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Clear Lake Resort_60000240215003_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 September 1, 2006 June Finkelson PO Box 244 Dalton, MN 56324-0244 Sewage Treatment System Servicing Tax Parcel Number 60000240215000 & 60000240215001 Described as PT GL 4 IN PLAT OF O.T. CO. WA #2..., Section 24 of Tumuli Township, Clear Lake (56-559) RE: As of August 29, 2006, the sewage treatment system (Sewage Treatment Installation Permit #18490) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a holding tank. If you have any questions regarding this matter, please contact our office. Sincerely, Mark Ronning Inspector 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 / cPyfo /zz^ ?.7.ra^/^ Lake #RE; Inspection on Sewage Treatment System Permit # Parcel # /aOOOfi2, yo t^S'QO O Address____ This is to inform you that an inspection was made on the above mentioned Permit. At that time, we could not complete the inspection and approve the system for use, for the following reason(s); There was not a visual alarm on the lift station. yP There was not an alarm on the holding tank. ___ There was not a dwelling onsite. ___ The non-conforming sewage system had not been destroyed. There was not a well onsite. The Installer had not completed the air test. Our Office has not received the Well Abandonment Certification. A variance is required for non-complying setbacks: ______ Ordinary High Water Level ______ Lotline ______ Road Right-Of-Way ______ Structure ______ Wetland CC/II^TALLER; ' - S' Miscellaneous Please contact our office for a reinspection of your sewage system when the problem is corrected. Approval of the system can not occur until this matter is resolved. Note: The entire sewage system must be installed prior to the Permit’s expiration date. rvTark Ronning, Inspector Sewer form Itr mcr 4-04 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) /fr?oAPPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. SECTION TWP NO.RANGE TWP NAMELAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS 7^ /r'flo '2V h/ PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD TllrjjrJZ OOLEGAL DESCRIPTION OC ^ (ku i -h/Crf First Initial Mailing Address Daytime Phone No.Last Name Property Owner ■ gContractor Lie.# THIS SPACE FOR OFFICE USE ONLY AM. the year of .P.M.>• This System will be ready for inspection on..at. ,A.M. P.M. L&R OfficialDate Received Time Received SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE) DRAINFIELDTANK Z-ISW^^-l o r' l-ZiVo 0-<<A I— ^Ft"GIs.SizeAdd-On/New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade ^ Replacement^^CTank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination /go Ft. Ft.Setback to nearest well /CXJ>Setback to OHWL (lake &/or river)Ft.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 Ft. Ft.Setback to non-dwelling 1^0 Ft.Setback to nearest property line Ft.Other^^Tank, Holding (?2) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous Ft.Setback to road right-of-way Ft. O Ft. Ft.Elevation above restrictive layer ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. ABSORPTION AREA FOR MOUNDS# BEDROOMS GARBAGE DISP. Y / N ABATEMENT Y / N DEPTH OF WATER WELL Ft^HOLDING TANK MONITOR/ DISPOSAL CONTRACT (.-Vo Yes ( ) No-L&R Can Not Process EFFLUENT DISTRIBUTION ( ) Gravity ( ) Pressure Designer Designer Lie. # Cy PERCOLATION TEST DATA —oC,1^0Date 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. ■"I A./.KLPermit Fee $Date:-A of Property Owner/Agent f^ruwner Rec. No.Date: Land & Resource Management Office Comments: Form No. BK — 0203-003 315,609 • Victor Lundeen Co., Printers • Fergus Fails, Minnesota APF^LICATION 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. .■ TWP NAMELAKE/RIVER CLASS SECTION TWP NO.RANGELAKE/RIVER NAMELAKE NUMBER n) 5 4 i..-!'■ E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED nOO f'fc '' ■/- LT. /y>'rod I / ^GAL^DE^CRIPT^O^^^ ^ /■ L3 J!i\/f/if Daytime Phone No.Mailing AddressFirst InitialLast Name iVProperty Owner /4o^[9irr:^ ^/o9 (nW\~~^vouC(' (hn>-CL ,4. CcJContractor Lie.#of Son Co nS'fru.c't] ijA ; THIS SPACE FOR OFFICE USE ONLY '-fWseW^ B)>y/cX# 3: go ^the year of> This System will be ready for inspection on .at. flop M. L&R OfficialDate Received Time Received SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE) TANK DRAINFIELD Ft"iSize GIs.Add-On/i—New System (20) Trench, Rock (21) Trench, Graveiless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade ^ Replacement (^2) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination Setback to nearest well Ft.Ft. Setback to OHWL (lake &/or river)Ft.Ft. -fd/Setback to wetland Ft.Ft. Setback to dwelling Ft.Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade Ft.Setback to non-dwelling Ft. Ft.Setback to nearest property line Ft.Other (41) Tank, Holding (42) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous Ft.Setback to road right-of-way Ft. Ft.Ft.Elevation above restrictive layer ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. ABSORPTION AREA FOR MOUNDSDEPTH OF WATER WELL # BEDROOMS GARBAGE DISP. Y / N ABATEMENT Y / N Ft^HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( )Yes { ) No-L&R Can Not Process EFFLUENT DISTRIBUTION ( ) Gravity ( ) Pressure tlDesigner Designer Lie. # PERCOLATION TEST DATA /.V ■ 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 of Property Owner/Agent for Owner Date:Rec. No. _ Land & Resource Management Office Comments: Form No. BK — 0203-003 315,609 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements HOLDING _________________________ SePflCTANK^ ypoO^r SO-r- FT DRAINFIELD OUTHOUSELIFT TANKCATEGORY Capacity FT2 FT2GLS. Setback from Nearest Well FT FT FT Setback from Buried Water Suction Pipe ^07*' FT FT FT FT Setback from Buried Pipe Distributing Water Under Pressure FT FT FT FTSetback from OHWL (lake &/or river)FT FT FT /ftSetback from Setback from Wetland FT FT FT / Setback from Dwelling FT FT FT 7Setback from Non-Dwelling FT FT FT FT 7Setback from Nearest Property Line FT FT FT FT Setback from Right-of-Way /O-y- FT FT FT FT Elevation above Restrictive Layer FT FT FT THolding Tank/Lift Alarm //Old System Pumped & Destroyed NO SEPTIC TANKfSf FILTER Sewer Line to Well Separation DRAINFIELD CALCULATION Actual Minimum#Tanks Installed. □ YES FTXManuf.. FT FT20(Model #*/MOUND CALCULATION MOUND /AT-GRADE ROCK REDUCTION yInspector’s Comments:, ABSORBTION AREA Rock trenches with inches of rock under oja^or %Ft. X Ft DRreducjkfn / equivalent to Time InitiaJJL & FI Official c / As of Code of Otter Tail County. the above described sewage system installation was found to be compliant with the provisions of the Sanitation V- Land S Resource ManagemenpBm * ^ • 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. (inch(es) equals feet.grid(s) equalsScale:feet, or "2^ Vo ____MPCA LICENSE #: nTACf^ o nj '^0 DESIGNED BY: LICENSE CATEGORY: FIRM NAME:-7-^/r-ocDATE: ADDRESS: SIGNATURE:YC4<^cAi^i C : "I ! j ,.L 1 i :x I imfllr] ■; !•- 1—r--'r—- + ■■■! TI rI..i -rrT-T^...h -Ii-rf -f-'T •t "i'T■[ -I-t-■■••I.f-f; .Wllliril ■ Li—-1^1. . ..W ! ' ! ; !315,904 • Victor Lundeen Co.. Printers • Fergus Fells. MN • 1-800-346-4870BK — 1003 — 029 SITE DATA WORKSHEET LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us je- yPoSewage Treatment System Permit #OWNER: TELEPHONE NUMBERMIDDLEFIRSTLAST NAME ADDRESS: /'7^A^/iy ZIP CODESTATECITYSTR./RT III I^7- ri4^A NAMERANGETWP.SEC.LAKE/RIVER NO.LAKE NAME SOIL BORING LOGLEGAL DESCRIPTION: COLOR & MUNSELL NO. DEPTH (INCHES)STRUCTURETEXTURE ecSsKY PLATY PRISMATIC PARCEL NUMBER NONEt'7'O^ L f fi I^YA PLATY PRISMATIC NONE E-911 Address or Directions From Nearest Public Road NUMBER OF BEDROOMS-/9lf p6,r c,rf*i B^OOKYj PLATY PRISMATIC NONE GARBAGE DISPOSAL: YES fSO” WELL: CASING DEPTH SEWER LINE SEPARATION:^C^ ft FLOODPLAIN: YES ^ BLUFF: YES d?0 VEGETATION: AQUATIC /"TER^STRIAt:— Yto BLOCKY PLATY PRISMATIC NONE BLOCKY PLATY PRISMATIC NONE ASLOPE AT INSTALLATION SITE:% TYPE OF OBSERVATION: Probe Pit PARENT MATERIAL: UTITP Outwash Loess Bedrock Alluvium 7-AORIGINAL SOIL:No Date of Soil Boring COMPACTED SOIL: Yes (Sfb> 7 T’Wy -of.DEPTH OF BORING (To 7' or restrictive layer):.ft.Date of Perc Test PERC TEST #1 PERC TEST #2- TWO TESTS ARE REQUIRED - TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP M7k [ktelA.m TIME --------- -------- iTE.m.kt TIME DROP PERC START START DROP PERC PERC HATEINTERVAL (MINUTES) TIME WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP In/iuREFILL REFILLBk.M'DROP PERC 7M Jii.k-TIME TIME PERC TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP IhI'/k -IlkREFILL1^ ^ = Oik TIME DROP PERG REFILL -ki.PERC7%IME DROP TIME INTERVAL (MINUTES) WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE..‘ilk:ijL.kJlLMREFILLREFILLjY.-i__= (D■7.<M TIME DROP PERC TIME DROP PERC TIME INTERVAL (MINUTES) WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE17%REFILL REFILL J^L-YfiL .Mn TIME DROP PERC TIME DROP PERC INTERVAL (MINUTES) TIME WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE ..k.7k Wu DROP PERC REFILL REFILL 2/k.y IimTIMETIMEPERC TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE WATER DEPTH TIME INTERVAL (MINUTES) WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERC TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE INTERVAL(MINUTES) WATER DEPTH WATER DROP PERC RATE TIME REFILL REFILL “ TIME DROP PERC TIME DROP PERC PROPOSED DESIGN: GRAVITY DIST..PRESSURE DIST..TRENCH.BED.ATGRADE.MOUND.HOLDING TANK. SEWER LINE.OUTHOUSE.OTHER.SPECIFY:. — SYSTEM DESIGIU ON BACK — SITE DATA WORKSHEET 'V LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us Sewage Treatment System Permit #OWNER: TELEPHONE NUMBERMIDDLEFIRSTLAST NAME ADDRESS: ZIP CODE W7. RANGE STATECITYSTR./RT. III I TWP. NAMETWPSEC.LAKE NAMELAKE/RIVER NO. LEGAL DESCRIPTION:SOIL BORING LOG COLOR & MUNSELL NO. DEPTH (INCHES)STRUCTURETEXTURE etOOKY PLATY PRISMATIC NONE I oe~-^ PARCEL NUMBER ffc <blco:y PLATY PRISMATIC NONE /oH^is~E-911 Address or Directions From Nearest Public Road OF BEDROOMS arrt,BysrCKY, PLATY PRISMATIC NONE NUMBER ZO-YJ^ <—>GARBAGE DISPOSAL; YES WELL: CASING DEPTH SEWER LINE SEPARATION:l<?^ ft. BLUFF: YES ^ffO BLOCKY PLATY PRISMATIC NONE FLOODPLAIN: YES VEGETATION: AQUATIC BLOCKY PLATY PRISMATIC NONE A %SLOPE AT INSTALLATION SITE: TYPE OF OBSERVATION: Probe Pit PARENT MATERIAL: Ctt Outwash Loess Bedrock Alluvium ORIGINAL SOIL:Date of Soil Boring.No COMPACTED SOIL: Yes S2>> 7 -7--/V -of-,DEPTH OF BORING (To 7‘ or restrictive layer):.ft.Date of Perc Test PERC TEST #2PERC TEST #1 - TWO TESTS ARE REQUIRED - PERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES)PERC RATE TIMEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIME .'.1.Mm:7k TIME * DROP PER6 STARTSTART DROP PERCTIME PERC RATEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIMEWATER DROP PERC RATEWATER DEPTHTIMEINTERVAL (MINUTES)In/iu._Z(zy J_ =ib_ TIME DROP PERC REFILLREFILL TMTIME PERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES) REFILL TIMEWATER DROP PERC RATEWATER DEPTHTIMEINTERVAL (MINUTES!TvIlkIkB.(7 ^ ]/i TIME DROP PETO REFia DROP PERC PERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES)TIMEWATER DROP PERC RATEINTERVAL (MINUTES)WATER DEPTHTIME REFILLi.REFILL JbA_= JD_kMk PERCDROPTIME PERC RATEWATER^EPTH WATER DROPINTERVAL (MINUTES)TIMEWATER DROP PERC RATEWATER DEPTHTIMEINTERVAL (MINUTES)fo J7ib JVs%%REFILLREFILL PERCTIMEDROP WATER DROP PERC RATEWATER DEPTHTIMEINTERVAL (MINUTES)WATER DROP PERC RATEWATER DEPTHTIMEINTERVAL (MINUTES)Wo TIME Drop perc /.MREFILL7.(k.REFILL TIME DROP = /mm.PERC PERC RATEWATER DROPWATER DEPTHINTERVAL (MINUTES)PERC RATE TIMEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIME REFILLREFILL DROP PERCTIMEDROPPERCTIME PERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES!PERC RATE TIMEWATER DROPWATER DEPTHINTERVAL (MINUTES)TIME REFILLREFILL PERCTIMEDROPDROPPERCTIME PROPOSED DESIGN: PRESSURE DIST..GRAVITY DIST.,HOLDING TANK,MOUND.ATGRADE,BED.TRENCH. SPECIFY:________________ — SYSTEM DESiGN ON BACK — OTHER.OUTHOUSE.SEWER LINE. 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. (.inch(es) equals feetScale;.grid(s) equals feet, or Vo ____MPCA LICENSE #: DESIGNED BY: LICENSE CATEGORY:pBfiC proofs I'c^ o nJ ^0 FIRM NAME: DATE: ADDRESS: SIGNATURE:Vctt^cA^\ tf 7J-'X ___ /C or i^2.?c>oj^i 3/'J 0iH V ■: ! BK - 1003 - 029 316,904 • Victor LuAdeert Co.. Printers • Fergus Fells. MN • 1-800-346-4870 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 22, 2006 Clear Lake Resort June A. Finkelson P.O. Box 244 Dalton, MN 56324-0244 Re: Sewage System Abatement, Clear Lake (56-559) Dear Ms. Finkelson: On July 5, 2006, it will be 4 years since you received the Abatement Notice on your Clear Lake property. To date, this matter remains unresolved. Please be advised that your septic system must be brought into compliance with the Sanitation Code of Otter Tail Coimty. For your information, individual property owners on Clear Lake have been given 1 year to bring their septic systems into compliance and Resort owners are given 3 years to bring their septic system(s) into compliance. An updated system should be installed on your property by November 1, 2006. If no sewage system permit is obtained from this office by August 1,2006, this case will be forwarded to the Otter Tail County Attorney’s Office at that time, per your agreement with Bill Kalar, Administrator, Land and Resource Management, on December 19, 2005. Thank you in advance for your cooperation. Sincerely, Michael J. Douglas Inspector MD/dag GOOOO fikeAake no.LEGAL DESC2IPTION: Parcel No. iAiu A. Ffnlalso/j P-D. OWNEES NAME AND ADDRESS: TYPE OF SEWAGE SYSTEM:K Septic Tank / Drainfield: ___Cesspool: ___Holding Tank: . Septage Pit/ Dryvell/ or Leaching Pit: ____Other: COMMENTS: SEPARATION DISTANCES (IN FEET) 2.0UTHOOSE^ABSORPTION AREATANKSEWER LINE WELL OHWL LOT LINE DWELLING NON DWELLING GROUND ELEVATION @ REASON(S) FOB ABATEMENT: $ Too chic To oHu)ti I T^^ rtir^ Too clo^r fo Cf-te CA'p 0^^ Uoo^J IH^f-o tUArfa^ Inspector's Signature(s)SKETCH ON BACK • • • CHRONOLOGY REGARDING THE SEWAGE SYSTEM ABATEMENT » ' •• t '• Cl-CAr- U-L<Property Owner: clcA-^Lake No. 56-Lake Name: Parcel No.: GIS Address: Date Issued: Date Initial Response (owner): Date Resolved 'fh IJ ^ - (j) 8oi^ Too cli>S( -tz> .0 ^roiVtA Xho do%r ~tb ^ Jutip c/‘li 4'llou)£fT \\Qok,e4 it4fo )r\A$ (jj ^ 10 cAt^flrs A-lloi»€l ^ hlc IVl'K cMl b4i:lc U>/iH Jo J^if ^!&U/ ^ di/e'^^S'3^ 'M\JU C3e"yt^^ 3. e/ou^t^ ^ - 7Z> C^f Ykt, ^CCc^ ay^c/a^t >» LU^ "/iu, \^€^ny, c>vm. Sf5d~ Abatement. chronology5-02 />)^^ vS^iss^ A14t^ 7^V^ 6¥^!i>\^tiy 3 ^^^5 ,5“-^ Lt.ih^ \7W 3! 3U%J>5*. ^dSTiyn^ ^0C> L&iff^ ll<Fc^ly dd^b, /Sr'ctc^ Fn^'hlsc^ ca//^^ -Fcn^ c.JI^7S/-y77? is c^si^'^fjy ^eyol^c^f^ ih^Ufei^^ ^•4- it> a^'f' Z)*^ t^H ^Fl ^6cu<7- /l/j F ^/yi^ ^ ^ yiW-e^f'hfi'Uc/s/'s^ ^ \X^Myd(H>io ~~ 3>^c< c^pi/\e it^iv 'pu. Uf^Yk /S?H KaUr //-^ jf^-^cSli^ *7^ Yu^/p F O^FicY ^a /*\S1^//^ Yo />c^-/-/^ /ta/t37/S^ y^/dj 'llccY t^ni/ acsCfi^^'^c^ Ate ^ c^p^rHs, F< >^ Fy 7^^ Fn//. 'T/y^ 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 3, 2004 Clear Lake Resort June Finkelson PO Box 244 Dalton, MN 56324 Re: Sewage System Abatement, Clear Lake (56-559) Dear Ms. Finkelson: It has been almost a year since you received the Abatement Notice on your Clear Lake property. To date, this matter remains unresolved. Please be advised that your septic system must be brought into compliance with the Sanitation Code of Otter Tail County. For your information individual property owners on Clear Lake have been given 1 year to bring their septic systems into compliance and Resort owners are given 3 years to bring their septic system(s) into compliance. If you have any questions regarding the aforementioned, please contact me so we may work out a solution to your Sewage System Abatement. Otherwise, please have this situation taken care of by August 1, 2006. Failure to do the above will result in us turning this matter over to the County Attorney. Sincerely, Michael J. Douglas Inspector MD/ajm SEWAGE SYSTEM ABATEMENT NOTICE OTTER TAIL COUNTY LAND & RESOURCE MANAGEMENT 121 W. Junius, Suite 130, Fergus Falls, MN 56537 218-739-2271 JULY 5, 2002 CURRENT PROPERTY OWNER: June A. Finkelson ! Township Name: TumuliRE: Parcel Number: 60000240215000 Section: 24 E-911 Property Address: P.O. Box 244 Lake Name: Clear Lake Lake Number: 56>559 You are hereby notified that the sewage system which you maintain on the above identified parcel, is not constructed and/or located in accordance with minimum standards of the Shoreland Management Ordinance of Otter Tail County. Please be advjised 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. £2“ Land & Resource Management (^fjicial STATE OF| MINNESOTA ) )ss. AFFIDAVIT OF SERVICE BY MAIL COUNTY OF OTTER TAIL) Amy J. Maijk, of the City of Fergus Falls, County of Otter Tail, in the State of Minnesota, being duly sworn, says that on the 5th day of July, 2002, she served the annexed: ABATEMENT On the following person, by mailing a copy thereof, enclosed in an envelope, postage prepaid, an*d by depositing same in the post office at Fergus Falls, Minnesota, directed to said person' at the following address: JUNE A. FiNKBLSON PO BOX 244 DALTON, MN 56324-0244 Amy J. M^rk Land 85 Resource Management Official Subscribed and sworn to before me this day of in the year of J. ^/, 9D0^My Commission Expires i t^“^n^LTH0MPS0N 5 NOTARY PUBLiC-MiNNESOTA ' My Corhmission Expires JAN. 31,2005 |n ,*,l„.............................. FormLtrs-CertifiedMailingMS 4- Print Key Output Page 1 07/02/02 16:04:51OTTER5722SS1 V5R1M0 010525 QPADEV0020 JTHOMPSO .. Display Device User .. : Inquiry Taxpayer/Legal InfoTC906D 10 T56 ACS Tax System Bill No. Parcel No. R 60000240215000 Name *_ JUNE A FINKELSON DALTON MN 56324 0R2003 District Code 6001Tax CodesTwn/Sch 0060 0261Spec Dist User Codes TIF District Property 49521Taxpayer JUNE A FINKELSON PO BOX 244DALTON MN 56324-0244 Address PAS RECORD Alternate Legal DescriptionSect/Tvm/Range 24 131 042 PlatLot/Block EscrowDeeded PT G.L. 4 IN PLAT OF O.T. CO WA #2, PARCEL 4 CALLED LOT A 1.30 AC Other More Addresses? Y Mod? Action?More Legal? NNO BILL # ASSIGNED FIELD NOTES 0 DATE:LAKE NO. 56-LAKE NAME:7 . fise/lake no. \^XHLlegal DESC2IPTI0N: Parcel No NAME AND ADDRESS: L4^=-t A . P|Vv \a (so n p d. 06/ ONNESS TYPE OF SEWAGE SYSTIM: Septic Tank / Drainfield: ___Cesspool: ___Holding Tank: .___ Septage Pit, Dryvell, or Leaching Pit: ___Other: COMMENTS: SEPARATION DISTANCES (IN FEET) 2.0UTH0[JSE^ABSORPTION AREATANKSEWER LINE WELL OHWL LOT LINE DWELLING NON DWELLING GROUND ELEVATION @ SEASON(S) FOR ABATEMENT; Too c/psc To OHU)H 1 Taw r+1:^ Too closr ft> Cf/ce CA'ip oi-4- (5) ^ \,Oo^l S>C^iC- eH|| A-/k>«*»W ^ Inspector's Signature(s)SKETCH ON BACK • • • LAiLC- ii'U UHc,< ^e^orj. ^roLlftis: /V<pf>W <^unxi/ n&f ^ (ResoH- \b. ; "i 'Ati.--- f*.. . •.,.K .;*■. V.*>I jpy K-^' -,v ■:. Tur-.rri-i-------------------->'"t -■ V v -.'^ ;-• cU^ La^< ^roC ClJ ^ -frort LA-K^ Hl^ '^D '^toH Lak^ 9 disU\4Y^< ■j ''» ; 1^ ss v :•: c>.. ;•: :•: - :• :•::■; , :■: v _. :■: : ;■; i. iM< CLEAR LAKE RESORT S CAMPGROUND£.S t>^(PA//it^iCA HO PART OF 6CMERNMENT LOT 4, SECTION 24, TUMULI TOWNSHIP, OTTER TAIL CCXJNTY, MINN 'C k^<1r. / (Le-AtEcj 114 e. i \ ACREAGE = 2.2 i^ ENT OWNER a DEVELOPER - REUBEN FINKELSON 892 E. 4 th. St St. Paul, Minn. 55106 %0 ^4 3 3 •£1 !>1.£ . Cu. . ^e.Ni'l. bt Sc.^. zz, Tv4^. tlij 4-z 6"UAKAdv«rtising Sign 3 /Allicihi FlKiL£.l^3QNl ii. £. 1 BENCH MARK SfK IN POWER pole ELEV MOQOO ASSUMED DATUM a Proposed Yord Light ■ F\ *r SCALE I" =20'■R <-H-DCiD riA " 0*J< " ■II 4*;< OBU/OAI? . ^Efec. Service bei, 0" ' N <5ak I4“0AK + I \ 0--I .0 rtO j 0-j D-J rLUr ) L 1 I k\<S. l CJ^CE^ EmI c£ P^uAoSilJi } o^A SIej _a r:2 - :•:r N UJ ^-J :•:■! JLCY^■i '2 I :•; DCLJ\ x-J VD DOCK £ -tcT ■J__:> -♦-> ^/'1 i•y T?a <3 o cu ‘V '] J-2-z2 in■ i ■IV/T>vA d V l v’l :l;/5/ ^ t I//IJ 1 3 CG LAKE ELEV =85 42 DEC 12,1975 ! iExistingt FISH HO I;:t i y L ''J#r^ —f vP / CERTIFICATE OF SURVEY ROBERT B. OSLUND & flSSOCIATES, INC. OMK ENGINEERINGJNC. O/ /n ' //riJOL.! t / *i;KGis'n;i;Ki) land sukVeiyohs CONSUI.TINC Civil. KN.c;iN-i:LKS OT'JKK 1 All. COUNl'Y SURVKYOR 1-KHGUS 1-Al.LS. MINN. .^LLC \I'll- liFMll\\ \sl||\(,lu\/MollH!^, \ii\N :>(i-2a:I'ii ^^U■l;)(i^i 7 M I m ill ID ( 1 KlllA niAl IMIN M HVi;V, PLAN, Oil lll t'OiU UDtS iivt I’SHLl) ID .Ml. OU I -N- 1)1 H \1^ DililCi ,sl I’l H\ ISinV AM) 1 H.VT 1 AM A Dt l A ill (.!> 11 JU.1> I A.M) SI UV IlYUK I M)l H II n I \\\S OI nil, M \li: 01 .Mi^.N, SOI A. i 1,;rl i) VI i; //75’lllO., M). TM.YCABINcu. I2.S. -ID ‘OS. - lU J : -1i L A \ 0 i 1C‘ ; i! \!I !i1iC>i \I ft>I \PI 1 !f- C3fP "S r !OI0X*w c "4 :; i f I I i 1 / ; j 1Isho |c«V-)-(f-i 1-4 0L(p)y'^ j i I ; < ;i !i f I Lk 2^So£T 0 ^ ^ P_Shs-e Y I k\JL \ S'h)^6 9-8« Qo - i » i • SHORELAND 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 Yellow — Inspector Pink — Owner Permit No., LEGAL ,ex. 'i~r. ^ jp-r icDESCRIPTION AND 7/-xs~fLOCATION TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State Zip No.Tel. No.InitialFirstLast Namen.keL e^/7OWNER SEWAGE SYSTEM INSTALLER Name, This System will be ready for inspection on... 19. This space for office use only ,M19 Owner or Agent SignatureDate Rac'd Phone Call Rec'd ByTime Rec'd NUMBER OF BEDROOMS;ESTIMATED COST:/ \-sa*Tte:>^NKSEWAGE DISPOSAL SYSTEM DATA:/ SEEPAGE PIT /DRAIN FIELD /"^000 GIs.Ft.^q. Ft.Capacity /Ft.Ft.Ft.Distance from nearest well 7^Ft.Ft.Ft.Distance from lake or stream ZO Ft.Ft.Ft.Distance from occupied building Distance from property line Ft.Ft. Ft. /Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points A/A-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 b responsibility of the applicant for the permit to notify the County Shoreland Management that thrfjob is ready for inspection. vered until it has been inspiected and accepted. It shall be the ^^“gnature'^ Dated 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 :zo ^Fee $Rec # Comments: Form No. MKL-032085 225239 — Vidor Lundeen Co., Prnters, Ftigus Fdb. MN t /\y oi.’-' - SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL jU / COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM 4 \i » White — Office Yellow — Inspector Pink — Owner Permit No.,LEGAL / 'f c //i /. /DESCRIPTION AND 7// / ’,/,/•LOCATION TWP NameLake Classif.Sec.TWP RangeLake No.Lake Name IDENTIFICATION: Please Print All Information. Mailing Address — No, Street, City and State Zip No.Tel. No.First InitialLast Name ■f iz. . ^ -J-j,. '^7// ////(y ! I HOWNER / SEWAGE SYSTEM INSTALLER Name. If- 17:0"iThis System will be ready for inspection on., 19. This space for office use only Date flec'd Time Owner or Agent Signaturelec'd By NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD GIs.Sq. Ft.Sq. Ft.Capacity Ft.Ft.Ft.Distance from nearest well Ft.Ft.Distance from lake or stream Ft. Ft.Ft.Distance from occupied buildinq Ft. Distance from property line Ft.Ft.Ft. Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: /y // . Inspection was made on........... PERCOLATION TEST DATA:Date of First Te Date of Second 1st Test Taken By First Test 2nd 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. signature^/4-^/iDatedu 1 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 agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minne.«)ta. 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. JIssued Date: Shoreland Management Office7C -Fee $Rec # ‘T Comments: Form No. MKL'032085 225239 — Victor Lundaen Co., Printers. Fergus Falls. MN "• 4 • H INSPECTION RESULTS ■i Inspector must make all measurements I11 1SEWAGE DISPOSAL SYSTEM STATISTICS ' "i i SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYShould BeActual Actual Should Be Actual Should Be Capacity 4)^3000 GIs.GIs.S F S F S F S F Distance from Nearest Well F F F F F F nQ ‘ibp X~4Distance from Lake or Strea FF F F F/QC^ JMiDistance from Occupied Building F F F F F Distance from Property Line F F F F F F Distance from Bottom to Water Table 3F F F F F /—^ ff i)Lo^ / ^OCJ^ ^ 4Inspector’s Comments:C (a CL^¥ C) h>7 ^ Lsi^ ^>vw-£>’V\ -D f ..r( y>>/ n ci t*./ >1 sLw ^ -7 ll .OiA jyS^-0 Ca,^'X>U> A XjtJL -^/v/OC-T/Tit-S Date of Inspection 19 Time of Inspection M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job Vtle MKL - 03208S - Backar Agency 6 Ofi> f ^ ’"i iJX n ' 'h ^ ^ I V ^ -<! P ^ oC( 'U. c_f^\Cj t-i-^OC C'»“'/ ? ^fi✓1 OP ^c^h:{ K hf V alJLr.^<o'^ —11^ S' o ■Q /o > 1P<o' f ■9 /6/O ^ro^/o r/O r '' /C ~\ ^1 Q t ^ i ■»' /1/^ 9c3/ ^ 8-KrA'7IS« *nHSJ2_cof^V|C(.7 ! r ^ ^ /■tn ! n 7 iOp §JU/^7r*-^w OtAj^ O KOi-vsx^u^Xj^/a' C-i ^u.7c5!,'^ -^'VOU? /', /^// S? (Lok<5m-w<|c State Items Offered 11. Rear Doors: Top hinged electric, air operated from truck with manual safety switch at rear of trailer 12. Lights and Reflectors: I.C.C. approved, rubber mounted, 12 volt. Stop and tail lights - signal Stat #4064R; turn and tail lights - Signal Stat #4064R; marker and I.D. lights Trucklite #10202R, and Y with grommet and pigtail. Hinged screen cover over rear lights. _ 13. Painting (State colors available): A. Surface preparation: All surfaces to be painted shall be cleaned of all mill scale, rust, spatter slag, or flux deposits, oil, grease, dirt, or other foreign matter. _ B. Paint Application: The paint shall be applied in dry dust free conditions and in temperatures above-40 degrees F. All edges, corners, crevices, and joints shall receive special attention for thorough cleaning and adequate paint thickness. _ Prime Coat: All metal surfaces shall be clean and dry and shall have one coat of ferric oxide zinc chromate metal primer, or approved equal, applied to obtain a minimum thickness of 1 mil. per coat. C. Finish Coats: All exterior surfaces of the trailer shall have (2) two coats of alkyd enamel paint, or approved equal. Applied in accordance with the manufacturer's recommendations and shall have a minimum dry film thickness of 1 mil per coat. _ D. 14.Walking Floor: Keith hydraulic operated Walking Floor. Available from Keith Manufacturing Co., P.O. Box 1, Madras, Oregon 97741. Phone: 800-547-6161. A. The Walking Floor Unloader is to have (24)#1805 actuated aluminum floor extrusions. Each extrusion must have a slot to accomodate #1305A floor seal. f Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone 218-739-2271 Court House Fergus Falls, Minnesota 56537 MALCOLM K. LEE, Administrator August 6, 1985 Mr. Reuben Finkelson 892 E 4thStreet St. Paul, MN 55106 Mr. Finkelson: On August 2, 1985 Delzer Construction installed holding tanks for you on Clear Lake Resort. This installation is rejected by this office for the following reason; Many pressure water lines are located within 10' of a buried sewer line. Delzer's crew was given permission to cover the installation, as the water and sewer lines are very close to the surface and can be uncovered quickly with a shovel. Either the water lines or sewer lines must be moved so no buried portion of one is within 10 feet of a buried portion of the other. Please remedy this situation by August 13, 1985, and call this office for a re-inspect ion. The system may not be used until corrections are made. Sincerely, Inspector mgb SHORELAND MANAGEMENT ORDINANCE - DIVISION OF EMERGENCY SERVICE - SUBDIVISION CONTROL ORDINANCE SOLID WASTE ORDINANCE SEWAGE SYSTEM CLEANERS ORDINANCE - RECORDER, OTTER TAIL COUNTY PLANNING ADVISORY COMMISSION RIGHT-OF-WAY SETBACK ORDINANCE FUEL AND ENERGY COORDINATION Department of LAND & RESOUI^CE MANAGEMENT COUNTY OF OTTER TAIL Phone 218-739-2271 Court House Fergus palls, Minnesota 56537 MALCOLM K. LEE, Administrator August 6, 1985 Mr. Reuben Fluke Ison 892 E AthStreet St. Paul, MN 35106 Mr. Finkelson: On August 2, 1985 Delzer Construction installed holding tanks for you on Clear Lake Resort. This installation is rejected by this office for the following reason: Many pressure water lines are located within 10' of a buried sewer line. Delzer's crew was given permission to cover the installation, as the water and sewer lines are very close to the surface and can be uncovered quickly with a shovel. Either the water lines or sewer lines must be moved so no buried portion of one is within 10 feet of a buried portion of the other. Please remedy this situation by August 13, 1985, and call this office for a re-inspection. The system may not be used until corrections are made. Sincerely, CJ ir.. Richard B. MacGregor Inspector mgb SHORELAND MANAGEMENT ORDINANCE - DIVISION OF EMERGENCY SERVICE - SUBDIVISION CONTROL ORDINANCE SOLID WASTE ORDINANCE SEWAGE SYSTEM CLEANERS ORDINANCE - RECORDER, OTTER TAIL COUNTY PLANNING ADVISORY COMMISSION RIGHT-OF-WAY SETBACK ORDINANCE FUEL AND ENERGY COORDINATION /? 1 3( ------ yv. .10^/)/|^/^oW OouU^ Suo j)a3 p^) Ci^^ f/H£i ^O c-ilv / » *^ ' ^ C_ji>-J.^jLSly\^ P^ ^ ^ '' ^ <2.S ) U^Ju^^OuiJ/^ J MjlJ^ /o'cyiQX$ ujHk ^ ^j/c^//«-/>^i SJ lO Ua'j 0 /} UJ O^Llv. ^ ' Kili QJLUJ'€\^ .,S'P>y\ii,(M-a ■mmiwI ny ff ;/i wJ('<fCsr^ CERTIFICATE OF OCCUPANCY i<i Conforming with the requirements of the Shoreland Management Ordinance and all other applicable Ordinances, a Certificate of Occupancy is requested for:wm tV t;MLocation: Lake No.Sec.Twp.Range Twp. Name■& ti i j •S Use:?v * M Si fnftOwner: Name. Ms,ISC 'tAddress.B Lj Z/p ACo. r/zw certifies that the above property has been inspected and that it meets all of the requirements of all applicable Otter Tail County Ordinances and therefore this Certificate of Occupancy is issued as provided by the Shoreland Management Ordinance. s 'Mhi4-hn mi4;vt>)■: m Date:.Otter Tail County, Minnesota Shoreland Administration Permit No. BP Signed by: Malcolm K. Lee, Shoreland Administrator Otter Tail County, Minnesota \ MKL-087 1-008 m ti. S'.- .j w c @ 159035-A VICTOR LUMOCIN 4 CO. PRINTtRS. FERaUB F*LLB, UINN WiIfefSIKWif■s.a. ^ j V 1<S'-/f (T. fSM; g !>j)M: :•#'M CERTIFICATE OF COMPLIANCE SEWAGE SYSTEM 17 th"I 79 75JanuaryThis certificate has been issued this day of.Illidto certify compliance \vith regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota..-1 y%?i mmM The premises covered by this certificate are legally described as:iM vmIw Lake No. 56-559 Sec. 24 Range__A2.Twp. Name.■Tumuli Lot 4 ex tr. & ex pt. to State & ex 34.07 ac to U.S.A, So 350' of W 250' of Lot 4 ex pt. to State mfelltel’miEs wMfej mM m Owner: Name Reuben Finkelson pi Wm 892 E, fxth St,, St, Paul, MinnesotaA ddress. Zip No. tell A;' 1297Permit No. SP_ Signed by:. Malcolm K. Lee, Shoreland Administrator Otter Tail County, Minnesota m MKL-087 1-009 m'Wypfim C/ ’sl-i ©159035 ViCTOH LUWStfs I CO PH.sTfej rc«;LiS fi.L* W'v» SHORELAND 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 — J>fflce allow —^ Inspector Owner Owner1.. CardV 3^ I iS A /^9/ /os.tsstu ^ S4o7 Olc, 7bc> Permit No.,LEGAL Date DESCRIPTION AND -c^4 Ai / JiBz.LOCATION Lake No. Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. First Initial Mailling Address —No. Street, City and StateLast Name Zip No.Tel. No. V9i ’ OWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection , 19.on. This space for office use only 19 .M Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signajure NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD f/DOn ") Gis.Sq. Ft.Sq. Ft.Capacity fsrb/~j Ft.Ft.Ft.Distance from nearest well a 25"'Oy'iCjtCi Ft.Ft.Distance from lake or stream Ft. Xjn.Ft.Ft.Distance from occupied building Ft. Distance from property line Ft.Ft.Ft. Vt. \ Ft.Distance from bottom to Water Table ■t. AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19,, Time ,M By PERCOLATION TEST DATA:Date of First Test Rate Date of Second Test , Rate 1st Test Taken By First 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. 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 A7 - /yIssued Date:. Shoreland Management Office 5 Oo-ee $Surcharge $ C /n c V ^ 9 3 Clomments:. ■m No. MKL-0771-003 wiCTti utattCN • M.. pmmtcm. PC*«u« r«.L«. H>im.l58906 Qa(JI-rSHORELAND 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 • Inspector Owner Card — Owner ^e/low Tink -- CO ^ J2_<Permit No.,;-7 O 4 -C:>7 Date. '-X,-LEGAL / - y J ' 7/- DESCRIPTION c—-/ OS CO AND 9 /i-007 /-rLOCATION/t C Lake No. Lake Name Lake Classif.Sec.TWP Range TWP Nanr>e IDENTIFICATION: Please Print All Information. Initial Mailling Address —No. Street, City and State Zip No.Tel. No.FirstLast Name e E9A cf 4^ ■ ' ^'1. VOWNER Pr,„i «/>Z^• O'^/oa "<^-64-V f ,.SEWAGE SYSTEM INSTALLER Name, This System will be ready for inspection /?/>V• r\ r\4 , IQon. This space for office use only /■^ - 7 Q /i M13 Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signature NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD GIs.Sq. Ft.Sq. Ft.Capacity //'l iyr' r-t^'07 Ft.Ft. Ft.Distance from nearest well Ft.Ft.Ft.Distance from lake or stream Ft.Ft.Distance from occupied building Distance from property line Ft. Ft.Ft. Ft. Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest a stance between nearest points ;RECORD OF TESTS: ‘■.r . ■' ■!-7 . , Time, / ■ 7 'Inspection made bn ,M By19 1 wDate of First Test _...7.,,PERCOLATION TEST DATA:tssA , Rate Date of Second Test Rate'V 1st Test Taken By / First Test -I- 2nd Test■J-r 22nd Test Taken, By Rate The urtdersigned 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 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 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. Permit: !)fO'- ‘ Issued Date: Shoreland Management Office _ \ , /J /c I Fee $__-i±Surcharge $ 4 ( ^0___ateiZluJ.V 7 //lo , /(kimments:.t /•'IV j Form No. MKL-0771-003 >158906 vicTca uftiacfN t ee.. eamrca*. ftetui r«LL«. 4 INSPECTION RESULTS V ■ •V'Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS f SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORY Actual Should be Actual Should Actual Should bele Capacity GIs.GIs.S F SF SF S F Distance from Nearest Well 5F 50FFF F 7Distance from Lake or Stream /OOi F F F F F IDistance from Occupied Building 10 2020FFFF F Distance from Property Line 10 10 10FFFF F Distance from Bottom to Water Table 4 4FFFFF F Inspector's Comments: *-1 ^ c tJL'/ 4 Date of Inspection,19____ Time of Inspection M 3tginature of inspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet ^ Linear Feet Job TitleF AgencyMKL-0771.003-Backer C ‘i? f i - ;