HomeMy WebLinkAbout32000990459000_Variances_11-30-2005OFFICE OF COUNTY RECORDER
OTTER TAIL MINNESOTA
I hereby certify thaV.. .^->47
this instrument #—--------------
was fiied/recorded in this office
for record on the ^-Lh_day of
Dec _____.2005 atiiJlarn^^
WendyJ^etcaif, Coimty Recorder
Ky y c>n Deputy
989247
recording fee
well certificate
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THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER
APPLICATION FOR VARIANCE
received
NOV 072005
lands. RESOURCE
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
Receipt Number
Accepted By / Date ** T/
DAYTIME PHONE 2 3 'fS~l
COMPLETE THIS APPLICATION IN BLACK INK
PROPERTY OWNER Jac uf/y' yJ /V/feAfrP/V
MAILING ADDRESS S?> tf -^c i A/ ; ■>»/»/ sf 6^3/
LAKE NUMBER '2M"J LAKE NAME Svi^U.
SECTION <§/ TOWNSHIP / 3 7 RANGE Ao TOWNSHIP NAME
PARCEL _ . . -NUMBER.j^i?
______- QGo - 'iH-pA^^-OOO
LAKE CLASS fK O
E-911
ADDRESS S6fS~G
LEGAL DESCRIPTION
Ut A.6^
See 'SI f- /3'7 ^ /e
TYPE OF VARIANCE REQUESTED (Please Check)
Sewage System X Subdivision ClusterStructure Size Misc.Structure Setback
SPECIFY VARIANCE REQUESTED
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I UNDERSTAND THAT I HAVE APPLIED FOR A VARIANCE FROM THE REQUIREMENTS OF THE SHORELAND
MANAGEMENT ORDINANCE/SUBDIVISION CONTROLS 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.
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SIGNATURE OF PROPERTY OWNER DATE
APPLICANT MUST BE PRESENT AT THE HEARING(Applicant Will Receive Notification As To The Date/Time Of Hearing)
f :/Jt p.fnDate Of Hearing /J<yferr\ hm.<jb Time
Motion
Kit and Jacquelyn Nelson - Approved the variance as requested. (7:12 p.m.)
After discussion and consideration, Cecil Femling made a motion, second by Michael Conlon and unanimously
carried, to approve the placement of a drain field partly within the road right-of-way as depicted on the drawing
prepared by Tom Falk and dated October 24, 2005. The Board noted that this is perhaps the best, if not the only
location, for the drain field and the variance as approved is consistent with past Board actions.
Chairman/Otter Tail County BoaTd^ Adjustment
Permit(s) required from Land & Resource Management
X Yes (Contact Land & Resource Management)
No
Copy of Application Mailed to Applicant, Co. Assessor and the MN DNR
bk 0903-001
315,694 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota
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.
jnch(es) equals feetIgrid(s) equals feet, orScale:
MPCA LICENSE #:
DESIGNED BY: 4'oi^
FIRM NAME: /•<>>*»> /Rcucrc/fo B
LICENSE CATEGORY:.
cjS Jo -x<^~o€rDATE:
C'6,Ad
6lSs,-0'i
ADDRESS:SIGNATURE:
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BK — 1003 - 0Z9 315,904 • Victor Lundeen Co.. Printers • Fergus Falls. MN • 1-800*346-4870
1
deceived
072005
MN '56^7& RESOURCE
SITE DATA WORKSHEET
LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS,
218-998-8095
www.co.otter-tail.mn.us
Sewage Treatment System Permit #OWNER:
///FZSOAZ /r.r <~a7K
TELEPHONE NUMBERMIDDLEFIRSTLAST NAME
ADDRESS:
-4 ^ lS~6 oA.S'6S'8^/Efi-6 AS n\/0
STATE ZIP CODECITYSTR./RT
Sy^fjLS'6 -/J7
TWP. NAMESEC. TWP.RANGELAKE NAMELAKE/RIVER NO.
po t-O
LEGAL DESCRIPTION:SOIL BORING LOG
COLOR a
MUNSELL NO.
DEPTH
(INCHES)STRUCTURETEXTURE
BLOCKY
PLATY
PRISMATIC
NONE
l^f B/ouc/,
PARCEL NUMBER
BLOCKY
PLATY
PRISMATIC
NONE
E-911 Address or Directions From Nearest Public Road
XNUMBER OF BEDROOMS BLOCKY
PLATY
PRISMATIC
NONE
GARBAGE DISPOSAL: YES
WELL: CASING DEPTH 2E ft. SEWER LINE SEPARATION:
FLOODPLAIN: YES BLUFF: YES ^
VEGETATION: AQUATIC (TERREStRIAQ
.ft.BLOCKY
PLATY
PRISMATIC
NONE
BLOCKY
PLATY
PRISMATIC
NONE
%SLOPE AT INSTALLATION SITE:
TYPE OF OBSERVATION: Probe Pit Boring
PARENT MATERIAL: Till Outwash Loess Bedrock Alluvium
ORIGINAL SOIL:Date of Soil Boring.Yes No
COMPACTED SOIL: Yes No
DEPTH OF BORING (To 7' or restrictive layer):.ft.Date of Perc Test
PERC TEST #2PERC TEST #1 - TWO TESTS ARE REQUIRED -
WATER DEPTH PERC RATEWATER DROPINTERVAL (MINUTES)PERC RATE TIMEWATER DEPTH WATER DROPINTERVAL (MINUTES!TIME
STARTSTART
PERCTIMEDROPPERCDROPTIME
PERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIMEPERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIME
REFILLREFILL
PERCTIMEDROPPERCTIMEDROP
WATER DROP PERC RATEWATER DEPTHINTERVAL (MINUTES)TIMEPERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIME
REFILLREFILL
PERCTIMEDROPPERCTIMEDROP
PERC RATEWATER DROPINTERVAL[MINUTES)WATER DEPTHTIMEPERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIME
REFILLREFILL
DROP PERCTIMEPERCTIMEDROP
WATER DROP PERC RATEWATER DEPTHINTERVAL (MINUTES)PERC RATE TIMEWATER DEPTH WATER DROPINTERVAL (MINUTES)TIME
REFILLREFILL
PERCTIMEDROPDROPPERCTIME
WATER DROP PERC RATEWATER DEPTHTIMEINTERVAL (MINUTES)PERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIME
REFILLREFILL
TIME DROP PERCDROPPERCTIME
PERC RATEWATER DEPTH WATER DROPTIMEINTERVAL (MINUTES)WATER DROP PERC RATEWATER DEPTHINTERVAL (MINUTES)TIME
REFILLREFILL
PERCTIMEDROPMOPPERCTIME
PERC RATEINTERVAL (MINUTES)WATER DEPTH WATER DROPTIMEPERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES)TIME
REFILLREFILL
DROP PERCTIMEPERCTIMEDROP
PROPOSED DESIGN:
PRESSURE PI ST.TRENCH y BED.GRAVITY DIST.HOLDING TANKMOUND.ATGRADE.
SPECIFY:________________
— SYSTEM DESIGN ON BACK —
OTHER.OUTHOUSE.SEWER LINE.