shall identify project and include the setbacks to all of the existing and proposed lotiines, road righi-of-way(s), ordinary high water level(s), structure(s), septice tank(s), drainfield(s), bluff(s) & wetland(s). Must also include all proposed topographical alterations. ! %Scale Impervious Surface illtb J i i / CJAS5 i*I C^nr* diu-l^ -i 4natiss£'0 { 4 4-e^^ K. c4> S' I ^ ^ *5(3 m 4tp /~c. cl 1 ^ \s P^) ^ ^ .......^ /^^fA '■J'kc ^ijT-+A. bo+^ OMy^ /r^r~-*— XAzA^ J-I £^/// /k^ S ' /h/-e^y / uu Crt>$5"^^ /"f\j , 1 s- CAju/j jMjJ{] sju^dji) j^i^fyj&XuAj^j) Signature of Property Owner 6? ^ i Date BK — 0505 329.610 ■ Victor Lundeen Co. Pfintes • Fercjus P»i.s, fAV • 1-600-346-4670 ■( APPLICATION FOR GRADE & FILL PERMIT 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 r Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER #LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWP NAME PARCEL NUMBER(S)PROPERTY (E-911) ADDRESS LEGAL DESCRIPTION Last Name.First Initial Mailing Address DAYTIME Phone No Property Owner A A I yiLContractor Name Lie. # NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. Received L&R Official DATE IPROJECT REQUEST (You may use the grid on back for required scale drawing): DESCRIBE YOUR PROJECT(S): . ^i lQM<rceuy^ \ DETAILED INFORMATION: Yds"AREA TO BE GUT/EXCAVATED:Ft. X Ft. X Ft. - 27 Length Width Max Depth Yds"WALK-OUT BASEMENT PROJECTS:Ft. X Ft. X Ft. - 27 = . Length -Width Max Depth Ft. - 27 =Yds"AREA TO BE FILLED/LEVELED: _Ft. X Ft. X \Length Width Max Depth Yds"TOTAL EARTHMOVING REQUESTED = SLOPE OF BACKFILL AT FOUNDATION:Ft.Ft. Max. Depth Distance Extended From Foundation CULVERT:If Yes, must indicate size and location on drawing. Yes No TYPE OF SOILS AND/OR FILL MATERIAL: OF PROPERTY OWNER/AfeENT FOR'OWNER 'DATE RECEIPT NUMBER BK004/08 333,336 - Victor Lundeen Co. - Fergus Falls. MN - 216-736-5433 k HOLLIS DAVENPORT TION 23 T131N R44W SECTION 23 ( ! 5 I i! U UNINSURED 275.4 WELLS FARGO INS FERG N9604 020 220 W WASHINGTON FERGUS FALLS, MN 218-736-5641 Standing Strong in Crop Insurance' f i v\[ W ^ Atf VH- ^ 0/.102 for MS WORD) p 7/7007 Minnesota Local/State/Federal Application Form for WaterAA/etland Projects V'M26620-03B For Internal Use Only Date Initial Application Received Date initial Application Deemed CompleteField Office CodeApplication No. PART I: BASIC APPLICATION “See HELP” directs you to important additional information and assistance in Instmctions, Page 1. 1. LANDOWNER/APPLICANT CONTACT INFORMATION (SeeHeh 1) Name:Phone: 7'S‘^‘T^e/ Complete mailing address:/c?-'^7'/} lA. AUTHORIZED AGENT (See Help lAj (Only if applicable; an agent is not required) Name; Complete mailing address: ^^S-3'7 Phone; 7S’‘?-2‘7/7 2. NAME, TYPE AND SIZE OF PUBLIC WATERS or \WTLANDS IMPACTED (Attach Additional Project Area sheets if needed) Name or I.D. # of Waters Impacted (if applicable; if known): , . (Check all that apply); □ Lake □ River Q Circular 39 Wetland type; □ 1, D IL, □ 3, Q 4, □ 5, □ 6, □ 7, Q 8 Wetland plant community type*: □ shallow open water, D deep marsh, O shallow marsh, □ sedge meadow, □ fresh meadow, □ wet to wet-mesic prairie, Q calcareous fen, Q open bog or coniferous bog, □ shrub-carr/alder thicket, I I hardwood swamp or coniferous swamp, CH floodplain forest, [H seasonally flooded basin ) n 10 to 40 acres CU Greater than 40 acresIndicate size of entire lake or wetland (check one): Q Less than 10 acres (indicate size; 3. PROJECT LOCATION (Information can be found on property tax statement, property title or title insurance): City (if applicable): County: 7^/ UTM location; N Fire #:Project street address: 'A Section: Section; of 3 Lot #;Watershed (name or #) /Bh^Township #: Subdivision; Attach a simple site locator map. If needed, include on the map written directions to the site from a known location or landmark, and provide distances from known locations. Label the sheet SITE LOCATOR MAP. EBlock: 4. TYPE OF PROJECT; Describe the type of proposed work Attach ITP£ OF PROJECr sheet if needed. C/^f^ /TTO^At '/-//•f •riei/tt pi fd-Sj ^ftp^ 5. PROJECT PURPOSE, DESCRIPTION AND DIMENSIONS: Describe what you plan to do and why it is needed, how you plan to construct the project with dimensions (length, width, depth), area of impact, and when you propose to construct the project. This is the most important part of vour application. See HELP 5 before completing this section; see What To Includeon Plot's (Instructions, page I). Attach PROJEC^ DESCRIPTION sheet. ^ project: acres or sqt^e feet drained, filled or excavated.'i • 6. PROJECT ALTERNATIVES: What alternatives to this proposed project have you considered that would avoid or minimize impacts to wetlands or waters? List at least TWO additional alternatives to your project in Section 5 that avoid wetlands (one of which may be “no build” or “do nothing”), and explain why you chose to pursue the option described in this application over Aese alternatives. Atoch PROJECT ALTERNATIVES sheet xfneeAeh.\. ^ 7^//^ X^jauxi- ^I'LvU. <^-^4 7. ADJOINING PROPERTY OWNERS: For projects that impact more than 10,000 square feet of water or wetlands, list the complete mailing addresses of adjacent property owners on an attached separate sheet (See HELP 7) Is any portion of the work in wetland or water areas already completed? PTYcs flNo. If loUdf^J»vutrir-«_ 8. PORTION OF WORK COMPLETED: yes, describe the ^mpleted woA on a separate sheet of paper labeled WORK ALREADY COMPLETED. (See HELP 8) /A> /u f-e .sAr-t- /« iSd , u j- 9. STATUS OF OTHER APPROVALS; List any other permits, reviews Or approves related tb this proposed project that are either pending or separate attached sheet. See HELP 9.^ Ot~ ^have already been approved or denied on a 10. I am applying for state and local authorization to conduct the work described in this application. I am familiar with the information contained in this application. To the best of my knowledge and belief, all information in Part I is true, complete, and accurate. I possess _,,--the authority to undertake the work described, or 1 am acting as the duly authorized agent of the applicant. Signature of applicant (Landowner) f Date ^~^^i^ature of agent (if applicable) ( S7la<^dfL_\. ! ,* C-Date This block must be signed by the person who desires to undertake the proposed activity and has the necessary property rights to do so. If only the Agent has signed, please attach a separate sheet signed by the landowner, giving necessary authorization to the Agent. ‘See Wetland Plants and Plant Communities of Minnesota and Wisconsin (Eggers and Reed, 1997) as modified by the Board of Water and Soil Resources, United States Army Corps of Engineers. Minnesota Local/State/Federal Application Forms for WaterAVetland Projects Page 1 pursuant to Minnesota Statutes Chapter 103G.2212 an agent or employee of another mav not drain, excavate or iill a wetland/wholly or partiall}', unless the agent or employee has obtained a signed statement from the propert}- o-wmer stating that the wetland replacement plan required for the work has,been obtained, or that a replacement plan is not required; AND this statement is mailed to the local government unit (LGU) with jurisdiction over me wetland. Work in violation of the above statement and Minnesota Statutes § 103G.2212 to § 103G.237 is a misdemeanor punishable by up to a S700 fine and 90 days in jail. A replacement plan is required for any wetland draining, excavation, or filling activit}' that is not exempted under Minnesota Rules Chapter 8420.0122. National wetland inventory maps are available for review at the Counn-' Soil and Water Conservation District (SWCD) ofuces. Many wetlands may not be identiued on the maps but are still restricted from draining, excavating or filling. Contact the LGU office listed on page 2 of this form or SWCD ofiice for assistance. You can also call the Board of Water and Soil Resources (BWSR) at 651-296-3767 for LGU or SWCD locanon information. Property O’wmer Name:~i^ dU2“ 7 -fPiS/Address:Phone; Work Site Locanon: (address or property location) Contractor Name: (b3" company and .individnS) "' ' - ^ ^ ^ '' Q/^- 730:>-3f0OPhone:Address; Description of Work: s^y T This form is continued on the next page. (.1^ • Page 1 of 2 January 2007Contracior-l.anQowner Statement Fonn I certify that, as the .owner of the -property listed on this form, I have contacted the LGU and contact person listed .on 'this .form and a WCA replacement plan has been obtained, or is not required, for the work described and at the location Hsted on this form. Property- Ovmer Name: Signature Date: Contractor 0-wner N, Date: //~~Signarure( Local Government Unit (LGU):Land & Resource Management Otter Tail County - Government Services Center 540 W Fir Ave Fergus Falls MN 56537 218-998-8095 LGU Contact Person:Kyle Westergard This statement is invalid if any of the above information is not supplied or is inaccurate. Work in -violation of Minnesota Statutes § 103G.2212 to § 103G.237 is a misdemeanor punishable by up to a $700 .jEine and 90 days in jail. Page 2 of 2 Con-tractor-Lanciowiier S-catement Form Januan- 200: Esther V. Koppe, a single womanlii iirccii ..... Minnesota li(irt..y..i>/‘ (hr Cuunli/ uj.......Qt.t.6.r....T.4.i.l..................................and State of..............................................., of the first rart. and...J>.m....E,...Dayenpprt. and Mar^ .............Otter. Tail.... Wlitnegi'ctl), That the said party One and OO/lOO ($1.00) Dollar to.....her .................. uf the (.'aunty of parties of the si rond /lart, of the, first ftnrt, in eon si dr ration of.iJic suili of.......................other good and valuaole consideration. Minnesota...............and State of and ! )(J L Lifts, in hand jiaiil ta/ the said fiarlirs of the srrond fmrt, the rrerifit irhcrra/ is fieri tip aeknowl- ....herein) (front, fhir^ain, (Jaitelaiin, and ( 'onrri/ unto the said fiarlirs of ihr semnd part ased<Jrd, do. loin! tenants and not as tenants in raiiiiiion, Hair assigns, tiir snrvirar of said parliis, and the, hcir.i or fill reeland as'-ions of Ha- siiri'ii'or, Torerer, all (he trait Coinilii of. of land lifinti and heinff in the .and Stale of .Minnesota, deserihed as fidloirs. lo-iril :Otter Tail The Northwest Quarter (NWi); and the West One-half of the Northeast Quarter (W^NEU; and Lots One (1), and Two (2), of Section Twenty-three (23), Township One Hundred Thirty-one (131), Range Forty-four (44), except highway easements. Offo TAX (r.V' Uo s JState deed tax due hereon S / ^0 anb to tijc Toifether with all the heredilanieiits and afipiirtenaniTs 'hercnni i hi loll oil! a or in anyirise iifificrtainin o to the said parties of the seeoiid fiart, their assigns, (he snrvirar <// .and fiiirties, and. the heirs and assion.s of (,'ie .sin'rieor, Forever, the said fiarlirs of the seeond fend t'lKiiio as joint tenants and not as ti Hants in romnioH. 3n 'CcOtimonj> ililfjcrcof, The .said part...y. .. the dap and pear first above written. In Presence of .lirreiinto set.......he.r.of the first fiart ha B hand. Esther V. Koppe ......................... ^tatc of illmuesota,S3. Otter TailCounty of 67September13 th.................. notary public E 51 he r... V».Kp p pe , a . s i ng 1 e JTO n On this day of., before mei .within and for saide County, personally appeared . 19 a to,„rMa,,,fcnown to be the person............—described in, and who executed the forcooin^ instruineiii, .....-...and acknowledged that1..... the same as... ,®4e executed......(SfX) Note) her .free act and deed.*.t’ (See Note) ....--------------------------------------------------------------- OU'^i Tail Couniy. '!!dou. w «Z> ifotary ............. ....... Wy CoiUiiiiMion Expiia:. Aug. ill - J .C^Yjity, Minn. My commission expires . 19............ NOTE: The blank lines marked **See Note** are for use when the Instrument Is eiecuted by an attorney In fact. -r-rr-^ T