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HomeMy WebLinkAboutCamp Idlewile Resort_08000260204000_Septic System Permits_CERTIFICATE OF APPROVAL SEWAGE SYSTEM COLLECTOR of FEBRUARY, 1999This Certificate has been issued this 1ST , to ir certify that the sewage system installed as per Sewage Treatment System Permit Number 11911 has been approved for use by Otter Tail County,2 Minnesota.m The property served by this Sewage System is legally described as: PT GL 9 & 10 (7.57 ACRES) Pi LOT 2 EX .04 ACRES 1:; 0^. »•< ii Parcel Niimber(s): 08000260204000 08000350263000 Section: 26 Township:137 Range: 041 Township Name: CANDOR TOWNSHIP Lake Nvimber:56-523.3 Lake Name: LOON,LAWRENCEi?:.^2 Current Property Owner: NEIL & DONNA STRAWHORN Number of Bedrooms: 5 * SERVICES 3 DWELLINGS IN CLUSTER DEV Land & Resource • ^4* , 284.709 • Victor Lundeen Co , Printers • Fergus Falls, MN • 1-800-346-4870 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 Permit No.LEGAL Ch'Lf / b 9^DESCRIPTION ) Yes ) NoAbatement: (AND LOCATION LAKE/RIVER SECTIONLAKE NUMBER LAKE/RIVER NAME RANGE TWP NAMETWP. NO. 6b'6>5 PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER OZ-OOO'-^ - 4^-000 /35 ' o 7^^3'OOQ /o5 IDENTIFICATION: Please Print All Information Mailing Address — No. Street, City and StateFirstInitial Zip Code Telephone No.Last, Name 6/n c(%^._________Property Owner (J_ Sewage System Installer Name A.M. ► 7/?/s System will be ready for inspection on P.M., 19-at This space for office use only 5'NUMBER OF BEDROOMS: A.M. P.M19 )YES (^)NOGARBAGE DISPOSAL: (Date Rec'd Time Rec'd Phone Call Rec’d By SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) (^ Septic tank ( ) Lift station (Alarm required) ( ^) Drain field ( ) Trenches TANK DRAIN FIELD 9 S3 SqI S'o oCapacity GIs.Ft. Distance from nearest well Ft. Ft. 7-rDistance from lake or stream Ft. Ft. Bed Distance from building Ft.io Ft. Mound ( ) Outhouse ( ) Sewer line toloDistance from property line Ft.Ft. 3Distance from bottom to Water Table Ft.Ft. EFFLUENT DISTRIBUTION ( ) Gravity Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA:3WATER WELL DEPTH rzbPerc Tester.Date of Perc Test //. /5.^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 pari 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. DATE:Signature/ff 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. .and & Resound Issued Date: Management Officeoo3S.111Fee $.Rec #. Comments: 277.212 • Victor Lundeen Co.. Primers • Fergus Falls. MinneostaBK 0796-003 "T'-’-f’ -r APPUCATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM ■* i 'V I WHITE — Office Yellow Inspector Pink — Owner >LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 56537 -j I I l^//LEGAL Permit No. Abatement: ( ) Yes ()/ ) NoDESCRIPTION AND /LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASg SECTION RANGETWP. NO.TWP NAME ./ V71c-. PARCEL NUMBER(S) ^, '' 0 - FIRE OR LAKE ASSOCIATION NUMBER 3b' '^'?(o3-noo IDENTIFICATION; Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. 111 ' :.. v f y^c yj/aProperty Owner y (D.'1 .-L, t .I Name ■ ( ' } jJ f- //Sewage System Installer 3 Jr.x (X--" P ■ -)/(yi . \ .iA.M.t^'.oo5TL- H-t This System will be ready for inspection on., 19-P.M.at This space for office use only NUMBER OF BEDROOMS: A.M. P.M GARBAGE DISPOSAL: ( ) YES ( NODale Rec'd Phone Call Rec’d ByTime Rec'd SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ()3) Septic tank ( ) Lift station (Alarm required) ( Drain field ( ) Trenches DRAIN FIELDTANK SqFt./ SCapacity GIs. SODistance from nearest well Ft. Ft. 7rnsDistance from lake or stream Ft. Ft. ( ) Mound ( ) Outhouse ( ) Sewer line Bed Distance from building !0 Ft.Ft. /O!0Distance from property line Ft.Ft. 3Distance from bottom to Water Table Ft.Ft. EFFLUENT DISTRIBUTION ( ) Gravity ( y) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA: WATER WELL DEPTH ] 2,2'r ^ •rz/Perc Tester.Date of Perc Test. 1// /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.^ ■n / 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. / 3Issued Date:(X Tand & Resource Management Officei /. Ho T 1Fee $.Rec #. Comments: 277.212 • Victor Lundeon Co. Primers • Fergus Falls. MinneostsBK 0795-003 r INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS DRAIN FIELDHOLDING SEPTIC TANK LIFT TANKCATEGORY Actual Minimum 6)(J SF/ 500 GLS.^oOO GLS.SFCapacity FTFTFTFTDistance from Nearest Well Distance from Buried Water Suction Pipe FTFTFTFT 50 Distance from Buried Pipe Distributing Water Under Pressure loy FTFTFTFT10>0^ 75 ^ FTft FTDistance from Lake or River (OHWL)FT ^0 +ft 10/20 FTFT FTDistance from Nearest Building FT FT10FTFTDistance from Nearest Property Line H0 FT FT3FTFTDistance from Bottom to Water Table S* r C3)NOHolding Tank/Lift Alarm s NOOld System Pumped & Destroyed DRAINFIELD CALCULATIONSewer Line to Welt SeparationINTERPRETATION OF ABBREVIATIONS GLS. = Gallons SF = Square Feet FT = Linear Feet Actual Minimum IL FTX FT FT20 SF & Inspector’s Comments: I Ulc^^^KETCH: Inspector's Signature Date of Inspection Time of Inspection AIR TEST CERTIFICATION On (date), an air test of the sewer line installed under hd-rn_______Sewage Disposal System Permit Number //*?// (owner), on J^^oh line held for ________________ (lake/river) was made. At that time, the sewer pounds per square inch for minutes. y'rni^ 'Sr Installer's Sign 17License No.Dateure iU^ ^ ^ MvclctJui M?n %oK M<UlO fW ^-/^§r WuMmj - 'nU: (X. /ciuUz j(Lo ymua€' Oi^ /UjoiC^ 5jpe 6l^.jy^yK -Dnhfink^ Aaxic ® M'^ 'tyu/'WA/. <24^XA.^<zJ p- -/idAk-iTTUl', e24^^2M2J^ I£^p^£ s- a^iums/ietr MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring Sealing No. Minnesota Unique No. or W-series No. (Leave blank il not known) H 101796WELL OR BORING LOCATION WELL AND BORING SEALING RECORDCounty Narr.e Minnesota Statutes, Chapter 1031 Towiisiiip No. Range No.Township ['Ja“e Section No.Fraction (sm. !g.)Date Sealed Date Wei! or Boring Constructed 1 '..iVyiC.nl Street Address or Fire Number and City of Well or Borina Location £S^lAt^L&on —fut—C L !oS SfioiJi^ exact locatidri of wefi or boring ' Sketch mapHii^;ell or boring in section grid w'Uh "X". location, showing property lines, roads, and buildings. it.Depth Before Sealing Original Depth AQUIFER(S) [^Single Aquifer □ Multiaquifer STATIC WATER LEVEL □ Measured D EstimatedWELL/BORING 3^ Water Supply Well □ Monit. Well □ Env. Bore Hole D Other_____ N 4^rTT"ft. □ below n above land surface!i-CASING TYPE(S) [j£steel □ Plastic □ Tile □ Other EW T % mile CASING1"tiTi i I T Diameter Depth O to ft. Sex in oversize hole?Annualar space initially grouted? □ Yes G ''c Lj Ur'known S Jih □ Yes □ Noin. from£)S-34JL’37031 mite I \j.r,r\ov/n□ Yes □ .0ft. □ Yes □ Noin. from toPROPERTY O^NER’ajilAf^E ^ . well location address indicated above. .j □ f.'o '.J ‘..Unknown□ Yes□ Yes □ Noin. from ft.Projje to SCREEN/OPEN HOLEA//y.£<S.t ft. Open Hole from ft.Screen from to to OBSTRUCTION/DEBRIS/FILL □ Obstruction □ Debris □ Fill f^jljvio Obstruction Type of Obstruction/Debris/Fill __________________________ WELL OV'.'NER’S NAME Well owneLsi,mailing ad«iress if differei'iH|ifln proberty ia/C 3tnqie^^ri\/£j T77 owner’s address indicated above. Obstruction/Debris/Fill removed? D Yes D No PUMP Type Removed D Not Present O OtherHARDNESS OF FORMATIONGEOLOGICAL MATERIAL COLOR FROM TO METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: D No Annular SpaceS^its y n Annular space groute^yath tremie pipe y □ Casing Perforation/Removak y If not known, indicate estimated formation log from nearby well or boring. N, □ Perforated n Removedin. from•S.ft.to □ Perforated □ Removedin. from ft. Type of perforator □ Other GROUTING MATERIAL(S) ft..^L tofromGrouting Material yards bags from ft.bagstoyards from ft.bagstoyards from ft.yards bagsto REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING UNSEALED WELLS AND BORINGS Other unsealed well or boring on property? D Yes ^C*No LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is true to the best of my knowledge. License or Registration No. Date 3rtyi ci m)k) Name of Person Sealing Well or Bokng KLSe H 101796IMPORTANT-FILE WITH PROPERTY PAPERS-WELL OWNER COPY HE-01434-02 10/95R SITE DATA LAND AND RESOURCE MANAGEMENT Otter Tail County Fergu^^ls, MN 56537 OWNER: laSt name FIRST MIDDLE TELEPHONE NUMBER ADDRESS: PO /7S !_7r ✓r<r STR./RT.CITY STATE ZIP CODE /[2L CtK'^cffr' LAKE/RIVER NO.LAKE NAME SEC.TWP.RANGE TWP. NAME LEGAL DESCRIPTION:SOIL BORING LOG Date. COLOR & MUNSELL NO. DEPTH (INCHES)TEXTURE STRUCTURE BLOCKY PLATY PRISMATIC NONE O-i, PARCEL NUMBER a.!£pr BLOCKY PLATY PRISMATIC NONE /&y/^ 5?^ 4-/2FIRE NUMBER sNUMBER OF BEDROOMS BLOCKY PLATY PRISMATIC NONE 'Z.ry GARBAGE DISPOSAL: YES WELL CASING DEPTH:ft. BLOCKY PLATY PRISMATIC NONE FLOODPLAIN: YES /tfRRESTRIAIVEGETATION: AQUATIC BLOCKY PLATY PRISMATIC NONE /SLOPE AT INSTALLATION SITE:% TYPE OF OBSERVATION: Probe Pit COMMENTS: 3^ ^ s~/j^ K«/ -y 0 /• z,y PARENT MATERIAL: ORIGINAL SOIL: No Outwash Loess Bedrock Alluvium COMPACTED SOIL:Yes ■7-^’ DEPTH OF BORING- PERC TEST # 1 PERC TEST #2- TWO TESTS ARE REQUIRED - TIME INTERVAL (MINUTES)WATER^^PTH WATER DROP PERC RATE TIME INTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATE 7IME * DROP PERC START START lo^^rr_Ald>'97?/i? TIME DROP PERC INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEH'.l'i.REFILL REFILL —/i?.—TIME DROP PERC TIME DROP PERC TIME INTERVAL (MINUTES)WATER DEPTH -V44/-- WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH £-7^- WATER DROP PERC RATE%REFILL tos7'bLTIMEDROPPERC TIME DROP PERC RATE PERC TIME INTERVAL [MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP m MeREFILLREFILL/JO TIME DROP PERC TIME DROP PERC TIME INTERVAL (MINUTES) REFILL WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE71^1.0REFILL DROP*.~PERTTIMEDROP WATER DROB««*^TIME INTERVAL (MINUTES)WATER DEPTH PERC RATE______ I ^TIME INTERVAl IINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP TIME DROP PERC TIME INTERVAL (MINUTES)WATER DEPTH FATER DROP PERC RATE TIME INTERVA^IMINUTES) WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME ‘ DROPTIMEDROPPERC PERC .TWUjROPTIMEINTERVAL(MINUTES)WATER DEPTH PERC RATEWA Time INTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC PROPOSED DESIGN: /PRESSURE DIST. XMOUND.HOLDING TANK.GRAVITY DIST.TRENCH BED.ATGRADE. SPECIFY:,■ SEWER LINE.OUTHOUSE,OTHER. — SYSTEM DESIGN ON BACK — 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 and all water wells within 150' of the sewage system. GRID PLOT PLAN feet SKETCHING FORM/Scale:,grid(s) equals inch(es) equalsfeet, or /rSUBMITTED BY: IEf M _________ FIRM NAME:t)i^ ADDRESS: t Hov 'Ti'') ^ ^ ^_________________________ SIGNATURE: cDATE: fy'MPCA LICENSE #: 7 T pr--*43Uys "Bp ! BK >- 0496 — 029 Print Key Output Page 1 02/11/99 14:18:275769SS1 V4R3M0 980729 OTTER Display Device User ....QPADEV0053LAND Inquiry Taxpayer/Legal InfoTC906D 10 T56 BRC Tax System Bill No. Parcel No.R 08000260204000 NameNEIL & DONNA STRAWHORN OSSIAN IN 46777 0R1999 District CodeTax CodesTwn/Sch 0008 0549 Spec Dist User Codes TIP DistrictAddress PAS RECORD 804 Taxpayer NEIL & DONNA STRAWHORN 510 INGLE DR OSSIAN IN 46777 95359 Property AlternateLegal DescriptionSect/Twn/Range 26 137 041 PlatLot/Block PT GL 9 Sc 10 COM MC#10 W 333.3' N 82 DEG W 283.08' TO BEG N 140.54' NELY 497.82' N 168.46' TO CENTERLINE OF RD ELY ALONG RD 349.73' S 60.46'A=CSM B=ASM C=DQ D=NAL E=TR F=SP P=PA S=GS U=CAMA EscrowDeeded7.57 AC Other DONNA STRAWHORN95360 OWNER More Legal? Y More Addresses? Y Mod? Action? 7 r V Print Key Output Page 1 02/11/99 14:19:04OTTER5769SS1 V4R3M0 980729 Display Device User .... QPADEV0053LAND Inquiry Taxpayer/Legal Info NEIL & DONNA STRAWHORN OSSIAN IN 46777 TC906D 10 T56 BRC Tax System Bill No. Parcel No.R 08000350263000 Name 0R1999 District CodeTax CodesTwn/Sch 0008 0549 Spec Dist User Codes TIE District Property 804 Taxpayer 95359NEIL & DONNA STRAWHORN 510 INGLE DR OSSIAN IN 46777 Address PAS RECORD AlternateLegal Description < Sect/Twn/Range 35 ■ Plat Lot/Block LOT 2 EX .04 AC. ^ •137 041 EscrowDeeded.66 AC Other DONNA STRAWHORN95360 OWNER More Legal? N A=CSM B=ASM C=DQ D=NAL E=TR F=SP P=PA S=GS U=CAMA More Addresses? Y Mod? Action? >-v . «' I ' -1