Loading...
HomeMy WebLinkAboutBaarson_53000260170000_Septic System Permits_Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Center • 540 West Fir Fergus Falls, MN 56537 Ph: 218-998-8095 Otter Tail County’s Website: www.co.ottertail.mn.us June 5, 2006 Paul Baarson Et Al 13797 Fairlawn Ave Apple Valley, MN 55124-7926 RE:Sewage Treatment System Servicing Tax Parcel Number 53000260170000 Described as PT GL 1 COM NW COR GL 1 S 2575.96’ TO BEG S 136.97' E 135' TO LAKE NLY 137' W 139' TO BEG, Section 25 of Rush Lake Township, Rush Lake (56-141) As of June 1, 2006, the sewage treatment system (Sewage Treatment Installation Permit #18277) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a sewer line. If you have any questions regarding this matter, please contact our office. Sincerel' Kyle We^^rgard Inspector '■c - APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us WHITE - Office YELLOW - L & R Inspector PINK - Owner / Contractor (after issue) ini^APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME nnPARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD (I T3ooo:>GoncxDc>o LEGAL DESCRIPTION p>T Mailing AddressLast Name First Initial Daytime Phone No. PajCProperty Owner Contractor Lie.# THIS SPACE FOR OFFICE USE ONLY A.M. >■ This System will be ready for inspection on_the year of P.M..at. .A.M. P.M. Date Received Time Received L & R Official SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE) TANK DRAINFIELD Ft"Size GIs.Add-On/New System (20) Trench;. Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade Replacement (32) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination Sc>Setback to nearest well Ft. Ft. Setback to OHWL (lake &/or river)Ft. Ft. Setback to wetland Ft.Ft. Setback to dwelling Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade Setback to non-dwelling Ft.Ft. Setback to nearest property line Ft. Ft.Other (41) Tank, Holding (42) Outhouse ^4^ Sewer Line Performance (45) Miscellaneous Setback to road right-of-way Ft. Ft. Elevation above restrictive layer Ft. Ft. (‘ ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. DEPTH OF WATER WELL # BEDROOMS GARBAGE DISP. Y / N ABATEMENT Y / N ABSORPTION AREA FOR MOUNDS Ft^HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( )Yes ( ) No-L&R Can Not Process EFFLUENT DISTRIBUTION ( ) Gravity ( ) Pressure Designer____ Designer Lie. # PERCOLATION TEST DATA Date of Test.Highest Rate Agreement: The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accordance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource Management Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con­ dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. NOTE: This permit is valid for a period of six (6) months. Jla^Ucd>Permit Fee $Date: SigrK OwrySr/J for Owner(o ■ Date:Rec. No. Land S Resource Manfyement Office Corriments: Form No. BK — 0203-003 31S.609 ■ Victor Lundeen Co., Printers • Fergus Falls, Minnesota r }i APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us WHITE - Office YELLOW- L&R Inspector PINK - Owner / Contractor (after issue) } APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE/RIVER CLASS SECTION TWP NO.RANGE TWPNAMELAKE NUMBER LAKE/RIVER NAMEI[■ Ir CoTd -yi /3r PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROADsi ,•Q. y 3oooOCOr/oocoo n &L^ cj>m m w 'iBT-s.% Th ae<i i g" Hi'-TO‘-a.tc fiOf lay u)|J»'Ta6e<1 LEGAL DESCRIPTION rI First Initial Mailing Address Daytime Phone No.Last Name Q ^ ^ 56 S~?/ 3s sojt yt-< y/(j ^.I► [^ft.cc»'SdK (5?^? _____________Sek IMS % oyK/ r/KContractor Lie.# THIS SPACE FOR OFFICE USE ONLY A.M. the year of .P.M.>■ This System will be ready for inspection on..at. A.M. P.M. Date Received Time Received L&R Official SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE) TANK DRAINFIELD ;■ Ft"Size GIs.Add-On/ Replacement (32) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade Setback to nearest well Ft. Ft. Setback to OHWL (lake &/or river)Ft.Ft. Setback to wetland Ft.Ft. Setback to dwelling Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade Setback to non-dwelling Ft.Ft. f/ Setback to nearest property line Ft.Ft.Other (41) Tank, Holding (42) Outhouse C(43|) Sewer Line ($t) Performance (45) Miscellaneous Setback to road right-of-way Ft.Ft. Elevation above restrictive layer Ft. Ft. ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. DEPTH OF WATER WELL ABSORPTION AREA FOR MOUNDS# BEDROOMS GARBAGE DISP. Y / N ABATEMENT Y / N Ft^EFFLUENTDISTRIBUTION ( ) Gravity ( ) Pressure HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( )Yes ( ) No-L&R Can Not Process ■V Designer____ Designer Lie. #. PERCOLATION TEST DATA Date of Test Highest Rate Agreement: The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accordance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource Management Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con­ dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. NOTE: This permit is vaiid for a period of six (6) months. -Permit Fee $Date:_ Signature Property Omer/Apepn for Owner6 I ■ c 6 Rec. No.Date: Land S Resource Management Office Comments: Form No. BK — 0203-003 315.609 • Vidor Lundeen Co.. Printers • Fergus Falls, Minnesota r ^ -T • 0rx>SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements t HOLDING SEPTIC TANK DRAINFIELD OUTHOUSELIFT TANKCATEGORY Capacity FT2 FT2GLS. GLS. FTSetback from Nearest Well FT FT FT Setback from Buried Water Suction Pipe FT FT FT FT Setback from Buried Pipe Distributing Water Under Pressure V FTFT FT FT Setback from OHWL (lake &/or river)FT FT FT 5^Setback from Setback from Wetland M FT FT FT Setback from Dwelling FI FT FT FT oSetback from Non-Dwelling FT FT FT FT Setback from Nearest Property Line FT FT FT FT Setback from Right-of-Way FT FT FT FT Elevation above Restrictive Layer FT FT FT FT Holding Tank/Lift Alarm YES NO Old System Pumped & Destroyed YES NO SEPTIC TANKfSf FILTER Sewer Line to Well Separation DRAINFIELD CALCULATION Actual Minimum# Tanks Installed. □ YES ,FTXManul.6o .ft®□ NO FT 20Model # MOUND CALCULATION MOUND /AT-GRADE ROCK REDUCTION Inspector’s Comments: ABSORBTION AREA Rock trenches with inchesScL Hn of rock under pipe for %Ft. X .Ft .ft^DF.reduction / equivalent to.Ft2 SKETCH: t L- L 7^v>» 'V >0' 6>o a iI ^ ~ I - 0(3 Date Time Initial / L & R Official (3-I 'CGAs of Code of Otter Tail County. the above described sewage system installation was found to be compliant with the provisions of the Sanitation >urce Management Official INPLACE IRON nONUriENTS ARE 0.22' N'LT OF PROP. LINE INPLACE IRON nCNUNIENT IS 0.22' N'LY CF PROP. LINE (DEED - S W5S'30‘ W \3A±) S M'55'30' W 13*1*i*13.6533.00 6.4■ SHED 16.3riiI r s SCALE: I INCH « 20 FEET BEARINGS ARE BASED ON AN ASSUMED DATUM. • DENOTES IRON MONUMENT FOUND. O DENOTES IRON MONUMENT SET MARKED "PLS 13620 < 17625". (§) DENOTES CAST IRON MONUMENT FOUND. E'LY R/W LINE RUSH LAKE L(X>P /I!33 BAARSON CABIN r ?=I§a(fi PREVIOUS SURVEY LINE IIII 1 cOISg fes K-!;NOOD i DECK I(/)H Uj UJ S V "I & If.Ip ^ -u:I IOHATER SNUTOFF 36 ±LlJ o Q. 10 2:- A PARCEL #260170000 *0 h- 0.43 ACRES ± ta,775 S.F. ± I-----TO '.VD DGC. #0545 r, ' its!’o^ r\ro iD £}in P<1^4 U4^~hl !/4 COR. OF SEC. 26-/35-3*? 34±o1 p Cii- J EXISTING NELL EASEHENT DESCRIBED IN ND DOC. 08,5451110- j -UQ/^1--I'5 Ck:roU-l 28*N 6q*35'46“ E 42.01\%I lijEH B ▼ SCHOFinER CABIN ~Ir -va 2.••in sI--\I 0^Lf) ILIIZl\h-ttO ^I p NOVD I CURVE TABLE•»l-\ T 2 O iQ* s K U_1 DiN1--1 IS'DELTA ANGLE ARC LENGTHCURVE CHORD BEARING CI-IORD LENGTHRADIUS Cil aO'30‘3l‘N 00'432P‘' HlU3l.2i 31.26Cl27SR.7RI0HATER jSHED SHUTOFF^---------6^3^ E'LY EDGE Bi run I NOUS iK^ f\Ft M fp o CDsI pI *P O --Vhii uix I 'n CoE'LRUSH IaKE loop §o TI= 1UJ Cil SURVEYOR'S CERTIFICATEoZCN(/)CN I COPLASTIC RISER 058:i CO34±lu I <o 1 / hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and that this survey mas prepared by me or under my direct supervision and that / am a duly Licensed Professional Land Surveyor under the laws of the State of Minnesota. Dated this 24th day of June, 2<XJ5. I5.SvSC)-i O <o(T)I-^1 risi I uj 4 UjoS STANLEY CABIN (/)P I 0CwfeT/C RISERSO IO 1 &26* 6T O -4m|I t.I I*■ Glenn Howe Professional Land Surveyor Minnesota License No. 17825 U O 34t'^ffTF(^MER-"7:4r^NO: 76 R/N ^nS^BEEN-% RELEASED TO RUSH LAKE TONN5HIP ' l||•~^>^^64^[44'3q^ PEEP * nEAS. _______________________ 75.72 t IHATER SHUTOFF ICj 1/3 OHNER, DALE 4 MARY SCHOMMER 35502 RUSH LAKE LOOP OTTERTAIL, MN 5^571 ('218J 63P-48IP OR (218J 34^,-&057 CERTIFICATE OF SURVEY FOR:k) I iVI0J9.tf:10.33 I q*40.41 ?Hi DALE 4 MARY SCHOMMERI■J N 8q*44'l6" E (DEED - N M‘44'34* 135* E 136±; I24* CENTERLINE OF RUSH LAKE LOOP AS CONSTRUCTED SN COR. OF SEC. 26-/35-390.4 CABIN mU) BOOK ALS-148/47 POLOKR 266-05FF CONTRiCT MO. 255-06FF DRAWN BY GEHCOMMON DRIVENAY FOR ALL THREE CABINS IS GENERALLY NHEEL TRACKS ACROSS GRASS SURFACE I NDERSON LAND SURVET*I NO, 1 NC. 313 SOUTH MILL STREET, FERGUS FALLS, MN 56536-0125 C2I6; 739-5266 qi6 WASHINGTON AVENUE, DETROIT LA>KES, MN 56501 (218) 647-0500 507 N. NOKOMIS STREET, ALEXANDRIA, MN 56306 (320) 762-5263 7,027 s.F riKLD CRKW RVB ♦ JPRCRD PILE 265-05 DWC PILE 255-05 CR6 PILE 265-05 DRAWINO NUMBERAREA IN R/W AREA OUTSIDE l!/W AREA IN BITUniNOUS AREA IN ALL CABINS AREA IN ALL SHEDS 1,660 S.F.t 3BC - TWP - BO 26 - 135 - 39 CHECKED BY GEH 7157 y1,200 S.F.176 S.F.IO,‘UO S.F.t M-m '.bj^jjf m T/^ »^(> K'/]fu i\>'a mm CERTIFICATE OF APPROVAL SEWAGE SYSTEME? w:&v>HOLDING TANK 19THW'M 94DECEMBER w^m,Tins certificate has been issued this to certify that the sewage system installed as per sewage permit number indicated below has been approved for use by Otter Tail County, Minnesota. day of 19 sS"M \ ‘ Sii«f-Ai yThe premises covered by this certificate are legally described as:m itTwp. 13 5 Range 3956“141 .26 Twp. Name RUSH LAKELake No.Sec.■V m riZf. 135 39 .43 PT GL 1 COM NW COR GL 1 S 2575.96’ TO BEG S 136,97' E 135* TO LAKE NLY 137* W 139* TC BEG '■■ar. 81 m BAARSONx PAUL ET ALOwner: Name i ;#13797 FAIRLAMN AVE/- APPLE VALLEY/ MNAddressil55124Zip No. 10376Permit No. SP5 cIaJ jJUxA^Signed by: Lund & Resource Management OfTicial Otter Tail County, Minnesotah MKL-0987001 1iii f:]7^^S Cl ik»»j.s [w \1 :XmJT-272472 Vicior Lundeen Co., Printers. Fergus Falls, Minnesota APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM WHITE — Office Yellow —"Inspector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 56537 6~L /yV CLs 3 /3c, / 39 y037rhpy- (S' ^ / s ^ ^ 7S' -/-C? 0< Ay’ I \/ Permit No.LEGAL ByDESCRIPTION AND / 37LOCATION RANGE TWP NAMESECTIONLAKE/RIVER CLASS TWP. NO.LAKE/RIVER NAMELAKE NUMBER XU 39fJJS'5-0 EIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER(S) / 79 3U1^3 '■ 17yP- &e>o IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and StateFirst InitialLast Name 3cLcur^&^ , / 37 9 7 A'cx^c^ /CLProperty Owner iJJlSU7^ Sewage System Installer Name Sarcii. k A.M. P.M., 19.This System will be ready for inspection on at This space for office use oniy 3NUMBER OF BEDROOMS: AM. P.M19 ( yr) NOGARBAGE DISPOSAL: ( ) YESPhone Call Rec'd ByTime Rec’dDate Rec’d SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM (yfy^olding tank (Alarm Required) ( ) Septic tank ( ) Lift station ( ) Drain field ( ) Standard ( ) Bed ( ) Trench ( ) Modified ( ) Mound ( ) Outhouse DRAIN FIELDTANK SrfFt.GIs.Capacity Ft.Ft.Distance from nearest well Ft.Ft.Distance from lake or stream X Ft. Ft.Distance from building Ft. Ft.Distance from property line Ft.Ft.Distance from bottom to Water Table EFFLUENT DISTRIBUTION ( ) Gravity ( ) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA: WATER WELL DEPTH A. Perc Tester.’ere Test Rate of 1 St Test Rate of 2nd Test Average Rate Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. /f-/- It 'Zky.-ryM^DATE:Signature^/ Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. Issued Date: Land & Resource Management Office32^//Fee $.Rec ft. Comments: 272.050 • Victor Lundeen Co.. Printers. Fergus Falls, MinnesotaForm Mo. BK-0894«a3 A' --' w-'- APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM^ WHITE — Office ' Yellow —Inspector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 56537 yo3-?AG~ L J 3 /3g ^ /3S' y\/ oj <U>r~f^-f' C>- ^ / ^*© »'»'> ^ ^ S- 7^ -/-o //< Permit No.LEGAL BDESCRIPTION AND 137VLOCATION RANGE TWP NAMELAKE/RIVER CLASS SECTION TWP. NO.LAKE/RIVER NAMELAKE NUMBER /put $ ^XL 39IJ3S'ab FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER(S) I 7S3Ui33 ^oi7^'OOo IDENTIFICATION: Please Print All Information Zip Code Telephone No.Mailing Address — No. Street, City and SlateFirst InitialLast Name 397 A ^ J 37 ^7 ct„<^ / a. I IJJIJU^ . ^A) 3)aa^rProperty Owner 7^ Sewage System Installer Name C3r\bM^tj^ r<xcL'o All ^B>c.^ 3<- A S' i/ U to ^ itl P.M., 19-This System will be ready for inspection on.at This space for office use oniy NUMBER OF BEDROOMS:Q\.A.M. P.M..19 GARBAGE DISPOSAL: ( ) YES ( -y) NO'honsXiall Rec’d ByDate Piec’d ime Rec d SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM (^irjjTHolding tank (Alarm Required) ( ) Septic tank ( ) Lift station ( ) Drain field ( ) Standard ( ) Bed ( ) Trench ( ) Modified ( ) Mound ( ) Outhouse DRAIN FIELDTANK S/Ft.GIs.Capacity Ft.Ft.Distance from nearest well Ft.Ft.Distance from lake or stream Ft.Ft.Distance from building Ft.Ft.Distance from property line Ft.Distance from bottom to Water Table Ft. EFFLUENT DISTRIBUTION ( ) Gravity ( ) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA: WATER WELL DEPTH / Perc Tester.rPerc Test Rate of 1st Test Rate of 2nd Test Average Rate Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work In strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibilty of the applicant for tpe permit to notify the County Shoreland Management that the job is ready for inspection. //- /-- ’' rr(. > i-DATE: Signature// -y Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. xv- / - 7^4^Issued Date: Land & Resource Management Office // 4 f ^ ^Fee $.Rec #. Comments: 272.858 • Victor Lundeen Co.. Printers. Fergus Falls. MinnesotaFeral Mo. BK-08M4>e3 -=■ INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK DRAIN FIELD CATEGORY Actual Minimum Actual Minimum I 5 GLS.SFCapacityGLS. SF FT FT FTDistance from Nearest Weii FT50 Distance from Buried Water Suction Pipe ON ^ FT FTFTFT5050 Distance from Buried Pipe Distributing Water Under Pressure 30 FT FTFTFT1010 FT FTDistance from Lake or River (OHWL)FT FT 33 FT 10/20 FTFTFTDistance from Nearest Building 10 10__^FT FTFT10Distance from Nearest Property Line 10 FT FTDistance from Bottom to Water Table FT 3 NOHolding Tank/Lift Alarm DRAINFIELD CALCULATIONSewer Line to Well SeparationINTERPRETATION OF ABBREVIATIONS GLS. = Gallons SF = Square Feet FT = Linear Feet Actual Minimum FTX ^ ft FT20 SF LltiInspector’s Comments: Z L." r/s£r y ( l e^. *>^cxitess . L I tLf j 4 a 0 /_f> .r\^KY) trOoA:C'C S* SKETCH: A- ^6^'•/VJr /r JX If“ y"\r ! riOI ir o . .. ■ fz/' ■» •4 ^ ^ SOI i to"Q©<<iS<4€. xl II ___—— 'i Inspector’s Signature Date of Inspection 3;/5 Time of Inspection r ■'TGRID PLOT PLAN SKETCHING FORM — (Must Be To Scale) tg'tK/ feet/inchesScale: Each grid equais I ■Dated:19 cy Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. HosH- L /y d. t ^---i---I---- /tp.y ttT'^ o < N <? ", o P/; t • I; I i ;■ If'' ! -;-4 ; i !!■-1 ■ I ■ 1r ' 4 1 • ^i-If .! i" rrr ’■i t1I T i_ - . % PERCOLATION TEST DATA>4-•a-i LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, MN 56537 -4 ■ !■ .<i OWNER:-i UJ3 M^'Pf Sf LAST NAME TELEPHONE NUMBERMIDDLEFIRST ADDRESS: SS /7 Ui^jlLErVtl7f> /^yv/nl/9n^Af Ai^e /IfiPL g CITY ^ / /V A/ ZIP CODESTATESTR./RT. /ST 3?^ u .r /y- TWE. NAME fill FiOSJ^lA TWP.RANGESEC.LAKE NAMELAKE/RIVER NO. >LEGAL DESCRIPTION: Ar ){(}f fi ^ 3 ci- 0 % ^ 0 /7oo PARCEL NUMBER 3! 9^ 3 /f NUMBER/BEDROOMSFIRE NUMBER — TWO TESTS ARE REQUIRED — TEST HOLE NO. 2TEST HOLE NO. 1 inchesinches; Diameter of Holeinches Depth To Bottom of Holeinches; Diameter of Hole.Depth To Bottom of Hole. 19Date 19DateSoil Texture Soil TextureDepth, Inches Depth. Inches Percolation Test By _ Firm Name ___ Percolation Test By___ Firm Name ___ Address Address Otter Tail County License No. Otter Tail County License No. PERC TEST # 2PERC TEST # 1 TIMg WHJWtDBFrWWAimpiior PKOriirrar«ia.fl4Piura»>WAimpBriM PgRC RATBJUfl. • TART■ TART TPaB~*PKiSP'~Hltgi . ■rnMB ' DTR5P~ PBRC”PBtCRATH Til iHTRR%iu.A4niifnta>OBRIMMwjg raRCRATBIWTBRVALflbllMt/raft RBPILLRRPILL '11MB ^ PROP 'flMB DROP PBRC PERC RATH INTHRVALn>«lWl7TM> RBFIUL wAngHpefTTiWAmRPROPTIME PERC RATHtWTH»VAJ_fM1WTJTHSi WATER DEPTHTil REFILL 4 4 ■11MB" bROP ^BRC ’nMB DROP PBRCFERCRATBTTIsttpfflBR^^LrwfwtrTws W5AIBRPBFTM DROPtor FBRCRATBINT1BRNaa.A^lWirrBRl RBFILL RBPILL 4 4 '11MB DROP PBRC '11MB' DROP PUJICFERCRATBTIMEIWTBR^RLfMlVVTBfl WATBRPBFTH WiOBRBIIOrWiaiDROFTlligPmBRVAL(VUHUmi>WATER DBFTM FBRCRiOT RBFILLRBFILL 4 4'riMB Dr6> pekc~TBUBT DROP PERCFERCRATBTIMEIKTBRVALiMIWinTO WiaBR DBFTM FERCRATBPnBRVRLIMIHmnWATER DBPIM WAIERBROFTlltg RBFILLRBFILL 4 4 *nMK“ DROP PERC '11MB" DROF PERC RATE IKTERVRLIMiMtrnMhDfTWtVALfMIWTS|> WATER PROF WATER DROP FERCRATBJUA.WATER DBym RBFILLRBFILL TIME” DROP PBRC UMB” DROP FfikCTIMEINTERVAL fMPWJTH^IWTERVRLIMIMUTBSl WiOERBRQF FERCRATB WAIER DEPTH WAIER PERC RATE TIMB WATER DEPTH RBFILLRBPILL **TIME * DROP PBRC TIME DROP fORS~ COMMENTS/CALCULA TIONS: MKL — 0390 - 005 2S0.B15 — Victor LundMn Co.. Printers. Fergus Falls. Minnesota //-7-fyDate Resolved CHRONOLOGY REGARDING THE SEWAGE SYSTEM ABATEMENT Property Owner: 56- IMI Lake Name:Lake No. '-000 ' '^(c Ol 10 - 000Parcel No.: g-/7-9VOwner's Initial Response (date): I I -O/Ofc oF Tfit rt U7(^S orr^ce- 6K?LAiAJtb Gf\oc Ht^ Its, T/ftY Gtr Uotrui/o Zo //^ AXtb AfetxT &t V 'vV><-A Vv4?s Ht Act Ac^U-aC.or yW ci.'ie r - ^ A ■?- ~r ia/ g c^/'j t X iv To HAot" /^-T: IaS^7-40:0^J X CaJlY Cv/6~ uutilO Qo(0 T Ac T t b (bV JjO’ViTA ^tCrA. ^'-Jrha S/)jb 'IH^y cJci^LJ^ K/C^'r (iA'^tr ~7~XMcr 'To (bo It TfiXS WAil, A^jtCyJ 2djatement.file.chronology7-94 . 2 50E b5D 750 Receipt ' Certified No Insurano Do not use 1 (See Reverai !-*• CD Bd W 3D ail ■vl U >J3 vl CD U VUMTB>V0nSPOSTUSCKVCE T3 r Sent to€«>m o-n z -■cStreet and No.f D-30 r i-i P.O.. Slate arid ZIP Code XI T3 r 33 33 C -z r rmo■i <Postageo00 I zCertified Fee mzi33 HZ£cspecial Delivery Fee m 33<o0.r -Restricted Delivery Fee uiLnReturn Receipt Showing to Whom & Dale Delivered Return Receipt Showing to Wh< Date, and Addressee's Address .S' TOTAL Postage & Fees *Postmark or Date 'f Y STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE. TED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES {see frentl. jou want tMs receipt postmarked, stick the gummed stub to the right of the return address 1 the receipt atta(hed and present the articid at a post office service window or hand It to ^ral carrier (no extra charge). Vou do not want this receipt postmarked, stick the gummed stub to the right of the returd u of the article, date, detach and retain the receipt, and mail the article. I£ oO) £ fou want a return receipt, write the certified mail number and your name and address on a receipt card. Form 3811, and attach it to the front of the article by means of the gummed it space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT ILfeSTED adjacent to the number. 2ID § 00you want delivery restricted to the addressee, or to an authorized agent of the addressee, rse' RESTRICTED DELIVERY on the front of the article.«§. • ^filer fees for the services requested in the appropriate spaces on the front of this receipt. If n receipt is requested, check the applicable blocks in item 1 of Form 3811. o </>Q. >ave this receipt and present it if you make inquiry.105603-93-B-0218 (KSC-W)SENDER:I also wish to receive the following services (for an extra g fee): S.^ • Complete items 1 and/or 2 for additional services. • Complete items 3, and 4a & b.0)<0I • Print your name and address on the reverse of this form so that we can return this card to you. - Attach this form to the front of the mailpiece, or on the back if space does not permit. I f • Write "Return Receipt Requested" on the mailpiece below the article number. I ^ • The Return Receipt will show to whom the article was delivered and the date I £ delivered.I ® >I >1. n Addressee's Address ^ 2. □ Restricted Delivery ^ Consult postmaster for fee. CDI u« 6^0 ISD i3. Article Addressed to:I 2 I I 2BftflRSON, PAUL ET AL 13797 FftIRLAWN flVE 4b. Service Type □ Registered □ Insured Certified oI E ococO)□ COD □ Express Mail □ Return Receipt for S Merchandise V.V, 55124tuAPPLE VALLEY, MNoc £I o 7. Date oLBelbQ 5. ^gnature (Addressee) _ xT 3<O 8. Addressees A^ress^nly if requested ^ and fee is paid) Z OC cDCDHX^ 6. Signature (Agent) I___PS Form 3811, Decdmb^ I-oc 191 <rU .S. GPO: 1993-352-714 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE UU i "- I 81994 PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE, $300 I I! j 1 LAND - Print your name, address and ZIP Code here LAND A RESOURCE MANAGEMENTCounty of Otter Tail Court House Fergus Falls, Minnesota 56537 itliliiltuililiniliimiiiHlI I liu ABATEMENT NOTICE Land and Resource Management COUNTY OF OTTER TAIL Court House Fergus Falls, MN (218) 739-2271 56537 August 12, 1994 BAARSON, PAUL ET AL 13797 FAIRLAWN AVE 55124APPLE VALLEY, MN You are hereby notified that the sewage system which you maintain on the following described property; Parcel #: Lake #: Lake Name: RUSH 53000260170000 56- 141 26 135 39 .43 PT GL 1 COM NW COR GL 1 S 2575.96' TO BEG S 136.97' E Lake Assoc/Fire #; 178311 Section; 26 Twp; 135 Range; 39 Twp. Name; RUSH LAKE is not constructed and/or located in accordance with minimum standards of the Shoreland Management Ordinance of Otter Tail County. • Please be advised that you must correct this situation within 30 days. You should contact this office in order to determine what corrections and permits are required prior to complying with this notification. Land & Resource Management Official X 1 FIELD NOTES LAKE NAME: RUSH LAKE NO.: 56- 141 DATE Parcel No.: 53000260170000LEGAL DESCRIPTION FIRE NO.: 26 135 39 .43 PT GL 1 COM NW COR GL 1 S 2575.96' TO BEG S 136.97' E 135' TO LAKE NLY 137' W 139' OWNERS NAME AND ADDRESS: BAARSON, PAUL ET AL /- 13797 FAIRLAWN AVE APPLE VALLEY, MN 55124 Comments: SEPARATION DISTANCES(IN FEET) SEWER LINE TANK ABSORPTION AREA OUTHOUSE 8^ txcAe^xs-I-WELL <H5OHWL LOT LINE 3DWELLING ONON DWELLING GROUND ELEVATION @ REASON(S) FOR ABATEMENT: k iflJcoLeAj (!) \ edi proWt Ip i [-e-JL ^ < !6' r (prv^ Tc^\l < fo' 'f/' ^ S^' 'f lAM < /O ^ 9 o SCvtJt / oJad^r 11 *'■ * prt^Surc 0/¥/c SKETCH ON BACK... Inspector's Signature(s) •9 • 5 6? -pi Yip-n O^ww? ->|WO_|. \ 9^ ' , I I-~f Q T /IPi ri^*■; N/ -■A s ■U v^ IfI "Tr^/C. Ui>^1'\np of^j "il'i d&i^V ■’^tW Pawl ^Cvr5<)/! VA |?0>- tfW 7^Ci