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HomeMy WebLinkAboutFranzky_14000180145000_Septic System Permits_,V^/:,v«-;ir 7CW:fP:^1K*iwu.c CERTinCATE OF APPROVAL SEWAGE SYSTEM HOLVJNG TANK K k' V-ijf 22 nd Vzcmbzn.19This certificate has been issued this to certify that the sewage system installed as per sewage permit number indicated below has been approved for use by Otter Tail County, Minnesota. day of i; I) ! The premises covered by this certificate are legally described as: Vtad Lake.56-383 IS Twp.m RangeLake No.Sec.Twp. Name i>1:,i VjsSi Old Nofith Shone Re^ont - Vt. o{^ G.L. 2h 3m'1;^ :i MKen StAohOwner: Name RR, Lisbon, Nonth Dakotai.’-' 7 Address Pi 5S054Zip No. 7873Permit No. SP 'PSigned by:. Malcolm K. Lee. Land & Resource Management Administrator Otter Tail County. MinnesotaMKL-0987001 1f/ ''■•s ’9} 243.984 — Victor Lundeen Co., Printers. Fergus Falls. Minnesota 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 mm — Office Yeltow — Inspector Pink — Owner rECEIMEP 7^7-3 SEP 211988 1AND& RESOURCE /f/>yLEGAL DESCRIPTION PtAND /i//=- // ^3s- ‘/c flFfiCDe<qoLOCATION Lake No.Lake Classif,Lake Name Sec.TWP Range TWP Name IDENTIFICATION; Please Print All Information. Mailing Address — No. Street, City and StateLast Name First Initial Zip No.Tel. No. ££_strd^ S’SS’S'' OWNER /.IS60N, fVV Ms NT-SEWAGE SYSTEM INSTALLER Name This System will be ready for Inspection on., 19. This space for office use only Owner or Agent Signature .19 ,IVI Date Rec'd Time Rec'd Phone Catl Rec'd By NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK ^SEEPAGE PIT DRAIN FIELD PI.i///)nCapacity Sg/ Ft.Sq/Tt. S'o -h Ft.Ft.Ft.Distance from nearest well (tjJ \Ft.Distance from lake or stream Ft.Ft. /O Ft.Distance from occupied building Ft.Ft. 7Distance from property line Ft.Ft.Ft. Ft.Distance from bottom to Water Table Ft.Ft. AH distances are shortest atstance between nearest points Heauiti^O yidtjii.RECORD OF TESTS: Inspection was mad/ on PERCOLATION .^EST DATA: 1st Test Takrfn By 2nd Tesjr Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn­ esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi­ cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. / Signature ^ I understand that I have been granted a sewage system site permit in accordance with the requirements of the Shoreiand Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any addi­ tional permits are required by the township for my proposed project. 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 16) months. Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon e> press 0Issued Date: Shoretend Management Office Fee $Rec # Comments: Form No. MKL-032086 237,443 — Victor Lundeen Co., Printers, Fergus Falls. Minnesota y SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White — Office Yellow — Inspector Pink — Owner ISSUEDQ iRrXit No. ■Pt dL^X LEGAL c nili)'ssuenDESCRIPTION AND // yh r>p:ftD X ffKt'LOCATION Lake No.Lake Name Lake Classif.Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. Initial Mailing Address — No. Street, City and StateLast Name First Tel. No.Zip No. A ' P) ■OWNER is6oN, N£>1o —A mtPiPtR.SEWAGE SYSTEM INSTALLER Name. q.'ooThis System wifi be ready for inspection on., 19. This space for office use only mrhone /30 \U19 ime Rec'd Call Rec'd By Owner or Agent Signature NUMBER OF BEDROOMS:ESTIMATED COST; SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD . Sq,,^t.Sq/FtCapacity 7o c Ft.Ft Ft.Distance from nearest well 4- Ft.Distance from lake or stream ’ Ft Ft.; Ft.Distance from occupied building Ft Ft.r Distance from property line Ft.Ft Ft. Ft.Ft Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points 6/^ 1OVoiRECORD OF TESTS: Inspection was mad^on PERCOLATION ;TEST DATA:/ , 19 f. , Time ^'77Date of First Test //Date of Secdnd Test 1st Test Taki By Test.First ..4...../+ 2nd Test Taken By2nd Te^/ 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. I understand that I have been granted a sewage system site permit in accordance with the requirements of the Shoreiand Management Ordinance of Otter Taii County. I understand i must contact my township in order to determine whether or not any addi- tionai permits are required by the township for my proposed project. 7 .-7-A-q : 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 AIssued Date: Shoreland Management Office lOtOO -itFee $Rec #A Comments: Form No. MKL-032085 237.443 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYShould BeActual Stjould BeActual Actual Should Be Capacity Lq<^GIs.GIs.S F S F S F S F7 / 0^Distance from Nearest Well F F F F F Distance from Lake or Stream F F F F F z/Distance from Occupied Building F F F F F F L/ ODistance from Property Line F F F F F F 7Distance from Bottom to Water Table 3 3FF F F F F Inspector’s Comments: d g- S •4~~r e ^ ^<-0 ^ 'l~o 0^CO 3^za r i '5<r10-J4- Date of Inspection 19 I OWOTime of Inspection M I I *vi Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job Title MKL - 032085 - Backer Agency \I J I f,1 (J!t }!■ 1 I.0 iI IIi!!*!i I 4I !;Iiii Q—^If^n iui/ISi> S wo 2fai ^ § i If-{/6o r\ , :i\^ [=^5;Iit COIK!W ! OI-If \ /"■ jd P U>f\^i IVII ; p\j !i i <-1II! !! . ./ 0 I!i I I; !\y IIII vy ;i1;;O o-.r"^ / HJV -5" /a ^w. I i 0 ^ i ;I [i Oc !I P ‘10P ! iI '1#' i.1 OTTER TAIL COUNTY Sewage Permit No. SP n« tbss LiOCatlOn! lakpirn^^^ii /r Tmp /?j'Tan)re Twp lake_ 19_^, To Owner's Name. Valid Work Authorized 19£Zf- / NOTE: This card must be placed in a conspicuous place not more than 12 feet above grade on the premises on which work is to be done, and must be maintained there until completion of such work. No part of system shall be covered until It has been inspected or approved. Notify Shoreland Management office when Job is ready for Inspection. OTTER TAIL COUNTY, MINNESOTA Board of County CommissionersShoreland Management Official FORM MKL-0871-006 ^ VICTOR UIMOCEN 4 00., PR1NTCR8. FCR0U8 FALLS. MINN. 228.IOS SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 ® Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White — Office Yellow — Inspector Pink — Owner Permit No.,LEGAL a ZDESCRIPTION AND •yr /r yc5?- /)j^LOCATION Lake Classif. 7 Lake No.Lake Name Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and StateLast Name InitialFirst Zip No.Tel. No. OWNER SEWAGE SYSTEM INSTALLER Name, ^^^^■his'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 or Agent Signature NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD / GIs.Capacity Sq. Ft.Sq. Ft. A Ft.Ft.Ft.Distance from nearest well \7 7/6^Ft.Distance from lake or stream Ft.Ft./ Ft.Distance from occupied buildinq Ft.Ft. Distance from property line Ft.Ft.Ft. Ft.Ft.Distance from bottom to Water Table Ft. AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on , 19 , Time M By PERCOLATION TEST DATA:Date of First Test , 19 , Rate Date of Second Test 19 , Rate 1st Test Taken By First 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 uDttHrhas been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job isj>dady tor inspection. I understand that I have been granted a sewage system 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 addi­ tional permits are required by the township for my proposed project.r 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: ‘7-Issued Date: Shoreland Management Officec>y^^725_7FeeRec # —I 717Comments: <7^ Form No. MKL-032085 237,443 — Victor Lundeen Co., Printers. Fergus Falls, Minnesota 1 * /•i ■■'m 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 i y White — Office Yellow — Inspector Pink — Owner \j ? i Permit No.__,LEGAL CDESCRIPTION AND ‘-I/-:Zi T"‘LOCATION Lake Classif.TWP NameLake No.Sec.TWPLake Name Range IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State Zip No.Tel. No.InitialLast Name First ■ V, ,, _____OWNER r/ SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only 19 ,M Date Rac'd Owner or Agent SignatureTime Rec'd Phone Call Rec'd By NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD GIs.Sq. Ft.Sq. Ft.Capacity Ft.Ft.Ft.Distance from nearest well Ft.Ft. Ft.Distance from lake or stream ti Ft.Ft.Ft.Distance from occupied buildinq 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 .M By PERCOLATION TEST DATA:Date of First Test 19 , Rate Date of Second Test 19 , Rate 1st Test Taken By First Test + 2nd Test(■ 2 Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn­ esota Department of Health. Applicant agrees that plot plan, sketches and specif icationssubmitted 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. ..XI understand that I have been granted a sewage system 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 addi- tionai permits are required by the township for my proposed project.Signature / Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon expressPermit: condition that the person to whom it is granted, and his agents, empioyees and workmen shail conform in aii respects to ordinances of Otter Taii County Minnesota. This permit may be revoked at any time upon vioiation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months.// Issued Date: Sftore/ancy Management Office 7 775 7Fee $_:_1 Rec # /// ,a -T-Lv Comments: /4- Form No. MKL-032085 237,443 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota r » tNSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Should BeActual Capacity Qls.Qls.SF S F S F S F Distance from Nearest Well F F F F F F Distance from Lake or Stream F F F F FF Distance from Occupied Building F F F F F F Distance from Property Line F F F F F F Distance from Bottom to Water Table 3 3F F F F F F Inspector’s Comments: Date of Inspection 19 Time of Inspection M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job Title MKL • 032085 • Backer Agency ABATEMENT NOTICE Shoreland Management COUNTY OF OTTER TAIL Court House Fergus Falls, Minn. 56537 88Jay of August jg31stDated this. To Ken Stroh Address. Gty and State Lisbon. ND R.R. 5805AZip Code. the sewage systemYou are hereby notified that. Which you maintain at (Legal Description and Location) - Plus Fire No. Old North Shore Resort, Ft of GLil2 (Charles Anger Property) 135 40 Dead Lake18NEDead Lake56-383 RangeClass.Sec.Lake Name Twp.Lake No.Twp. Name Constructed end/nr locatedis not. in accordance with minimum standards of the Otter Tail County, Minnesota Shoreland Management Ordinance.\ You are hereby ordered to abate the above described condition within_2£L-days from this date. If you fail to correct the above defect you may be subject to a fine, imprisonment or injunction proceedings. Shorelana Management Official 9,£ PROOF OF SERVICE State of Minnesota County of Otter Tail Fergus Falls, Minnesota 56537 The above notice and order was served by me on._______________ 19___, by handing a copy thereof fthe (owner-occupant-agent) of the above describedto premises. *By posting a copy thereof upon the above described premises. Otter Tail County Sheriff Department *Strike out words that do not apply. CC: Otter Tail County Attorney MKL-0372-03B-01 M0S33 Vleter Or 0«.. Prtntere, Perftt* Palle, Minn. Sot'+H t KAi>e>t^i (rent CiNic// Ho4iA\i>r ixi ss»n <LWks Anj ?M< BlconiMie>»'' SS'i^ K.€Nf Strok Li’stoN ri-0 SfoS*/Mav•£. Sc fio/, «Mr «o»Ji«5, (Tlf^'^A——1 /'■^^ iws I i/ M -it*" ►'“[J* *iV Wk\^<■t^^/ tlAcIc +n'H u;K/^C%{\oV *«/ rlAf#^M fn’fi u;4^c:o ^/ / SASt:((XVrTT S.F.4nt) Via <LtrT'~/ u ^U-cAiinf Le^Al is{ i ictlAek itr DttJ CAl/fO - ^- 171;-- i 4r«*» ®N t>^WI5««.‘f»Ve LAfCe CX) c(r/>u3M f YitA^r<^i ky 5 I NpH-k I I»i !; ^ -V ■ !IiiSP.ir-i■•.v 'I »Ia:,!!I i I i Ti'H hieiUSiH \}^t. LijiitH^ fix'!SS^ft! ^ it: Iholj CScif tif !!I !C-WItJ ANJ ^456 fAH? ReortiiHtPMi '* Cj«<« ! -* . 1<.€W S'U'OH L/»beK |N.C> i; i fW♦ I:i;\1-rTi,g^t_ •'^-TAviuyrn LLnirfjH }\\|:<!it:"'\r .if t r i ■ T/' h1 w^> *>/tv»n !1! }i?f iA;>I!5 i \/ tit Ii 1i '1 l^ix !SV IS !{'5 I Z/w/\;9X«/ it: 5.VS '?srs.f:i">r3 VJ»CirT- ii !t I i1 D i\i ‘VtI if iNJ.»cAfi'rlf UjaI 15^ 4(iiAcf: i0T c>€4j i*Af®!p) ■^ ! V i‘:Iri■I i f !idt^t-]I \i \CAbiVi [:5 5 i /f tiI!!1 ■I *.=j'i r»:j ii jcDO>i iii i 5 ;•ii!:i !1:!i ABAr« 5tr®^ ' i i I ■' >I. ■iysiferj ifo do\e |T» 4 ^ys'f«i tfo n iso ciJnf f 35 )I 1;1I !4-!(i I'i'';I .II / Inic/pi^< 1's HAys I j:;, $ys]fer A ^ • ^ t4. •f i. 'f£3p cji>st fo ■ ■ . ■: I’. 1 'i:r : yji■ '1^' V. '^^;-iL.-4 . t-a'.^ ..i ,1/ Ji*. ^^ '■'1 (Mi s i or-C. R^^S,Or^ K nrs cAM'f lO/V c^I r IwW .AS. hcii^cnA 5(.5^' S)..An^ @ MiU t^.Al.4:yJ_pj'. Ao i: ,. c-j^t__. Q> Udr 1) us 1>aM_ii I y g/j/frc/ ioiiS uei^ iLor-j^A-fS ^ V N _.c ert V'^ -g/ H<^l SeuJ<-rI ''fI \^Ae>c. it to CuO<rf^ SOHC LOorK___otj ^gpf/c Systdtf.. ® liAUC I KIS> filled A Cecuer TanK ^ ^ ^ d ijj Upt f^t^OU) ly U->L k t /// (D. Ikti ^duJtr dnly t'eiH^ory to 3 I / A_..S4iiLj, ©. lOe. in i'll S.<Ni..AH. AL^-ff neNt- . Uof I'c e in’ tken ‘t^rc^?a??» ^1 mWmm■»?a1 I5,>/,\iiff, ^1' CERTIFICATE OF APPROVAL SEWAGE SYSTEM HOLVJNG TANK li? Mi mM 22 nd Vece/nbeA SSThis certificate has been issued this day of to certify' that the sewage system installed as per sewage permit number indicated below has been approved for use by Otter Tail County, Minnesota. 19 9M The premises covered by this certificate are legally described as:[ mg-■ Vzad Lake.Sec. ^ ^ Twp. ^ Range56-383 l\ Lake No.Twp. Name i\ i bJl M /Old HoKth Shofie Re^ohX., VahZ oj5 G.L. 2 m M I fm Gene LfindeZZOwner: Name w 824 20th Aue. N.,S.St. Pcuit, lUnneAotaAddress Wtwl 55075Zip No. Malcomi K. Lee. Land & Resource Management Administrator •>j; pTs7872Permit No. SP Signed by:. K Otter Tail County. MinnesotaMKL-098700I s ,y 243,984 — Victor Lundeen Co., Printers. Fergus Falls. Minnesota i SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White Yellow — Inspector Pink — Owner — Office RECEIVED SEP 211988 IAND& RESOURCE -y?n2.S/T'o^ir /?ttSO/S~7~ PT Of ^ Permit No.,LEGAL DESCRIPTION AND DbBDJML^///VBLOCATION Lake No,Lake Name Lake Classif,Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Mailing Address — No, Street, City and StateLast Name First Initial Zip No,Tel. No. V ^ n/ So s r^ /hu I, /?)// l/AYDifLLOWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only /19 M iwner or Agent SignatureDate Rec'd Time Rec'd Phone Call Rec'd By NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD So/i VCapacityFt.Sq. Ft. ~7*~~ Ft.Ft.Distance from nearest well t. Ft.Distance from lake or stream Ft.Ft. 70 Ft.Distance from occupied building Ft.Ft. 7\0 y Distance from property line Ft.Ft.Ft. Ft.Ft.Distance from bottom to Water Table Ft. AH distances are shortest distance between nearest points NOT Fofl thcplr/GRECORD OF TESTS: Inspection was ma^ on „ 19 I; Time ,JVI iy PERCOLATIOlV^TEST DATA:Date of First Test , 19 ., Rate late of Second Test , Rate 1st Test TaWen By First Test '+ 2nd Test7 22nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement; Strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn­ esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi­ cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. Signature I understand that I have been granted a sewage system 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 addi­ tional permits are required by the township for my proposed project. 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 S.Issued Date: Shoreland Management Office Y%0/>-Fee Rec # Comments: Form No. MKL-032065 237,443 — Victor Lundeen Co., Printers. Fergus Falls, Minnesota ■-1 SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White — Office Yellow — Inspector Pink — Owner PT OF 62-^5. Permit No.,LEGAL C£ftrDESCRIPTION issued AND OiFno I p\Kc../xc/y^LOCATION Lake No.Lake Classif.Lake Name Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Initial Mailing Address — No. Street, City and StateLast Name First Zip No.Tel. No. r. /??// OWNER A /r-ru r oo -> SEWAGE SYSTEM INSTALLER Name. M 9-'ooThis System will be ready for inspection .. 19.on. This space for office use only 990 Time •7 7-7 /, .7^-, -I19.M j_ Date Rec'd dwner or Agent SignatureRec'd Phone Cali Rec'd By NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD /iOU //T'gIs.Sq, Ft.Capacity Sq. Ft.\ ^ -y~~ Ft.Ft.Ft.Distance from nearest well 7 Ft.' Ft.Distance from lake or stream Ft.Xr Ft.Distance from occupied buildinq Ft.Ft. \0Distance 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 X Time M Y /PERCOLATION/TEST DATA: Dat/of First Test ,, 19 , Rate/^te of Second Test ,, Rate 1st Test Tal^n By First Test f+ 2nd Test 22nd Test Taken By latef 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. /I understand that I have been granted a sewage system 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 addi­ tional permits are required by the township for my proposed project. ■ // 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: 6-j - "P'SIssued Date: Shoreland Management Office Fee ‘ ^Rec # Comments: Form No. MKL-032085 237,443 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota ;wm • T> • \ \ *« t 4-. ]• INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORY^houldShould BeActual Actual Actual Should Be 7J/S-OCapacity \ ovJ GIs.GIs.S F S F S F S F Distance from Nearest Well F F F F FF, r Distance from Lake or Stream F F F F F F t Distance from Occupied Building F F F F F F /Distance from Property Line F F F F F F Distance from Bottom to Water Table 3 3FFFF F / Inspector’s Comments: cup <^gvVvoY»^ ^ Cj^ f'A (^vv-v eoC'lvvV®'^ O CO <2^I 6^lI~Date of Inspection 19 )0'^0Time of Inspection M I 1^ lo^ ' Signature of inspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job Titie MKL - 032085 - Backer Agency i I \j ’ i i J ^ ‘.Si.■f m 1 ;■ !/i !.0KC 1 (^ c I (:ii . i:i iiI i1;;I iiI okef)" s] I U cT o 2u S I I COiiI : ^ 'p P Ur ! !i!j :i ;::::i ';'i ! 7 i yJX"1 \!;I '4i}1 I ii!!I IriII!!1 iIi!I!i1;;:i !!i Ii6f\1 ii!I!i I 1 1 , «j2^ S CfcJU^»!^ I\:k-' I I i :iII i I!4'><_ ■!W !;:(t^i tfoXa^ K t !iiH‘Ii ^2> **i ' <L !I*! /*y \o( ' !;!f(i I I t i :ft !In ^I n i:I•*I i ( fi\iI!j ABATEMENT NOTICE Shoreland Management COUNTY OF OTTER TAIL Court House Fergus Falls, Minn. 56537 31st jiay August /<? 88Dated this. Tn Gene Lindell 824 20th Ave. N.Address. aty and ^tntP South ST.Paul, MN You are hereby notified that. Zip Cot/g 55075 the sewage system Which you maintain at (Legal Description and Location) - Plus Fire No. Old North Shore Resort, Pt of GL#2 (Charles Anger Property) la _J^ Twp.M2DoaH T.alfo NR Dead Lake36=333. Lake No.RangeLake Name Class.Sec.Twp. Name rnnarniprp.ri anri/nr Incafedis not. in accordance with minimum standards of the Otter Tail County, Minnesota Shoreland Management Ordinance. You are hereby ordered to abate the above described condition within 30 days from this date. If you fail to correct the above defect you may be subject to a fine, imprisonment or injunction proceedings. Shoreldnd Management Official PROOF OF SERVICE State of Minnesota County of Otter Tail Fergus Falls, Minnesota 56537 The above notice and order was served by me on.______________ 19___ by handing a copy thereof *the (owner-occupant-agent) of the above describedto premises. *By posting a copy thereof upon the above described premises. Otter Tail County Sheriff Department *Strike out words that do not apply. CC: Otter Tail County Attorney MKLe37203B01 21051J LttndMn fir C«.. 1‘rtniere, fer^e reiU« Minn. Sc^tw t to P^aJj Ki<te>uiK{ (rene. UuUU '*• ss^nr—fi’H^^____ __ /'■(^S qFSS ), ' \ Rit^r - (~) t) . c-WUs anj PaHi BlcoMit^fPH K.€tv/ stvot Li*$toN R^«r>*CMAV^ St: irsoir u;K;t* fit/ VlA<k- +n*flMokTu/ 6AS-t .1 !Di I 4ro*< ®\jx^yvit ^ Sa i i ■ ■ : ■ f $cfiAcf^ <^#r D€aJ S.P^-70 VJ« Gei^‘“ I UH-^ /LA^Ce CX) dr^uJKi t byi )i!j N/£>r+(\ ii 5 i■ I%t IIif iI If ^»4I! .;'t !Tr'H KAUit^ <r«««- tiuielf 5C-Wk* 4|t^6i PatC eieotiimfpu ■ ' '* «><« ? it-flrok N.t> M«J > Li‘ste'1 r i;r 5 rI ;1►' .Ir.!ii5fi[t ■ ti--"wklt^ ^I^ck. In'fi !t Sk*1 VllloW */ )rt^r#»Vi t^^»n (^re^#4 j uUtAc^ff I1nrt| , / i' 5r^ Ir 'I } i o ‘Ii iir»id\})\ L'l s; s'i! HXH ic, I ! ; JL-** i *!!5 ki\:;i?Di!\ Ic iJi Lkfhif) >iii : <^, ‘VC !r i ss.(nni\nhcA I I r drt<- LAKt ;VJ.C«rT-N»)L (:1 )!I!i!i Ii/iS)i I \f i coo t• i I!i(I s!i !;!i:i tI I .i ?!3?jA^>i-t'€i '^ecA-cyj^ %t <3H') A 1 j1i; d•. 1i \! 1. ■TPO 1^1. F. f-A/c.^. A. Syl&i^M c-to II I!i !fz>0 ^l^ST fs> ’ C [i>s p>di close Syffc $yy>te n ‘ 7>oI-;3.2 hs> <^A//|y7Vj[;-r-.*.■■.y IO>C(|f j it t J.. •' l.tl-. ,‘a;*^'il V i -e•*-' - -r r> w SS: Wf/^u^iM <s k.(/ CERTinCATE OF APPROVAL SEWAGE SYSTEMk\ HOLVJtJG TAMK Vtcmb^H.22nd SSThis certificate has been issued this to certify’ that the sewage system installed as per sewage permit number indicated below has been approved for use by Otter Tail County’, Minnesota. day of 19 L M /rm m / I*1The premises covered by this certificate are legally described as:I mVzad Lake.\^ ^ Twp. ^Range56-385Lake No. Sec. Twp. Namew-i / ^■1 Vatit oi G.L. 2, Old Nofith ShoAe. Re^ohJ: mmMJfm Ka^omkf.Owner: Namehm ■'<i \ §2 Box 76, Bu^aZo, NoAth DakotaAddress P-5801 1Zip No.L-m. MaRoIni K. Lee, Land & Resource Management Administrator Otter Tail County. Minnesota 1811Permit No. SP PSigned by:. MKL-0987001 i |i\ Vi mm'ijiS 243,984 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota t SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White — Office Yellow — Inspector Pink — Owner receivedPermit No. / ^ // SEP2119SS OiO /yc/ir/ZLEGAL DESCRIPTION 1/AND ML ^ OFfln LMF7ie/>/7LOCATION Lake No.Lake Classif.Lake Name Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and StateFirstInitialLast Name Zip No.Tel. No. 'P/i /<'/=A/ r /)0e/f CR7P OWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on.. 19____ This space for office use only Owner or Agent Signature 19 .M 7 Date Rec'd Time Rec'd Phone Cali Rec'd By NUMBER OF BEDROOMS;ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD Sq. F>/i4:1'//pd GIs.rq. Ft.Capacity -h Ft.Ft.Ft.Distance from nearest well (Ft.Distance from lake or stream Ft.Ft. f 'o 'h Ft.Distance from occupied building Ft.Ft.7 Distance from property line Ft.Ft.Ft. Ft.Ft.Distance from bottom to Water Table Ft. AH distances are shortest distance between nearest points RECORD OF TESTS; Inspection was made on , 19,, Time jVI By PERCOLATION TEST DATA: Dat/of First Test , 19 Ite ite of Second Test 19 Rate 1st Test ^ken By First Test + 2nd Test 22nd1st 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. I understand that I have been granted a sewage system 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 addi­ tional permits are required by the township for my proposed project.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: Shoreland Managenient Office 3,0.00Fee $Rec # Comments: Form No. MKL-032085 237.443 — Victor Lundeen Co.. Printers, Fergus Falls, Minnesota /'p*r ‘ir■<rS.r r ,\k 1SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEl White — Office Yellow — Inspector Pink — Owner tv, — /¥■ Permit No.,LEGAL DESCRIPTION AND /O / V-- /)j^MLOCATION Lake Classif.Lake No.Lake Name Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State Tel, No.Zip No.Last Name First Initial / y .A/7OWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspectior> on. This space for office use onJy ai..o-'7. : //19 ,M Date Rec'd ■■|me 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 Sq. Ft..00". //AD ____On ~h t. GIs.3q- Ft.Capacity X Ft.Ft.EkDistance from nearest well FtDistance from lake or stream ' Ft.Ft.A . \C O Ft.Distance from occupied building Ft.\ Ft. Distance from property line Ft.Ft.Ft. Ft.Ft.Distance from bottom to Water Table Ft. AH distances are shortest distance between nearest points h/'oT OeQuikAO Fn/Z UoLVn\iGRECORD OF TESTS: Inspection was rnade on 19 /PERCOLATION TEST DATA:Date/of First Test ///ite of Second Test 1st Test "paken By//First Test7 2nd T4st Taken By/ 7 / Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by 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. I understand that I have been granted a sewage system 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 addi­ tional permits are required by the township for my proposed project. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County 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. / Signature /Issued Date: Shor^end Menegement Office Xo.oo L / ..n -Fee Rec # Comments: Form No. MKL-03208S 237,443 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota \ V ■S"' » . '»■^ 'ir, -U ■ •1* INSPECTION RESULTS Inspector must make all measurements ^ • ' * • » .; SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual lould Be Actual Should Be 3'T’ c >-{Capacity GIs.GIs.S F S F SF S F 7\-7Distance from Nearest Well F F F F 4Distance from Lake or Stream F F F F F I O’Distance from Occupied Building F F F F F F V)0Distance from Property Line F F F F F F ■ tIf/Distance from Bottom to Water Table 3 3FFF/F F / Inspector’s Comments: 1 p « -f ! OUP 1 O V <L0G4)3 s-cL ov\ V>s-.v I /O- U —Date of Inspection 19 /0,6/'0Time of Inspection M 4?1 Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job Title MKL • 032085 - Baciwr Agency V ( /1 t 0 Ii:(C(!!(!! V I i;;i !i:I i *: T f w g■!'/1.> Ml1 i hiI €V){ foo F‘Si g ICOIK!I t ; 't' -ja p l^',na p\;i I 'I 1!I I :Ii p\j\ ;I ::;:i! k i i;!I n^J>;IiI1Ia^»i ii ,!I5 <5 ': ;!;:i 1 [i*:i 1iIiI■■I; i ::i :I !!!!V/I!I ii;!I ;!I I ■I !c !II I :i I>i: 4- ( JUT II I!I it1 Ik-' I Iii:i I ;0 fdKI!:;j I I : i tX4) ; K t :}'•pI!I!!\P^-II .! ,^V 1 i!I :i ? ;f!I!i 0 P!a■ %Ifp!i t IIIi :1 i II!;!i*- n .... t..I*1. 1 I I ABATEMENT NOTICE Shoreland Management COUNTY OF OTTER TAIL Court House Fergus Fails, Minn. 56537 31st day of August ig MDated this. Tn Jim Kasowskl RRAddress. Gty and State Buffalo, ND Zip Code 58011 the sewage systemYou are hereby notified that. Which you maintain at (Legal Description and Location) - Plus Fire No. Old North Shore Resort, Pt of GL//2 (Charles Anger Property) 18 135 40Dead Lake Dead LakeNE56-383 RangeClass.Lake Name Sec.Twp.Lake No.Twp. Name r!np<?T-ritranH/nr InrafpHis not. in accordance with minimum standards of the Otter Tail County, Minnesota Shoreland Management Ordinance. You are hereby ordered to abate the above described condition within_30 dayx from this date. If you fail to correct the above defect you may be subject to a fine, imprisonment or injunction proceedings. Shoreland Managemen t Official PROOF OF SERVICE State of Minnesota County of Otter Tail Fergus Falls, Minnesota 56537 The above notice and order was served by me on._______________ 19____ by handing a copy thereof fthe (owner-occupant-agent) of the above describedto premises. *By posting a copy thereof upon the above described premises. Otter Tail County Sheriff Department *Strike out words that do not apply. CC: Otter Tail County Attorney MKL-0372-03B-01 230S22 Vleter Lundeen V Co.. Printer*. Perfue MU. Mina. . . * ill ! 1To '! M MI ! ^ t Ii 1 ii (1 : 1 :i»if ;, I II ;I ! ■I \ ■f:!i ji;ii1)!;i 3Vh UuUH ' I £<0/11 ^ Sc£Jo?y| -sM^L I i^oU I I N.O ii-cWleini'iC, P4< m ^{goHimwn WV I '*1 !')?! i MAV \(K.««J s Li’»i>ei<l I( *I i i III !((i !;f>?iii !tJ1 [IiI !1 II ! ^ ^ iC^il^ )t1I !1 ^Iktk. 4rrwn«ky^r~i [rUf#^»4 tirm I iii - jlwTuf*)<1 *j*?1 ;i i *!\)i.t !/ /<;!I:■;» i >•; •o' \ Q ; i 4roi ^• i/oAfivit tty <®, ‘VW> f 1: . I :’ I6a>^> t«iv 4<Af „'r.fs.?.(nt> U,Ctr^~ ! \\i>t i IS^ ?I (>(HiicAfiNl U4A) fdlAck (sir tXAj UAf^f) !I ? drtc- LAKe :tLf)Is■: j;i ■I' - ir^f> ~' Aij ^tr,53 r i!f I•«■*;iIiIy1 35 I i *!1 ; •*I AUtF Wt/S^ i ; ! I : I 1. sySf^n -pi' 'J. S' CAif^t' i aMi t; rfI !i I}1 i !i{iItclo%e -h> A 1 ■ (iI ,j! Kli> lji$iitej gjr prgj^^V H I ^ ;> f» c^<sS« to ux. I ?^^Ut ^/cifdt^W 1^.4'f.r'Trrai Its 14 c r <?+ ^ !. i IChit i itiSall=c> IM-/C t H fto iz/c^eSyite'X,! i-/)VCO*IItf/ • . V SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM WhilB — Office Yellow — Inspector Pink — Owner CL a.P~r ^ r rh ETf=6 Permit No.,LEGAL r^ r2><SUrJDS DESCRIPTION AND pBpfOf\/£liL /3< JdAQ, -3*^3 PEr^ nLOCATION Lake No.Lake Name Lake Cla»lf.Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and StateLast Name First Initial Zip No,Tel. No. CP tenues >OWNER j /no/ 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 or Agent Signa:|ture aNUMBER OF BEDROOMS;ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE BIT DRAIN FIELD ipr GIs.Capacity Sq. Ft.Sq. Ft. Ft.Distance from nearest well C'UGLL~Ft.Ft. \^o Ft.Distance from lake or stream Ft.Ft. LODistance from occupied building Ft.Ft.Ft. 10Distance from property line Ft.Ft.Ft. Ft.Distance from bottom to Water Table Ft.Ft. AH distances are shortest distance between nearest points H~rRECORD OF TESTS: Inspection was made on , Time M iy PERCOLATION TEST DATA:Date of First Test 19 • Rate Date of Second X«t 9 , Rate 1st Te»t Taken By First Test + 2nd Test S 2nd Test Taken Sy '2'Rate The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement; strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn­ esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi­ cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. Signature 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. Dated Permit: 0.Issued Date: SAor»/anc/ Menegement Office Fee $Rec # -Comments: - g Wtai__ tpLQ Form No. MKL-032085 225239 ~ Vidor lindun Co.. PriMon. Forgui Fm, fM 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 WhitB^ Office Yellow — Inspector Pink — Owner CL a/y ~r f"Permit No..-■ / LEGAL TDESCRIPTION AND LOCATION TWP NameTWPRangeLake Classif.Sec.Lake NameLake No. IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State Zip No.Tel. No.First InitialLast Name OWNER SEWAGE SYSTEM INSTALLER Name. « ^50J-i5This System will be ready for inspection .. 19.on. This space for office use wiy,3 ^.OOA:5-(3 / Phone Call Rac'd By Owner or Agent SignatureDate Rac'd Time Rec'd 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 Distance from property line Ft. Ft.Ft. Ft. Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points r* iRECORD OF TESTS:/) /,M gy.19Inspiection was made on , Time PERCOLATION TEST DATA:Date of First Test ., 19 , 19 , Rate Date of Second Test Rate 1st Test Taken By / //First Test + 2nd Test ■y 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; 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. Issued Date: Shoreland Management Office /.Fee $Rec # Comments: t'I b Form No. MKL-032005 225239 — Victor UntoM Co., Printors. Forpus F*, MN ’■ *1 fr rw wnPTWrvry *'»mjjf .wpy ; y-TigP'T’-^iwyy^-*-^- JSAV '■ ivro =0 ''7f":.?03 - ni3M7CrtvlA|^ -•i-UO^ rmiow VT,'/C: ■: tCc5« « ■ ■ V^SS-gcx >': 1 sr;uti«! i"it > 'r.*D«C>'H - u ■' •.•>nv.O Jt2C -v^o^-fAOvJS-^A Tr.‘--;.-’i,iStr'‘.-'r2S5r;’^- :-sr*— ■-xrrr‘-:L'-.is^:‘jrz.x‘‘z':r^‘- -r:g;.s-.s:a-:-.- IINSPECTION RESULTS I JA0.-3J Inspector must make all measurements i Mr>!Tn!i-;;>83'C» Oi-'A SEWAGE DISPOSAL SYSTEM STATISTICS 1 HO*'". '>01 DRAIN FIELDSEPTIC TANK SEEPAGE PIT . iCATEGORYShould BeShould Be Should Be ActualActualActual /^d I5CQCapacity s FS F s FGIs.GIs.S F focf FDistance from Nearest Well FFFFF »;k '■ .iHDistance from Lake or Stream FFFFFF tllDistance from Occupied Building FFFFFF -• F "n 'Distance from Property Line FFFFF ! ; 3 3Distance from Bottom to Water Table FF F FFF / t__Inspector’s Comments:-* ■ • cfry ^:'U<f S J /^C g»T •-4 i I*'. ■' ;.• / /[/^ r^A jL) r/^. 7% /Cc^ -~ “M /r/7^y 19Date of Inspection '-'2 r'TjieT J*9‘‘ rrfMTime of Inspection Signafure^ Inspector . ;^'T-■'.INTERPRETATION OF ABBREVIATIONS GIs = Gillens---------- SF = Square Feet F = Linear Feet tnypAl '.iiL?;' ■; '■ - • />• ■■ • J’eio Job Title L-^ ^ ■: :T> n n>-<‘ . f \\ r ;cril" '/y- . MKL • 03208 Agency _____ • 'If •, : f Mbtai x'JB (0)n*jU»w r; *3ft| v/syn sirtt . Y. • .owv ti Wov JITOM i / •.? . .‘,4 1, . :e?Rfj' h-3L'i3l . 4 og'i ?8{)^'‘C-JXM .Old r»i-o=| ’ m '3T''^4//XJyl 1 \ -T‘1’ -!! rt ,■ -i- 1 'r- >ij W'1 61 A. Q(i^iP \Uc^ I f<a<^----- 0I\\I-A t1!‘iCai?iVv{•! ...1-r'I L !■ '•^I i11,-i- i9aWI■I1.!1 / /^/^f a•i r ! % t :I LI..I L,I.,!'•i J /:1^:tr-T1 1 :::!;.!, _L !^-,lI I jI -;1 !-]t i l. iJ. |J ]i-iI TfH Kikic^l 0-eM^ LitiUH SoHAli>r^-^ a.£>T?>t/CN. ss»n-------j ^ f5»5>V« C-Wks Anj ^t36 ?M< £tootiimfo» K.«tv/ Strok Li'jtoN N.O 5-705yHa*/^ Sc csoir r u;Krt-< -wc^TCUSc^ (^*4tr - fr»W' ^ i\oOK »tV HtJ ^*^- VlAtfc> hrir %(lov w/ fT4r»ftfcl frill 7; O TIjP^ 'i)XV AJ>.^a:3'''£2^ "■ ■ \6 A St / I 4to« < 4r®** ®N miiCAfiNf (5^ SCtiAck (*r D<aJ i»Af8|'') ;2 ^ _ S.Pi'JfJ Vi« C«^-“ I / ViLA/Ce CX)d^AVl 35 c{r<hU?M i 8-31by ^•^* ;!j ! (^j . ^■<?J p iSi..a f ■*> • .i / 0 sae.tpi \!ij :-y >s CERTIFICATE OF COMPLIANCE MSEWAGE SYSTEM HOLVING TANK ■^' ■j® Sth JayiaaAy 19_UThis certificate has been issued this day of. m: i-mto certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. W *The premises covered by this certificate are legally described as: Range56-3S3 IS Twp._2Il Vzad Lakzh]Lake No.Sec.Twp. Name. MVt. G.L. 2: Bg. 264’ W 22S.5’ S S 1S3.44' SWLV Fa.. Wf Ca.; SWLV 1005.9T SELV 71’ NELV on Lk S37.0S’ NLV to Bg. &m/iChcLAZeL) W. AngeA.k Owner: Name. 9636 VoJik. Aue. S., BZoomtngton, MWAddress. wA 55420Zip No..“ v1 5S37 mmPermit No. SP_ /Signed by: y Malcolm K. Lee, Shoreland Administrator Otter Tail County, Minnesota MKL-0871-009 mipH ^, ®159035 iiNtd 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 Whif — Offic* Yellow — Inspector Pink — Owner Cord — Owner /oo3'~. 9'/' y/-m<Ly O/n cy. .0?' jO^- / ^ < Permit No.,XLEGAL DESCRIPTION AND GO /Qp^ ^V^/Cp/y jyLOCATION Lake No.TWP NameLake Name Lake Ctassif.Sec.TWP Range IDENTIFICATION: Please Print All Information. Zip No.Tel. No.La$t Name________________________First Initial Mailling Address —No. Street. City and State ^ P/s6X)^'/A . OWNER SEWAGE SYSTEM INSTALLER Name. X'crz)This System will be ready for inspection Lt K/ >on ^ J This space for office use only ,19 .M Date Rec'd Owner or Agent SignatureTime Rec'd Phone Call Rec'd By NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT r DRAIN FIELD \ Sq^'^t.GIs.Sq.Capacity 7J5Z)Ft.Ft. Ft.Distance from nearest well Ft. Ft. Ft.Distance from lake or stream Ft.Distance from occupied building Ft. Ft. 7£Distance from property line Ft.Ft. Ft. 7 7Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS; Inspection was^ade on 19 , Time By PERCOLATION TEST &Date of First Test , Rate Rate 1st Test Taken By First Test...^^2 Rate2nd Te.t 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. c 3Dated7 ‘ 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 confgjHTj-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 vyithj Permit: f7moiuhs. 7 Shoreland Managemem oAice I.LAVt AIssued Date:7 at:Fee $£ Comments:. Form No. MKL-0771-003 (^IVKW lATTU UKI. MiNNfSOIA INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SFEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should beActualShould be Capacity GIs.GIs.S F S F S FS F Distance from Nearest Well 5075FFFF F F Distance from Lake or Stream F F F F F F 20 2010Distance from Occupied Building F F FF F F 10 10Distance from Property Line 10F F F F F F 33Distance from Bottom to Water Table F F F F F F Inspector's Comments; Date of Inspection 19___ Time of Inspection.M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs » Gallons SF * Square Feet F “ Linear Feet Job Title Agency M KL-0771-003- Backer 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 While - Office Yellow — Inspector Pink — Owner Coni— Owner L-^Ci''! ■c ■ y 1-"IZPermit No. - . - ^ (y//3 . V'/'LEGAL /\) / 6 0 - •DESCRIPTION Y /!t.AND / y'LOCATION TWP NameTWPRangeLake No.Lake Name Lake Clastif.Sec. IDENTIFICATION; Please Print All Information. Tel. No.Zip No.Mailling Address —No, Street, City and StateInitialLast Name First OWNER SEWAGE SYSTEM INSTALLER Name__l. y.r . r 7:^This System will be ready for inspection on^^J., ia This space for office use only 19 .M Date Rec'd Owner or Agent SignaturePhone Call Rec'd ByTime Rec'd NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD GIs.Sq. Ft.Sq. Ft.Capacity Ft.Ft.Ft.Distance from nearest well Ft.Ft.Ft.Distance from lake or stream \\___FtFt.Ft.Distance from occupied building \ Distance from property line Ft.Ft.Ft. 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 By PERCOLATION TEST DATA:Date of First Test , Rate Date of Second Test . 19 , Rate»»**•••• 1st Test Taken By First Test -I- 2nd Test 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 Dep>artment 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 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: A.>.u y-..?y .r ■!Issued Date: Shoreland Management Office Fee $ Comments:. CERT ISSU F n Form No, MKL-0771-003i [^IVIEW •AtUE lAKf. MiNNESOTA INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should be Actual Should be Capacity GIs.GIs.S F S F S F S F Distance from Nearest Well 5075FFF F F F Distance from Lake or Stream F F F F F F 20 2010Distance from Occupied Building F F F F F F Distance from Property Line 10 1010FFFFF F 3Distance from Bottom to Water Table 3FFF F F F 1150Inspector's Comments; fSl -U ^/H<r L-LDate of Inspection a'. 3o fTime of Inspection,M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs * Gallons SF * Square Feet ■ Linear Feet Job TitleF AgencyMlO-0771-003-Backer f F [ i I\ i r 'I i : t/ 1)^I !w i;io.i1 ^0 i/Vr>6 000 f ^41 i F 1 ii ^!i \K i i\.\V«Tn I'W ^ I >! 5 i;IN■H F 1NiO1i1 :;!z 11^0i: i O i ! I I I i ; i;^a[ha J \ I ; 4 ABATEMENT NOTICE Shoreland Management COUNTY OF OTTER TAIL Court House Fergus Falls, Minn. 56537 .day of August IQ 88Dated this 23rd To Charles W. Anger Address9636 Park Ave. S. Zip Code 55420Gty and State Bloomington. MN You are hereby notified that the sewage system Which you maintain at (Legal Description and Location) - Plus Fire No. Old Resort - Metes & Bounds Tract North Shore in G.L. 2 40135 Dead LakeNE RangeLake Name Clasa.Sec.Lake No.Twp.'Twp. Name f imp r ^ nn^ ngis not. in accordance with minimum standards of the Otter Tail County, Minnesota Shoreland Management Ordinance. You are hereby ordered to abate the above described condition within 10 days from this date. If you fail to correct the above defect you may be subject to a fine, imprisonment or injunction proceedings. ,----^ —Shoreland management Official PROOF OF SERVICE State of Minnesota County of Otter Tail Fergus Falls, Minnesota 56537 The above notice and order was served by me on._______________ 19____ by handing a copy thereof fthe (owner-occupant-agent) of the above describedto premises. *By posting a copy thereof upon the above described premises. Otter Tail County Sheriff Department *Strike out words that do not apply. CC: Otter Tail County Attorney MKL-0372-035-01 220522^^^^^" LundMn O' C«.. Primer*. Pargu* Pell*. Minn. ^ 4 ■ t to OtAd l-A let. I 5CTlM Ki^V*^ (r««t Lini^ll 6t> «A If, w- «a.'l 2-®^ " • £«f/l tUrliS Anj <1136 pArt BleoMiW+PM mm Sf>/« K.«M s'fy^^ Li'sfcoN N.I>S7o5V Ret«r-’C « . ^ Mav5, Sc Mt;/^ «07r JZ34] qR^S 1 - fr*W' ,'i fn'*i 'WbistloW W/ rtAf^«^jt]nn " TtAv4 ^ tng/ oi^r< '"'' * ^''jz cfp'^AWU t)Qi^) k< □ t\ mlicA-tm^ LcjaI is{' ^ctlAck D«aJ LkA(^^ Ca1i»V/J ^ ~ c5b S.P6-7W Ut<!ej^~I Sat-'fi'lcd-Irt-e. t-AKe 35 cfrAWM f neA^rei by i '»i!!;li tI I>:f,z \;.t IJ ^r•I 'i i II i : (fNor+k )i !i.i ■. }t . 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