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Home My WebLink AboutBambi Resort_25000990376000_Septic System Permits_‘Mil -•; -r-m jatMi..S^;3i,linS9BS5 '«--®;,Sip|=1 r|iSi*| ■;V? ... OPERATING PERMIT for Pmmm 1^ !|^BrBambi ResortSHORELAND MANAGEMENT Phone 218-739-2271 OTTER TAIL COUNTY Fergus Fails, Minn. & ilii ^ ■pSfe This Permit Issued To: Owner Ray H. & Cleta C. Burrier UndeTOood. MN 56586Address bl . ■ M bMl»i Pi |§| i»apiP mfeMM 1® Operator Address■Same Saaie Lake Name.Lake No.Class RD -.See 6 Twp_L13 Rg_Ml_De-pr T.ake^298 /I Twp. Name Everts For: Eight cabins with water and serfage system Three recreational travel campsites with water and sewage system One mobile home site with water and sewage system Boat rental service. Live bait sales, Retail store 1 iiM wrr »sp¥h :f Date Issued 18^-1978 wmwMalcolm K. Lee, Admini.strator SiKenneth W. Hanson, Auditor (Not transferable as to person or place)— POST CONSPICUOUSLY-/MKL0473 036 c y4^ I66435-A@ « T SHORELAIMD MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White — Office Yeilow — inspector Pink — Owner Card — Owner Permit No.,LEGAL Date DESCRIPTION AND wliTikp. Lake No. VoLOCATION Lake Ciassif.Sec.TWP TWP NameRangeLake Name IDENTIFICATION: Please Print All Information. Mailling Address —No. Street, City and State Zip No.Tel. No.First InitialLast Name JL ?rh«nr~/________,& 6t n r/ 6*^OWNER RSEWAGE SYSTEM INSTALLER ciJr !r^Name, This System will be ready for inspection on., 19. This space for office use only M19 Phone Call Rec'd ByDate Rec'd Time Rec'd Owner or Agent Signature Esi- Cr^sJ. SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD y)soo GIs.>q. Ft.Sq. Ft.Capacity Ft.Ft. / Ft. Ft.Distance from nearest well > S"'/ Ft.Ft.Distance from lake or stream i7n f- Ft.Ft. Ft.Distance from occupied building /aFt.Distance from property line Ft. Ft. Ft. Ft.Distance from bottom to Water Table FT AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time M By /7^..,PERCOLATION TEST DATA:Date of First Test , 19 Rate A /19.....7.XDate of Second Test , RateI ■v 1 St Test rr> Taken By /3/ ^/f /c5 VoSoFirst Test -I- 2nd Test 2 Rato2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi cial 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 responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. (Call or use attached mailer notice.) Dated Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon expressPermit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. ^ /iK /yx O^eIssued Date: Shoreland Management Fee $Surcharge $ ✓7(5Comments:. 158906Form No. MKL-0771-003 ytCTO* LUXtCIM 4 CO.. P«>HTC*a. FtKSua ■!>■■ SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEI/I/AGE DISPOSAL SYSTEM White — Office Yellow — Inspector Pink — Owner Card — Owner Permit No..LEGAL Date DESCRIPTION AND LOCATION Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Last Name First Initial Mailling Address —No. Street, City and State Zip No.Tel. No. OWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only ,19 .M Date Rec'd Phone Call Rec'd ByTime Rec'd Owner or Agent Signature SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD GIs.Capacity Sq. Ft.Sq. Ft. Ft.Ft.Ft.Distance from nearest well Ft.Distance from lake or stream Ft.Ft. Ft.Distance from occupied building Ft.Ft. Distance from property line Ft.Ft.Ft. Ft.Distance from bottom to Water Table Ft. Ft. AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time ,JV1 By PERCOLATION TEST DATA:Date of First Test ,, 19 , Rate Date of Second Test 19 , Rate 1st Test Taken By First Test + 2nd Test =2 Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi cial 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 responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. (Call or use attached mailer notice.) Dated Signature Permit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express Issued Date: Shoreland Management Office Fee $Surcharge $ *• Comments:. * ■CIRTIFICATE_L Form No. MKL-0771-003 VieTOK kUHBECM t CO.. MimTCOO. FfROuS FALL*. «■■■ 158906 INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should be Actual Should be ^ 6 s FCapacityGIs.GIs.S F S F S F z 7-? F-S's-Distance from Nearest Well F 50FFF F 7\ /^6 CK FDistance from Lake or Stream F F F F F7 OK FDistance from Occupied Building 10 2020FFF F Distance from Property Line 10 10 10FFFF F F V__F\Distance from Bottom to Water Table 4FFFF F f-f Inspector's Comments: 'IJix ~ tX/f /Ksv-V- 7)■-^'U2 OAjL ^ >JU y^-7 ^ i2» “z? ;; tTj - 7^ Cs- ~Z 'tZi.. y/'I •> 0.,■1927L\yLA>}/\^Date of Inspection A—M9 : o-DTime of Inspection, 'Wj^AJ rr ' ^ Signature of Inspector _ / Job Title INTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet ■ Linear FeetF AgencyMKL-0771-003-Backer i GRID PLOT PLAN SKETCHING FORM.feet/inches.Scale: Each grid equals c".19.Application for Building Permit Dated_____ Application for Sewage System Permit Dated, Building Permit Number_________________ Applicant agrees that this plot plan is a part of application (s) indicated above. C .19 Sewage System Permit Number. ■r' TT 19___._1DatedSignature -I—)- 4 I T ttr-IT i- 1t-i \1- VoiTi'-■OiTt :‘4>!h .-'ii ir>: !±p I :J i- <I i-r-rlilj rr- ': rrCMH t -I V ..I::- ^ -1- AM!a.. X •I ■ ti 4- J^- . t)i- ;C> "r ■^ .-r T A ATV,4- i-t'f ZT 4--i—. l. - Tttti Tfet MrT-Ti-: — !I} i. I tl !-f T 1 T L. r MKL-0871-029 Price $1.00 per pad.PERCOLATION TEST DATA SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 , 1 Mailing Address:L. /} U. /» K ^ Middle St. & No. / y A J . NAME - 7i 3 iJ^Ph. No. iwner: ^ Last Name 3-^ - Zip No.StateCity dLegal Description: TWP NAMESEC. TWP.RANGELAKE OR RIVER NO. TEST HOLE NO. 2TEST HOLE NO. 1 L L3ainches; Diameter of Hole inchesDepth to Bottom of Hole,Depth To Bottom of Hole.inches; Diameter of Hole inches ^ ll. 19Depth. Inches Soil Texture Depth, inches Soil Texture im "r % Date Kn/acJ dh/nk.I ^h.^aPercolation Test By^^s OlAJlsi.'f rFirmName^Firm Name^ TlU oc LU Addres AddressGC < /wCO Otter Tail County License No..Otter Tail County License No..I-COLUMeasurement, Inches Depth in Water Level. Inches Depth in Water Level, Inches H Measurement, InchesTimeRemarksTime Remarks I t os fa I g • i<' 7 '■ 'S__ •g :^S- 9.-a,<r ?,: // CM d7\ 33>A‘ c»?o ^ \ o ^^±!L f■f’/?> "/s "X ■ K '/d A ' K \ 3^Ci K. \ 5o- .3 1 t :W^ .- g Ho - />fv//Arr. i I 3 V /'x Z^rTT/r>-u uM 'I3a3^/- n<yU'Aj________^ 3^v>5_ZZW ________^ (leSiW %' 3.<rWSjL3 3,.!/^.7/^ : \ 1 P >' vT ^ ‘.n s's-'/9 '.o5"Gi33^4 See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. MKL-0871-028159179 ®V'CTOO LUHOdH k CO VttIMTttlS. dltSUS r*CLI/ /f m-t'xJ dri2yi..P