HomeMy WebLinkAboutKohler-Strom_17000020021002_Septic System Permits_APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM'm.
WHITE — Office
Yellow — Inspector
Pink — Owner
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone:(218)739-2271 - FERGUS FALLS, MN 56537
STKom 'S Tie Son \Permit No.LEGAL
DESCRIPTION
AND
LOCATION
LAKE/RIVER NAME SECTION RANGE TWP NAMELAKE NUMBER LAKE/RIVER
CLASS TWP. NO.
SL' ISL PEL\cn^137II Qun//\^
FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER(S)
n'm-U- 01>J9-000
IDENTIFICATION: Please Print All Information
Mailing Address — No. Street, City and Slate Zip Code Telephone No.FirstLast Name Initial
Q\i-^39^-3LLl3l<^GHLe<ZProperty
Owner 0£TI2/»T Lt9 I^S /^a/
- /(2A?7?Sewage
System
Installer
Name
A.M.
► This System will be ready for inspection on P.M., 19.at
*
NUMBER OF BEDROOMS:
This space for office use oniy
AM.
P.M19 GARBAGE DISPOSAL: ( ) YES ( ) NOTime Rec'd Phone Call Rec'd ByDate Rec’d
SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM
( ) Holding tank (Alarm Required)
( tank
( station
( p-f^rain field
( ) Standard ( ) Bed ( ) Trench
( ) Modified
( ) Mound
( ) Outhouse
TANK DRAIN FIELD
a C/^5>n>S><Sni.Capacity GIs.3 SqFt.
y
SO jiU)Ft.Ft.Distance from nearest well go.
soDistance from lake or stream go Ft.Ft.
Distance from building Ft.Xo Ft.t(o
ioDistance from property line Ft.Ft.ID
Distance from bottom to Water Table Ft.Ft.3
EFFLUENT DISTRIBUTION
(X)( ) Pressure
All distances are shortest distance between nearest points
PERCOLATION TEST DATA;
WATER WELL DEPTH
50-^SR.flhn OHhr\Perc Tester.Date of Perc Test.
^ T 3 - V73 iH -f 5.37 t ^.00
Rate of 2nd TestRate of 1st Test Average Rate
Agreement: The undersigned hereby makes application tor permit to install or extend Sewage Disposal System herein specitied, agreeing to do all such work in strict
accordance with Ordinances ot the County ot Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set torth by Minnesota Department
ot Health. Applicant agrees that plot plan sketches and specitications submitted herewith and which are approved by Shoreland Management Officical 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 responsibilty of the applicant for
the permit to notify the County Shoreland Management that the job is ready for inspection.
JJJAr)DATE:
Signature
Permit: Permission is hereby granted to the above named applicant to perform the wo;
that the person to whom it is granted, and his agent, employees and workmen s
This permit may be revoked at any time upon violation of any said ordinances.
NOTE: Permit void if work is not commenced within six (6) months.
prescribe
mail conform in all respects to the Ordinance of Otter Tail County, Minnesota.
.'Pin the above statement. Tms permit is granted upon express condition
Issued Date;
J,anlf & Resource Management Office
HG
7
Rec #.Fee $.
Comments: _
272,058 • Victor Lundeen CoT Printers. Fergus Pails, Minnesota
10^)0
, JXrA —Form B3o. BK-0894«a3
5
APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM, t
WHITE — Office
Yellow — Inspector
Pink — Owner
LAND & RESOURCE MANAGEMENT
OTTER TAIL COUNTY COURT HOUSE
Phone:(218)739-2271 - FERGUS FALLS, MN 56537
/03^TRom 'S Hf=so!^r
/%y ^ dv •
Permit No.HoHteti
6^ ^00^ £-
LEGAL
DESCRIPTION
r tAND
_!LOCATION
SECTION RANGE TWP NAMELAKE/RIVER NAME LAKE/RIVER
CLASS TWP. NO.LAKE NUMBER
5'4 - 7^4 PEuct^t^^7/37^>0 II
FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER(S)
ri'Gdo-u- 0IH9-00O
IDENTIFICATION: Please Print All Information
Mailing Address — No. Street, City and State Zip Code Telephone No.Last Name First Initial
9\&-S33‘-2l13RfyHLiTiZProperty
Owner _____________________OermiT jfnrJ ^LS^\
Sewage
System
Installer
Name
M.
This System will be ready for inspection on
*
V 6A H£i>WTrYcC
NUMBER OF BEDROOMS: /q ^ CftpiiYS
This space for office use oniy
19 W/
i GARBAGE DISPOSAL: ( ) YES ( ) NOate Rec'd Time Rec'd Phone Call Rec'd By
SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM
( ) Holding tank (Alarm Required)
( L-f^eptic tank
( station
( p-y^rain field
( ) Standard ( ) Bed ( ) Trench
( ) Modified
( ) Mound
( ) Outhouse
DRAIN FIELDTANK
(6)C L ,i^0£>0
^H-}$ Cf\L.GIs.3.0H^ SqFt.
^0 jitX)
• Capacity
Ft.Ft.Distance from nearest well
Distance from lake or stream Ft.Ft.SO
Distance from building Ft.Ft.Xo!C>
lODistance from property line Ft. Ft.lo
Distance from bottom to Water Table Ft. Ft.3
EFFLUENT DISTRIBUTION
(^ Gravity
( ) Pressure
All distances are shortest distance between nearest points
PERCOLATION TEST DATA:
■ ,aifWATER WELL DEPTH
50-^
GEfihn OH mPerc Tester.Date of Perc Test
~ 3 = C.Hl 13-lH f 5.27 t 3.00
Rate of 2nd TestRate of 1 st Test Average Rate
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 Minnesota Department
of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical 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 responsibilty of the applicant for
the permit to notify the County Shoreland Management that the job is r^ady for inspection.
UM/mj
DATE:
Signature
Permit: Permission is hereby granted to the above named applicant to perform the workytiescribdtTin the above statement. Tiffs permit Is granted upon express condition
that the person to whom it is granted, and his agent, employees and workmen sflall conform in all respects to the Ordinance of Otter Tail County, Minnesota.
This permit may be revoked at any time upon violation of any said ordinances.
NOTE: Permit void If work is not commenced within six (6) months.
73
7
Issued Date:
LanrfB, Resource Management Office<30 / Kf /SRec #.Fee $.IkComments:A/
/X i\
^ JBL A«-IOOO
f 1\ I y-'
272.858 - Victor Luryde«r> Co.. Printers. Fergus Falls. Minrwsota
.;XJ.Fonn No. BK-0884-003 ;
. .I,*
INSPECTION RESULTS
Inspector must make all measurements
SEWAGE DISPOSAL SYSTEM STATISTICS
1 It'ft-(3 spp^ic -
CATEGORY ^ (F /^OQ DRAIN FIELDSEPTIC TANK
Actual Minimum Actual Minimum
V500 GLS.SFGLS.Capacity /V^ f Aj
^O'S^c?' FT FTFTFT 50Distance from Nearest Well
Distance from Buried
Water Suction Pipe FT50FTFT50
Distance from Buried Pipe
Distributing Water Under Pressure FTiF- ZO ft 10FT FT10
Distance from Lake or River (OHWL)!FT-f~ )oO ft
/o ~
cttOS-U_
IcH-^
FT FT
10/20 FTFT FT10Distance from Nearest Building
Distance from Nearest Property Line; Ar fO FTFT FT 1010
-X 4-5 FT FT3FTFTDistance from Bottom to Water TabI
NOHolding Tank/Lift Alarm
DRAINFIELD CALCULATIONSewer Line to Well SeparationINTERPRETATION
OF ABBREVIATIONS
GLS. = Gallons
SF = Square Feet
FT = Linear Feet
MinimumActual
FTFTX
So FTFT20 SF
l.ZS
Inspector’s Comments:
u"-
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/// /;„c5 m" sB-;l
P-- 50'
3-
H ssS
5 - 5'«,5'
U-1 - ’S'c:
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SKETCH:
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Inspector's Signature
^'dq "9/rnj<i CT.'y ‘I-2M5
Date ol Inspection
Time of inspection
'u ts.- - -
m/m IK.*
)y;!>^1 -a
mCERTIFICATE OF APPROVAL
SEWAGE SYSTEM
'i
§
15th Dec emb er 95This 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
H.'v#Si'
m The premises covered by this certificate are legally described as:W'-i > :
£Sec. ^ ^ Twp. ^ ^Range DUNN56-7B6Lake No.Twp. Name
um11 137 42 2.66
.OEG 800' E OF NW COR SEC 11,
E 60', S 660', W 145',
NWLY 255', NELY 479' TO 130
PT 0 L 1
mi
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iM
m«•iJ1KOHLER, LARRY J ?, EMILY IOwner: Namew.
HRR 5 BOX 457, DETROIT LAKES, MNAddressSi
mj 56501Zip No.
M
10348Permit No. SP
Signed by:
Lund & Resource Management Official
Otter Tail County, Minnesotaly
MKL-0987001
m/
JT 279005 View Lundeen Co., PrinlOT. Fasus F«IIj, Minnejott
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PERCOLATION TEST DATA
LAND AND RESOURCE MANAGEMENT
Otter Tail County
Fergus Falls, MN 56537OWNER:/
Z..4S7' NAME MIDDLE TELEPHONE NUMBERFIRST
ADDRESS:
ZIP CODESTATECITYSTR./RT.
TWP. NAMESEC. TWP.RANGELAKE/RIVER NO.LAKE NAME
LEGAL DESCRIPTION:
PARCEL NUMBER
NUMBER/BEDROOMSFIRE NUMBER
— TWO TESTS ARE REQUIRED —
TEST HOLE NO. 2TEST HOLE NO. 1
JA inches; Diameter of Hole inchesinches; Diameter of Hole Depth To Bottom of HoleinchesDepth To Bottom of Hole
__f-/f
__________
DateDepth, Inches Soil Texture Date 19Depth. Inches Soil Texture
Percolation
Test By
Firm
Name
Percolation
Test By___
Firm
Name ___/m.
Address Address
Otter Tail County
License No.
Otter Tail County
License No.
PERC TEST # 2PERC TEST # I
PERC RATE TIME IWTBRVAL<MPHfTB«>iWTBRVAL<MIWUTRr>WATER DRO»“5DBrrHw.WATER DROPTUig
PERC RATH
s^-START >
^ "pBRCA?--ATTWffiWATER DROP PERC RATH IWTERVAL rMlHlJTBft WATER DROPDOERVALnMnWUTEft PERC RATH
t!mB ^drop fhrc
REFILLREFILLM.AItfm PROF PBRC .J.-/-
WATER PROP PERC RATE TIME INTERVAL IMINUTEII WA DEPTH WATER DROPINTERVAL (MINUTEST VATMC^yrH
\iw--
PERC RATETIME
REFILLJd.7^---S
TIME bROP PBRC
A/-
PERC RATH TIME INTERVAL/MINUTEHDEPTHWATgRPROP DBFTH PERC RATHTIMEINTERVAL (MPJUTB5)
Wi
m..AREFILLJh-.W:--J-W-TIMEPERC RATE INTERVAL IMlNinESI WA“W.INTERVAL fMlNtnEST W7AIBR.eBPTH
m--
WAIERDROP WATER PROP PERC RATETIME
REFILLREFILLyl.
Tn>«INTERVAL IMmUTBSlPERC RATE WATER DEPTH WATER PROPINTERVAL (MtWnES)WATER DROP PERC RATEWATBRJHPTHTii>«
-fw:.4*m.it-71-.j/f...:iwz
TIME INTERVAL (MINUTHSIPERC RATE WWT^DgrTH WATER DROPINTERVAL tynNUTHm WATER DROP PERC RATEWATER DBFTHJam.
^bR<^"pBtCeREFILL
-f/W-Tms~ DROP PERC TIME
PERC RATE INTERVAL/MlMtrTBft WATHWDEPTHyz"WAIERDROPWATER DROP PERC RATEINTERVAL/MINlfTETt WATER DEPTHTlfcg
/ATIME * DROP ^ERC'7^1REFILL
kTIME bK5P* ^Efcc!”
COMMENTS/CALCVLA TIONS:
l^i
''If 0G'-i^3 1994
X'.•ip
r
I
LAfVD ^y-r!
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250,615 — Victor Lundeen Co., Printers, Fergus Falls, MinnesotaMKL — 0390 • 005
GRID PLOT PLAN SKETCHING FORM — (Must Be To Scale)
feet/ inchesScale: Each grid equals
Dated:19 Signature
Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently
on lot and any proposed structures.
PERCOLATION TEST DATA
LAND AND RESOURCE MANAGEMENT
Otter Tail County
Fergus Falls, MN 56537OWNER:
FIRST MIDDLE TELEPHONE NUMBER
ADDRESS:
STR./RT.CITY STATE ZIP CODE
LAKE/RIVER NO.LAKE NAME SEC. TWP.TWP. NAMERANGE
LEGAL DESCRIPTION:
PARCEL NUMBER
FIRE NUMBER NUMBER/BEDROOMS
— TWO TESTS ARE REQUIRED —
TEST HOLE NO. I TEST HOLE NO. 2A.36Depth To Bottom of Hole inches; Diameter of Hole.inches Depth To Bottom of Hole inches; Diameter of Hole inches
9/Date
Depth. Inches Soil Texture Date
Depth. Inches Soil Texture 19
Percolation
Test By _
Firm
Name _____
Percolation
Test By____
Firm
Name ____U36-
Address Address
Otter Tail County
License No.
Otter Tail County
License No.
PERC TEST # 1 PERC TEST # 2
WATMUmOPJim.JQJ DiTat^ia.fMpii/ras>WA3TODHFTH WATTODKO»IBRCKATB
STARTITAR1
TIMU' DROP PBRC
IKTRRVALrMIHUJBRL. ^ WiilRRl
RBPILL _____^
WAlRRH»Of fBRCRATH Tlfcg reRCRATBINTERVAL rMPflTTBSl WAIBR DEPTH WAIHRDROP
./.A RBPILL
TUwUt DROP PBRC
INTERVAL nunWlJTBP WATBRPROP PERC RATEWA1DBPni TIME IffTERVAL ArflWUTMA WATER DEPTH WATER DROP PERC RATE
JAREFILL RBPILL
4
'IIMK DROP I^BRC
WATER DROP PERC RATE TlfcgTIMEINTERVAL (VONliTRS^
WiM^DBPTH DOERyiy^lMDnJTESl
RBPILL
WATER DEPTH WAITODRQP PERC RATE
jA.RBMJ^L
4'HMU DROP AlSliib
PERC RATE TIMEINTERVAL TMINIITBSI WATER DROP INTERVAL IMlNUTEftTilig WATER DBPTM WATER DROP PBRC RATE
RBPILLA-m +TIMU DROP PERC
INTERVAL (MINUTBP watr^ctth WATER DROP PERC RATE Jim INTERVAL IMmUTESlTIMB WATER DEPTH WATER DROP PBRC RATE
^6rC~jA.RBPILLKBPILI./i W--4 4TTOE” DftOP”'HMli" DROP”PERCibcrB
INTERVAL IMINimamINTERVAL (MlNirrsn WATER DROP TIMETIMEWATO
WATER PBPIH WATTODROP PERC RATE
■U-RBPILLW-ilME~ DROP ‘f'lWJr DROP PERC
PERC RATE TTMH INTERVAL ifLONlTTEPINTERVAL IMTNUTEa WATER WATER DROP WATER DEPTHTlfcg PERORATE
RBPILL
m:*
i*1me bROh pBrc
COMMENTS/CALCULA TIONS:
I si JilJ ffl
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260,615 — Victor Lundeen Co.. Printers, Fergus Falls, MinnesotaMKL — 0390 - 005
GRID PLOT PLAN SKETCHING FORM — (Must Be To Scale)
feet/ inchesScale: Each grid equais
19Dated:Signature
Please sketch your lot indicating setbacks from road right-of-way, take and sideyard for each buiiding currently
on lot and any proposed structures.
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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 ite — Office V iow — Inspector Pfi..
Card — Owner
Owner
1-Permit No..LEGAL /o/a />s-Date
DESCRIPTION
AND
nLOCATION y\
Lake No.Lake Name Lake Classif.Sec.TWP TWP NameRange
IDENTIFICATION: Please Print All Information.
Last Name First Initial Mailling Address —No, Street, City and State Zip No.Tel. No.
A /lies,.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 or Agent Signature
NUMBER OF BEDROOMS:ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
f~ /osrO /onn GIs.^nnn sg. Ft.
■s~n Ft.
Capacity Sq/Ft.
Ft.Ft.Distance from nearest well
SCL Ft.Distance from lake or stream Ft.Ft.fTo
/n Ft.Distance from occupied building Ft.Ft.
Distance from property line fO Ft.Ft./O Ft.
Ft. Ft.Distance from bottom to Water Table Ft.
All distances are shortest distance between nearest points
RECORD OF TESTS:
Inspection was made on 19,, Time ..........M By............
„ 19 ...7>.5Z> Rate.
, 19.....7..5rr., Rate
PERCOLATION TEST DATA:Date of First Test
1st Test Taken By
/ /Date of Second Test
2.X,f t First Test -I- 2nd Test 22nd Tost 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, sketchesand specifications submitted herewith and which are approved by Shoreland Management Offi
cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until It has been inspected and accepted. It shall be the
responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. (Call pr use attached mailer notice.)
/>s^/oDated.
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.
/f /^.rIssued Date:
Shoreland Management Officesoe— ooFee $___S Surcharge $
^ rry dsComments:,g-«7 tooTvvsj-n C
.-if-fit g r f
rvvi f-n r~
^ VICTOt LUMDCCH t C4.. FCKSUt rM.L« MIIIH 158906Form No. MKL-0771-003
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 ite — Office
i V low — Inspector
Pli.. — Owner
Card — Ownerf
jiS> ^ rrxvv.'Permit No..LEGAL
Date
DESCRIPTION
AND
LOCATION < ..V■ A ,
Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name
IDENTIFICATION: Please Print All Information.
Last Name First Initial Mailling Address —N eet, City end State Zip No.Tel. No.
OWNER
V > //SEWAGE
SYSTEM
INSTALLER
Name.
1
This System will be ready for inspection on., 19-------
^ \QO ?■ fW'
This space for office use only
t.19_____.M
Date Rac'd Time Rac'd Phone Call Rac'd By Owner or Agent Signature
NUMBER OF BEDROOMS:ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
_________Sq. Ft.Capacity GIs.Sq. Ft.
Ft.Ft.Ft.Distance from nearest well
Distance from lake or stream Ft.Ft.Ft.
Distance from occupied building Ft.Ft.Ft.
Distance from property line Ft.Ft.Ft.
■|
Distance from bottom to Water Table Ft.Ft.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 .....:..;....t Rate
. 19Date of Second Test ., Rate
1»t Test Taken By
First Test + 2nd Test s S
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. (Call or use attached mailer notice.)
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:,
Shoreland Management Office
!Fee $Surcharge $NO CSRriFICATE ISSUED
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Comments:.tI
Form No. MKL-0771-003 @ WereB tWMtl* 4 M.. ■ Pt*4U4 P4LL4. WlSil.158906
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INSPECTION RESULTS ■n ;'i
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iInspector must make all measurements. r.'-••r.'' . -• •!-ti-. ' -' .1.., jr',1./
• ‘ ■■ ■SEWAGE DISPOSAL SYSTEM STATISTICSV.
SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORY
Actual Should be Actual Should be Actual Should be
Capacity GIs.GIs.S F SF S F SF
Distance from Nearest Well F 75FF F F F
Distance from Lake or Stream F F F F F F
Distance from Occupied Building 10 20 20FFFFF F
Distance from Property Line 10 10 10FFFFF F
7 Distance from Bottom to Water Table 4 4FFFFF F
Inspector's Comments: *-
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Signature of InspectorINTERPRETATION
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GIs " Gallons
SF • Square Feet
F ■ Linear Feet
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Agency \ -MKL-0771-003-Backer
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Department of
LAND & RESOURCE MANAGEMENT
COUNTY OF OTTER TAIL
Phone 218-739-2271
Court House
Fergus Falls, Minnesota 56537
April 16, 1991
Donald Strom
R»S Box 464
Detroit Lakes, HN S6S01
RE: Sewage System Permit #1646, Pelican Lake (56*786).
Dear Hr. Strom:
Our records indicate that on October 9, 1975, Sewage System Permit #1646 was
Sewage System Permit #1646 permitted the Installation ofissued to you.
four septic tanks with a total capacity of 4250 gallons and 2,000 square
feet of drainfield.
Our records also indicate that on November 18, 1975, the sewage system was
Inspected by personnel from this office. At the time of inspection, it was
noted that a 4,000 gallon holding tank had been properly installed rather
than the permitted septic tank and drainfield system. It was also noted
that you planned to convert your holding tank to a septic tank and add a
drainfield in the spring of 1976. Therefore, a Certificate of Compliance
for your septic system was not Issued in 1975.
To date, we have not been notified that your proposed drainfield has been
installed, therefore, a Certificate of Compliance has not been Issued.
We can, however, confirm that your holding tank was approved for use as of
November 18, 1975. Since we are unaware of any problems with your holding
tank at this point, we will continue to consider it as approved for use.
If you have any questions regarding this matter, please contact our office.
Sincerely,
Bill Kalar
Acting Administrator
mgb
SHOREUND MANAGEMENT ORDINANCE - SUBDIVISION CONTROL ORDINANCE
RIGHT-OF-VI/AY SETBACK ORDINANCE - SEWAGE SYSTEM CLEANERS ORDINANCE
RECORDER, OTTER TAIL COUNTY PLANNING COMMISSION
PERCOLATION TEST DATA Price $ 1.00 per pad.
SHORELAIMD MANAGEMENT
OTTER TAIL COUNTY
Fergus Falls, Minnesota 56537
Ph. No.
Owners ^Mailing Address:^.olburCL (^QuJ^ VtwbU.
Last Name CMiddleFirst St. & No.City State Zip No.Legal
Description:/X
LAKE OR RIVER NO.SEC.NAME TWP.RANGE TWP NAME
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TE^T HOLE NO. 2TEST HOLE NO. 1
H"//<4C "/ tr yDepth to Bottom of HoleDepth To Bottom of Hole inches; Diameter of Holeinches;Diameter of Hole Jnchesinches
9/192^
Depth. Inches Soil Texture Depth. Inches Spil TextureDate Date
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Perco,at^-[^^^y ^4^ A r)- 5~O' S'Percolation
Test By
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yFirm
Name./*Firm
Nam_e
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Address.Address
<ji ^y /3-.^yCOOtter Tail County License No..Otter Tall County License No..HcoUJMeasurement,
Inches Depth in Water
Level. Inches
H Measurement,
Inches Depth in Water
Level. Inches
Time Remarks Time Remarks
o 9/oo9. oc g1-TT^l T5 9; / S'/7^9; / 3"‘i
JUJ^'jpU.I 9;z5^^79; (S
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AiXy'AAXjO ^MKL-0871-028
0 See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn.'^f^f ,, ' cVTC- 0« CX
PERCOLATION TEST DATA Price $ 1.00 per pad.
SHORELAND MANAGEMENT
OTTER TAIL COUNTY
Fergus Falls, Minnesota 56537
im
Ph. No.Owner: Q Mailing Address:c-yi^>/ vLast Name Zip No.St. & No.City State
'3-7 ^Legal
Description:
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LAKE OR RIVER NO.SEC.NAME TWP.RANGE TWP NAME
TEST HOLE NO. 2TEST HOLE NO. 1
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Depth to Bottom of Hole_Depth To Bottom of Hole.Inches inches; Diameter of Hole.inches; Diameter of Hole inches
9/<f 7<
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Depth, inches ,Soil Texture Soil TextureDepth, Inches
n-^'>y
Firm
Nair^-f:
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QC^A^yCt, Q-k^UJ7Address.IT Address
' 5..-J iOtter Tail County License No. fj
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</)Otter Tall County License No,.h-toUJMeasurement,
Inches Depth in Water
Level, Inches
H Measurement,
Inches Depth in Water
Level, Inches
Time Remarks Time Remarks
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AJ MKL-0871-028
See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn.