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1097001 ^-)-zon
DOC# 1097001
1097001
Fee: $46.00
Well Certificate [ ] Rec'd
OFFICE OF COUNTY RECORDER
OTTER TAIL COUNTY, MINNESOTADate Stamp
Certified, Filed, and/or Recorded:
September 07, 2011 9:30 AM
Wendy L. Metcalf, Recorder
'DECEIVED
A!iG ? J 2011
land S RE.sODRCe Returned To:
LAND & RESOURCE
By: NDB
L&R Initial
THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER
APPLICATION FOR VARIANCE
COUNTY OF OTTER TAIL
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537
(218) 998-8095
Otter Tail County’s Website: www.co.ottertail.mn.us
^00^ 0 0Application Fee
Receipt Number /*2^^^
Accepted By / Date sjH j! I
COMPLETE THIS APPLICATION IN BLACK INK
! 7!^/^ daytime phone 7m
pay. Q. A/X) irir/g>¥
PROPERTY OWNER
MAILING ADDRESS
LAKE CLASSLAKE NAMELAKE NUMBER
■HcRK^'T32130RANGETOWNSHIP NAMESECTION TOWNSHIP
E-911
ADDRESS
PARCEL
NUMBER V
PAST OF G>oue(i/-fehJ7 Z!oT"^T77T~s^r"^^77^VLEGAL DESCRIPTION
TYPE OF VARIANCE REQUESTED (Please Check)
WECSSubdivisionCluster Misc.Sewage SystemStructure SizeStructure Setback
SPECIFY HOW YOUR PROJECT VARIES FROM ORDINANCE REQUIREMENTS. PLEASE BE BRIEF AS
THIS WILL BE USED FOR PUBLIC NOTIFICATION. i .I \/ci r-^^uL<l}utSiOn Co/o'f'A^oj <r>r^iP ^
J V-o sJl cppray- 7^'Y/SZ>' Ac,P Z0')A^6
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I UNDERSTAND THAT I HAVE APPLIED FOR A VARIANCE FROM THE REQUIREMENTS OF THE SHORELAND
MANAGEMENT ORDINANCE/SUBDIVISION CONTROLS ORDINANCE / SANITATION CODE / SETBACK ORDANAND AN/OR
WECS ORDINANCE OF OTTER TAIL COUNTY.
I ALSO UNDERSTAND THAT OTHER PERMITS MAY BE REQUIRED; IT IS MY RESPONSIBILITY TO CONTACT LAND &
RESOURCE MANAGEMENT REGARDING THIS MATTER.
g////?o//
/lAT^E DATEE OF PROPERTY OWNER / AGENT FOR OWNERSIGNAT
APPLICANT MUST BE PRESENT AT THE HEARING
(Applicant Will Receive Notification As To The Date/Time Of Hearing)
345,194 ■ Vrctor Lundeen Co , Pnn1er$ • Fergus Falls. Minnesota
7:39-/ (PO/J TimeDate Of Hearing
Motion
Larry C Madson and Laurel Mahan - Approve the application as requested with conditions. (7:38 p.m.)
After consideration and discussion, Steve Schierer made a motion, seconded by Paul Larson and unanimously carried, to approve
the proposed subdivisions, as depicted on the sketch presented at the public hearing, for nonresidential development with the
following conditions; 1) that the area within Tract C cannot be used when calculating impervious surface coverage for Lot 10 of
Rose Lake Beach Wylie’s Addition, 2) that Tract B must be permanently attached to Tract A and 3) a registered surveyor's
drawing must be presented at the time of conveyance. Tracts ‘A", "B" and “C” are identified on the sketch prepared by
Meadowland Surveying Inc.,
card of Ad|Jj€tChairman/Otter Tail County tment
Permit(s) required from Land & Resource Management
Yes (Contact Land & Resource Management)
X No
^/M/Copy of Application Mailed to Applicant, Co. Assessor and the MN DNR
L R Official/Date
bk 072011-001
MEADOWLAND SURVEYING, INC.
DBA: ROY A. SMITH & ASSOCIATES
County Surveyor for Becker County
522 West Main Street
Detroit Lakes, Minnesota 56501
218-847-4289
218-846-1945 fax
Larry Madson - 0.38 acre tract being attached to Lot 11 of Rose Lake Beach Wylie’s
Addition
Land description:
That part of Government Lot 4 of Section 22, Township 137 North, Range 40 West of the
Fifth Principal Meridian in Otter Tail County, Minnesota, described as follows:
Commencing at a found iron monument which designates the most easterly comer of Lot
1, Block 1, of ROSE LAKE BEACH FIRST ADDITION, said plat is on file and of record in the
office of the Recorder in said County; thence North 51 degrees 20 minutes 00 seconds West
112.36 feet on an assumed bearing along the northeasterly line of said Lot 1 to a found iron
monument at the most northerly comer of said Lot 1, said point also being on the southeasterly
line of a Dedicated Public Road (Rose Lake Road East) according to the plat of ROSE LAKE
BEACH WYLIE’S ADDITION, said plat is on file and of record in the office of the Recorder in
said County; thence North 66 degrees 00 minutes 00 seconds East 246.80 feet along the
southeasterly line of said Dedicated Public Road (Rose Lake Road East) to a found iron
monument; thence North 47 degrees 32 minutes 11 seconds East 65.61 feet continuing along the
southeasterly line of said Dedicated Public Road (Rose Lake Road East) to an iron monument,
said point is the point of beginning; thence continuing North 47 degrees 32 minutes 11 seconds
East 112.50 feet along the southeasterly line of said Dedicated Public Road (Rose Lake Road
East) to an iron monument; thence South 51 degrees 23 minutes 29 seconds East 150.00 feet to
an iron monument; thence South 47 degrees 32 minutes 11 seconds West 112.50 feet to an iron
monument; thence North 51 degrees 23 minutes 29 seconds West 150.00 feet to the point of
beginning. The above described tract contains 0.38 of an acre.
I hereby certify that I am a Registered Land Surveyor under the laws of the State of
Minnesota and that the above legal description was prepared from information on Certificate of
Survey T6448-12 dated May 14, 2003, and said legal description is legally sufficient to locate
the boui lines shown on said Certificate of Survey.
Roy A. Smith
Minnes(wa Reg. Land Surveyor No. 12004
System design must be to scale and must include the proposed location of the sewage system, all
existing/pfoposed buildirigs; property lines, the ordinary! high wateri level; of the water body, wetlands,
bluff and; all water wells withih 150' of the sewage system. If there are any questions, see the University
of Minnesota Site Evaluation yvorksheets.
I;
(grid(s) equals : ( O ineh(es); equalsScale:feet, or feeti
:I 3- a: ■I"MPCA LICENSE _
LICENSE CATEGORY: ^ A
\DESIGNED BY: i ri
FIRM NAiyiE;!DATE:
ADDRESS:_•1 1
SIGNATURE:
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SITE DATA WORKSHEET
LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537
:: L 218-998-8095 ' : ; “ ' ^
wwW.co.otter-tail.mh.us i%o\Sewage Treatment System Permit #OWNER:
hlor/<r.I
LAST NAME FIRST MIDDLE TELEPHONE NUMBER
ADDRESS:!
::sTR./RT city l STATE ;ZIP CODEI
'/'?7 T :0<JL^
LAKE NAME SEC.TWP. :LAKE/RIVER NO.RANGE
LEGAL DESCRIPTION:SOIL BORING LOG
pfaiM etLi
%Ti6S>o ji:La r /S&d‘^ -
COLOR &
MUNSELL NO.
DEPTH
(INCHES)TEXTURE STRUCTURE
i ^: i BLOCKY
PLATY
PRISMATIC
NONE0 ^- 9PARCEL NUMBER
(\ (LfdSS Pf b*n IOfP5^i.L.3(pTJf Po^ M (i.BLOCKY
PLATY
PRISMATICE-911 Address or Directions From Nearest Public Road
7- /r /Sl9■y- .
NUMBER OF BEDROOMS_BLOCKY
PLATY
PRISMATIC
i
GARBAGE DISPOSAL: YES
WELL: CASING DEPTH
FLOODPLAIN: YES
VEGETATION: AQUATIC
SLOPE AT INSTALLATION SITE:
l/z^6SEWER LINE SEPARATION: ^ ft.Z'7ft.BLOCKY
PLATY
PRISMATIC
NONE
BLUFF: YES
cTte^IstriaT^
BLOCKY
PLATY
PRISMATIC
NONE
5 %'
Type OF OBSERVATION: Probe Pit
PARENT MATERIAL: Til^_--0^^A
ORIGINAL SOIL:
COMPACTED SOIL: Yes
!/Loess Bedrock Alluvium ;
No Date of Soil Boring.
(:z Date of Perc TestDEPTH OF BORING (To 7' or restrictive layer):.ft.
PERC TEST # 1 PERC TEST #2- TWO TESTS ARE REQUIRED -
INTERVAL(MINUTES)WATER DEPTH WATER DROP PERC RATEWATER DROP PERC RATE TIMEINTERVAL (MINUTES)WATER DEPTHTIME
START
'TIME DROP PERC
2A.... START 3;^15 /..6/4)-/...
WATER DROP PERC RATEINTERVAL(MINUTES)WATER DEPTHPERC RATE : TIME ■WATER DEPTH WATER DROPTIMEINTERVAL (MINUTES)L -4REFILLlo.REFILL 2..Hw.¥PERCDROPTIME
WATER DROP PERC RATEWATER DEPTHTIMEINTERVAL (MINUTES)PERC. RATEINTERVAL(MINUTES)WATER DEPTH WATER DROPTIME
.4k
....
REFILLREFILL
TIME DROP T>ER(T
j.:k .. ./Q. .....-lo DROP PERCTIME
PERC RATEWATER DEPTH WATER DROPTIMEINTERVAL (MINUTES)PERC RATEWATER DROPWATER DEPTHTIME -INTERVAL (MINUTES)REFILLREFILL
PERCDROPTIMEPERCDROPTIME
PERC RATEViWATER DROPINTERVAL (MINUTES)WATER DEPTH.TIME 'PERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIME
refillREFILL
A PERCDROPTIMEPER(DROPTIME
WATER DROP PERC RATE :INTERVAL (MINUTES)WATER DEPTHTIMEPERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIME
' REFILLREFILL
PERCTIMEDROPPERC !DROPTIME
PERC RATEWATER DROPINTERVAL (MINUTES): WATER DEPTHTIMEPERC RATE ■WATER DROPWATER DEPTHTIMEINTERVAL (MINUTES)
. REFILLREFILL
PERCTIMEDROPPERCDROPTIME
PERC RATEWATER DROPWATER DEPTHINTERVAL (MINUTES)TIMEPERC RATEWATER DROPWATER DEPTHINTERVAL (MINUTES)TIME
■ REFILLREFILL
PERCTIME DROPPERCTIMEDROP
PROPOSED DESIGN:
TRENCH BED.GRAVITY DIST. PRESSURE DIST.MOUND.HOLDING TANK.ATGRADE,
SPECIFY:,OTHER.OUTHOUSE.SEWER LINE_
— SYSTEM DESIGN ON BACK —