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HomeMy WebLinkAboutEthel Beach Resort_29000990269000_Septic System Permits_1 '3-:tn LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY FERGUS FALLS, MINNESOTA 56537 /ff5' -IVJKL-0789^)19 {FILE OPENING DATE..1 ei«sT£is E PHONE NUMBER NAME OF - __APPLICANT F.Ti^6L K€So(i.\ I f^^DDRESS f5^EGAL DESCRIPTION M- 3a7- ^lo3 (MIDDLE)m (FIRST) B/^TTLC Lf\iIL (LAST) (j^~r ^3 y3<» X ^-3 3175^El.133M.(PARCEL NUMBER)(TWP NAME)(RANGE)(LAKE/RIVER NAME)(CLASSIF) (TWP)(LAKE NO.) FIRE NO. NOYESBLUFF OAt ^ 4^/m±L u/ndiAj^Ah 'ilArrub ^ ^ SITE PERMITS '^^ARIANCESF 7 _ /V.5-cjosnArv^ tfeeftu;;'*'FROM STANDARDS RESULTSRESULTSNO.DATE PURPOSE DATE INSPECTED HEARING DATEAPPLICATION DATE 5/^htL WM 5 jLj^l LAU€ serSf^i /ieP(U>^io (scacc^ J-j/aTj^S tVR OuJr/ta's Qejtui'iC h I^Tynctico <5»/jf)<S^PSpT”K-'..V. .*■' ir—’/4ili S£M0> Poaio ctAUiS fyOOiVitn} c./< fef**CONDITIONAL USE PERMITS/ /-2^0/^ C/o/(f;?'RESULTSNO.HEARING DATEAPPLICATION DATE 3lHjlS ta.jn]‘=n l/iyli'S _L-^ 3i/li>l*m 3//g/^^ 5~4^/ A jf-fcOf/i '^Uefyol /j/n/:ljAj ^.j2^fjyL/}AlbiQ. AAe ^^Ajl ^ GRADE/FILL PERMITS UjflLL. SEWAGE SYSTEM PERMITS DATENO.RESULTSPURPOSEDATE INSPECTED sce€£rO PiM^n fh efjcu.s£ u^niu \j fMtzct% eT m RESULTSNO.DATE ONSITEAPPLICATION DATE V 11^1;C. COMMENTS: ^ / /^e^TAuAdnT ^ / ^ujtJeas f>u£LUH6 ^ g CLi^einfS^ to Ms Pc? 'fkt (yidij^ n/iMufi9cxniua Mi»nesZxWMm :|u:% — A « P8fau» F«IH, Minnasot* •• t 'i* ‘■'5^ . / ^ ’ • •’It' .its'l'lsf: - ■■.- ‘ «y' •«■ • •. . ' iCl-ZJ;. ••■ ■ i-J .r- » ;p -i. 7;. -'iii . Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Center - 540 West Fir Ferous Falls, MN 56537 PH; 218-998-8095 OTTER Tail County’s Website.- www.co.otter-tail.mn.us October 29, 2009 Allen Chase 27521 Co Hwy 5 Battle Lake, MN 56515-9679 RE: Sewage Treatment System Servicing Tax Parcel Number 29000040027001 Described as N 200' of GL 5 & That Pt GL 5 Lying NIy & NEly & NEly of Ded Rd..., Section 4 of Girard Township, Ethel Lake (56-193) As of 10/22/2009, the sewage treatment system (Sewage Treatment Installation Permit #20185) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for 26 bedrooms. If you have any questions regarding this matter, please contact our office. Sincerely, Scott Ellingson Inspector 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 RECEIVEDWHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue) www.co.otter-tail.mn.US MAY 0 7 2009 APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No.LAND & RESOURCE TWP NAMELAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGELAKE NUMBER cv^s Y / 33 3^ E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED 21 63l! -CO < ~no 00,0/0 0 XIOO I LEGAL DESCRIPTION A'Jco' o*T C-i ^ t /yPOiv- ifiicL 'i-Lr/ ~ j ~ 6f Mailing Address Daytime Phone No.Last Name First Initial Cl ___, A-IJcn.37- cvfiu^Y S- P.0 /!ok Property Owner PCL ^3-OcH\3/^ - StContractor Lie.# UCL ( THIS SPACE FOR OFFICE USE ONLY A.M. >■ This System will be ready for inspection on , the year of P.M.at. A.M. P.M. Date Received Time Received L&R Official SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE) TANK DRAINFIELD I/TOO Ft"Size GIs.Add-On/ ✓-^^Peplacement ((32)^ank, Septic ^ (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade ,^0Setback to nearest well Ft.Ft. \50Setback to OHWL (lake &/or river)Ft.Ft. w:Setback to wetland Ft.Ft. InSetback to dwelling Ft.Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade Setback to non-dwelling Ft.Ft.A. -/■ loo -HOO Setback to nearest property line Ft.Ft.Other (41) Tank, Holding (42) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous Setback to road right-of-way Ft. Ft. Elevation above restrictive layer Ft. Ft. ALL DISTANCES ARE SHORTEST DISTA^^E BETWEEN NEAREST POINTS.DEPTH OF WATER WELL # BEDROOMS. GARBAGE DISP. Y / N ABATEMENT (^/ N ABSORPTION AREA FOR MOUNDS vTg>.R2EFFLUENTDISTRIBUTION ( >) Gravity ( ) Pressure HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( )Yes ( ) No-L&R Can Not Process Designer (^v\t a aw P^yo Designer Lie. # / ,^ ~3 ~~L-— PERCOLATION TEST DATA 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 condition 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 Tall 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. ,5 " 5~-- o ") ----Date:Permit Fee $ Signature of Property Owner/Aamt for Own Date:Rec. No., Lands, Resource Management Office Comments: -ho ^S/^■^3 / 2.-^1nr><-Vxo/<€^ t r-e vv Form No. BK — 0906-003 327,315 • Victor Lundeen Co., Printers • Fergus Falls. Minnesota 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 UiK- Ol WHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue) www.co.otter-tail.mn.us I0-24' y APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKBRIVER CL/^S SECTION TWPNO.RANGE TWP NAMEyH .^33 3L~iKDE-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED 216^} -^0 rju^^ 6 -aoori^OO o o I LEGAL DESCRIPTION T ^ ~ I STA/^t>o' oiT C-i6'4T^trt PtOiSiy^rY^ 5r>i> . Last Name First Mailing Address Daytime Phone No.Initial -- -<T f i^- ______ —I.—. — I........................ '^ v' ri ^ y/.;/ L\) ■_______ ^Property Owner i: I'Ja-! Ifo 6 ??6=.7/4’'Contractor Lie.# u > /V AV /»^/ tty k-BTL / 10THIS SPACE FOR OFFICE USE ONLY >- This System will be ready for inspection on , the year of at ^Date Received' P lO^d^Oj Time Received L&R 0fficial SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRC^ ONE)f TANK DRAINFIELD /.Too Ft"Size GIs.Add-On/New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade \ ^ — Replacement t,^(3^jTank, 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.\V50 y-,Setback to OHWL (lake &/or river)Ft.Ft. Setback to wetland Ft.Ft. iInSetback to dwelling Ft.Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade Setback to non-dwelling Ft.Ft. -t loo ■+10^ Setback to nearest property line Ft.Ft.\Other (41) Tank, Holding (42) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous Setback to road right-of-way Ft.Ft. Elevation above restrictive layer Ft. Ft. ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. # BEDROOMS :SDEPTH OF WATER WELL ABSORPTION AREA FOR MOUNDS GARBAGE DISP. Y / N ABATEMENT N-T 5T 0 Ft^EFFLUENT DISTRIBUTION ( >) Gravity ( ) Pressure HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( )Yes ( ) No-L&R Can Not Process &Designer > < /-v.y Designer Lie. # PERCOLATION TEST DATA i l p 'Z-- 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 condition 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. Date:Permit Fee $(ySignature of Property Owner/A^nt for OwT^ ^ Land S Resource Management Office Date:Rec. No.. Comments: ^ ^ ^ ^ “ '-u-y//'('JcIkA'U (tl '■(•iLd. T a-riyOJd/Lb 'I/\'-•V 4 ' mForm No. BK — 0906-003 327,315 • Victor Lundeen Co.. Printers • Fergus Falls, Min SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements HOLDING SEPTIC TANK DRAINFIELD OUTHOUSELIFT TANKCATEGORY Capacity GLS.FT2 FT2GLS. Setback from Nearest Well FT FT FT FT Setback from Buried Water Suction Pipe FT FT FT FT Setback from Buried Pipe Distributing Water Under Pressure FT FT FT FT Setback from OHWL (lake &/or river)FT FT FT FT Setback from Setback from Wetland FT FT FT FT Setback from Dwelling FT FT FT FT Setback from Non-Dwelling FT FT FT FT Setback from Nearest Property Line FT FT FT FT Setback from Right-of-Way FT FT FT FT Elevation above Restrictive Layer FT FT FT FT Holding Tank/Lift Alarm YES NO Old System Pumped & Destroyed YES NO SEPTIC TANK(S^^FILTER Sewer Line to Well Separation DRAINFIELD CALCULATION 4 Actual Minimum# Tanks Installed. □ YES FTXManuf.«ft"□ NO FT FT20Model# MOUND CALCULATION MOUND /AT-GRADE ROCK REDUCTIONInspector’s Comments: ABSORBTION AREA Rock trenches with inches of rock under pipe for .%Ft. X Ft ft" DRreduction / equivalent to,Ft2 SKETCH: Z - \ CsCic. kJcm-^ ( _ uf 1 • Time Initial / L & R OfficialDate the above described sewage system installation was found to be compliant with the provisions of the SanitationAs of Code of Otter Tail County. (fee Management Official ♦ I ♦ 4 SITE DATA WORKSHEETrLAND & 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: C^~tieL K/ - TELEPHONE NUMBERMIDDLEFIRSTLAST NAME ADDRESS: 5 3L / < STR./RT tU ZIP CODECITYSTATE / 3~^ r3 7 (lA.13ji RANGE TWP. NAMELAKE NAME SEC. TWP.LAKE/RIVER NO. LEGAL DESCRIPTION:SOIL BORING LOG COLOR & MUNSELL NO. DEPTH (INCHES)d i^Tfi^-cXccA.^STRUCTURETEXTURE BLOCKY PLATY PRISMATIC NONE bo I PARCEL NUMBER or Directions From Nearest Public Roads-BLOCKY PLATY PRISMATIC NONE Address.> -T, GAf^GE ^^Sll4i fiEPTH f5^ FLOOC^LAIN; ^ES t^O^ — C o E-911 » uBEDROOMS ^ BLOCKY PLATY V PRISMATIC NONE K^locky ^ATYPI^MATIC NONE cPOSAL: ftt^^WER LINE SEPARATION: Sj> ft.WEL 7BLUFF: VVEGETATION: AQUATIC TERRESTRIAL BLOCKY PLATY PRISMATIC , NONE,.'' vSLOPE AT INSTALLATION.SIT/:% '--V )1’ TYPE OF OBSERVATION: *!5te > Pit PARENT MATERIAL: j/i\ OutVsh Boring r 1 XLoess Bedrock Alluvium AORIGINAL SOIL:Yes No Date of Soil Boring, L^lHI A 7' or restrictive layer): ^TIME D SOI ft.Date of Perc Test PERC TEST #1 PERC TEST *2- TWO TESTS ARE REQUIRED - WATER DEPTHTES)WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATESTART TIME DROP PERC TIME PERCDROPTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES) WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME PERCDROPTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFiaREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE INTERVAL (MINUTES!TIME WATER DEPTH WATER DROP PERC RATEREFiaREFILL sTIMEDROPPERCTIMEDROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERC INTERVAL (MINUTES)TIME WATER DEPTH WATER DROP PERC RATE INTERVAL (MINUTES)TIME WATER DEPTH WATER DROP PERC RATEREFILLREFILL -r_____ =TIME PERCDROP TIME PERCDROPTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFllA.REFILL TIME DROP PERC TIME PERCDROP PROPOSED DESIGN: TRENCH,BED.ATGRADE.MOUND.HOLDING TANK GRAVITY DIST.,PRESSURE DIST.. SEWER LINE.OUTHOUSE.OTHER.SPECIFY:________________ — SYSTEM OESiani ON BACK — System design must be to scale and must include the proposed location of the sewage system, all existing/proposed buildings, property lines, the ordinary high water level of the water body, 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. feet, ori L inch(es) equals 5*^ o feetgrid(s) equalsScale: PTf MPCA LICENSE #: DESIGNED BY: FIRM NAME: ADDRESS: P.O '?7 LICENSE CATEGORY: DATE: SIGNATURE: b.ii; Ltx>(y Co \\I I 1 .received MAy 07 2009 1I;uxuii■ i land s resource ;: [!315,904 * Victor Lundeen Co., Printers Fergus Falls, MN • 1-800-346-4870BK ~ 1003 - 029 1 III11 1rj^rt isikEr:i»vraJ:wiQRks'HEETbi:j LAND i& RESOURCE MANAGEMENTS COUNTY pFJpTjTERrtail ' i GOVERNMENT SER'i/teEstcENTER, 540 WESf ^^^ 56537 I ' www.co.otter-tail.niin.usi~' ‘ i ,n:nI!'■>'r-J T"!t 1 ~r!Ijj ! !uj I-1 !i I I irI I II!1..rI1 11 ij 1r r f Sewage TreatmentfS'ystem Permit # ■ I' 1..1"! i ~ ~ ' ! I I I : I i..i'l h"TT~"".!..[..f..[.I..i..r i. L 'OWNER: I)\1 UAST-NAME TELEPHONE-NUMBER-^MIDDLE--FIRST ---1~-i t t"I I ■■I[ i-t ; .ADDRESS:!j...T 1..I /k4- CITY Ti f OSSVSi-I I[.An 4 31/ ’ STF^T \.J.i..LI£l^..i„ t state ZIP CODE I \ ~r ■'r—I-L i ^1-3^-L/-J J4.rnT1 I 1iIake/river NOk rAnGE , TWPANAMEI\fwp. 'I SEC.I I- f LAKE-NAME Tt~1I.............LEGAL DESCRIPTION: rt~! ..L :rj.-LI- I jSOIL BORIMG LOG | | | ,I"t..!i depth! (INCHES)iTEMliRElI I COLOR & r MUNSELL^NOr IIi„L STRUCjrdjREi1!.L_(t i.1..r I •j.I..[.i 4 IBLGCKY- PLATYt"f T■I!I ...172 H o d W b d / PAR'CEL\nOi\)}BER' ' i i i i ' ' 3JzkjU i.4,I I!■-^RRlSMAtlC NONE iIJ_i T "I...I...!" r I[iIi -t— -r-7 ^ y' Direction 's Frorn Nea. \jBLOGKY' ■ :rpdATY: PRISMATIC'" IdlNONEt^ I.i.„[...i .j.i- I 4-i 5^I J. E-9il Wddress or iTearest Public Road . \ <44i_u:.u:LEXil4 ;t:M.j;i i' i::r-4 i 1I ■'N ]I LU-~ I.... ^^ ! I ;+Ir--t [BLpGkY[_, I PLATY ^ ' NUMBER OF BEDROOMS [I"!"'!'" '!.......VES,.p>[|' ................ WELL!CASING!DEPTH t5l? ftj ;SEWER LINE SEF>ARATI6N: Sh\\\. \ 1 "t~|-FLGODPLAI nH~ Y E S"^<Nd^rT B LU FF:4~ Y E STT(^^"'t--H--r —■t4~ 1 (, GARBAGE! DISPOSAL PRISMATIC NONE ‘ZLi - I I iji '-V\block'y! - PLAT-Y - - PRISMATIC NONE I T i I1[I [-j-I i^ VEGETATION: - ^AQUATIC 1 TERRESTRIAL i4 I f■I-I BL0CKY4 I ' PliATY , PRISMATIC : NOI^E-i- 4 ISLOPE ATj INSTALLATION Sim %„ 1 (. -^T^'PE-OEiOBSERWlONiJ.IBoringjrooe-.I.Ll,|iI„[4iiI! I i Bedrock i Alluvium"7PARENT MATERIAL:. !~t/|I ; Ou~rhTT..f..f-j-j^r-rr-ri..f..I..i..'ish Loess ....T .y X [■ j.. I i ORIGINAL S0IL:^_ Yes' ,No' ..1..t r1 1..1..Date: of SoiliBoringI ■ ;V ' 1 I ! I I fJiiI.......4-t - : U4-I ^dOMPAGTED SOIL:- Yes! ! No } ' i : i i I ■ l i-t-i-’ - ^tI.ri-i-f f-! I r~I' ]... .j„1 r f-■i I DEPTHIOfTbORING -(-To 7' ior'restrictive 'layer) i'l"' ' I i 'PERC, TEST #1 Tft.[)ate;of Perc Test TINajTESTS A/?£iflfQL///?£p +--h f i {..!I !i h ' iI , i PERC-TEST #2^ . i.1J T I PERC RATE i I i iINTERVAL* (MINUTES) i WATER DEPTH i WATER DROPl j PERC RATE i : 1 i TIME INTERVAL (MINUTES)WATER DEPTH! WATER DROPTIME I ;IJii'xn:::!:: :__ =Li4 DROP 1LPERC I 4_iSTART Li I ...^..start_L.! "Li I.4IIiTIME i ■ ' DROP ir‘T'T‘T'‘T.......... I PERC I i TIME I i PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH i WATER DROP :t i i iPERC RATE I }TIME INTERVAL (MINUTES)WATER DEPTH I WATER DROP i J__i ! -:ref .......f— ' ^ ! R^bi! : -i t I i I I ILL- I—^t"! 1 ! PERC I [............1..!TIME' '> DROP I { PERC ! TIME ' ; DROP INTERVAL (MINUTES)I WATER.DEPTH;WATER DROP PERORATE ITIME I INTERVAL* (MINUTES)WATER DEPTH :WATER DROP! 'PERC RATE' I I TIME I ■ y- ■ DROP PERC I I REFILL ; - j i"I ••!■ "IrEFILL1-f-i LiL _4..r.....DROP t r PERC)■ .TIME . TIME7T IPERC RATEI- TIME ! INTERVAL4MINUTES)4 WATER DEPTH I ^ WATER DROP: i PERC RATE I -•4-TIME INTERVAL (MINUTES): WATER DEPTH!....4 WATER DROP !: I i REFILL''I-.. ■ DROP ^ i PERC f r^--r T" --------LL 'T ...■■ i sTIME DROP : PERC r i TIME:INTERVAU(MINUTES)) - ; WATER DEPTH : - WATER DROP L-: r PERC RATE! - f I TIME ^INTERVAL (MINUTES)WATER DEPTH^-WATER DROP t- i ---PERC RATE i X- ■■-I TIME ■r 1 ]■ 'R^iLL"*....'[ i-'t '!REFILL : " '-i-...!■I I ■4 ! DROP i I PERCDROP ! i PERC II , TIME I i i TIME! I TIME I INTERVAL»(MINUTES)i ~i WATER DEPTH WATER DROP !r PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP i T T iPERC RATE ?I .I□4'^yi. C ' ' I 'I....I REFiLL-fi ! I I ! ' 1 I4 rTIME i ' I DROP .PERC I TIME DROP PERC1 INTERVAL* (MINUTES) i WATER DEPTH WATER DROP '1 i PERORATE' : 1 t I TIME I INTERVAL (MINUTES)i WATER DEPTH!WATER DROP PERC RATE ! I TIME i REFILL ; i [.LjJT].i .[refill; ■ ...i. !. I.i.! ■■ J4I 1 1 TIME ’ DROP :.....I PERC II!.iTIME DROP PERC iIi-i-TIME i INTERVAL* (MINUTES) I I WATER DEPTH WATER DROP!PERC RATE ' ' I j TIME INTERVAL (MINUTES)' WATER DEPTH WATER DROP I I i PERC RATE I ! I;..[... i IRJILL. j. I..I -I-'...I REFILL i •I jE;I-!L 4-TIME'-- ‘- DROPTIME F * DROP PERC I PERC I H RROPpsEDrDKiGNr t I.1 jIi-H... iI!■i :5 rI GRAVITY DIST. ^ ! . ' , I ■ ■ M ■ I f HOLDING TANK • 44'TRENCH! I Iji BED_ I SEWER LINE. i iMOUND L PRESSURE DIST.___ijVrGRADE:, ! -+'!r[I SPECIFY:! ■ i [ I ^ 'M-sYSTknJri^st!(siV"^W"^BAck\-] ; .; u I ! ' ...j..,:}.r;.;:,[. ' ' i I f OUTHOUSE ! I ....r •' i” : : OTHER'-M-4- ftII 1 . j...; System design must be to scale and must include the proposed location of the sewage system, Vfl 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. ^ feet, orI L inch(es) equals ^2i2.o__feetgrid(s) equalsScale: MPCA LICENSE #: KDESIGNED BY: FIRM NAME:_^ir^ ADDRESS: P.Q T7 U__________ r/LICENSE CATEGORY: C- 7 1^^*-— DATE: SIGNATURE: 1 V .uv\ / ? QIn A-d^k/elf \-V 4 * ^ i r received MAy 07 2009 land & RESOURCE BK — 1003 — 029 315.904 • Victor Lundeen Co., Printer* < Fergus Falls. MN • 1-800-346-4870 1/ r^-/i .V. J)t*I BI'EFJNING, MINNESOTA 56551 ■ ,.^r::'':.'',V-A:LUE-SELLtNG'’:.:j.' THRU VOLUME BUYING .1 1/ k is £ t H ei^ rt‘y .>'t9 s Ii S I 'T-n I / fi /-- *■//u5-'/ „ f.on J-//V/JP-I n(6~> // - -r.) • T / r..<j, BD iz-F i-A/4 ppp'(i4-^ Ml1 If^tT>y£ f^tHF ' Fmi.I ." i-'4',.ptP 1'' . ■ ?■'' p ^ '(31- ti-)-•(If (»■ I ■*•1ii /D/st; /3o y- n i 4 pP, PrP'^ , ^i^‘'nti^£rfijl:111 ; “ 1 I ^ ff w"■■^sdicEsiz'" ,7- iHA 2-’., « '3 , i/nyp 6- /-;>/■(ih 6'' EiP-^di^(,■ •..*//SP^P^D /"-* — _^r/tML'ALMP, r$ fS r/iJV) 1-/Fr iT/vt/io/\fAFrF^c^y- Y/tp7p> ePi\o£t^/ I fg -g:Sii m0cro I INSPECTION'HESuifrS Make all measurements and computations /f ACTUAL MINIMUM /Sq. Ft, /Lot Area (Square feet)Sq. Ft.Sq. Ft./ Water Frontage Ft.Ft. Building Set Back from 1;))^ Water Level ■3.°l Ft. <0 jBuilding Set Back from Top of Bluff Ft.30 Ft. 20 Ft.Building Set Back from Hoad Right of Way Ft. 50^ ■ Ft.Building Set Back from Lot Line Set Back Ft.Ft. & < io Ft.Ft.Building Height II Ft.• 10 FtBuilding Set Back from Septic Tank 20Ft.Building Set Back from Absorption System Elevation Above High Water Level at Building Line Ft. ' -Land Slope al Building Line 5'iO % •; ■ Inspector's Comments: Lf\tt SfTfiAcLS To ^ C.V ________________________' (i » 1 3i —broMtr"'’" Inspector 's Signature /j/y. -O Date of Inspection //Y /^s>^ ihf6 rime o/ Inspeclion /' da y CHRONOLOGY REGARDING THE SEWAGE SYSTEM ABATEMENT Property Owner: /93 Lake Name: iETfh^ (Lake No. 56- Parcel No.: GIS Address: Date Issued: Date Initial Response (owner): Date Resolved LAbav/' ^ ^\ICtd Mr im . ^ looK^ ,Vi4o S eas«3 v\. ^ hi s ■f/oAAVX /hM- V" ►vviS^ac^ /4//ifvv c»tor+✓'/r^ -(axles' -hvnts +U/0 ui^CO<^ p>top(t Cir<QrH\JL^ COutp/ig t^^tLCfC^r CoUM 9^.11 -f Oujii/ be <]o^ CL lO^I^Od St<nb^ci rA/( taf!^ pie pt«^pfe.i.0 «-A.; b 5001^t” <9Wlvo<- 5f Abatement. chronology5-02 £tK<I• 6 of 6A Make all measurements and computalions ACTUAL MINIMUM Sq. Ft. Lot Area (Square feet)Sq. Ft,Sq. Ft. Water Frontage Ft,Ft. Building Set Back from Water Level 2.^Ft. /o/zqBuilding Set Back from Top of Bluff Ft.30 Ft. t'^LBuilding Set Back from Road Right of Way Ft. F.SO^ Building Set Back from Lot Line Set Back Ft. & < iOBuilding Height Ft.Ft. MBuilding Set Back from Septic Tank Ft.10 Ft 20 3 Ft. ^ 3o”-Building Set Back from Absorption System Ft. Elevation Above High Water Level at Building Line Ft. f- *r •Land Slope at Building Line 5-10 % Inspector's Comments: Lf\jt SgrBActi A,i/^ To /k.r^Ai. //^n ti>V Kft. ___________________ i 31“ To" li" I,#3 W Jo A -?/ □LoufjG^ //-9-9y/i/y Data of InspectionL io ------------ fhj(:p i^^Oy olCc V )Time of Inspeciton r OF OTTER TAILr'ni IMTY 0 ;<Urn iL M. MS BS W mmli CSiitl IM EENN'NG, MINNESOTA 56551H VALUE-SELLING THRU VOLUME BUYING \ L-/ K p- I'-THei' { ty.> 6-^ f ' ;>/A/A^- '''//^----------------1 -)~i> ■ • W ^L-/H-* /i: A *'/''-'A/'?/!//■/Cx:j"V I /^j' f-olV^C ' ' l/nP/p/!-/hn /A/&■ h c:w /,/ __tv, n o F-I ,,pFf> 4 pi r -Pr iTu-_jy 3U£- Vs:":j." nrjL I- y p 'F j '3'- m I')-i;:- I3^^ 3^" 111 PIS:T. PoY- n K7 -It___ - /4 ._ t(»‘' / A/ 1fii ■ ,4-'. ^— > < Y /;' /3 r P/r i: b- A b tjuJ.'p \ •'; V-I •i^SdlBS ■ly bpsvx-a L- iPPp jr- V£l_ A Pf 4-. S’ i? Yy/> P> cF F>oc ri - r/tA/(i'Ai yp rs fsPi Ft Sr/vWoAfI 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.otter-tail.mn.us November 3, 2008 Ethel Beach Resort Allan Chase 27521 County Highway 5 Battle Lake, MN 56515-9679 RE: Sewage System Abatement, Lake Ethel (56-193) On November 22, 2006 an Abatement Notice was issued to you for your Lake Ethel property. To date, this matter remains unresolved. Be advised that your septic system must be brought into compliance with the Sanitation Code of Otter Tail County. If you have any problems, please contact me so we may work out a solution to your Sewage System Abatement, otherwise please have this situation taken care of by November 22, 2009. Failure to do the above will cause us to turn this matter over to the County Attorney. Sincerely, Scott Ellingson 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 July 2, 2007 Ethel Beach Resort Allen Chase 27521 County Highway 5 Battle Lake, MN 56515-9679 Re: Sewage System Abatement: Lake Ethel (56-193) Dear Mr. Chase, It has over 1 year since you received the Abatement Notice on your Lake Ethel 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 Lake Ethel 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. There has been a further review of the files of Ethel Beach Resort. Three (3) issues remain that need to be verified and corrected to resolve the abatement of the septic systems for this property. 1. There is a tank firom the lounge that is thirteen (13) feet fi:om Cabin #5 and the roadway. This tank needs to be checked for a solid bottom and brought into compliance by installing a manhole access and access risers. 2. The tanks for cabins #6 & #7 need to be checked for solid bottoms and brought into comphance by installing a manhole access and access risers. 3. We must verify that the tanks for cabins #1,2,3,4, 5, & 8 are connected to the lift station that pumps up to the drainfield. Also, bring these tanks into compliance with access risers and manhole covers. If you have any problems, please contact me so we may work out a solution to your Sewage System Abatement, otherwise please have this situation taken care of by November 22, 2009. Failure to do the above will result in us turning this matter over to the County Attorney. Sincerely, Scott Eilingson 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 i October 25, 2006 !: Ethel Beach Resort'(Allan Chase) 27521 Co Hwy 5 Battle Lake MN, 565i15-9679 !. IRE: Sewage System Abatement Ethel Lake (56-193) •i Dear Mr. Chase .1 Since our first visit on June 28, 2006, we had agreed to come back at a later date so you could get past your busy season. We are approaching freeze up and to date you only got two tanks ready for us to check and were almost two months after Labor Day. ■ Give me a call by Nbyember 2, 2006 to get a date arranged to check all four tanks. No action taken by November 2, 2006 will result in an automatic abatement letter for systems of unknown construction, functions and location. : . ' ! Any questions feel free to give me a call at (218) 998-8108. / Thank you for your attention to this matter.;• Sincerely, Scott Ellingson Inspector I Pre-Application Site Inspection Request Lake / River No Lake / River Name SectionLake/River Ciass Twp Name JZ-m erLi L /4 Y Parcei(s) No.Property (E-911) Address err tf^r S^foooo Hoo^noa I Property Owner Information: Name(s): ^75^/ Cty j5'Address: L/h^/fM/ 5~hS^J S' tDaytime Phone: 3b I'- ~?^P Stake Setback Type of Request: Bluff:Determination Verify Setback OHWL:Determination Stake Setback Verify Setback Stringiest:Determination vNon-Conforming Repair or Replacement Structure:Confirm Consistency With Existing Structure Miscellaneous: (Qntu 4 </KScfe.y___________ Describe Request: /j! Molf’ilc k ^K')srri€.ir)OuC A scale drawing must accompany Pre-Application Site Inspection Request & request must be staked onsite mm./ Property Owner Land & Resource Management Staff Received By: Date INSPECTION COMPLETED (Inspection must be done within 10 days of receipt): 9*/^ v/c»^r ? /a A— Date Onsite Date Property Owngt^otified Inspector (Inspector must provide site drawing or field notes on other side.) mbowman Application & Forms Pre-Application Site Insp Request Form!0/1/07 *o I f •4*■4 z ?. / -i|uL- C"\-, m~ ^rvr -sc??L■i \ t1\\i \_s:V-- sVu\r r' K W-.¥IT A ia:I K iSj 1:u i4.\\i I ;I• ‘» t !:fvI!‘! i!!:I '7 V7\•I- : i-f I f-■f-■’w\irryijinHIrIfJ S iij iI>I I I 0 >i‘s I. 4’.-^i^~AI(■■ I 5s1^S-«broCJ !v iIsX- R*+ SF sT n-\^1 dcPSsnrI 4l Ili S::^-air ri:t I iI iiip#m■,., h' f f r^tliii-iiillaa TFFlTi- •(t . & FILE MEMO & __ PROPERTY OWNER___PARCEL # I°i3LAKE OR RIVER NAME & NO. «♦♦♦♦♦♦♦♦♦♦♦♦ ♦♦♦♦♦♦♦♦♦♦♦♦♦ ♦♦♦ L&R Official $"*^19ate Xction/ Comments k(loJclsi^ n^uJ <-0.^14" bj4uW^ cUc k ( V>ert uje Co «»• o-vv.tyvv/' ^ ./tv- -fcjLvxi^ /'Ujl,C/(C "t'Ciyvv^.^ "fo 'fetv\ 'fo ia'XVI-1 ct/'u:s-3—up4 Ccd^.^ /.'ff S.V-'tt ■Iv'1 1■viiiAjSipoc^ u)k(5^f^Y'. C\CXjyL^oiL rcMtil-WQo'^, k^ CA^di *' P sel"^. d: ^ic\ W\v\^ kc (XVuV Vvat^ -\o ic£f p /giw l^vvv>^ aM.1 a3 piAM^cV l/OO^ 4o lo^ cl^cXlL Vd^ "fc> Cs>u.^-t^ U,(4 b ^or^t- iC. <=>'^ ^ rv^ oi^^CA/ j-t ___ L&R Official___ fo^-4 v'Al't'U^lAevO •A^)\/ M , tj)Q^(Xv\ b> \^<-aJo u A)ate iction/Comments. L&R Offidal_ate ction/Comments. L&R OfficialDate Action/Comments. L&R OffidalDate Action/Comments. L&R OfficialDate. Action/Comments. L&R OfficialDate Action/Comments. 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 SEWAGE SYSTEM ABATEMENT NOTICE November 22, 2006 Allen Close (Ethel Beach Resort) 27521 County Hwy 5 Battle Lake, MN 56515 CURRENT PROPERTY OWNER: Parcel Number: 29000040027001 Section:4 Township Name: Girard Lake Name: Ethel Lake (56-193) Property Address: 27521 Co Hwy 5 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 advised that you must correct this situation by December 22, 2006. You should contact this office in order to determine what corrections and permits are required prior to complying with this notification. ; 7Scott Ellingson Land & Resource Management Inspector STATE OF MINNESOTA ) )ss. AFFIDAVIT OF SERVICE BY MAIL COUNTY OF OTTER TAIL) Denise Gubrud, of the City of Fergus Falls, County of Otter Tail, in the State of Minnesota, being duly sworn, says that on the 22^^ day of November, 2006, she served the annexed: SEWAGE SYSTEM ABATEMENT NOTICE On the following person, by mailing a copy thereof, enclosed in an envelope, postage prepaid, and by depositing same in the post office at Fergus Falls, Minnesota, directed to said person at the following address: ALLEN CLOSE (ETHEL BEACH RESORT) 27521COUNTY HWY 5 BATTLE LAKE, MN 56515 Denise Gubrud Land & Resource Management Official Subscribed and sworn to before me this 22 th day of November in the year of 2006 Notary Publii My Commission Expires January 31, 2010 AMY X> ANDERSON Notay Pubic Mwinctoia My Conwn. Expires Jan 31,2010I- FormLtis-CertifiedMailingMS ABATER/;FIELD iMOTES : (13 LAKE CLASS: ^^5B/ Co Hct/\ LAKE NAME: PARCEL NO: OQOO 4CO] TOWNSHIP NAME: G^’^O.rJ LAKE NO: E9ii PROPERTY ADDRESS:7SECTION NO: LEGAL DESCRIPTION: /Gfke! S_________ Bakf/e. /^/ OWNERS NAME(S): B'.liaS'e. Co.MAILING ADDRESS: TYPE OF EXISTING SEWAGE SYSTEM: HOLDING TANK SEPTIC TANK/DRAINFIELD OTHER: SEPTAGE PIT, DRYWELL OR LEACHING PIT CESSPOOLX COMMENTS: MjC -lanK CUxliUu SEPARATION DISTANCES fIN FEET^ OUTHOUSEABSORPTION AREATANKSEWER LINE WELL OHWL LOT LINE ___________ DWELLING _ NON DWELLING ___________ GROUND ELEVATION @ ___________ REASONrS^ FOR ABATEMENT (SKETCH ON BACK...^ / 0/\^'id bollon\/l/ol r.a. ^0 //, ' daIe INSPECTOR'S SIGNATURE(S) EXISTING FILE:NOYES ABATEMENT FIELD NOTES FORM 01/22/03 (X\ 1/AV-* &^5 sJ !A-5^ CERTIFICATE OF COMPLIANCE SEWAGE SYSTEM 79_!1DzcmbeA7thday of.This certificate has been issued this to certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. 0 The premises covered by this certificate are legally described as: &GvuvidRangeTwp. ^Sec._A56-/93 Twp. Name.Lake No. m Pi ChcU)g'6 EtheZ Bzach Re^oht mi Rail ChaUtgOwner: Name. Rt. 3, SattZg Lakz, liinnuotaAddress.W-. 565/5•: •Zip No. #6656Permit No. SP_ Signed by:.‘^Malcolm K. Lee, Shoreland Administrator Otter Tail County, Minnesota MKL-0871-009 159035 t » V SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Fergus, Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White — Office Ye//ow — Inspector Pink — Owner Cord — Owner Phone 218-739-2271 Permit No.,LEGAL DESCRIPTION AND LOCATION iV\ -2^ JWP NameLake Classif., TWP _Range ,Lake No.Sec..Lake Name . IDENTIFICATION: Please Print All Information. Tel. No.Zip No.MaiUjng Address —No. Str^t, City and State _________ VJr 3 InitialLast Name First OWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only ,19 ■■ M Time Rec'dDate Rec'd Owner or Agent SignaturePhone Call Rec'd By NUMBER OF BEDROOMS;ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PIT -SEPTIC TANK DRAIN FIELD Sq, Ft.~L.ObC) GIs.>q. Ft.Capacity SO Ft.Ft. Ft.Distance from nearest well "iSMSFt.Ft. Ft.Distance from lake or stream V o Ft.Ft.Ft.Distance from occupied building \ <o^ MD' Ft.Distance frorh property line Ft. Ft. J.. Ft.Ft.Ft.Distance from bottom to Water Table All distances are shortest distance between nearest points RECORD OF TESTS; Inspection was made on ,, 19 , Time M By ^ -1-'^ . 19.^:^.PERCOLATION TEST DATA:Date of First Test Rate .....Date of Second Test 19 Rate 1st Test Taken By \i%h.= oFirst Test -I- 2nd Test 2 Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn­ esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi­ cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. Dated Signature Permit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express Issued Date: loreland Management Office A t oO Vt.Fee ■2>5US Comments:. Form No. MKL-0771-003 [^IVItW gAULt lAKS, MINNESOTA\ it • —TT-Viv' ■i‘ V '■'i‘- 9 /A m f, ■'■■. ' •; ^ r- .'•i, - V. I■v- • ■' ■ i 'INSPECTION RESULTSk •;Inspector must make all measurementsit ■ ■....” «' *?•?, .4Si ■ ' 'V. ■■Tr' + • SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PIT DRAIN FIELDSEPTIC TANKCATEGORYActualShould be Should be Actual Should beActual Capacity s FGIs. GIs.S F S FS F Distance from Nearest Well 5075 FFF F F F Distance from Lake or Stream F F FF F F 20 2010Distance from Occupied Building F F F F F F 10 10Distance from Property Line 10 FFFF F F 33Distance from Bottom to Water Table FFF F F F Inspector's Comments: Date of Inspection 19___A j,; ■y'- '1 cTime of Inspection.M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs ~ Gallons SF ■ Square Feet F - Linear Feet Job Title - ’••^1 •- .■ ^ -*r •t.- ■ V ■ "t '• i 3ifr:‘f * ... ■ •(•■■..■-.'I-' }Agency MKL-077 i-003< Backer ' \ 'i.-V . 5r.;** • -'r-i.'’ - •L .it- . ; :r*r ,. .1 ;v; r.V t . !• . : • :'.V . . 'V . ' ' .ite :l <-'■ ' . tV; - ■jv t<v.v., j ;>■ • t •.'' 4,. i •: ^r- • firA 4 5 » • ‘ ■ .1 ' ■. X ■ ■'j'« ■-1. Tw: .iivf.-o • '• *•-V- - U— — .V • ~.i-.-L'- - .i:• /.vf- f-: • A-V -# ' w / ' . V .1- .. . ...... ■ ------------ • '*• ' -♦ « ... ■'5* -;5\. ,.i—5 T V. A - . . ,-r ,;i . ,iAA-iW ■; f' , IP ;■ >•. ■I ..tiV;., : ».t*-iii^ll, wsyr I FW- -;'..^BrTr • f« 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 While-Offic» Ye/fow — fnspecfor Pink — Owner Cord —Owner ClA^ c>wii --«Jl K \ L, «■ 'Jr-b Permit No..\.a> c..LEGAL DESCRIPTION AND V’J c'33 33LOCATION ..J \ TWP NameLake No.Lake Name Lake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information. Tel. No.Zip No.Last Name Initial Mailling Address —No. Street, City and StateFirst \OWNER SEWAGE SYSTEM INSTALLER Name, JdOr)\ o -This System will be ready for inspection on., 19 This space for office use only -tia.\ O Date Rac'd Owner or Agent SignatureTime Rec'd Phone Call Rec'd By NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD GIs.Sq. Ft.Sq. Ft.Capacity Ft. Ft.Ft.Distance from nearest well Ft. Ft.Ft.Distance from lake or stream Ft.Ft. Ft.Distance from occupied building L 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; Inspection was made on „ 19 , Time ..........JM By........... 19 ..,.;.v....., Rate , 19....3.... \PERCOLATION TEST DATA:Date of First Test i ■ o c- -Date of Second Test Rate 1st Test Taken By Rate -I- 2nd Test....\.:...6..!^.First Test '2‘ 2nd Test Taken By Agreement; 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. The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in Dated Signature Permit; condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE; Permit void if work is not commenced within six (61 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 0 3.. issued Date; Shoreland Management Office Fee $ certificate issued■r Comments:, Form No. MKL-0771-003 [^VIEW BATTLE LAKE MINNESOTA i - v-wm.< .ifiNU ' 5>- -.• ■ «>\> INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS Iio’ xro SEEPAGE PITSEPTIC TANK DRAIN FIELD coveeEDCATEGORY Actual Should be Actual Should be Actual Should be 91C/OPOsFCapacity Distance from Nearest Well Sco^GIs.GIs.S F S F S F 3c><^'^fso 5075FFFF F IS'^O0‘,r/OH ■nrDistance from Lake or Stream F F F F F //S^F9020 2010Distance from Occupied Building F F F F F 1Ji'/ F3oDistance from Property Line 1010 10 F F F F F Ifs F 3Distance from Bottom to Water Table 3FFF F F Inspector's Comments; i oF ^oqvw / 0-19-1^Date of Inspection. II.SoTime of Inspection.M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs ~ Gallons SF “ Square Feet F - Linear Feet Job Title L Agency M KL-0771*003- Backer t i i PERCOLATION TEST DATA Price $ 1.00 per pad. • SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No.Owner:IVIailinq Address: Last Name Zip No.tityFiiMiddleSt. & No.StateLegal Description: h (a / ^ i> LAKE OR RIVER NO.a IS-IASTWP.SEC.NAME RANGE TWP NAME TEST HOLE NO. 2ETEST HOLE NO. 1 OA /. "Depth to Bottom of Hole ,3'C^Depth To Bottom of Hole,Inches; Diameter of Hole Jnchetinches; Diameter of Hole inches 19Depth, Inches T__2=SSoil Texture Depth. Inches Soil TextureDate.Date ------- Percolation , -’X 6//Ut-Percolation Test By____ISQ loFirmName/QC Firm Name. OLUQC LU QC Address. < l&J f /g itC/)Otter Tail County License No.Otter Tail County License No^I- coLUMeasurement, Inches___Depth in Water Level, Inches H Measurement, Inches Depth in Water Level. Inches Time Remarks Time Remarks O^'OO (0 b T7U2? IQ'S I iCtSSI m272;/Ll^L2lO10f'l A 7172 A} /i!0 jOIlO.'uo JApU7 MSIMl5miA5TB1/LA LAS iDoS I /t LI^:%o L2 >'L J/) o ^h7 25 r<a lAlLAkLLl!.' ^ 0I o>m !Ua 0 M ^*0 (/. / : /n 7amio:o(,MS IMI A r 1'o>:> 7 F fe.77T7E r C. MKL-0871-028183-818 See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. [^CVIEW BATTIE LAKE MINNESOtA •x > / im rr \'a .O'OPERATING PERMIT for Chase’s Ethel Beach Resort OTTER TAIL COUNTY Fergus Falls, Minn. SHORELAND MANAGEMENT Phone 218-739-2271 y m F) This Permit Issued To; ij R.R. 2, Battle Lake, MN 56515Ray A. Chase AddressOwner. AddressOperatorsame Irj■m-Lake No. 56-193 Ethel Twp 133 Rg39Class RD Sec_ALake Name % I if/ GirardTwp. Name ! S'- For:Seven (7) Cabins with water and sewage system Five Boat rental service, live bait sales, retail store and ice fishing access (5) Recreational travel campsites with water and sewage system Ml m.P!February 5, 1981Date Issued ■7///- Malcolm K. Lee, Administrator lls liJ' XXXXiXXX Auditor » — POST CONSPICUOUSLY-A(Not transferable as to person or place)MK L-0473-036\ -X c 'v/* 16643S-A^^ -F-.^L.-cc > CERTIFICATE OF COMPLIANCE SEWAGE SYSTEM in %19 81This certificate has been issued this 21st day of.May to certify compliance with regulations of Shoreland Management Ordinance.Otter Tail County, Minnesota.- ^ The premises covered by this certificate are legally described as:mm56-193 133 Girard439Lake No.Twp.RangeSec. Twp. Name. M Lots 1-4 Ethel Beach Ethel Beach Resort •»«Owner:Name.Ray Chase • -'3 Address.WB Rattlp T.akp, Mn Zip No.SftSI s 4018Permit No. SP. Signed by:. colm K. Lee, Shoreland Administrator ter Tail County, Minnesota MKL-0871-009 1S903S vierei r 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 W ;te — iBffice V low — Inspector Pi^.. •% Owner Card — Owner /r~/^ ’ D ee /-4 Permit No.___LEGAL Date DESCRIPTION AND 7^!tt> 4 /?3LOCATION Lake Classif.Range TWP NameLake No.Lake Name Sec.TWP IDENTIFICATION: Please Print All Information. Tel. No.Mailling Address —No. Street, City and State Zip No.First InitialLast Name 7 OWNER SEWAGE SYSTEM INSTALLER Name, This System will be ready for inspection on., 19. This space for office use only ,19 ,M Date Rec'd Time Rec'd Phone Call Rec'd By Owner y Agent ignature NUMBER OF BEDROOMS:ESTIMATED COST: <SSEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD GIs.Sq.,,Ft.Sq. Ft.Capacity 7 Ft.Ft.Ft.Distance from nearest well z7._<r Ft.Ft. Ft.Distance from lake or stream zlHFt.Ft.Ft.Distance from occupied building 16Distance 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: Inspection was made on , 19 , Time JVI By PERCOLATION TEST DATA:Date of First Test , 19 , Rate Date of Second Test 19 , Rate 1st Test Taken By First Test -I- 2nd Test 2 Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn­ esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi­ cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant fouhe 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 ngt commenced within six (6) months. Permit: Issued Date: Shoreland Management OfficeOOrssoiFeeSurcharge $ Comments:. ffc lo AbDl w( ^ (v^ VICTO* LUBDECU » CO.. f€»0us r*LL». HIHH.158906 Jo 00 rr\ K L ■CD ^7Form No. MKL-0771-003 //SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL W te — Office V low — Inspector Pi!.. — OwnerCard Owner LCOUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 r* • # APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM I,— J—4 i'Ui-d-lo4 -\ ,Permit No.LEGAL Date DESCRIPTION AND } .LOCATION Lake Classif.Lake No.Lake Name Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. Initial Mailling Address —No. Street, City and State Zip No.Tel. No.Last Name First OWNER SEWAGE SYSTEM INSTALLER IName, „This System will be ready for inspection on./D ' a a7 This space for office use only0 19 .M 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.Capacity Sq. Ft. Ft.Ft.Ft.Distance from nearest well Ft.Distance from lake or stream Ft.Ft. Distance from occupied building Ft.Ft.Ft. Distance from property line Ft.Ft.Ft. Ft.Distance from bottom to Water Table Ft.Ft. AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time JVl By PERCOLATION TEST DATA:Date of First Test , 19 , Rate Date of Second Test 19 , Rate 1st Test Taken By First Test -F 2nd Test 2’Rate2nd Test Taken By Agreement: 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. Appiicant 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.) The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in 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: Issued Date: Shoreland Management Office Fee $Surcharge $ Comments;. Form No. MKL-0771-003 vierea LuaectN • co.. aatHUM. fi«cu» mihm 15S906 A' INSPECTION RESULTS i • • Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORY Actual Should be Actual Should be Actual Should be Capacity GIs.GIs.S F SF S F S F Distance from Nearest Well F 75FF 50FF F /op fDistance from Lake or Stream F F F F F V-Distance from Occupied Building 10 2020FFFFF F srDistance from Property Line /O1010 10FFFFF F Distance from Bottom to Water Table 4 4FFFF F % ^ Inspector's Comments: /X® 9/&£)To / ^ uaI!^ hf CvJo I t!)' f / ' he r i%c£A/)J>I e\U/'/ Date of Inspection 19___ Time of Inspection,M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet ** Linear Feet Job TitleF AgencyMKL-0771*003-Backer PERCOLATION TEST DATA SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 3 &7 :xPh. No. /h p>BsoP>r______ Owner:C E- BL P> Mailing Address: BaTELF L/htrRft P?.Aa zA/// F(s 4'/ F Zip No.Last Name First Middle St. & No. / 13 A/ TWP. SC O l^VBM C City StateLegal Description;BtUff_____ NAME ^ o/fB/IV^ ^/^cp P)BSt/LuB3Nr /V^BT/v f/[/£s Josfr J-otF- P,39^ /9/F ASl? RANGE ^6' / ^ g LAKE OR RIVER NO.SEC.TWP NAME Fto/AA/Ss F^rt>cU~ ^ V y to' 07A/A/ F/FAO $ o u T F TEST HOLE NO. 2 (jL !■UJlDepth To Bottom of Hole ^ p-Depth to Bottom of Holeinches; Diameter of Hole inches; Diameter of Hole Jnchesinches Depth, Inches F J^/Soil Texture Depth. Inches Soil Texture19_^Date,19^Date 7. A A/^ -^^l^colation SAiA32XlSJ^AlTTl- 43f!L ^ A.A/P Percolation is-i-O i 0 k S R a e- AA n i (b ' ! 0 “ aLU > Firm Name 33R P> 6 frA/h D Fi uMB/ntp-^cc ^ A-' D aLUQC LU// £ A/'y / Afr/' AA ! hiAr 7 ^ , Address.tr Address. < C/}Otter Tail County License No..Z-I-AOtter Tail County License No«,HC/5UJMeasurement. Inches Drop In Water ■Levei. Inches Drop In Water Level. Inches Measurement, InchesTimeRemarksTime Remarks 0 1ilhi L U ''3 /■"I b"033/F'3 11 L 01i '■ 0 1 S 7 F ->Ft ^ tt^s / AftTrA / 183818 ®MKL-0871-028 VICT98 UiaVtlB • CO • iBTtl See Booklet/'How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. ■■W /r^/ loi ^ /-4;• ■Permit No..LEGAL DateT DESCRIPTION AND th 4 /?3 3<7sG ~n3LOCATION Lake No.TWP NameLake Classif.TWPLake Name Sec.Range IDENTIFICATION: Please Print All Information. Tel. No.Mailling Address —No. Street, City and State Zip No.InitialLast Name First 4k7OWNER SEWAGE SYSTEM INSTALLER Numu . ,90This S)/stem will be ready for inspection on. ♦: This space for office use only % /r^ Date Rec'd <P' Mrj19 Time Rec'd Phone Call Rec'd By Owner Agent ^gna^ure/df ESTIMATES COST;NUMBER OF BEDROOMS; 3sewage disposal system DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD 3/P3 Gis.Sq. Ft.. Ft.Capacity Ft.Ft.Ft.Distance from nearest well 7 r-s~7,^Ft.Ft.Ft.Distance from lake or stream 7/ r\Ft.Distance from occupied building Ft.Ft. 7^! 6Distance from property line Ft.Ft.Ft. XFt.Ft.Ft.Distuiicii from botlum lu Water Table / AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time jVI By ( PERCOLATION TEST DATA;Date of First Test 19 , Rate 1Date of Second Test 19 Rate 1st Test Taken By First Test + 2nd Test 2'Rate'Jnd Test Taken By -Agreement:The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in rict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn- •oia Department of Health, Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi- >, shall become a pan 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 ■ ■onsibility of the applicant forjhe permit to notify the County Shoreland Management that the job is ready for inspection. (Call or use ettached mailer notice.) I >fdted ■A- Signature Permit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota, This permit may be revoked at any time upon violation of any said ordinance, NDTE: Permit void if work is ncu 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 '77S': Issued Date: Shorulund Managarnunt.Otticu ns5FueSurcharge '■:r'Comments;. '1C4 rv\ ■ k ■ L k r\ k ^ (:\ D D T' i»\ i-V?ft<3Form No. MK L-07 71-00.1 /.'C'O* .s c & ir V% % 4 % d2nSS! ilXVJUllilHO -!i Be/raykS 0/f md (L- ^2.^ (fS <374S! / \’ST7^S' I //.s-r 7s-?^ cay^i' = 2dxV7 Jiasrs- +- // 2S 3/0 ■S. VV I h.p. ■J n IImJirj«?•» HENNIG, MINNESOTA 56551 VALUE 5CU1MG THRU VOLUME BUYING LAtxE E T H EU fy.> ^ / 7Ac o— / *n - U *'/i£sV/(/£/?V ^E*-iEi\i r l-oE'-'C L/i'/E /(I> ■ h ^ lE F>h //I/d-L EE/ “- </, P> D EL FqM ---- IILhl EtH.F r/Ftl t ftp“'- ),ji''3<-c .<' B/fF' fEE3.^J Jji." 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