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HomeMy WebLinkAboutDriscoll_8022544_Shoreland Permits_APPLICATION FOR SITE PERMIT LAND & RESOURCE MANAGEMENT GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.mn.us WHITE - Office GOLDENROD - Inspector YELLOW - Owner (after issue) OTTER TnilCOffITT-aiAIMIOTi Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. LAKE / RIVER NO. LAKE/RIVER NAME .^77 I S IZrik LAKE/RIVER SECTION TWP NO. RANGE TWP NAME .o I l3<^ fl \l^cffn:skjoy PROPERTY (E-911) ADDRESS ~ S36^S^kkJh$ Sr;- PARCEL NUMBER (S) <^IOS&-OCO-Ol-cCCl-000 LEGAL DESCRIPTION .Ai7 isM Az.DEVELOPED, UNDEVELOPED First Initial Mailing AddressLast NameDrl3C0ll.Daytime Phone No. Property Owner I 0(J~Joor Qer^ijx'ioi^Contractor Name Lie.# PROPOSED PROJECT (please circle the appropriate number) ^jAdd’n to Dwelling/Attached Garage (3) Replacement Dwelling* (6) Detached Garage (9) W.O.A.S. ON^TE WATER SUPPLY (V^dividual ( I Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. ONSITE SEWAGE TREATMENT SYSTEM (V) L&R Cert, ot Compliance within 5 yrs. ( ) Compliance Inspection Report within 3 yrs. (Attached) ( ) OTWMD ‘Musi have Sewage System Approval Irom OTWMD prior to issuing Site Permit. Contact Rome Mann at 218-864-5533 (1 ) New Dwelling (4 ) MHA-R____ (7) Add'n To Non-Dwelling (8) Storage Structure (10) Non-Conf. Replacement (identify)'*_______ (11) Other (identify)_______________________ (12) Deck_ (13) Fence. (5) RCU/Year A.Pf■*- X ( ) Undeveloped Lot "Existing Non-Conf. Structure Verified by L&R•Removal of Existing Dwelling Verified by L&R Inspector's Initiaf/DaleInspector's Iniliai/Date CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimen^on I & Ft. x / Q Sq. Ft. ^ 4. Setback to Lotline tOO Ft. & /3Q Setback to Right of Way Ft." Setback to Ordinary High Water Level jcKj^^ Ft. Elevation Above Ordinary High Water Level ^ Setback to Septic Tank Setback to Drainlield _ Setback to Bluff__31 Total Bedrooms 3 Maximum Proposed Height Roof Change (Yes ( ) No Basement ( )Yes . Walkout Basement ( ) Yes (side prolile required) (\X) No Ft. X Ft."Ft."Ft."Ft.x Sq. Ft. Setback to Lotline ____ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Sq. Ft. _________ Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff_____ Ft.&Ft."Ft.**Ft.& Ft.**Ft." Ft.Fl.Ft. Ft.7^0--- sort. Ft. Ft.Ft. Ft.Ft.Ft. Ft.a^Ft.Ft. Ft. Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft. ( ) Screen Porch ( ) Storage Structure * Must include on scale drawing, additional Permit may be required. Topographical Alteration / Earthmoving □ None ’X..20 Cubic Yards or Less * □ 21 Cubic Yards ■ 999 Cubic Yards*□ 1,000 Cubic Yards or More* 35crs*-BluH ( )Yes (^Nd Ft.Water FrontageSq. Ft.CHARACTERISTICS OF LOT:Lot Area i. /%.%.% Impervious Surface RatioBuilding Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. 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 iiall respects to the Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand ijjat it i^my responsibility to inform the Land & Resoiyc /i iice once the building footings have been constructed.lanagei y?//5Date; Signatdfe of Property Owner/ Agent for r^ner Date: Land S Resource Management Official RECEIPT NO.PERMIT FEE $PROJECT(S) TOTAL SQ. FT,. yijbkA . Date StampComments: /IMPERVIOUS^SURFACE CALCULATION List & identify all existing ^roR^^d onsite impervious surfaces ^ scale drawing. ^tff\ ^ Date: 5^! 15Lot Area (ft^):Signature: W' Other Impervious SurfaceBuildings ProposedExistingExistingProposed Ft^Ft^Ft^Ft^ Deck(s)Dwelling Patio(s)Attached Garage Sidewalk(s)Detached Garage Landing(s)Storage Shed Driveway(s)WOAS Parking Area(s)RCU Retaining Wall(s)Miscellaneous Landscaping (Plastic Barrier)m6idfttnil aftta u Miscellaneous S6f0 875TOTAL OTHERTOTAL BUILDINGS Buildings Impervious Surface Percentage Maximum Allowable 20% Lot Area Impervious Surface Ratio TotalExistingProposed Ft^Ft^Ft^Ft^Total Buildings 56‘fO .1 33,4 100X = Buildings + Other Impervious Surface Percentage Maximum Allowable 25% Lot Area Impervious Surface Ratio Existmg TotalProposedTotal Buildings + Other Impervious Surface Ft^Ft^Ft^Ft 51 f^35.0^. rm >_____ 7 ’100X Impervious Surface Calculation Worksheet 03-25-2014 5’tall privacy fence Legend CoMvioN Name Size Qty 1 Fl^r, Pej^mal_ Astil^ ^apa^se Carpet Kgle J Da YULY, Stella Crass, Dlue Lyne C^SS, N/fclDEN_ COIX^ TjARA Li^i^iA S^M,Each S'^Tj^ P'^W^ ] " ^Each ^:R[3,DeCKW[B ____ ]^orsytha K^tA^L/i^K 5 Cal SfiR^ Cold Sumac, SiMvER ' ' Shrud, Everg^n Confer Yew, Srowm TR^C^gpu^ AsrCreen ______Each : 73 :EACH:::i7Tgs Each 13 90^ Each___ Each 6' Each Coue^cd — Gsai Area ■Sewer •Gas Tanks m -&”xd” Posts For Overpead Structure Privacy Fence/Wincbuxk S ^ 7a I (31J©'#'Uy 2 dojixerWall V Hot Tub r#:#:SCal 3“^©S ;scal: z'wm \/' ©Cal’' 3’®@ 2”i:q#i Revision #:Scale:Landscape Plan: Driscoll Landscape Design by: Outdoor RenovationsDate: 5/29/2015 1" = 20’ r \ I ./'•CERTlPlS /.-'■S... _,;:/ ARLENE ^I \\\I \\ \/s'oi.m' 233- COSmtACT KO. ?33-0«l I \\\\\\\\\\A■I CHS r 233- Dwc mis 23b-OT\\A '.’I JIKC: ■ T'?l’ ■ Mi\I'i .41,^ I, 2 •■ 132 \\/•'1 V/-■' \':-\\I //!,\//I '.Ii/>I 11II/.'IV:llI // //II II /I II/ /\ I ////“•Tr"'"/ /// // //PENINSULAI 7 APPROX. LOCATION OF 5EVFR50N l-IOME SITE ___I _____><1 RECOVERLD IRON nONUPENT PLACER IN mA BY SURVEYOR K. B.JORC,Ut1 (CURRENTLY LIES UNDER TNE ICE) \N00V3'3I''N ^!P.52(KEs - loar,-:.0( c.\I RECOVERED IRON noNUTIENT PLACED IN P54 BY SURVEYOR K. BJORYLUH53P'A0'2P"EI (CURRENTLY LIES UNDER TNE ICE)RECOVERED IRON MONUMENTS PLACED _ IN IQEA BY SURVEYOR K. EElORaUM \250.00 (KB - 2LO)I I I I III/I/,I/,!I A A.I I I \I I )\A I y';.,\/,4 \\l//// SOUTN TURTLE I!/ /// ^2 \;2-I PROPOSED PROP. LINE GENERALLY FOLLONS EXISTING FENCE REPINANTS \ I ,/ I I S ‘O "■ cr ' ['3'5 "■ 7 (9 I.y I I■'V \N2P-5AU5"E &3± .N20’54'A5 "E (SiL 'C \0.!2± ACRES -N1x1Ain'AINiA \/A I /APPROXIMATE LOC GOVERNMENT Mi /!/1/ !O \I///y //\//\/////\\\\ /\o'f\11 A'\ C'' '2.,-in /■v)l A- ^ A ^ '/lo"I V. A'N-I.V VmT)<a kO 'U';O')L. _ V_.,2 I / / IRECOVERED IRON MONUMENT PLACED IN IS5A BY SURVEYOR K. BJORGUM "/ // / tKtr- y:: r-Mi-A I f clyrr-^ —»r.'j WHITE - Office GOLDENROD - Inspector YELLO\^ - Owner (after issue) ’’PINK - Assessor APPLICATION FOR SITE PERMIT 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.us1 Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED. LAKE / RIVER NO.LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAME V//'S2-/ z_/20 PARCEL NUMBER (S)PROPERTY (E-911) ADDRESS S'^cpoco / cjoO 7 LEGAL DESCRIPTION tZ. -r/f Co/i S-ecJ^. Z. r\j ^5". S * Daytime Phone No.Last Name First Initial Mailing Address Property Owner 1^00 Zj-tif SE.rooi- tSi! -MifZ CVg-Ar/-^ -5~/^ S’lZ.d ^r-,OC-ol} Contractor Name Lie.# c::^- /ylnr^Of- g: dc. ^ z-fPROPOSED PROJECT (please circle the appropriate number) (2 ) Add’n to Dwelling ( 5 ) RCU/Year_____ ( 7) Add’n To Non-Dwelling (8 ) Storage Structure (10 ) Non-Conf. Replacement (identify)"________ (11) Other (identify)_____________________ (12 ) Deck____________________________ ONSITE WATER SUPPLY cf3) Replacement Dweiiin^ ( 6 ) Attached / Detached Garage (9) W.O.A.S. Tl(1 ) New Dwelling (4) MH/YR____(^<) Individual ( ) Public ( ) None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. ( ) Permit No. ( ) OTWMD ’Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 ^•Beaioval ot^xistitw DweWmW^rtfrr^i#^^ ^“Existing Non-Conf. Structure Verified by L&R Inspector's Initial/DateInspector's Initial/Date CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Outside Dimension <^r7 Ft. x Ft." Sq. Ft. /ApA-f' Setback to Lotline t500 Ft. & Setback to Right of Way fOmO /'Ft." Setback to Ordinary High Water Level < ^0 Ft. Elevation Above Ordinary High Water Level 10 "P Ft. Setback to Septic Tank <0* Ft. Setback to Drainfield Z-o* Ft. Setback to Bluff AAA Ft. Total Bedrooms Maximum Proposed Height pt. Roof Change ( ) Yes (c^) No Basement ( )Yes (Jd)No Walkout Basement ( ) Yes (side protite required) (A:) No CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension Ft. X Ft." Ft. X Ft." Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank__ Setback to Drainfield____ Setback to Bluff_______ Maximum Proposed Height Root Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Sq. Ft. Setback to Lotline ___ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank Setback to Drainfield _ Setback to Bluff_______ Maximum Proposed Height ( ) Boathouse ( ) Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection Ft.&Ft."Ft.&Ft." Ft."Ft." Ft.Ft. Ft. Ft.Ft. Ft.Ft.3 Ft.Ft. Ft.Ft. ( ) Screen Porch ( ) Storage Structure Cubic Yards - 299 Cubic Yards* * Must Include on scale drawing, additional Permit may be required.□ 20 Cubic Yards or Less *□ 300 Cubic Yards or More*□ None CHARACTERISTICS OF LOT: / Sq. Ft.Bluff ( ) Yes ) NoLot Area.Watw. Rentage^» Ft. Total Lot Area (FTq = ,on qtvq u3lz.Impervious Surface Ratio:X100 =.%Totai Impervious Surface Onsite (FT')impervious Surface Ratio THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. 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 Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. Date: Signature of Property Owngf/Ag^ for Owner Date: Land S ResounxManagement Official o <j>PERMIT FEE $PROJECT(S) TOTAL SQ.FT.,RECEIPT NO. Date StampComments: CSCANNED L&R InitialForm No. BK — 04-2013-05 351.158 • Victor Lundeen Co.. Printers • Fergus Falls. Minnesota A APPtic^l^^ OR SITE PERMITWHITE - Office GOLDEI'fiOD - Inspector YELLOW - Owner (after issue) PINK -Assessor /•aLAND & 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 i-^12'^ >mit No. RANGE ^Twlf NAME ) APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED.ISECTIONTWP NO.LAKE/RIVER NAME LAKE/RIVER CLASSLAKE / RIVER NO. V f k\0ljri>j■ . V- -•dPROPERTY (E-911) ADDRESSPARCEL NUMBER (S) I —------'2^ 7-tG 1■ -on cQ-7 t.f<Z. 6'LEGAL DESCRIPTION J SP- r-o/7 S-t‘f ' E. ''jyj ’.!__^L^/^ Daytime Phone No.First Initial Mailing AddressLast Name iProperty Owner t'- ■ JTA . r 'JfT ..>C0Q i IYr->Zc:>lO ;Contractor Name Lie.# £j_U ].2 H y , 7 [ 2'6~f2jL.aL i. , Ai ^.i/2 z ' 1 -2 PROPOSED PROJECT (please circle the appropriate number) (1 ) New Dwelling (4) MHA'R (7) Add’n To Non-Dwelling (10 ) Non-Conf. Replacement (identify)" ■ (11) Other (identify)_______________ (12 ) Deck______________________ ONSITE SEWAGE TREATMENT SYSTEM ONSITE WATER SUPPLY (/) Individual ( ) Public ( ) None NOTE: MN Rules Chpt, 4725 (MN Well Code) requires a 3’ (minimum) structure setback to a well. (3) Replacement Dwelling* . (6) Attached / Detached Garage (9) W.O.A.S. (2 ) Add’n to Dwelling ( 5 ) RCU/Year______ (8 ) Storage Structure ( ) Permit No. ( ) OTWMD 'Must have Sewage System Approval from OTWMD prior to issuing Site Permit. Contact Rollie Mann at 218-864-5533 ••Existing Non-Conf. Structure Verified by L&R■g'•Removal of Existing Dwelling Verified by L&R Inspector's Initiel/DateInspector's Initial/Date CHARACTERISTICS OF PROPOSED W.O.A.S. (WATER ORIENTED ACCESSORY STRUCTURE) Outside Dimension CHARACTERISTICS OF PROPOSED NON-DWELLING Outside Dimension CHARACTERISTICS OF PROPOSED DWELLING (Must Include Attached Garage) Ft.**Ft. XFt. XOutside Dimension ~ Sq.Ft.^: Setback to Lotline .-c.- Ft.**Ft. X Ft.** Sq. Ft. Setback to Lotline____ Setback to Right of Way Setback to Ordinary High Water Level __ Elevation Above Ordinary High Water Level Setback to Septic Tank___ Setback to Drainfield____ Setback to Bluff________ Maximum Proposed Height Roof Change ( ) Yes ( ) No Bathroom Proposed ( ) Yes ( ) No Sq. Ft. Setback to Lotline___ Setback to Right of Way Setback to Ordinary High Water Level ___ Elevation Above Ordinary High Water Level* Setback to Septic Tank C Setback to Drainfield _ Setback to Bluff________ Maximum Proposed Height ( ) Boathouse ( )Gazebo **Project/Lotlines/Right-of-ways Must be Staked Onsite Prior to Application / Inspection --Fi « %Ft.& Setback to Right of Way •r>r'C f Ft.** Setback to Ordinary High Water Level ' OO Elevation Above Ordinary High Water Level 'Q * Setback to Septic Tank "7" Setback to Drainfield 7'-’' Setback to Bluff Ft.&Ft.**Ft.**Ft.& Ft.**Ft.**Ft. Ft.Ft.Ft. Ft.Ft. Ft.Ft.Ft. Ft.Ft.Ft. Total Bedrooms — Maximum Proposed Height ^ Ft. Roof Change ( ) Yes (>^ ) No Basement ( ) Yes (v*) No Walkout Basement ( ) Yes (side profile required) (^ ) No iFt.Ft. Ft.i-Ft. ( ) Screen Porch ( ) Storage Structure * '^21 Cubic Yards - 299 Cubic Yards* * Must include on scale drawing, additional Pqfmit may be required. Topographical Alteration / Earthmovina □ None □ 300 Cubic Yards or More*□ 20 Cubic Yards or Less * CHARACTERISTICS OF LOT: /.' 2 2 Sq. Ft.1 Bluff ( ) Yes (Jf ) NoWater Frontage .Ft.Lot Area. -"4*Z, ' - Total Lot Area (FT^) . -7V .7 iImpervious Surface Ratio:X 100 =.%t Impervious Surface RatioTotal Impenrious Surface Onsite (FTs) THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. Agreement: I hereby certify that the information contained herein is correct and agree to do the proposed work in accordance with the description above set forth and according to the provisions of the Ordinances of Otter Tail County, Minnesota. I further agree that any plans and specifications submitted herewith shall become a part of this permit application. I also understand that this permit is valid for a period of six (6) months. 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 Ordinances of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of said Ordinances.I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constructed. Date:■e:. Signature of Property Own0f/Ag§ftt for Owner X" ^InI(1>-z"Date: Land & Resouroe‘Management Otfidal i O OPERMIT FEE $RECEIPT NO.PROJECT(S) TOTAL SQ.FT., I Comments: sem IForm No. BK — 04-2013-05 351,156 • Victor Lundeon Co.. Printers • Fergus Falls, Minnesota 1 SITE PERMIT INSPECTION RESULTS Inspector must make all measurements and computations Ft.Ft.Structure Set Back from Ordinary High Water Level Ft.Ft.Structure Set Back from Top of Bluff Ft.Ft.Structure Set Back from Road Right of Way /0'J>Ft.Ft.&Ft.&Ft.Structure Set Back from Lot Lines Ft.Ft.Structure Height Ft.Ft.Structure Set Back from Septic Tank Ft.Ft.Structure Set Back from Drainfield Elevation Of Lowest Floor Above Ordinary High Water Level 3r-Ft.Ft. Land Slope at Building Site % Inspector’s Comments / Sketch: 10 I \ t :Inspectors Signature Date of Inspection Time of Inspection Bfrroject Approved. I' n \. i J CERTIFICA' i Rit^ Noon. “ttorneys at ARLENE ^I!AN \ I Fotoa 233-i COratACT KO.I! 233-OT\ CBB PI 233-f DK M£\233-Oq\l/s lyis SJSC - TO - »G !, 2 - 132 - 4!,I !I ^ Tw€s, 3«J 1 i '^■rinkenoonan.comi ! f 1 : ! APPROX. LOCATION OF mf'SEVERSON NOME SITE i] ■■ i RECOVERED IRON nONUriENT PLACED IN I95A BY SURVEYOR K. BJORGUM (CURRENTLY LIES UNDER TNE ICEJ\! N00V3'3!"N PR.52 —... (<B - KX)J ^ I ^100-31^ IJP.^P1 /\V RECOVERED IRON TtONUITENT PLACED IN 1^54 BY SURVEYOR K. BJORGUM\\ S3P'40‘2P'‘E ‘ (CURRENTLY LIES UNDER TNE ICE)RECOVERED IRON MONUMENTS PLACED IN mj BY SURVEYOR K. BJORGUM /\250.00 I\\ (KB - 2BO)I\/\ 1 1 If A A\l//,[ I/. I \I\ )A A ,\.4Af/. ^4/ /\l/if SOUTH TURTLE\L\A A \A A A cr I PROPOSED PROP. LINE GENERALLY FOLLONS EXISTING FENCE REMNANTS \l/ I I ' cr' foK (\\\m >. N2P’5A‘45"EATAV.&3±0.!2± ACRES\LO A N2P’54'45"E:CN A 5e>3±A ■ \A 1 /A /APPROXIMATE LOCATIONi government MEANDE^I \A /0 A / IAI/I\l/■AA/JA A\✓/■I//A / .A //VA/ A //A /A //35i\:. /\/\V Aooojo^o\/I/*4) /w \/ //ir> A "A \c\/sPA, :2 VAJ-'>/in V<0 .<0-T-0^/a’*'/(NL . W //l,//7 //1 /RECOVERED IRON MONUMENT PLACED IN IP5A BY SURVEYOR K. BJORGUM V.<0 /^ ,3)(SO'<0/ PROPOSED PROP. LINE GENERALLY FOLLONS EXISTING FENCE REMNANTS< 8 CM\//r\:// \0 A I\ \ II\ ■ I m i\Afrt1 \J8si\Cf S)XK<t)CM 1 §!D 72.S4± ACRES8 I A' •A \I AA ■%2:Si g V y A_/ V / rr) AzCD 0 8 J EAST LINE OF GOV'T LOT I - SEC. 2-132-41A > \ / } V y v_z/ V / / L . / ;_ I K / I__I I I \l I------/'A/A ; V/ ■ EAST LINE OF SEC. 2-132-41 K K saK 8 I cp 8 S)CT)iCM K -N O' SiS S) I A- rn !D 0 I8'II2:NEST LINE OF SEC. !-132-41 'A 4 a 0 mSj %S)VIvaEAST LINE OF TNE SEI/4-SEI/4 SEC. 2-132-41 Am.a 4.va “IK I/ /I I-----M / YlU C- I XC" r~ M II X ^t- 1—s/ ,4 :: V V / / \ A / M/ A! V V ! X \ A / O IinA I6I3 Vi3? S0I;3 4vi1O'<0 CM Aim K '■1GO FOOT NIDE ACCESS OPENING CM vi GG FOOT NIDE ACCESS OPENING iN'LY R/N LINE S.T.N. NO. 210 I4X0oCONTROLLED ACCESS I 3CENTERLINE OF S.T.N. NO. 210 S)'N nLZCN o<y■o ■o ■o sa^-B2'ia'‘E 6se>.G0 ‘ rs NIGNNAY NO. 210 v- ./1321.74ia.84 S33‘23'3G"E 058.35 ______N37’53'40"E 2043.47--------- 3 "SN COR. OF SEC. !-132-41SE COR. OF SEC. 2-132-41 THIS SURVEY IS INTENDED TO PROVIDE ASSISTANCE FOR CORRECTIVE TITLE ACTION. J 0004000200■) ISURVEYOR'S CERTIFICA TE I hereby certify that this is a true and correct representatu the boundaries of the above described land, and that this su me or under my direct ^uperY/s/^ thot J <y^Larj Surveyor under the lauus of the State of Minnesoz ^ December, 200P. SCALE IN FEET INCN = 200 FEET 5 ARE BASED ON OTTER TAIL COUNTY COORDINATES 'USTMENT AS DETERMINED BY TNE MNDOT CORS/VRS NETNORK. OTES IRON MONUMENT FOUND. OTES IRON MONUMENT SET MARKED "PLS 13020 4 17825". ■)TES MAG NAIL FOUND. 7TES MAG NAIL SET. TES DATA FROM TNE IP54 CERTIFICATE OF SURVEY PREPARED BY KERMIT BJORGUM. Glenn Nouue professional Land Furveyc Minnesota License No. I7L mn Pre-Application Site Inspection Request - NOTE: Onsite Inspections will be done between April 15*'’ & October 1®*, unless the Land & Resource Administrator determines current weather conditions are suitable for onsite inspections.Assigned To/Date: Lake/River Class Section Twp NameLake / River NameLake / River No. ~To( Property (E‘911) AddressParcel(s) No. S~hcc-f--e Mw00<S> 0 I €0 0 y 0<S>0 TA'O Property Owner Information: // ■* TioAkName(s):S-ta.i-7 f/^(0 0 S/^Address: t A "ho <i ^0^- Ojas'Daytime Phone: Type of Request: Bluff: Date Stamp Verify SetbackStake SetbackDetermination Stake Setback Building Line:___Verification Shore Impact Zone: ____Determination Shoreland Area: Soils: Restrictive Layer Determination / Vertical Separation ,y Determination X Verify SetbackOHWL: Stake Setback Wetland:Determination L&R Initial Describe Request: A scale drawing must accompany Pre-Application Site Inspection Request & request must be staked onsite .5Z3///3 DateProperty Ovmer INSPECTION COMPLETED (Inspection must be done within 10 days of receipt): , '•( i)r 4 -SCANNED InspectorDate Onsite Date Property Owner Notified So —Receipt Number:Fee: Inspector must provide site drawing or field notes on other side. mbowman Application & Forms Pre-Application Site Insp Request Form 06/2012 t •< // I CERTlf’ICA ARLBKS'4 j!! FOW i,2334 j CHS fi j 233-( commcr mo. I 233-OT I' r 1M j)w r«.E 233-0'^ a'ic - T'.n’ - sxi 41 — /FEN INSULA4. /, APPROX. LOCATION OF SEVERSON NOME SITE A A A AA A,7 \l// I RECOVERED IRON MC^JtJMpNT PLACED IN m4 BY SURVEYOt^ O J inrfriiM (CURRENTLY LIESi UNc,^ Tl^ ICeJ I (C3.o I IN00‘03'3l"l^ PR.52 ^ ^(KB -■C- •—^1V\V \VV \!I XU : _____ RECOVERED IRON MONUMENT PLACED !N IR54 BY SURVEYOR. K. OJCJiRSUM (CURRENTLY LIES UNDER TNE ICBJ \V I>I ■1 IsdP'4a‘2P'‘E 250.00 (KB - 2L>0) RECOVERED IRON MONUMENTS PLACED IN 1954 BY SURVEYOR K. BJORGUM I\ I\ \1 \i/\I\(I I/Ii / \L/A 1/A 1\I \ )V a A/,,\l/.A \l/\1/\A SOUTH TURTLE /L.i\A-===f,;\/,A \A•==="■ t A cr I PROPOSED PROP. LINE GENERALLY FOLLOINS EXISTING FENCE REPINANTS KW" I I £ I I I .5-^ N2P'54'45"E &3± N2PT4'45"E 03± \tr)<Z A V.a/2± ACRES \\AAiriAin- •A A ■ \/A approximate loc government n I //X /\/X /I X /I A /I/,\/J AA✓///A /\/A /V/A A //A /-'A 1 /AI /\35± /V.:\/ \X /\/<0\U)/\/\I{./\ A X '' A~A \ / J N: , N /m /A',';K. 2 v_y V />f Ain .<0 //—^ -r~o^CO Io-54>Vs / / / I / RECOVERED IRCJEJ MICINUMENT PLACED IN 1954 BY SURWBY-OR K. BJORGUM / / " PROPOSED PRCJP. LINE GENERALLY rollons EXISTING FENCE REMNANTS f 0 A in/At-«1 JSi N-rn At- O')172. ^4± ACRES'A8 ^ A \ V :? v_y V /"^ -7-/ J, ~y-.X—.V2;/ EAST LINE OF GOV'T LOT I ■ SEC. 2-132-41I X~\ L - 1 "7A \ / :? V V^.x' V "1-7;--------^ A -71/A / / / V II___I, SAST LINE OF SEC. 2-132-41K K 13 I iP'A 8 m ;ANrn,<AK 4AAS O' CO^ rn cp> Si I I ^ oi 171 lA § 2r NEST LINE OF SEC. I-132-41 0 inoq CO PAST LINE OF pLe SEI/4-SEI/4 SEC. 2-132-41 vaUA '•:i ■ AlsalA 4CO// /"R- M L.1 // A / ■ c'-' cr L_ I / /Jm/ M 5 S' 1/ / / ^F \ A / '1 V_.A V V ! \ A / M I'A ■:l 16j 0 o-t'NCOm ?1CO!0 K'cj-FOOT NIDE ACCES.S OPENING i\''4 (,F FOOT HIDE ACCESS OPENING N'LY R/N LINE S. T.N. NO. 210oCONTROLLED ACCESSXcenterline of /S.T.N. rn0| NO. 210//•0xy -o o------------L.9:i S3‘^'S2'IS"F £>58.(>0 01 ICSin - - I NIGFHAY no. 210 /1321.74■>3.54 ^7 S33'2d'3£"^ ^^53.65t ______/v/a7'53 2f^43.47---------- ■ \ "SN COR. OF SEC. I-I32-4I5E COR. OF. SEC. 2-132-41 ■; A t nus SURVEY IS INTENDED TO PROVIDE ASSISTANCE FOR CORRECTIVE TITLE ACTION. Pre-Application Site Inspection Request Twp NameSectionLake/River ClassLake / River No Lake / River Name 'ib -y\'\ I 1 V Property (E-911) AddressParcel(s) No. 'Z-IOS'&coool ooonocDo 7 Property Owner Information; Name(s):\ Address: /\So(2--‘==c><^ ^'TA ^ ~ I- O [ IDaytime Phone:Ay\ - CaA Verify Setbackf xH U_V k^iocvi. Type of Request: Verify SetbackBluff:___Stake Setback Stake Setback Determination OHWL:Determination Stringtest:Determination <!»ro*^ Confirm Consistency With Existing StructureNon-Conforming Repair or Replacement Structure: Miscellaneous:______ Describe Request:\ J ^IILU(Ka 1 ^aV bvf^ \ivhJI - U)CAdA \Aili7l (\ll V>/dtMAlr .A h \ip. -^r -iK^pw X 7-o0 yds vyuuxi^ly ^ » A scale drawing must accompany Pre-Application Site Inspection Request & request must be staked onsite DateProperty Owner Land & Resource Management Staff Received By: Date INSPECTION COMPLETED (Inspection must be done within 10 days of receipt): InspectorDate Property Owner Notified 0> Date Onsite CISTS'CbV' (Inspector must provide site drawing or field notes on other side.) mbowman Application & Forms Pre-Application Site Insp Request Form10/1/07 f l-2.Co~(0 ^ WvV.^ T^ (sVca- ts 2^^ oV^^'-- \kj VV-*.t_\r (QC4* ^<l^'V\s»*-<i''^'-- V^'-V^ V'^-*A7Vsav\ ^ V vA,V<_^ Ov~> I *-'’i <^ VV^ P ^Vv V.\ > jV V C) wV Cjl.M.'O^r(.6Q V' ^ CN^O vi-C.V>^VVJ ■f certifk;: ARLB'NB'. TO - 23 ''COMTRAC'f KO. 233-OT CHJ-nwB ms ,2a^-233-Oq SKC - TW - •T 1 ,1 .X APPROX. LOCATION OF SEVERSON NOME SITE RECOVERED IRON tlONUnENT PLACED IN IPSA BY SURVEYOR K. BJOR6UM ('CURRENTLY LIES UNDER THE ICEJ N00V3'3I"N PR. 52 i V RECOVERED IRON\nONUnENT PLACED IN IPSA BY'SURVEYOR K. BJORCUn (^CURRENTLY LIES UNDER THE ICE) SaP’40'2P'’E RECOVERED IRON tlONUtlENTS PLACED \ IN IPSA BY SURVEYOR <. BJORGUn 250.00 CKB - 250)\ \\l/■■\ II /i/, A A \l/A 4 : \ \ )4444 \i//,\1//,SOUTH TURTLE 1A AI f. A. 1 I 1 . -I : • ^ i!; / / / / / AT I ON OF TOE SITt RECOVERED IRONWONUEIENT PLACED :• •/. OTTER TAIL COUNTY Grade & Fill Permit # 6945 -K Or 0 3 PROPERTY OWNER ^ V\___________ TWP. NAME "TTrActN LEGAL DESCRIPTION: T V^.Ul________________________ AO> ^ I LAKE N0.g^-'3>"ri SEC. ^3 -p o> ^ J i r WORK AUTHORIZED Ctcuv^C <Sly\vcv<w^ ViO \VrW 17^ SJvAjl. C<aoo* , 2-C^ X r«»yv 4a *4^ M»>VVc . "TTyA V»fa«vo^ ^ YVn.n»\.<^'N. . *^<v.vj\v>j^ \v>. ^s>\ o\.«iyv<^ oQ; V^OrwJt^ Ajc Q. v<>v.V^ O' i> d \P <\VVfcy <.s/i I ^^ «^Vvrs ^V>ir\.iV(uvN S<>v> rwwvio Cjt» *A.‘^r-vc/t'» ^ /I r Jv/ NOTE: This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MANAGEMENT, 218-998^095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. ^ iVy6 9O' o uL >iQ -('ts TC■f ' It-CM1. EARTHMOVING SHALL BE DONE BETWEEN 2. Entire area shall ^e stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of public water without a valid permit from the MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may be subject to legal prosecution. Ka innt%lAnr%An4Arl nrinr tr\ am/ tnnnnranhir^al altaratinn.Qa APPLICATION FOR GRADE & FILL PERMIT TOPOGRAPHICAL ALTERATION / IMPERVIOUS SURFACE Land & Resource Management Government Services Center, 540 West Fir, Fergus Falls, MN 56537 218-998-8095 WWW. CO.otter-tail. mn. usOTTER TRIlCOBtTT-aillillOTi PLEASE PRINT OR TYPE ALL INFORMATION Permit No. SECTIONLAKE/RIVER #LAKE/RIVER NAME LAKE/RIVER TWP NO RANGE TWP NAME S euii \ L' I ■ XV- - j Lv L V/ Tc^Syif jy]Z3^ PARCEL NUMBER(S) PROPERTY (E-911) ADDRESS LEGAL DESCRIPTION ' FirstLast Name Initial Mailing Address DAYTIME Phone No <^05~S CctVProperty Owner 'T V /’•CyVv'tSVt.CVCjLMContractor Name Iv\ '83 L,ca|C«l mm 363/^ tO‘^A Nj ) Lie. # NOTES: 1. A Scale Drawing & Impen/ious Surface Worksheet must be included with this Application. 2. The lotlines and project area(s) must be identified & staked onsite. 3. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Date Stamp ^'1‘1'HL&R Initial DESCRIBE YOUR PROJECT(S): /r Avn <LVi CC5ii~V\ ^ > /^ -pt LLO -/"6c . /4 1 "i'e 6- I 1\t vA,i !4 V-^t Vt(A C\ Vt6'> O 'A\vA<^^ hi\/^(X\\-^ \'0 ^\c c\ l-C \ p 6> O t i cTKsj^MArk U>Ok\ ^rA \ vaCa ~j~0 ^ -Per^r Po sT lcjCcX -S\? tr: 0\ ov TOPOGRAPHICAL ALTERATION: Yds'AREA TO BE CUT/EXCAVATED:Ft. X Ft. X Ft. - 27 = Width Ave DepthLength Yds'WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. X Ft. X Ft. - 27 = Length Width Ave Depth 33 Ft. - 27 = ^^S'YbS _ - gooTOTAL EARTHMOVING REQUESTED = 0 Yds' AREA TO BE FILLED/LEVELED:D^tv^uo.vVTc^Ft. x Ft.X « Width Ave. Depth 36 Ft. Distance From Fefindation backfill at FOUNDATION: Max. Depth CULVERT:If Yes, must indicate size and location on drawing.^SCANNEDYesNo % 5>oyivCIMPERVIOUS SURFACE BUILDING: Existing IMPERVIOUS SURFACE TOTAL: Existing %Proposed Proposed 1/7%% /, // /^x//rr.ln^ *Xi' _________ ' Signature Of Property dt^er/Agent For Owner IHY 3Vy Date Receipt Number BKd4-2014 3B4 253 » Vii.ttd L'liiiit-'ll Miiiti-ji-j • he'ijiib Falls. WN ■ 1-800-346-4870 I SCALE DRAWING FORM; Tax Parcel Number(s) The scale drawing must be a signed drawing which includes and identifies a graphic scale (feet), all existing and/or proposed structures, septic tanks, drainfields, lotlines, road right-of-ways, easements, OHWLs, wells, wetlands and topographic features (i.e. bluffs). Must also complete the Impervious Surface Calculation (see back). Scale i Tcwiij. LcvK,"' \ CsSaS,Ox / ex s t cA tt! o-> (' \ i I y!i . A o VA "A \ I ^ ^ \ -V V CV C V^Cm 0 ^ V^ vx'Ac^ cOw^^-Vvvj^cA kAJ \ Vv CWPOk-OV\ \o(^lC K Vj-^'OO "Wj^I;I •OO Uo 5 V v a 0 e aO C’'-^V. \ Gw\ I t 5 1 (■ I i!.I.V (I M/ f! I( r \t /) iCANNED\ V f\\\ .//>\■ tJ\f £Z^ signature of Property Owner ‘J-Kt-H Date BK —032014 354,120 • Victof Uindeen Co. Punters • Fetqus Palls MN • 1-800-346-4870 IMPERVIOUS SURFACE CALCULATION List & identify all existing & proposed onsite impervious surfaces on scale drawing. Lot Area (ft^):Date:Signature: Other Impervious SurfaceBuildings Existing ProposedExisting i-x2 Proposed Ft^Ft^Ft^Ft Deck(s)Dwelling Patio(s)Attached Garage Sidewalk(s)Detached Garage Landing(s)Storage Shed Driveway(s)WOAS Parking Area(s)RCU Retaining Wall(s)Miscellaneous Landscaping (Plastic Barrier) Miscellaneous TOTAL OTHERTOTAL BUILDINGS Buildings Impervious Surface Percentage Maximum Allowable 20% Lot Area Impervious Surface Ratio Existing Proposed Total Ft^Ft^ Ft^FtTotal Buildings 100+-i-X Buildings + Other Impervious Surface Percentage Maximum Allowable 25% Proposed Lot Area Impervious Surface Ratio Total Buildings + Other Impervious Surface Existmg Total Ft2 Ft^Ft^Ft 100+-r X Impervious Surface Calculation Worksheet 03-25-2014 OTTER TAIL COUNTY Grade & Fill Permit #6741 PROPERTY OWNER hr,Scoe/ LAKE SEC.TWP. NAME ^ »vA cU*^ 5 J ^f / H ALEGAL DESCRIPTION: fr uoed-^ Lci^^ , r ( V*Z^ C>t^ rJ orT\ -Hf ______ WORK AUTHORIZED To(> 6>p.* < Wvi^ Cltfsv ^ uo:tu f .s*\v»4p.c^f t ^*<- J^Uc/c s^>/ __________ NOTE: This car{i shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MANAGEMENT, 21&-998-8095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. 1. EARTHMOVING SHALL BE DONE BETWEEN & K- I- >•> 2. Entire area shall stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of public water without a valid permit from the MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may be subject to legal prosecution. 6. Erosion control measures must be implemented prior to any topographical alterations. CO c~> or. r- 1 cr:7 APPLICATION FOR GRADE & FILL PERMIT 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 / Permit No.PLEASE PRINT OR TYPE ALL INFORMATION LAKE/RIVER#/RIVER NAME LAKE/RIVER SECTION TWP. NO. RANGE TVVP NAME / PARCEL NUMBER(S) LEGAL DESCRIPTION /’f fei- 4. ^"7 K. Last Name First Initial Mailing Address DAYTIME Phone No. Property Owner //wn r- ^ S' AA.W Contractor Name Lie, # Date Stamp NOTES: 1. The lotlines and project area(s) must be staked. 2. If project disturbs more than 1 acre of land you are required to obtain a General Storm Water Permit from the MPCA. L&R Initial PROJECT REQUEST (You may use the grid on back for required scale drawing): \ DESCRIBE YOUR PROJECT(S): ' R. x^RDETAILED INFORMATION: AREA TO BE CUT/EXCAVATED:= 0 Yds^Ft. - 27 Length Width Ave.' Depth Yds^WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. X Ft. X Length Width -Ft. + 27 = "-$^(f Yds^AREA TO BE FILLED/LEVELED:Ft. X Length Width Ave. Depth Yds^TOTAL EARTHMOVING REQUESTED IDBACKFILL AT FOUNDATION:Ft.Ft. Max. Depth Distance From Foundation CULVERT:If Yes, must indicate size and location on drawing. Yes No MZ SCANNEDIMPERVIOUS SURFACE:% nSIGNATURE OF P(t'OPfeRTY OWNER/AGENT FOR OWNER DATE RECEIPT NUMBER BK062011 The scale drawing must be a signed drawing which includes and identifies a graphic scale (feet), all existing and/or proposed structures, seotK: .tanks, drainfields, lotlines, road right-of-ways, easements, OHWLs, wells, wetlands, topographic features (i.e. bluffs), and onsite impervious surface calculaftons. Scale o<L vj\'Sir V> BK — 0209 345,195 • VictOf Lundoon Co, Pnnisrs • Fergus Falls. MN • 1-800-346-4870 ‘•'*'■11% *35, *- - r-"i .ft.'*' • •» - _ •'•si,: ?,.' -•^- r-';r:, • :' fh«> ___;;*' _ ■*.,•■ •'^’4f- J-. '■■:! ;j- * . ^’■*;' '•ri-.:ct “ '•'•-‘'•f'"«r* ‘ -Ht ’m-.:s-u^jtrr...: ;•<>.> . , J^, -V ■ .:-ft X:*• -.:-^i V,