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HomeMy WebLinkAbout52000990509000_Variances_07-21-1978Variances Barcode 128 White - Office Yellow — Owner Pink — Township APPLICATION FOR VARIANCE FROM Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota DeMotts John Robert and Diane 612-869-8275Phone NoOwner:MiddleLast Name First Richfield, MN 55^236435 Russell Ave. So • f Citv State Zip No.Street & No. 56-130 GDBig PineLake Name Lake ClassLegal Description: Lake No.. 282I 3L Range Twp. Name.Twp. Lot 6, Cousins Park, west shore Big Pine Lake Sec. NoIf applicant is a corporation, what state incorporated in____ Applicant is: ( ) Owner ( ) Lessee ( ) Occupant ( ) Agent (x) Contract for Deed No List Partner's name and address below:Is Applicant a partnership. yes or no NAME, ADDRESS AND ZIP NO.NAME, ADORESS AND ZIP NO. This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in Setback from lake (Section 6)what Section of the Ordinance:_____ EXPLAIN YOUR PROBLEM HERE: See attached explanation 0 W r^Q-r— >r f ^i In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps, plans, information about surrounding property, etc. See attached plans V71 Signature of Applicant July 10 19.Application dated. —DO NOT USE SPACE BELOW— /- 19Date application filed with Shoreland Management Administration________________________________ Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )Both ( i)------- ByFiling acknowledgement -—V Signature7'-/? - 02 jiA/m . > f./P iq-a~ Date, time and place of hearing WITH THE FOLLOWINGDEVIATION APPROVED this (OR ATTACHED) REOUIREMENTS: day of. oJz 5 5 ^ fULAJwijdr . i ■ -Signat Otter Tail Planning Advisory Commission Deviation Approved this ^___ 19JZ^ Byday of_^ Otter Tail County, MinnesotaMKL-0871-016 VICTOR tUXOCEH A CO . PRIMTE**. rt«6u» FW.t(. 159079 Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY GovcRNMersiT SCRVtccs Center • 540 West Fir Fergus Falls, MN 56537 Ph: 218-99S-8095 Otter Tail County s Website; www.co.otter-tail.mn.us RECEIVED AUG 0 7 201^ Otter Tail County Compliance Inspection Form AddenduniAND & resource OTTCR Tflileovaf* This form is a required attachment to MPCA Compliance Inspection Form for all Existing Subsurface Sewage Treatment Systems in Otter Tail County as of June 1, 2011. Property Information Parcel Number: S2siX)Q^^O^O^OOO Township: j ^ig> - <^.4 Property Owner Name(s): "Tbrvn M.. Property Address: MoZaSo Reason for Inspection: Number of Bedrooms: 2 In Shoreland Area? Lake/River Name, Number, & Class 7Section: , AlA/ IZt □0 NoYes 1^,'^ System Compliance Status; 2< Compliant J Non-Compliant Does the soil treatment area have less than 3 feet of vertical separation? Is the septic tank located less than 50 feet from any well? Is the soil treatment area located less than 50 feet from any deep well? Is the soil treatment area located less than 100 feet from any shallow well? Does any part of the septic system fail to meet the minimum OHWL setback requirements for the public water classification? Yes No AYes No Yes No Yes No Yes NoX "Yes" indicates that the system is failing to protect ground water and is noncompliant. If "Yes", describe the condition noted; Required Attachments: System drawing to scale on next page. Completed MPCA Compliance Inspection 1 hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage. Name:SCANNEDCertification Number: Business License Name & Number: ( Signature;s-.<r-ryDate: Excel/Compliance Form for OTC 1/15/2014 Page 1 of 2 Otter Tail County Compliance Inspection Form Addendum (cont.) Parcel Number: S2oao'^^c>So^ooo Date & Initial: _____________PIS. System Drawing The system drawing must be to scale and include all septic/holding/llft tanks, drainfields. wells within 100 feet of system (indicate depth of wells), dwelling and non-dwelling structures, lot lines, road right-of-ways, easements, OHWLs, wetlands, and topographic features (i.e. bluffs). p,Vve i iV^ I A>toSf(Ui'i~o (dJ. S^f)~hz Coyy^pf i'<?ihCPAdditional Comments: ExceVCompfiance Form for OTC 1/15/2014 Page 2 of 2 Compliance Inspection FormMinnesota Pollution Control Agency 520 Lafayette Road North St. Paul, MN 55155-4194 Existing Subsurface Sewage Treatment Systems (SSTS) Doc Type; Compliance and Enforcement For local tracking purposes:Inspection results based on Minnesota Pollution Control Agency (MPCA) requirements and attached forms - additional local requirements may also apply. Submit completed form to Local Unit of Government (LUG) and system owner within 15 days System Status System status on date (mm/dd/yyyy): 8/5/2014 ^ Compliant - Certificate of Compliance (Valid for 3 years from report date, unless shorter time frame outlined in Local Ordinance.) Q Noncompliant - Notice of Noncompliance (See Upgrade Requirements on page 3.) Reason(s) for noncompliance (check all applicable) □ Impact on Public Health (Compliance Component #1) - Imminent threat to public health and safety □ Other Compliance Conditions (Compliance Component #3) - Imminent threat to public health and safety □ Tank Integrity (Compliance Component #2) - Failing to protect groundwater Q Other Compliance Conditions (Compliance Component #3} - Failing to protect groundwater □ Soil Separation (Compliance Component #4) - Failing to protect groundwater □ Operating permit/monitoring plan requirements (Compliance Component #5) - Noncompliant Property Information Property address; 44344 Mosquito Heights Rd. Perham MN 56573 Property owner: Tom Haggenmiller________________________ Parcel ID# or Sec/Twp/Range: 52000990509000 Reason for inspection: Sale Owner’s phone; ___________ or Owner’s representative: Local regulatory authority: Ottertail County _____________ Brief system description: 750 gal, concrete tank to 140 sq.ft, drainfield Comments or recommendations: Representative phone: ________________ Regulatory authority phone: 218-998-8095 Certification / hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage. Inspector name: Phil Stoll______ Business name: Stoll Inspections Inspector signature:___________ Certification number; 7526_______ License number: 2982_______ Phone number: 218-839-1849 Necessary or Locally Required Attachments n System/As-built drawingS Soil boring logs □ Other information (list); S Forms per local ordinance www.pca.state.mn.us • 651-296-6300 • 800-657-3864 wq-wwists4-31 • 3116112 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats Page 1 of 3 Property address: 44344 Mosquito Heights Rd. Perham MN 56573 Inspector initials/Date: PJS | 8/5/2014 (mm/dd/yyyy) 1. impact on Public Health - Compliance component #1 of 5 Verification meth6d(s): S Searched for surface outlet ^ Searched for seeping in yard/backup in home □ Excessive ponding in soil system/D-boxes □ Homeowner testimony (See Comments/Expianation) □ “Black soil” above soil dispersal system □ System requires “emergency” pumping □ Performed dye test Q Unable to verify fSee Comments/Explanation) D Other methods not listed (See Comments/Explanation): Compliance criteria:________ System discharges sewage to the ground surface.______________ □ Yes S No System discharges sewage to drain tile or surface waters. ___ □ Yes El No □ Yes El NoSystem causes sewage backup into dwelling or establishment. Any “yes" answer above indicates the system is an imminent threat to public health and safety. Comments/Explanation: 2. Tank Integrity - Compliance component #2 of 5 Verification method(s): El Probed tank(s) bottom ^ Examined construction records □ Examined Tank Integrity Form (Attach) □ Observed liquid level below operating depth □ Examined empty (pumped) tanks(s) ^ Probed outside tank(s) for “black soil” □ Unable to verify (See Comments/Explanatioh) □ Other methods not listed (See Comments/Explanation) Compliance criteria: □ Yes El NoSystem consists of a seepage pit, cesspool, dryweii, or leaching pit. Seepage pits meeting 7080.2550 may be compiiant if ailowed in iocai ordinance. □ Yes S NoSewage tank(s) leak below their designed operating depth. If yes, which sewage tank(s) leaks: Any “yes" answer above indicates the system is falling to protect groundwater. Comments/Explanation: 3. Other Compliance Conditions - Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound. □ Yes* * ^ No □ Unknown □ Yes* El No □ Unknownb. Other issues (eleOricai hazards, etc.) to immediately and adversely impact public health or safety. *System is an immiherii threat to public health and safety. Explain: c. System is non-protective of ground water for other conditions as determined by inspector. □ Yes* 13 No *System is failing to protect groundwater. Explain: www.pca.state.nin.us • 651-296-6300 • 800-657-3864 wq-wwists4-31 •3/16/12 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats Page 2 of 3 Property address: 44344 Mosquito Heights Rd. Peitiam MN 56573 Inspector initials/Date: PJS | 8/5/2014 (mm/dd/yyyy) 4, Soil Separation - Compliance component #4 of 5 Date of installation: 10/1/1979 (mm/dd/yyyy) Shoreland/Wellhead protectlon/Food beverage ^ yes □ No lodging? Compliance criteria:_____________ ___________ □ Unknown Verification method(s): Soil observation does not expire. Previous soil obsen/ations by two independent parties are sufficient, unless site conditions have been altered or local requirements differ. ^ Conducted soil observation(s) (Attach boring logs) □ Two previous verifications (Attach boring logs) □ Not applicable (Holding tank(s), no drainfield) n Unable to verify (See Comments/Explanation) □ Other /See Comments/Explanation) □ Yes □ NoFor systems built prior to ApriH, 1996, and not located in Shoreland or Wellhead Protection Area or not serving a food, beverage or lodging establishment: Drainfield has at least a two-foot vertical separation distance from periodically saturated soil or bedrock. S Yes □ NoNon-performance systems built April 1, 1996, or later or for non-performance systems located in Shoreland or Wellhead Protection Areas or serving a food, beverage, or lodging establishment: Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock.* Comments/Explanation: □ Yes □ No“Experimental", “Other", or "Performance" systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules (7080. 2350 or 7080.2400 (Advanced Inspector License required) Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock. Indicate depths or elevations 36", A. Bottom of distribution media >72"B. Periodically saturated soil/bedrock C. System separation >36" D. Required compliance separation* 36" *May be reduced up to 15 percent if allowed by Local Ordinance. Any “no" answer above indicates the system is faiiing to protect groundwater. 5. Operating Permit and Nitrogen BMP* - Compliance component #5 of 5 ^ Not applicable □ Yes ^ No If “yes", A below is required □ Yes ^ No If “yes”, B below is required Is the system operated under an Operating Permit? Is the system required to employ a Nitrogen BMP? BMP = Best Management Practice(s) specified in the system design If the answer to both questions is “no", this section does not need to be completed. Compliance criteria a. Operating Permit number: _________________ Have the Operating Permit requirements been met?□ Yes □ No □ Yes □ Nob. Is the required nitrogen BMP in place and properly functioning? Any “no” answer indicates Noncompliance. Upgrade Requirements (Minn. Stat. § 115.55) An imminent threat to public health and sa^ty (ITPHS) must be upgraded, replaced, or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system is failing to protect ground water, the system must be upgraded, replaced, or its use discontinued within the time required by local ordinance. If an existing system is not failing as defined in law, and has at least two feet of design soil separation, then the system need not be upgraded, repaired, replaced, or its use discontinued, notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas. Wellhead Protection Areas, or those used in connection with fbod, beverage, and lodging establishments as definad in law. www.pca.state.mn.us • 651-296-6300 • 800-657-3864 wq-wwists4-31 • 3116112 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats Page 3 of 3 . • ^2.0 O (/I^OSO^OOOSsCodRr'Name: f I^voeV\ !■, Soil Boztogs (BR i!^i Locate each bo^ m-Qatmep aba^, iofficBte on fiw of flic odn^ ftc so2 teshjre, stxuirfme, color, depfe of mi diffeent soil typ^ erddenw of mo^ioi, b^efe and standing ■water. Aiso tndicats if‘^bszuaiaoel Is BB.#8K4 %i" ■%0-^/fW 3^“ % //HS% . d.Bi3S0dC0M SepiiL..ComsBsgh! WbsiJseeSsRi bscomBisteiiJa bring tteabovaj^siem into «inp2ani»lfgmad main compHsaM?, mel pAisii»g<ajjiav\bisha(a.^'> dflS/^T *f / rI i *•M|t-l CO/ c C ^ L ci c j-lA(i^SJ<)/*fUi-£^, THoMffp. LAND & REi ANAGEMENMKL-0871-030 S OTTER TAIL COUNTY FERGUS FALLS, MINN.File Opening Date I Bubdivision N;HotthW rJoA ri _________8P|cbZK®/T^ ) 6o;< 3Y PMkA,Subdivision File ( )Use Description.Individual File ( ) Name of - Applicant: ame Address:. ^ip No./ ' Phon« No.St. & No. CityFirstMIddIa Stata Last Nama -«£) e,.p,/~jxMuLegal Description LakaNo. y _M. Sac. Twp. Rano# C4AJ3 ^ Twp Nama Clauif. Laka or RIvar Nama f^a-OOO-S^^-OSLJ^V-OOOCiPn/JP.d<^ L, 0 J Mosquiro yt^rr O BUILDING PERMITS VARIANCES ON BUILDING PERMITS Data NotifiedReaulta Appl. Date Hearing Date Hearing Judgement PurposeDateNO. 7-/d - 7i A Pc>a,^o>^ f\7( C- /\nk CL 0 SEWAGE SYSTEM PERMITS VARIANCES ON SEWAGE SYSTEM PERMITS Date Inspected Results Appl. Date Hearing Date Hearing Judgement Purpose Date Notified DateNO. Hlo >1^^,^0 Ca-^'A \.. t I 0 SPECIAL USE PERMITS /COMMENTS SECTION;Appiication Date Hearing Date Notice Mailed 8^ 1 Accompanying Documents Filed in Cabinet No.. •M. ..M.’peaM'.NOTE: O 0 See enclosed Inspectors Copy of Permit Application. © See enclosed Special Use Permit Application. r I 4 / V; \ i(\".•V *i ' 'I-*f / A if \ I /^IC ^e>//(/V\ • •.? >■ I :ii4t4\ >I D. -f: i£>oJt:r I *7 I -/ i: ki!y ; ' ■?. i i r,i \c::m^ TO BE CCTIPLETED BY PERSON INSPECTING SYSTEM I hereby attest that I am familiar with the minimum standards required by the OTTER TAIL COUNTY SHORELAND MANAGEMENT ORDINANCE regarding sewage systems and that this system is in accordance with those standards.Please complete and return along with a plot plan of the land within 150 of the subject sewage system which includes the separation distances between the sewage system and any existing or proposed buildings, property lines, water supply wells, buried water pipes, the ordinary high water mark of lakes, rivers, streams or flowages as well as the location, size and design of all parts of the sewage system within 10 days to Land £e Resource Management Office, Court House, Fergus Falls, Minnesota 56537. ^2) Permit No 3 PftV Twp. Name_ Lake ClassificationLake Name n Twp.3SSec .Range. Legal Description; GF3F J'o,Owners Name Owners Address /fi/il' ^ /i/ ^ 1^33 /o -Date of InstallationLicense No., DrainfieldFill in below:Sep tic Tank /4onso7^Capac it V Distance from Nearest Well /C<PDistance from Lake or Stream (^4Distance from Occupied Building 4S 3 5"Distance from Property Line d-SDistance from Bottom to Water Table <r Signature Date ^ s I i 215502® VICTOR LUNDCEN CO.. PRINTERS. FERGUS FALLS. MINN.PERCOLATION TEST DATAMKL -0871 -028 LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. Mailing Address:Owner: Zip No.StateCitySt. & No.First MiddleLast Name Legal Description: TWP NAMERANGETWP.SEC.NAMELAKE OR RIVER NO. TEST HOLE NO. 2TEST HOLE NO. 1 Depth to Bottom of Hole inches; Diameter of Hole inchesDepth To Bottom of Hole inches;Diameter of Hole inches Depth, Inches Soil Texture Depth, Inches Soil TextureDate19 Date 19____ Percolation Test By____ Percolation Test By .QLLIFirm Name.F irm Name.QC DoLUQC LUAddress.QC Address < COOtter Tail County License No..Otter Tail County License No..h-COLUMeasure­ ment, inches Drop in water level, inches Percolation rate minutes per inch Percolation rate minutes per inch Time Interval, minutes Measure­ ment inches Drop in water level, inches Time I ntervals minutes Remarks:Remarks:Time Timeo See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN. Percolation rate =.minutes per inchminutes per inch Percolation rate = ABATEMENT NOTICE 1SS•*Shoreland Management COUNTY OF OTTER TAIL Court House Fergus Falls, Minn. 56537 3 0 th .day o f 19 ZbDated this. HoutaAd VzMott6To. 6 4 3 5 Ru66e.ll Ave.. .S.Address. City and State.5 54 9 3Zip Code.'■\tnne.aoolti, f MM thz 4eaagc &ijste.mYou are hereby notified that. r ^ ____3K0.*^ Which you maintain at (Legal Description and Location) - Plus Fire No. Lot 6 Oft Cou6tn6 Pa/ik )U^I5 ? 1^" Vine. Lake7 136 3SBig Pine GV56-130 Range Twp. NameTwp.Class.Sec.Lake Name constructed and lor Vacated Lake No. is not. in accordance with minimum standards of the Otter Tail County, Minnesota Shoreland Management Ordinance. You are hereby ordered to abate the above described condition within__iSL-days from this date. If you fail to correct the above defect you may be subject to a fine, imprisor^msnt or injunction proceedings. \r \.2iOShoreland Management O^^ialvw^ PROOF OF SERVICE State of Minnesota County of Otter Tail Fergus Falls, Minnesota 56537 The above notice and order was served by me on.______________, 19__, by handing a copy thereof fthe (owner-occupant-agent) of the above describedto premises. *By posting a copy thereof upon the above described premises. Otter Tail County Sheriff Department *Strike out words that do not apply. CC; Otter Tail County Attorney MKL-0372 035-01 220522 Victor Lund«*n tf Co.. Prinlort, Porgus Foil*, Minn. ■ ShS3Q- Xl%f ' ■ *DATE FIRE NO.LAO K> LEGAL DECRimON 0F_L0T; j /_ 0HIIER8 IAMB i i^KyLOMMi CilH. ■ ^OmiBU ADDRESS TTFE or SEWAGE SYSTEM (Inspector's CoMents) ^1a'■ 0 SEPARATION DISTANCES - FEET - Sell Dispose! Ar—Septic TsnkCeteeonr tteU - Let Line • Occupied Building • Ilevetion of Aree REASON SYSTEM WAS ABATED; jy 3CANNED• BRETCH OF LOT ON BACK