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Home My WebLink AboutElks Point_13000040018000_Shoreland Permits_r https://onegov.co.ott''•"'\il.mn.us/admst/viewcard.php?card=5&ap... OTTER TAIL COUNTY^iTC Land & Resource Management Phone (218) 998-8095 0^ PERMIT TYPE Site and Lot Alteration Permit (combined)_______________ PERMIT NUMBER 30752 PROPERTY OWNER Fergus Falls Lodge No 1093, Fergus Falls Lodge No 1093 »• • I-.LAKE INFORMATION Wall DNR ID(S)658 LOCATION Parcel(s): 13000040018000, 13000090052000 Township Name: Dane Prairie Township Property Address(es): 20970 ELKS POINT RD Section/Township/Range: Sect-04 Twp-132 Range-042, Sect-09 Twp-132 Range-042 Legal: 19.81 AC PT GL 8 LYING WLY LN COM E1/4COR SEC 9, N 2644.47’ TO NE, 3.63 AC PT GL 1 LYING WLY LN COM E1/4COR SEC 9 N 2644.47’ TO NE COR WORK AUTHORIZED Repair/Replace Non-Conforming 12x20 boat ramp/landing onsite. (Currently boat ramp/landing is on Parcels # 1300040018000 & 13000040018002) Site prep-Remove existing concrete pad keeping the same existing slope and use a combination of grass and pea rock to stabilize that area. In addition, install new 12 foot wide concrete boat ramp/landing within the existing 25 foot easement area on Parcel # 1300040018000. Stabilize new cuts along shoreline with soil erosion blankets. Cut area Length: 30 Feet Width: 12 Feet Average Depth: 2 Feet Total Cubic Yards: 27. Top dress, seed and stabilize disturbed area. Must control and store water run off. Contractor Delzer Construction Eric Babolian 09/04/2019 11:11 AM 9adbc534b290fe02c97eb30c14d41 fb4 edf928cad5cd90701c9b6277c4bc8b9a 09/04/2019 09/04/2020 Land and Resource Management Official/Date ISSUE DATE DATE EXPIRES NOTE: • This permit must be placed in a conspicuous place not more than 6 feet above grade on the premises on which work is to be done, and must be maintained there until completion of such work. • If the terms of this permit are violated, the entire permit may be revoked and the owner/contractor may be subject to legal prosecution. • Property Owner is legally responsible for all surface water drainage which may occur. • Topographical Alteration projects shall be stabilized within 10 days of the completion unless otherwise stated. • Notify Land & Resource Management when building footings/foundation have been completed and/or when work authorized is complete and ready for inspection (218) 998-8095. 9/4/2019, 11:13 AM1 of 1 !* SITEFEBMIT INSPECTION RISULTS Inspector must make all measurements and computations structure Set Back from Ordinary Higt\ Water Levral Ft.Ft. Stnieture Set Back from Top of BluR Ft.Ft. Structure Set Back from Road Right of Way Ft.Ft Structure Set Back from Lot Lines Ft&Ft Ft&Ft Structure Height Ft Ft Structure Set Back from Septic Tank Ft Ft Structure Set Back from Drainfieid Ft Ft BsMadon Of Lowest Floor Above Ordinary Water Level_________________R.Ft. Land Slope at Bulldlirg Site %% Inspector^ Comments / Sketch: . St," p^ Old UOc.ATi0rJ \ I{ ( 3-5' i 11- 2o -ZO Data of UupaeUon Tlmoo! tnspacOon fi'-zo 'toApfuovad Oets/tnUal https://onegov.co.ot» '•’il.mn.us/view.php?id=7356#outer_wrapperLand & Resource Permit Applications Land & Resource Management Government Services Center 540 Fir Avenue West Fergus FaUs MN 56537 OTTCR Tflll Phone: 218-998-8095 7 I ^ oeofiTT-nitatiOTii Site Permit Appiications Site and Lot Alteration Permit (combined) Permit # 30752, App. # 1157, UID # 7356 Valid; 09/04/2019 - 09/04/2020 Applicant Information Applicant Information:Name: Fergus Falls Elks 1093 Phone: (701 )642 >2599 Email Address' mrskking@hotmai).com Mailing Address' 120 E Lincoln Avenue Fergus Falls MN 56537 I am the:Property Owner Work Performed By (Site Permit) Work to be performed by (Site Permit): Contractor Contractor's Contact Information (Site Permit) Contractor Information:Name: Mark Christopherson Company or Business Name: Delzer Construction Contractor License Number: L3Q29 Phone: (218 )739 -6507 Email: delzer@prtei.com Address 3208 E. FirAve. Fergus Falls MN 56537 Work Performed Bv (Lot Alteration Permit) Work to be performed by (Lot Alteration): Contractor Contractor's Contact Information (Lot Alteration) Contractor Information:Name: Mark Christopherson Company or Business Name: Delzer Construction Contractor License Number: L3029 Phone: (218 )739 -6507 Email: delzer@prtel.com Address' 3208 E. FirAve. I Fergus Falls MN 56537 9/4/2019, 11:13 AM .1 of5 Land & Resource Permit Applications https://onegov.co.oPr -‘ail.mn.us/view.php?id=7356#outer_wrapper * Property Information Project Location; Property Attributes Property Address Legal Description Primary Name/Address Parcel #Property Address City Legal Description Legal Description Legal Description Primary Address Line 1 CityName 13000040018000 3.63 AC PT GL 1 LYING WLY LN COM COR SEC 9N 2644.47'TO NE FERGUS FALLS LODGE NO 1093 120 LINCOLN AVE E FERGUS FALLS E1/4 COR 13000090052000 20970 ELKS POINT RD FERGUS FALLS 19.81 AC PT GL 8 LYING WLY LN COM COR SEC 9. N 2644.47 TO NE FERGUS FALLS LODGE NO 1093 120 LINCOLN AVE E FERGUS FALLS E1/4 Lot Area; 158122 Square Feet is the property Developed or Undeveloped? Developed On Site Sewage Treatment System: None Onsite Water Supply None NOTE: MN Rules Chpt. 4725 (MN Well Code) requires a 3' (minimum) structure setback to a well. Shoreland Information Associated Lakes: Lake Name DNR ID Lake Class LRCD 658 GD 56-658Wall Bluff: Proposed Project (Sitel Proposed Dwelling:None Is there an Attached Garage?N/A Proposed Non-Dwelling:Non-Conforming Proposed Water Oriented Accessory Structure: Non-Conforming Please list outside dimensions (in 12x20 boat landing feet) of above items you are applying for: Characteristics of Proposed Non-Dwellina Identify the parameters:replace boat ramp within 25' easement 0 Square Feet 0 Feet 0 Feet Square Feet: Maximum Proposed Height: Setback to Lot Lines (indicate (2) closest lot lines): 0 Feet 0 Feet 0 Feet Setback to Right of Way: Setback to Ordinary High Water Level; Elevation above Ordinary High Water 0 Feet Level: Setback to Septic Tank:0 Feet 0 Feet 0 Feet Setback to Drainfield: Setback to Bluff: Roof Change:No Bathroom Proposed; Characteristics of Proposed WOAS Please identify the parameters of the WOAS: 12x20 boat ramp Outside Dimensions:0 Square Feet 0 FeetSetback to Lot Lines (indicate (2) closest lot lines): 0 Feet 0 Feet 0 Feet Setback to Right of Way: Setback to Ordinary High Water Le\«l; Elesetion above Ordinary High Water 0 Feet Level; Setback to Septic Tank:0 Feet 0 Feet 0 Feet 0 Feet Setback to Drainfield: Setback to Bluff: Maximum Proposed Height: Proposed Project tLot Alteration! Other relocate boat landing within 25' easementProject Type;Project Description: 9/4/2019, 11:13 AM2 of 5 Land & Resource Permit Applications https://onegov.co.ot*' ■^ail.mn.us/view.php?id=7356#outer_wrapper ' Area to be Cut/Excavated Length:30 Feet Width:12 Feet A\«rage Depth:2 Feet Total Cubic Yards:27 0 FeetLength: I caifcufetcl Width:0 Feet Average Depth:0 Feet Total Cubic Yards:Q Length:0 Feet Width:0 Feet 0 Feet Total Cubic Yards:Average Depth:0 Walk-Out Basement Project Length:0 Feet Width:0 Feet Average Depth:0 Feet Totai Cubic Yards:Q naaaisi Area to be filled/Leveled Length:g Feet Width:0 Feet A\«rage Depth:0 Feet Total Cubic Yards:Q OFeetLength: Width:0 Feet Average Depth:0 Feet Total Cubic Yards:0 Length:0 Feet Width:g Feet Average Depth:g Feet Totai Cubic Yards:Q Backfill at Foundation Linear Length:g Feet Average Width:g Feet Average Depth:g Feet Backfill Total:0. ItialculafeJ Culvert and Road Authority Culvert? Road Authority Approval: Impervious Surface - Buildings Dwelling Existing:0 Square Feet 0 Square Feet g Square Feet g Square Feet Water Oriented Accessory Structure 0 Square Feet Existing: Recreational Camping Unit Existing: 0 Square Feet g Square Feet g Square Feet g Square Feet g Square Feet Water Oriented Accessory Structure g Square Feet Proposed: Recreational Camping Unit Proposed: Miscellaneous Proposed: Dwelling Proposed: Attached Garage Existing: Detached Garage Existing: Storage Shed Existing: Attached Garage Proposed: Detached Garage Proposed: Storage Shed Proposed: g Square Feet Miscellaneous Existing:g Square Feet Total Building Existing Impervious: g Square Feet 0 Square Feet Total Building Proposed Impervious: 0 Square Feet Impervious Surface Calculation - Buildings Total Building Existing Impervious: g Square Feet Total Building Proposed Impervious: g Square Feet Total Building Impervious Surface: g Square Feet right Lot Area: 158122 Square Feet Impervious Surface Ratio:0.0000 Buildings Impervious Surface Percentage:0.00 % Impervious Surface - Other Deck(s) Existing:g Square Feet g Square Feet g Square Feet 0 Square Feet • g Square Feet g Square Feet g Square Feet g Square Feel g Square Feet g Square Feet Deck(s) Proposed:g Square Feet g Square Feet g Square Feet g Square Feet g Square Feet g Square Feet g Square Feet g Square Feet 240 Square Feet 240 Square Feet Patio(s) Existing:Patio(s) Proposed: Sidewalk(s) Existing:Sidewalk(s) Proposed: Landing(s) Existing:Landing(s) Proposed: Dri\«way(s) Existing:Driveway(s) Proposed: Parking Area(s) Existing:Parking Area(s) Proposed; Retaining Wall(s) Existing:Retaining Wall(s) Proposed: Landscaping Existing:Landscaping Proposed: Miscellaneous Existing:Miscellaneous Proposed: Other Existing Total:Other Proposed Total: Impervious Surface Calculation - Buildings & Other Total Building + Other Existing Impervious:g Square Feet Total Building + Other Proposed Impervious:-240 Square Feet Total Building Other lmpen.ious Surface:240 Square Feet Lot Area: 158122 Square Feet Building + Other Impervious Surface 0.0015 Ratio: Building + Other Impervious Surface 0.15 % Percentage: 5 9/4/2019, 11:13 AM3 of 5 Land & Resource Permit Applications https://onegov.co.oft""*ail.mn.us/view.php?id=7356#outer_wrapper ' Shore Impact Zone Impervious Building(s) Existing:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet Total Existing Impervious in the 0 Square Feet Shore Impact Zone: Total Impervious in the Shore Impact 240 Square Feet Zone: Building(s) Proposed:0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 0 Square Feet 240 Square Feet Total Proposed Impervious in the 2^ Square Feet Shore Impact ^ne: Deck(s) Existing:Deck(s) Proposed: Patlo(s) Existing:Patio(s) Proposed: Sidewalk(s) Exisiting;Sidewalks(s) Proposed: Landing(s) Existing:Landing(s) Proposed: Dri\«way(s) Existing;Driveway{s) Proposed: Parking Area(s) Proposed:Parking Area(s) Existing: Retaining Wall(s) Existing;Retaining Wall(s) Proposed: Landscaping Existing; Miscellaneous Existing; Landscaping Proposed: Miscellaneous Proposed: Documentation Total Earthmoving Request to Determine Fee: 27 Cubic Yards Applicant Approval Applicant Signature;Kevin J King Date Signed;08/12/2019 Please check to approve:I understand that checking this box constitutes a legal signature Temis Notes The lot lines and project area(s) must be identified & staked onsite. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Site Permit Terms ■■I THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTTRJTE 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. Once Permit is approved. I also understand that this permit is valid for twelve (12) months from the date of approval unless otherwise indicated on permit. Footings I understand that it is my responsibility to inform the Land & Resource Management office once the building footings have been constaicted. Invoice #5641 (08/23/20191 QuantityChargeCost Total Site & Lot Permit Fee #1C (0*260 Sq Ft 21*100 Cubic yds) added 08/23/2019 7:44 AM $250 Fee $250.00 $250.00X 1 Grand Total $250.00Total Payment 09/04/2019 $250.00 $0.00Due Approvals Approval Signature! I Emma Barry - 08/13/2019 8:08 AM 1ad833e6b258d49362fa27fabf90bada8 206336deaeaa77515b49695550d29ef9 #1 Received and Assigned #2 Permit Review Kyle Westergard-08/13/2019 10:11 AM 114ecdbec8cl58bfbl8a514a35dd9e633 I7216fa6302c9a22274c2e599clf676ec #3 Permit Review I Eric Babolian • 08/23/2019 7:44 AM I982d5afb5d7eccc7e7297d82561aecfd 14206a95bf837f4ac7fd9ed5fbed40994 I Eric Babolian * 09/04/2019 11:11 AM I9adbc534b290fe02c97eb30cl4d41fb4 ]edf928cad5cd90701c9b6277c4bc8b9a #4 Permit Issuance Public Notes Text: i.File(s): Internal Notes 9/4/2019, 11:13 AM4 of 5 https://onegov.co.oP‘'"»ail.mn.us/view.php?id=7356#outer_wrapperLand & Resource Permit Applications Text: .■File(s): Print View 9/4/2019, 11:13 AM5 of 5 ; -7t?/-fi>y(7 • 07*?.? oLl> j^4n/^ p:'T'y' Oocl^ r ! I f^urv^y^'-i-.-■ WEE.■- .TTsi< i I. t I( vT^ LoTi,\^^ ‘yC/^L-C-Mof t ^oT T(> I 1224733 CAROL SCHMALTZ OTTER TAIL COUNTY RECORDER/REGISTRAR OF TITLES FERGUS FALLS, MN RECORDED ON 08/12/2019 11:48 AM FEE: 46.00 PAGES 5 WELL CERTIFICATE REC’D: N DOCUMENT RECORDED ELECTRONICALLY EASEMENT AGREEMENT ^ day ofTHIS AGREEMENT, made and entered into this , 2019, by and between FERGUS FALLS LODGE NO. 1093 OF THE BENEVOLENT AND PROTECTIVE ORDER OF ELKS, a Minnesota nonprofit corporation, hereinafter the “Elks,” its successors and assigns, and DUANE HANSON, hereinafter “Hanson,” his heirs, executore, administrators, agents, or assigns. WHEREAS, the Elks has fee simple ownership of and has marketable title to that real estate and real property located in the County of Otter Tail, and State of Minnesota, described as follows, to-wit: Tract A All that part of Lot One (1) of Section Four (4) and Lot Eight (8) of Section Nine (9), lying West of a line miming parallel with and distant 551.70 feet West of the Section line running North and South between Sections Three (3) and Four (4) and Nine (9) and Ten (10), all in Township One Hundred Thirty-two (132), Range Forty-two (42); EXCEPT A TRACT OF LAND DESCRIBED AS FOLLOWS: That part of Government Lot One (1), Section Four (4) and that part of Government Lot Eight (8), Section Nine (9), all in Township One Hundred Thirty-two (132) North, Range Forty-two (42) West of the Fifth Principal Meridian, Otter Tail County, Minnesota, being more particularly described as follows: Commencing at the East Quarter comer of said Section Nine (9); thence North 00°21’47” West (bearing is based on Otter Tail County Coordinates 1996 Adjustment) along the East line of said Section Nine (9), a distance of 2,644.47 feet to the Northeast comer of said Section Nine (9); thence South 89°33’15” West along the North line of said Section Nine (9), a distance of440.94 feet to the centerline of Elks Point Road; thence South 58° 13’28” West along said centerline, a distance of 138.03 feet to a point referred to as Point A in the record description of the easterly line of the Fergus Falls Lodge No. 1093 of the Benevolent and Protective Order for Elks tract as appears in Paragraph 3 of a Judgment filed on July 28, 2008, as Document No. 1042741 in the office of the Otter Tail County otter Tail County, Minnesota 1224733 1 of 5 Recorder; thence North 00°58’49” East along said easterly line a distance of 345.72 feet to the Point of Beginning of the herein described Tract A, said point is referred to as Point B in Paragraph 3 of said Judgment; thence reversing direction, South 00°58’49” West along said easterly line of the Fergus Falls Lodge No. 1093 tract a distance of 312.72 feet; thence North 00°37’14” East a distance of 230.00 feet; thence continuing North 00°37’14” East a distance of 20.00 feet, more or less, to the shoreline of Wall Lake; thence northeasterly, along the shoreline of said lake, a distance of 245.00 feet, more or less, to the intersection with a line bearing North 03°47’35” West from the Point of Beginning of the ho-ein described Tract A; thence South 03°47’35” East along the easterly line of said Fergus Falls Lodge No. 1093 tract a distance of 36.00 feet, more or less, to the Point of Beginning of the herein described Tract A. Subject to easements, reservations, and restrictions of sight and or record, if any. Together with an easement for ingress and egress purposes, over a strip of land 66.00 feet in width lying southerly of, parallel with, and adjoining the easterly 125.00 feet of the road right of way for Elk’s Point Road. Also together with an easement for access and use of the existing concrete boat landing ramp situated on the adjoining property westerly; said easement lying within 25.00 feet westerly of the westerly line of the herein-described Tract A and within 50.00 feet of the shoreline of Wall Lake; (the “Easement”) and WHEREAS, Hanson owns and has marketable title to that real estate and r^l property located in the County of Otter Tail, and State of Minnesota, described as follows, to-wit: Tract B That part of Government Lot One (1), Section Four (4) and that part of Government Lot Eight (8), Section Nine (9), all in Township One Hundred Thirty-two (132) North, Range Forty-two (42) West of the Fifth Principal Meridian, Otter Tail County, Minnesota, being more particularly described as follows: Commencing at the East Quarter comer of said Section Nine (9); thence North 00°21’47” West (bearing is based on Otter Tail County Coordinates 1996 Adjustment) along the East line of said Section Nine (9), a distance of 2,644.47 feet to the Northeast comer of said Section Nine (9); thence South 89°33’15” West along the North line of said Section Nine (9), a distance of440.94 feet to the centerline of Elks Point Road; thence South 58° 13’28” West along said centerline, a distance of 138.03 feet to a point referred to as Point A in the record description of the easterly line of the Fergus Falls Lodge No. 1093 of the Benevolent and Protective Order for Elks tract as appears in Paragraph 3 of a Judgment filed on July 28, 2008, as Document No. 1042741 in the office of the Otter Tail County Recorder; thence North 00°58’49” East along said easterly line a distance of 345.72 feet to the Point of Beginning of the herein described Tract A, said point is -2- OtterTail County, Minnesota 1224733 2 of 5 referred to as Point B in Paragraph 3 of said Judgment; thence reversing direction, South 00°58’49” West along said easterly line of the Fergus Falls Lodge No. 1093 tract a distance of 312.72 feet; thencejNorth 00°37’14” East a distance of 230.00 feet; thence continuing North 00°37’14” East a distance of 20.00 feet, more or less, to the shoreline of Wall Lake; thence northeasterly, along the shoreline of said lake, a distance of 245.00 feet, more or less, to the intersection with a line bearing North 03°47’35” West from the Point of Beginning of the herein described Tract A; thence South 03°47’35” East along the easterly line of said Fergus Falls Lodge No. 1093 tract a distance of 36.00 feet, more or less, to the Point of Beginning of the herein described Tract A. Subject to easements, reservations, and restrictions of sight ^d or record, if any. Together with an easement for ingress and egress purposes, over a strip of land 66.00 feet in width lying southerly of, parallel with, and adjoining the easterly 125.00 feet of the road right of way for Elk’s Point Road. Also together with an easement for access and use of the existing concrete boat landing ramp situated on the adjoining property westerly; said easement lying within 25.00 feet westerly of the westerly line of the herein-described Tract A and within 50,00 feet of the shoreline of Wall Lake _(“the Easement”); !and WHEREAS, the Elks wants to relocate the boat landing ramp within the Easement, which burdens Tract A and benefits Tract B, and Hanson is agreeable to moving the easement under certain conditions; and WHEREAS, Hanson and the Elks a^ee as follows: To allow the Elks to relocate the existing concrete boat landing ramp further to the west/southwest, but still within the boundaries of the Easement granted to Hanson in that Warranty Deed dated October 5, 2012, recorded October 9, 2012, as Document No. 1116713; andjHanson shall allow the Elks to install a dock to the east/northeast of the new concrete boat landing ramp, and within the existing Easement to Hanson, but noicloser to Hanson’s real property line than ten (10) feet. Hanson reserves the right to use said dock installed within Hanson’s existing right-of-way easement. (a) 7 The successors and/or assigns of the Elks shall maintain said easement at its/their own expense. (b) NOW, THEREFORE, IT IS HEREBY AGREED AS FOLLOWS: The Elks for and in consideration of Hanson allowing the Elks to move the concrete boat landing, does hereby grant, assign, and set over to Hanson, his heirs, executors, administrators,, agents or assigns, the rights described as follows: 1. -3- Otter Tail County, Minnesota 1224733 3 of 5 The Elks are allowed to move the existing concrete boat landing ramp further to the west/southwest, but still within the boundaries of the existing Easement granted to Hanson in the Warranty Deed dated October 5,2012, recorded October 9,2012, as Document No. 1116713; (a) (b)Hanson shall allow the Elks to install a seasonal and temporary dock to the east/northeast of the new concrete boat landing ramp but still within the existing Easement granted to Hanson but no closer to Hanson’s real property line than ten (10) feet; the Elks grants Hanson the right to use the dock within Hanson’s existing Easement; (c) (d)the Elks and its successors, heirs, and assigns shall maintain the easement at its own expenses; and said Easement, which is designed to serve all of said tracts, shall be for the common use, for foot, watersports, watercraft, boat, jet ski, pontoon, etc., and vehicle (including ATV’s, UTV’s, etc.) traffic, as a means of ingress and egress and other lawful purposes, and shall be for the common benefit of the present and future owners of said tracts, respectively, and each of their contract vendees, tenants, invitees, and licensees. (e) The Elks shall fully use and enjoy the aforesaid premises, except as to the rights2. herein granted. Said easement or right of way shall at all times be kept open and free from obstructions so that the same may be used in common for the purposes contemplated, and none of the parties hereto shall cause or permit anything to be done whereby the common use of said easement or right-of-way shall be prevented or interfered with. 3. To have and to hold the said easement, right, and right of way unto the party of the second part, the party of the second part’s heirs, successors, or assigns appurtenant to their said real property and running with the land. 4. IN WITNESS WHEREOF, the Elks and Hanson have hereunto set their hands the day and year first above written. FERGUS FALLS LODGE NO. 1093 OF THE BENEVOLENT AND PROTECTfVE ORDER OPELKS -4- Otter Tail County, Minnesota 1224733 4 of 5 Duane Hanson ( STATE OF MINNESOTA ) )ss. COUNTY OF OTTER TAIL ) )The foregoing instrument was acknowledged before me this day of and the of Fergus Falls Lodge No. 1093 of the Benevolent and Protective Order of Elks, a Minnesota non-profit corporation. 2019, by r/^ y< \/-'L and /T^tsuy Publi^ STATE OF MINNESOTA ) KATHY M. OLSON Notary Public State of North Dakota CommisttOT ^res 10,2023 ’ )ss. COUNTY OF OTTER TAIL ) The foregoing instrument was acknowledged before me this 2019, by Duane Hanson. i TRACY LCHAPUT f NOTAIW PUBLIC - MINNESOTA ^ Coratiteiw Elviras Jap. 31,2020 Notary Public This instrument was drafted by: PEMBERTON LAW, P.L.L.P. 110 North Mill Street Fergus Falls, Minnesota 56537 Telephone: 218-736-5493 CRF:tlc 2019-7127 -5- Otter Tail County, Minnesota 1224733 5 of 5 OTTER TAIL COUNTY Grade & Fill Permit * 7287 SEC. TWP. NAME PROPERTY OWNER , LAKE LEGAL DESCRIPTION: WORK AUTHORIZED ^wWiTv V»o ^W^vvx^ . \v^ (Np-1^ ^<u^(p W-o ^ rv\cyl.\»‘N •VWv\Vs *« yy r «x\ <5.»*\vj«.A‘% \»N * s Q V* r\Q tsU- * yja . C_)0 rN-^Ts^fex y 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 MANAGEMEN" 218-998-8095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED. 1. EARTHMOVING SHALL BE DONE BETWEEN_lz^:^::l^ 2. Entire area shall be 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. f ( ' »r n^‘O0APPLIC/i DN FOR GRADE & FILL 'RMIT TOPOGRAPHICAL ALTERATION / IMPERVIOUS SU. ACE Land & Resource Management Government Services Center, 540 West Fir, Fergus Falls, MN 56537 218-998-8095 w\«w.CO.otter-tail. mn. usOTTCR TflllCOalTT-aiiMIfOTR Permit No.PLEASE PRINT OR TYPE ALL INFORMATION TWP. NO.RANGE TWP NAMESECTIONLAKE/RIVER CLASS LAKE/RIVER NAMELAKE/RIVER # 42-- I 'VMaU lafe PROPERTY (E-911) ADDRESSPARCEL NUMBER(S)t^DCC^HoOlSOOC) ^ _________ ______ 2xf\ If-' FIWLS Pnn-F BA T^vCtu^TaUs (VIN:^ LEGAL DESCRIPTION W Ac_ PtCjC "SCVINW t-toccPn e VM cc C-"SCC‘‘1, VO ZLPHH.Mn' 1C , lO 440.^W ' tn W F-I T}\t. V\j ^u>' tl;) TO IPT TD s S Ip'UvNy \2\’ ^LVC ^ 15ljC(jC) (bO^j 2 (300 I I DAYTIME Phone No.Mailing AddressInitialLast Name First F-f.v(^uS Tails Lod^cy. 10^3 2cmo e\v^^ ?o\n'\Property 2KJiLSaCTiT-€vaUS Falls, tv\KjSUSSi1Owner hi\vi T\v\ Uiib (Ua fgu^4 TTo-ey/sContractor Name T^fb.,er Cjon5\wvctvov^'^m6 f. Tf)cr^\ -Ri 1 \ [c\ K> 05^1Lie. # NOTES: 1. A Scale Drawing & Impervious 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 L&R Initial )DESCRIBE YOUR PROJECT(S): b Ftl\\n 04 X IU>'X I g.pprbv 4za 2)i MDvo toLcvV \4b\\] \1;CC4\L^. ( U){ o' iulP chivn h 6' - 0 bi i7J mir X ^ ______'3n' oir ?iui\h fijh) iddlK (^m'Lh'icIc) \b Qp/lav\)incj, 4\.VtTVr1fA K.f p.^r r.f \is\Tri\:WL\-\\ 40' Uipj -________ ^ (juSl'L ~ ^ ram > TOPOGRAPHICAL ALTERATION: AREA TO BE CUT/EXCAVATED:Yds"Ft. - 27 =Ft. X Ft. X Width Ave. DepthLength Yds"Ft. X Ft. - 27 =Ft. XWALK-OUT BASEMENT PROJECTS: (Outside of the building foundation)Width Ave. DepthLength l6‘o I Yds"Ft. - 27 =Ft. XAREA TO BE FILLED/LEVELED:Ft. X Ave Depth TOTAL EARTHMOVING REQUESTED = 44 Yds" WidthLength Ft.BACKFILL AT FOUNDATION;Ft. Distance From FoundationMax Depth CULVERT:If Yes, must indicate size and location on drawing. Yes No %Proposed Proposed IMPERVIOUS SURFACE BUILDING: Existing IMPERVIOUS SURFACE TOTAL: Existing %% ignature ditliSrtSi; erty C v^er/Adent For Owner Receipt NumberDate'ri BK04-201 354,253 • Victor LuixJeen Co Pnnters • Fergus FaHs. MN • 1-0OO-34$-487O \ ■................— ^ !■■' ■ "■■■ 4^ __I' f^/ll pln/^Ctd V w vi-w/'iivs t^y Pre-ApplicHion Site Inspection Inquest 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 No.Lake / River Name Lake/River Class Section Twp Name ■bade Au.Yc>a I\Nau laV^bD Parcel(s) No.Property (E-911) Address\bOOCX)'-\00\'SOOO # I ■50DC»qcXjSl-C6O ^2D=nD eiVi&Po'rvt i Property Owner Information: T¥j/nu5 falVs Lody/ Zo^io evs ^\n-v ^oad Name(s): Address: X' TA\V\ 2iM5\-Daytime Phone: Type of Request: Bluff: Date Stamp Stake Setback Verify SetbackDetermination ■>%C OHWL:Stake Setback Verify SetbackDetermination Shore Impact Zone:Building Line:Stake SetbackVerification Shoreiand Area:Wetland:DeterminationDetermination Soils:Restrictive Layer Determination / Vertical Separation Describe Request: R^VCl\L€ \T\\(^\\/\lOc\€r A scale drawing must accompany Pre-Application Site Inspection Request & request must be staked onsite L&R Initial ' kL aiovv^ ^hCiirchi^vj^, \ov| QaW\p^\\t 6p^ti DateWppMy Owmermr•'A INSPECTION COMPLETED (Inspection must be done within 10 days of receipt): 7~fea i-f7-K Date Property Owner Notified InspectorDate Onsite Receipt Number: I ^Fee: Inspector must provide site drawing or field notes on other side. mbowman Application & Forms Pre-Application Site Insp Request Form 06/2012 A-,o\'\ (f>7f' S/eJtC. "v ^ 4 iKlf i "W’ ’' • ^'. r SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 — Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE-Office GOLDENROD — Inspector YELLOW — Owner PINK — Assessor Permit No,.LEGAL ($0 9 132, UJi QtimO rA/iAto 'TWP Name DESCRIPTION AND LOCATION BnMS JjMlL F>n TWP RangeLake Classif.Sec.Lake NameLake No. IDENTtFICATION; Please Print AH Information Tel. No.Last Name ___________First Maili^ Address— No. Street. City and StateZip No.^Aa/^ 0/)d' Initial Owner NameContractor T Architect Name, NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: \0 ( ) One Family Dwelling ( ) Multiple Dwelling Specify:,^^New Building ^>^AIteration ( )Other Units Other Size ESTIMATED COST OF IMPROVEMENT $ TYPE OF SEWAGE DISPOSAL:DIMENSIONS:PRINCIPAL TYPE OF FRAME: Basement: ( ) Yes Stories above basement: ....... ( ) Masonry ( ) Wood Frame I ) Structural Steel Other — Specify ( ) Public ^ Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well i Sq. feet (outside diri^sion) Bedrooms ........Baths ....Cbr. CHARACTERISTICS: lA Maximum depth of lot feet.Water frontage is feet.feet.Lot Area is ..73.feet. (Building Line)Building set back from high water mark is Land height above high water mark at building line is Building set back from State highway right of way.... Side yard is Structure will be located ..3 feet ^ 0S-O-feet.feet — from road right of way is /o.1.0..feet.and 1.0 .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation).^.Q.Structure will be located 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. THIS IS A SITE PERMIT ONL Y AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STA TE STA TUTES. I understand that I have bean granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. Signature of OwHer Dated. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon the express condition 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. Permit: Dated Shoreland Management' OWciaK3/ho 6Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971® VICTOR LUNOCEN CO.. PRINTERS. FERGUS FALLS. MINN. f VV '• SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - Fergus Falls, Minnesota 56537 APPLICATION FOR SITE PERMIT WHITE - Office GOLDENROD — Inspector’ YELLOyV - Owner PINK - Assessor I0 Idla.'iPermit No>.LEGAL <$lODESCRIPTION ^url U iAND , "ILOCATION UkiH 3.D / B ^ G f J P TWP NameSec.TWP RangeLake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information Tel. No.Zip No.Mailiry Address— No. Street. City and State GaaG 6/)(G <J.cA^tu> InitialLast Name First IOwner Ifj /j ii ^ //^ y K// n ■L.. fNameContractor Architect Name. NON-RESIDENTIAL PROPOSED USE:RESIDENTIAL PROPOSED USE:TYPE OF IMPROVEMENT: ^^New Building pH^^lteration ( ) Other_____________ Specify;.( ) One Family Dwelling ( ) Multiple Dwelling (Sj1 Other Units Size ESTIMATED COST OF IMPROVEMENT $ DIMENSIONS: Basement: ( ) Yes (,)(s^No Stories above basement: Sq. feet (outside dimension) Bedrooms ......................... TYPE OF SEWAGE DISPOSAL: ( ) Public Individual Septic Tank, etc. WATER SUPPLY: ( ) Public Individual Well PRINCIPAL TYPE OF FRAME: ■4f-( ) Masonry ( ) Wood Frame ( ) Structural Steel (^^Other — Specify / Baths i JCHARACTERISTICS^^ ^ Lot Area is feet.Maximum depth of lot feet.Water frontage is feet. (Building Line)Building set back from high water mark is.................... Land height above high water mark at building line is Building set back from State highway right of way.... Side yard is .... Structure will be located .3..feet ^ 0.^.0-.feet.feet — from road right of way is feet. .feet from septic tank (Sewage System Permit must be obtained before installation). feet from soil absorption system (Sewage System Permit must be obtained before installation). and /O A.Q..Structure will be located 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. THIS IS A SITE PERMIT ONLY AND DOES NOT CONSTITUTE A BUILDING PERMIT AS SET FORTH IN CHAPTER 16, MINNESOTA STATE STATUTES. I understand that I have been granted a site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any additional permits are required by the township for my proposed project. .tO/xyDated.Signature of Owilir Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon thePermit: express condition 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. Dated Shoreland Management Official''3n-() 0Permit Fee $.Receipt No. Comments: Form No. MKL-0286-019 229971@ VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. MINN. • •• INSPECTOR'S CHECK LIST Make all measurements and computations ACTUAL IS 1 MINIMUM Shall Be 4-Sq. Ft, Lot Area (Square feet)Sq. Ft Sq. Ft. Water Frontage Ft.Ft. Building Set Back from High Water Mark Ft.Ft. Building Set Back from State Highway Ft.50 Ft. Building Set Back from Street or Road Ft.40 Ft. r OpSide Yard &Ft.&Ft. Rear Yard Ft.Ft. Occupied Building to Septic Tank Ft,10 Ft. Occupied Building to Absorption System Ft.20 Ft. Elevation at Building Line above High Water Mark________________Ft.3 Ft. Inspector's Comments: A // J/'/i -inspector's Signature r Title Inspection Dated 5' " '2 19 O r Agency viCTo* uiNDceii ft CO . MmnM. rcooui falli. mimh ! ? Ciu'i i(iU ,1 1}-3 \ 1 ^r\v '" ^ cn^s;G01 S/13 -?jin Tl V/A ; 00 ^30 l -fir-'-V"C "7 f’3CJ- ^V3 O/ ^ v^ Vi ^ ^ oaS-Cio ~"i n rA\ p ( r«? srj-j^ yK) ? ';•; fO^ ^ '.^c -’-7^^ -iT f’ r>'^' 'f^-. • ^ ■ '"S^r:-r"3-h r’-n^^O'Po -1 ;’’•’? TIV> -4 C\^ ^-ri 'v^i3 •;•-1 ,>:?