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Home My WebLink AboutLutheran Island Camp_8010522_Shoreland Permits_OTTER TAIL COUNTY. Grade & Fill Permit * 7374 PROPERTY OWNER cl-y ^ac:>vcv^<ju L,Uc^ LAKE N0._5CrlV±__ SEC, TWP. NAME LyyVavj Gc lieLEGAL DESCRIPTION; WORK AUTHORIZED <Xv ■Argt o4 to*»>^Vop vj^’vVNfs^ . m.z> Os. Ok.v«.o..<; o\u Aroi^^r<.v% vp'vVK. \qV<..cVl ^ rTWAV^Vx^ ov ro\ VQ^'O \v\^ Sys. ^‘nSoi - NOTE: This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work is to be done, & shall be maintained there until completion of such work. NOTIFY LAND & RESOURCE MANAGEMENT, 218-998-8095 WHEN AUTHORIZED WORK HAS BEEN COMPLETED, & ^~(~cC1. EARTHMOVING SHALL BE DONE BETWEEN L.-4~l< r »2. Entire area shall be stabilized within 10 days of completion of any earthmoving. 3. Owner is legally responsible for all surface water drainage that may occur. 4. No fill shall enter or be taken from the beds of public water without a valid permit from the MN Department of Natural Resources. 5. If the terms of this permit are violated, the entire permit may be revoked and the owner may be subject to legal prosecution. 6. Erosion control measures must be implemented prior to any topographical alterations. < \ APPLICATION FOR GRADE & FILL PERMIT TOPOGRAPHICAL ALTERATION / IMPERVIOUS SURFACE Land & Resource Management Government Services Center, 540 West Fir, Fergus Falls, MN 56537 218-998-8095 www.co.otter-tail.mn.usOTTER TflilCOlITT-BliNIIOT* Permit No.PLEASE PRINT OR TYPE ALL INFORMATION RANGE TWP NAMESECTIONTWP NOLAKE/RIVER CLASSLAKE/RIVER NAMELAKE/RIVER # 37 ra.rd/Tja^^ryu IjxMe,Z!133AJ£ PROPERTY (E-911) ADDRESSPARCEL NUMBER(S) Gouorr\rr\'^-\- U>i^ I j7.| E^lz-______ ■^s LEGAL DESCRIPTION /95 Ad. DAYTIME Phone NoMailing Address ______, 45011 First InitialLast Name o-f Crejvhan^\;u8'583^/034'Property Bill 5oJr\u^Hi Henning, mM s'^ss/Owner Contractor Name Lie.# NOTES: 1. A Scale Drawing & Impervious Surface Worksheet must be included with this Application. 2. The lotlines and project area(s) must be identified & staked onsite. 3. If project disturbs more than 1 acre of land, you must obtain a General Storm Water Permit from the MPCA. Date Stamp RECEIVED JUN 0 3 2015 LAND & RESOURCE Tlir'L&R Initial LOi eJen oLrL 'fr^ryr\ /V fesh DESCRIBE YOUR PROJECT(S): ^ ccpproaciH rht d QmXj ib L C77L5l'l'e.LO/^ TOPOGRAPHICAL ALTERATION: AREA TO BE CUT/EXCAVATED:Ft. X M Ft. - 27= V/ Yds^^ O Ft. X Length Ave. Depth Yds^Ft. X Ft. - 27 =WALK-OUT BASEMENT PROJECTS: (Outside of the building foundation) Ft. X Ave. DepthLength Width (V^JM 4 ~1 I Yds^Ft. - 27 =Ft. X Ft. XAREA TO BE FILLED/LEVELED: Ave DepthLength Width Yds^TOTAL EARTHMOVING REQUESTED Ft.Ft.BACKFILL AT FOUNDATION: Max Depth Distance From Foundation CULVERT:If Yes, must indicate size and location on drawing. wYesNo IMPERVIOUS SURFACE BUILDING: Existing (pT^ % Existing % Proposed Proposed ^ %IMPERVIOUS SURFACE TOTAL: %. ///aiUiSh^''A 7^01-T-3^//aA Signature Of Prdperty Owner/Agenf For Owner Receipt Number 04-2014 ■ F,. JUS Falls. MN ■ 1-800-346 48703134,2F3 • v'.i Interactive Land Viewer - Otter Tail County, MN - Bigger - Better - FASTER Page 1 of 1 Q> !:l X »Otter Tail County, MN - Interactive Laid Map (Parcels) Flex Viewer V2.5H About ' BasemaD.___Topo 2013 Photo Enhanced SeV ^ 2010 2009 2008 2003 1992 2012 Fergus Falls 2007 Fergus Falls ii''v ( ^ / i 71 < ■I V. ■-/2uuuia'ii*var I 51*mI mmm I 1i :: \' X240TH ST _hr I ' >K I y I500 m I—Hot-to-b&rUSBd-a^ a fegal dmcription II s http://www.ottertailcounty.net/flexviewers/land/index.html?search=29000210148002 6/3/2015 SCALE DRAWING FORM Tax Parcel Number(s) The scale drawing must be a signed drawing which includes and identifies a graphic scale (feet), all existing and/or proposed structures, septic tanks, drainfields, lotlines, road right-of-ways, easements, OHWLs, wells, wetlands and topographic features (i.e. bluffs). Must also complete the Impervious Surface Calculation (see back). /incJx- lO-Ffei Scale If\ f \I (IaaX:\ HoHoI 'Applets 55) f ■ jjrijj'f I I \U / / ^ - i SignatureiOt ProperNjOwner iate> BK — 032014 354,120 • Vu tuf ujirvJt-...r-i.y • t’-r-ous Fails WN • i-800'346-4870 IMPERVIOUS SURFACE CALCULATION List & identify all existing & proposed onsite impervious surfaces on scale drawing. Lot Area (ft^):Date:Signature: Other Impervious SurfaceBuildings Existing ProposedExisting Proposed Ft^ Ft^Ft^Ft^ Deck(s)Dwelling Patio(s)Attached Garage Sidewalk(s)Detached Garage Landing(s)Storage Shed Driveway(s)WOAS Parking Area(s)RCU Retaining Wall(s)Miscellaneous Landscaping (Plastic Barrier) Miscellaneous TOTAL OTHERTOTAL BUILDINGS Buildings Impervious Surface Percentage Maximum Allowable 20% Lot Area Impervious Surface Ratio TotalExisting Proposed Ft^Ft^Ft^Ft^Total Buildings 100+-r X = Buildings + Other Impervious Surface Percentage Maximum Allowable 25% Lot Area Impervious Surface Ratio TotalExistingProposedTotal Buildings + Other Impervious Surface Ft^Ft^Ft^Ft^ 100+-r X =: Impervious Surface Calculation Worksheet 03-25-2014 PennitNo. MS''N Completion Date APPLICATION FOR APPROACH OTTER TAIL COUNTY PUBLIC WORKS DIVISION APPLICANT’S NAME MAILING ADDRESS ^/>/V % _______ E-MAIL ADDRESS f ^ fihy- TELEPHONE NUMBER; 3-/8-rS CONTRACTOR’S NAME DATE__ CITY, STATE, ZIP ,y / ^'''*n^ce/cell -r^rr/ Xe//g '- dMoBCiA Mmsieii SECTION ^ /APPROACH LOCATION; COUNTY ROAD NUMBER X" TO^WSHIP DRIVING INSTRUCTIONS FROM CLOSEST jNTmtSECnON OR BLUE ADDRESS NUMBER; %H 1______itOz-Tc fo'p fiF Kt // ____________ !• ; ■ .■WESTEASTWHAT SIDE OF THE ROAD WILL THE APPROACH BE ON? NORTH _____.SOUTH REASON FOR APPROACH; £ v' ff'T,^ APPROACH TOP WIDTH REQUESTED; ^ HOW SOON IS THE APPROACH NEEDED: ________ IS THIS APPROACH REQUEST WITHIN 1000’ OF A LAKE OR 300' FEET OF A RIVER OR ANY OTHER TYPE OF WATER? DISTANCE? : ;} . TYPE OF WATER.NOYES Except as may be caused by the sole negligence of the County or its employees, Contractor shall indemnify and save harmless Otter Tail Counfy, its employees, and its ^ents fiom all claims, actions, demaods, and judgments of any kind arising in whole or in part fiom any act or omission of Contractor, its subcontractors, and their agents, servants, or employees, incidental to &e performance of the contract and from all expenses in connection with such claims, actions, demands and judgments, and shall assume, without expense to the County, the defense of any such claims, actions, demands and judgments, irrespective of whether it is alleged, claimed, or proved in connection witir such act or Qmissioti that negligence of the County or its reprroentatives caused or contributed thereto. DATEAPPLICANT’S SIGNATURE n OVER OFFICE USE DEPOSIT REGIEVED CULVERT COST CULVERT PAYMENT REC’D APPROVED DENIED COMMENTS Maintenance Supervisor Date This approach will be approved providing all conditions with the Land & Resource Managenient Office are met COMMENTS:on Land & Resource Management Date [>cc: •5?.',f6^,r^ ifri* :i- 4m .. • ./--f £qu3lsl00fc6t t\ IMM 1 i ■•■-■■-.^f■' ;^'"V - ..:r"‘i'- 5*‘ ,!'•' *.' ’■# >■’.«v'4■ ‘ *'* ■" i‘^' •: •. . ,*..............."x. ' , .v- • . , ..• ' , -;i.' m,f .4;?: v,% ■#■, ;. r ’*» r'■ 4':-; , f .• v.'sfr '. ^Vy ■- /':■; ■ ■■ -■■<.* '^ ^'4fey;c,: •-..V' icampsitf* / , .?■■■ •f :■■£ ->£\r^!..-V■ ■ -,4.\i i.#H m isscy'^y\. \ ''•.'; t •• **M£M£S0m-V 4 ■ -X Vm£££:£yyZ:'0 ■■ :£:’yr^££ f-*x; ■■r:M£-‘: ;-4My- ■Mm S' .1; I . .,. GooqIcearth rm»-3.'c> r^iu?. *‘vM ?nn. ^6nn<'^.u’‘h 9<i’a fU-.' Uof^f, -''00 •-»! • •'/,:.</■ V XIim v:'<--1". »rr >,nohO mm :♦ %‘f:>!■/, •i/ ‘ 'T' *V ■'. ,A'. • ’';;.r'/'J. 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