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Home My WebLink About37000990245000_Variances_06-22-1992Minnesota Department of Health Division of Environmental Health 925 Delaware Street Southeast P.O. Box 59040 Minneapolis, MN 55459-0040 (612) 627-5100 JU’s■ ^ s June 22, 1992 Refer to: License No. 56132 (TN193) Mr. David Antonsen Rural Route 2, Box 210 Vergas, Minnesota 56587 Mr. Marlow Davidson Rural Route 3, Box 79 Pelican Rapids, Minnesota 56572 \ Dear Mr. Antonsen and Mr. Davidson: Request for a Variance from Minnesota Rules, Chapter 4725 to Construct a Well, Unique Well No. 482554, on the Marlow Davidson Property, Section 14, Lida Township, Otter Tail County, Minnesota Subject: This letter is in response to your request for a variance from Minnesota Rules, Chapter 4725 to construct a well which will be located approximately 33 feet from the sewage holding tank on the above-referenced property. Minnesota Rules, part 4725.2000 requires that a well shall be located at least 50 feet from a septic tank. The above-mentioned site was inspected on May 1, 1992, and June 16, 1992, by Mr. Jeffrey Grugel from the Minnesota Department of Health, Fergus Falls District Office (MDH). Based on the results of the site inspection and from information supplied in the variance request, supplemental conversations, and in accordance with Minnesota Rules, Chapter 4725, a variance is granted to construct a well less than 50 feet from the sewage holding tank located on the above-mentioned property. The variance is granted because there is no location on the property which satisfies all the required isolation distances. The proposed well location, approximately 6 feet northeast of the east cabin and approximately 33 feet from the sewage holding tank, provides the greatest available separation between the well and known contamination sources. The variance is granted with the following conditions: 1. The well casing shall extend to a depth of at least 50 feet or shall penetrate at least 10 feet of impervious material. 2. The annular space between the plastic casing and the borehole wall, from the bottom of the casing to 30 feet below ground surface, shall be pressure grouted with bentonite or neat cement. The upper 30 feet of this annular space shall be pressure grouted with neat cement grout pumped through a tremie line. i An Equal Opportunity Employer i Mr. David Antonsen Mr. Marlow Davidson - 2 -June 22, 1992 3. All other provisions of Minnesota Rules, Chapter 4725 shall be in effect. 4. The MDH shall be contacted (Mr. Grugel at 218-739-7585) at least 24 hours prior to beginning well construction so that an inspector may be present during well construction. If you have any questions, please contact Mr. Grugel at 218/739-7585. Sincerely yours. Raymond W. Thron, Ph.D., P.E., Director Division of Environmental Health RWT;JG:vbMr. Bill Kalarcc: I hereby agree to abide by the above-stated conditions of the variance. i- Mr. David AntonsenDate Mr. Marlow DavidsonDate Signatures of applicant and contractor must be obtained and a copy of the form returned to the Minnesota Department of Health, Well Management Unit. NOTE: TN193 i io ‘ (?ec*White — Office Yellow — Owner Pink — Township APPLICATION FOR VARIANCE FROM Offer Tail County, Minnesota ^•12- V 7 - /^O't VI o Sc -\c >'’7 r-) u L ^ i..^Phone NoOwner: Last Name MiddleFirst 7SX>VV>-k’ C-,tlciTz H^ISHTS Street & No.City State Zip No. CD56 - 7V7 ^ t oaLegal Description: Lake No..Lake Name Lake Class Twp. ' ^ ^ '~>J2 Fr e F LCT 7 PLk 3 LL L\n f\Sec. _ Th r EXPLAIN YOUR PROBLEM HERE: Twp. NamaRange Fi^-iT L\Of^ l3 fS fic ^ TO iS"Ok> <snL H CL O I ny G 'i~YtLOCi^Te /9 /3 F TcJi;Fn// u^o ^orrn S FT Fkotr\AHfifZo'fim r^rniy) Carry? OF S£ pfi OiSTy?tvCF SRouio 10 ft P' CFTt CH GcTTfiGe. ^7” Hif/S L o c nj- >cr\j612870 O ry uar r^c R T I-* ‘ s N<Ci. IQ j tv G TryEscoiusrOffice oi ocffiuy flled in to oliio^r recordI hereby ment r/aa on A.D. 19-i^ RECEIVED /.day oL S Bt wse clock :jnti983• A chjiy Recorded inM., («ad \m—m LAND & RESOURCE Counxy// In oroer to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans, information about surrounding property, etc. -rVvTtW Mx^c'yjaifiJiFcy)// Application dated.19 . X Signature of ApplicBnt —DO NOT USE SPACE BELOW— 19.Time M.Date of hearing Court House, Fergus Falls, MN. 56537 3Ad day of Vohfutnft tj ., 19__^WITH THE FOLLOWINGDEVIATION APPROVED this______ (OR ATTACHED) REOUIREMENTS: Appfiovzd taking Into coyUtldeAatlon tkz mlvoA fLO.aiu.vzd ^fiom tha State ol HinneAota Vepafitment oi Health and aJU,o Ma. VavicUon'i, acting In good ^alth In obtaining Iniofunation Ifiom the Vepafitment oi Health, hafidiihlp being no altefinatlve location on lot, pfLopof>ed being an Impfiovement oven pfieient ^yfitem. aSignatura Choirmon Otter Tail Board of Adjustment[^fVltW BAIIIC UKt MINNCSOtA ■ [M] minnesota department of health West Central District Office Box 675 Fergus Falls, Minnesota 56537 2i»m6i6SS2 218/739-7585 December 7, 1982 The plans for sewage disposal at Log Haven Resort do not meet the minimum standards of the Minnesota Department of Health, nor the Minnesota Pollution Control Agency. A waiver has been granted relative to separation distances to allow installation of said system. My signature affixed to this instrument is not intended to imply approval of subject plan. strup Public Health Sanitarian Environmental Field Services This includes the Marlow Davidson Proposal an equal opportunity employer /z GRID PLOT PLAN SKETCHING FORMfeet/inches.Scaie: Each grid equals ‘ Application for Building Permit Dated -19. Application for Sewage System Permit Dated. V'^ri3nc< Afiiiltc- S-C-im Sewage System Permit Number.Building Permit Number Applicant agrees that this plot plan is a part of apoiication (s) indicated above. 19^.Dated Signature Center Line. ~ Cty 4' Propoicd ^ocaf/on Holdlr*^ tanK A o z^‘<-L. /4'i" i•(—je > 38 /8' y A 58' t ¥ Y r l^KEKL-08tl-02!150104 ®vicio* u>H0C(M I CO rcaius mia. hum. / <r o o / ' A White - Office Yellow -* Owner Pink — Township APPLICATION FOR VARIANCE FROM Otter Tail County, Minnesota Rec. 1545 f VauZdson HoaZom Phone No. 612-457-1345Owner: Last Name MiddleFirst 6545 Babcock TcAAacc Jnvcn. Gkovc Hcigl'vti ULnnc^ota City 55075 Zip No.Street & No.State 56-747 Ldda GVLegal Description: Lake No. The coi,t 72 Lot 7, Block s OjJ C^y^tal LZda Beaches. Twp. Lake Name Lake Class LidaSec. 14 136 Range___41 Twp. Nama EXPLAIN YOUR PROBLEM HERE: Woutd Like to Locate a 1500 gaIZon holding tank betuieen two (2) cottager, appiLOxlmately &lx (6) ieel ^fiom each cottage, needing two (2) j^ouA [4] loot vanlancdt. In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans, information about surrounding property, etc. 10-11-19 12 .XApplication dated./Signature of Applicant —DO NOT USE SPACE BELOW— Veembex 2nd Time19.M.Date of hearing Court House, Fergus Falls, MN. 56537 , 19____WITH THE FOLLOWINGday of_DEVIATION APPROVED this_____ (OR ATTACHED) REOUIREMENTS: Signature. Oxi/mTon Otter Tail Board of Adjustment[^(VIEW BATHE LAKE MINNESOTA GRID PLOT PLAN SKETCHING FORM.feet/inches.' Scale: Each grid equals Application for Building Permit Dated. Application for Sewage System Permit Dated .19. 19_Sc2 Sewage System Permit Number.Building Permit Number. Applicant agrees that this plot plan is a part of application (s) indicated above. njnrDated. S ignatu re T 45 V 4 I A I i 4 /^ir-T r\ s \ \V foAD =k JOk » 4--L 4-T1I /2 - 7- 159104 ® t MKL-0871-029 VICTOI UWQEEM t Cft.. ^KIHTCHI, rCIflUl FM.Lt. Ml««