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Home My WebLink AboutLindy's Lake View Resort_53000990852000_Septic System Permits_Department of LAND & RESOURCE MANAGEMENTT COUNTY OF OTTER TAIL Phone:(218) 739-2271 Court House FERGUS FALLS. MINNESOTA 56537 March 18, 1996 John A. & Verna M. Johnson R#1 Box 465 Ottertail, MN 56571 ;v- Sewage System Serving John A. & Verna M. Johnson Property, Described as Lake View Resort (Sub Lot 2 of Govt. Lots 3 & 4, Section 23 of Rush Lake Township), Rush Lake (56-141). RE: To Whom It May Concern: Our records indicate that a sewage system was installed on the above mentioned property. Although the system was not certified at that time, this office apparently did not require any changes to be made. Since this is the case, we would consider this sewage system as being approved for use. Should this sewage system malfunction, it would have to be repaired or replaced in conformance with the provisions of the Sanitation Code in effect at the time of failure. If you have any questions regarding this matter, please contact our office. Sincerely, 3^ ■ Bill Kalar Administrator mgb SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEmCE DISPOSAL SYSTEM White — Office Yellow — Inspector ‘Pink — Owner Cecd — Owner ^ 3 ^ (pLa ^ 1/ u/ 7. 3 -£ I to Permit No.,LEGAL //-/- 7VDate DESCRIPTION AND 21 yxr 3f Lake No. LOCATION Sec.Lake Name Lake Classif.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Last Name First Initial Mailling Address —No. Street, City and State Zip No.Tel. No. A W : / /kp^.yokKS 0 KOWNER 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 3^ S7>> srJ^ 2,^ U,Capacity GIs.Sq. Ft.Sq. Ft.roe p.rFt.r'Ft.Ft.Distance from nearest well Ft.Distance from lake or stream Ft.Ft. mDistance from occupied buildinq Ft.Ft.Ft. /O / 0Distance from property line Ft.Ft.Ft. 7^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 /.PERCOLATION TEST DATA:Date of First Test , 19 Rate IC fl(l u Zl- ^L..LDate of Second Test 19 ,, Rate 1st Test Taken By L/ f 1;.=/ '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 for the permit to notify the County Shoreland Management that the job is ready for inspectigiir (Call or use attached mailer notice.) Signatun Dated Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statyn^t. Thi^^rpit is granted upon express condition that the person to whom it is granted, and his agents, employees and workmen shall conf^m^ all respects to ordinances w ^ “ 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. 1 \ tter ~bii County Minnesota. A/\^Q /B)Issued Date: t Shofel 12__W /hi_NoVt Management Offi/e/Fee S ■ ftf)Surcharge $ g n\l f ^7^—^ I /yioy'i {p2, LerJ -------/n-S rn p) 1/1^ AComments:.t'- Form No. MKL-0771-003 vicrea u>itnc(M « po.. paiNfca*. r(a«u» r*Lk«. maa 158906 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^lte —‘ ftfice Yellow Inspector Owner Card — Owner - Pink •» sc/n~~^ y U'j__ Q ^ i/ / ■? (x%,/ 1 3 Permit No.. LEGAL Date j.rIDESCRIPTION AND / )I r 'i A: ( 'LOCATION hJX<L-X-_>/ Range TWP NameLake Classif.Sec.TWPLake NameLake No. IDENTIFICATION: Please Print All Information. Zip No.Tel. No.Mailling Address —No. Street, City and StateInitialFirstLast Name OWNER iSEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on.., 19. This space for office use only .M19 Phone Call Rac'd By Owner or Agent SignatureDate Rec'd Time Rec'd NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK ^^lELDD Sq. Ft.Sq. Ft.GIs.f-r wCapacity 4 -T Ft.Ft. Ft.Distance from nearest well Ft.Ft.Ft.Distance from lake or stream Ft.Ft.Ft.Distance from occupied building Ft. Ft.Distance from property line /Ft. //Ft. Ft. Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: ., 19,, Time JVI ByInspection was made on,...■1 //;PERCOLATION TEST DATA:Date of First Test Rate19 ...../. 1 Date of Second Test 19 , Rate■f y ■ 1st Test Taken By ry.2First Test -(- 2nd Test '2‘Rata2nd 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: 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.NOT called for IKEFECT i Issued Date: Shoreland Management Office V ■T;0Fee $Surcharge $/ / •1 _f\' n c) ~Comments:.L> /;/ fy c h.. /■> !■ /'•>' •r’ r;'■ r‘ f-'>-ti1-7 r Form No. MKL-0771-003 ..158906 vtCToa uiHBCCH t CO.. Piiius rutLt. mi A r N A-m •* % -■- i -'f ‘ • ■ >- ’-V.,.,. 4 ;■■• *•• • ..*"x*.: ,'\-r\ .' t. !■ ; .'s’' • .*f INSPECTION RESULTS ' ^i 'V • •■,-■- V n . -r "x Inspector must make all measurements . ->- * - .\iV -i ■* J -Sewage disposal system statistics‘ • #V ..M.- 1 I. «■ i.'SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should be Actual Should be ‘V- . •>Capacity GIs.CIS.S F S F S F SF ’ ?Distance from Nearest Well F 75 50F F F ' F F i ,} Distance from Lake or Stream F F F F F F Distance from Occupied Building 10 2020FFFFF F_ J5 t Distance from Property Line 10 10 10FFFFF F j)?1 i9Distance from Bottom to Water Table 4 4FFFFF F »-4•< ^ i V I.!. *-j ■f Inspector's Comments:%i A ■ V ■■i- i f: *: ■■■ - ni...> t I -?••4 iI 1.?'I 7.: trDate of Inspection 19___<i f • *:■: V Time of Inspection,M .*! . j.-' j- :Signature of Inspector sINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF “ Square Feet » Linear Feet Job Title 5 ,F ■■ f. Agency I MKL-0771-00 3-Backet 4 f . > 'M > . . -a*..f.? ' ‘ -dunk--vr V. ’ »i).: )-•:' -USi ■ 4A-C•- J *•V »! C' i .X-I t0 f: ;I .! H ! I I >■ iI rfII/I ‘i :f-r Nil!! GRID PLOT PLAN SKETCHING FORM1i I I I I.feet/mebe^. ^f i Scale: Each grid equals11 M ! M I ' ^ ■ ' ' ' : Ajpplication for Building Permit Dated Hl I Application for Sewage System Permit Dated .1 i i |j j:;}:; -ui.! L I4p4- . .. -H I i ^ li u- • 1 . I 1-! j .L. (, i-|-I -1 -j.-j.-i -1 ...» ‘ -j— i -f- j--i—I . i . ^..4. . -,i .4 -**< ■ - i 1 I ^ . . . i 4-. ^ *IU9, I ;.19_I I 4 1r-LU-. ■ .(-4-1-Building Permit Number ‘ -'-hr' • ■ • 4-1gg^ggg System Permit Number .I I j-I . i ).-j ( 1 . .(-j,.. ‘ -■ —1—I—■ -4--:-I—-i—- k. k-4- Applicant agrees that this plot plan is a part of application (s) indicated above. :34zxEu4r:ziniqblti-Ul. —Dated t I *- ♦'I . ... i... . I___1...~19__- . i-i--r-f- ~t"!Signatur*I4—1—-I 4,.. .-..-I . I -i. ^ 4~' ■ -fi— » »-t—■ * 'I -‘f -■•. *I f^iASln l^a^e iJi^uO ■<s< \ /o \ t / / -...r- / ; 1 I i -I i ;/I<.-—/i -I *v ,sj1 u'y^2^0^!' 0 To! ujOl^^4 % - ^ Alo rlC/v \ Ci;.f !j ~ff. PfSrl rt<^ f> I-'. •■ ✓ I .'v.( l'f,~ rti' K * \ 'TKPfcl /i a i t \ 4’I fH j-}:H iffl l Lt-:-M L-0871-029 ' ■ t i t H i- -.4.•f -4-f-t-f-t-(-f-r-’--|-:"T-r-; ■ , ■ i i ■ ififiiq-'M -i-i pq-T-p-.rni ..................................._i- -j.. 11.4 (, I j |. i-1-j -j. j-1 j.j j j- j I i j,_j 1 Ti I I 1 I 1 ! ! 11 ; i i ! ! ! 4- -(.-4-4r •i - - I 1 -i. -j.-j.. •i I.1 i . I-.if1fJ J (-I-1-!-i 41 nHi-:t - T-'"H- fit il--t -|. j. r MOT called FOR INSFECT \ f TO BE CO'IPLETED BY PERCOLATION TESTER 1 hereby attest that 1 am familiar with the minimum standards required by the OTTER TAIL COUNTY SHORELAND 'IANAOE>iENT ORDINANCE rep,ardinp, sewape systems and that the land elevation where soil absorption portion of sewape system x^ill be installed in not less than six (6) feet above the high water level of the lake, stream or flowape involved. Legal Description: # I- 4 01 /M- Owners Name Please return when completed to Land and Resource Management Office, Court House, Fergus Falls, Minnesota percolation test results. 56537.Attach a copy of the ! !KL-Q574-045 PERCOLATION TEST DATA Price $1.00 per pad. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 -3Ph. No.Owner:Mailing Address:JJm /<- f-/Last Name First Middle State Zip No./?cr':>/i A?ALegal __Description: 3 ^ /*//J^3 3? LAKE OR RIVER NO.SEC.NAME TWP.RANGE TWP NAME /3^ /,7.;? -/ Z-r^/CPif'c* ‘-'tTEST HOLE NO. 2TEST HOLE NO. 1 rzJ'Depth to Bottom of HoleDepth To Bottom of Hole,inches; Diameter of Hole Jnchesinches;Diameter of Hole inches Depth, Inches Soil Texture Depth. Inches Soil TextureDat19 Dat 19 * Test By_^ , S.I LU ----------- Percolation Firm Name y -<c c •f cc Firm NameDaUJ cc t LUV*^ f<-rrAddress.CC Address < C/)Otter Tail County License No..Otter Tail County License No..I-WLUMeasurement, Inches Depth in Water Level, Inches I-Measurement, Inches Depth in Water Level. Inches Time Remarks Time Remarks o/^///2_£±^ .. j?; I ^3 /CP Rf/ //7?7^/ CP 7 '7' I 2'-(7 tr 2 /2 CP Z5'72'3P Cp2//- a- 7 </2 \37 /f 7..;?■ Yf 2 ■- //* AHcr \ T 159179 ®MKL-0871-028 »icTo» i.u«etiN 4 CO rM.L«. Mil See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn.