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HomeMy WebLinkAboutMurray Point_35000160159000_Septic System Permits_APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - FERGUS FALLS, MN 56537 WHITE —Office YELLOW —L&R Inspector PINK — Owner/ Contractor 7^Wef &,L. 3LEGAL Permit No. ^^YesDESCRIPTIONAbatement: AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWR NO.RANGE TWP NAME 134 3% IFIRE OR LAKE ASSCCIATION NUMBER S6//r/ PARCEL NUMBER(S) ~QOQ ' \ (o~Ol%^-OOQ IDENTIRCATTON; Please Print All Information Mailing Address — No. Street, City and StateLast Name First Initial Zip Code Telephone No. Property Owner i/t) A Sewage System Installer Name ^3 E^3A Jfw.3B8r? ^63/state Lie. # A.M. ► This System will be ready for inspection on.the year of PM..at. This space tor office use only NUMBER OF BEDROOMS: A.M. .PM.GARBAGE DISPOSAL: ( )YES (-----) NOTime Rec’d Phone Call Rec’d ByDate Rec’d Year of TYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ( ) Septic tank ( ) Lift station (Alarm Required) ( ) Drainfield ( ) Trenches ( ) Bed ( ) Mound * ( ) Outhouse () Sewer line SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTS TANK DRAINFIELD Ft"GIs.Capacity Ft. Ft.Distance from nearest well Ft Ft.Distance from lake, wetland or river (OHWL) Ft.Distance from dwelling Ft.Ft.Distance from non-dwelling Ft.Ft.Distance from property line EFFLUENT DISTRIBUTION ( ) Gravity ) Pressure X Ft.Ft.Distance from bottom to Water Table All distances are shortest distance between nearest points( PERCOLATION TEST DATA:WATER WELL DEPTH * ABSORBTION AREA FOR MOUNDS Date of Perc TestPerc Tester ,ft2 Average RateRate of 2nd TestRate of 1 St Test 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 Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the respon­ sibility of the applicant for the permit to notify the County Shoreland M^d^gement that th^jqt> is ready for inspection7S'- /7-<?‘^DATE: 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 con­ dition that the person to whom it is granted, and his agent, employees and workmen shall 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. Issued Date: mt OfficeLand & Resource MiCO ' ‘—A Fee $.Rec #%UG 2 0 .1999Comments: 291.095 * Victor Lundeen Co. Printers • Fergus Falls. MinnesotaBK 079&^3 AIR TEST CERTiFICATlOh! SEP 2 2 1090r ^ ^W7-5‘? •On (date), an air test of the sewer line installed under ■iO'‘ (lake/river) was made. At that time, the sewer minutes. Sevyage Olspbsal^ystem Permit Number for (owner), on line held Air-pounds per square inch for is~ ^Insfiialler's signature DateLicense No. System design must be to scale and must include the proposed location of the sewage system, all existing/proposed buildings, property lines, the ordinary high water level of the water body and all water wells within 150' of the sewage system. GRID PLOT PLAN feet SKETCHING FORM/-S'Scale:grid(s) equals feet, or inch(es) equals SUBMITTED BY: /^| RnnRFNKAMP & SONS Excavating & Trenching -------Rt. 3 Box 63A______ Wadena, MN 56482 ----------631-3889------------- SIGNATURE: DATE: / 7-^^ MPCA LICENSE #: LICENSE CATEGORY: FIRM NAME: ADDRESS: : 1— sc>' t- \ \ \ i BK — 0496 — 029 SITE DATA LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls. MN 56537 %UGSdl9S9 « to* LAST NAME ^ OWNER: FIRST MIDDLE TELEPHONE NUMBER ADDRESS: 7 CITY ^7.0 5,Ia/.S'6Ht2-*STR./RT.STATE ZIP CODE ;z^/LAKE N/fYlE W.lA.SMld-/3V 3??* ^ RANGELAKE/RIVER NO.SEC.TWP LEGAL DESCRIPTION:SOIL BORING LOG — Date ,/Uc£-€e^ A erf 6rL, 3 COLOR & MUNSELL NO. DEPTH (INCHES)TEXTURE STRUCTURE BLOCKY PLATY PRISMATIC NONEPARCEL NUMBER BLOCKY PLATY PRISMATIC NONE FIRE NUMBER NUMBER OF BEDROOMS BLOCKY PLATY PRISMATIC NONE GARBAGE DISPOSAL: YES NO WELL CASING DEPTH:ft. BLOCKY PLATY PRISMATIC NONE FLOODPLAIN: YES NO VEGETATION: AQUATIC TERRESTRIAL BLOCKY PLATY PRISMATIC NONE SLOPE AT INSTALLATION SITE:.% TYPE OF OBSERVATION:Probe Pit Boring PARENT MATERIAL: Till Outwash Loess Bedrock Alluvium COMMENTS:. ORIGINAL SOIL:Yes No COMPACTED SOIL:Yes No DEPTH OF BORING:,ft. PERC TEST # 1 PERC TEST #2.- TWO TESTS ARE REQUIRED - TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATESTARTSTART TIME DROP PERC TIME DROP PERC TIME INTERVAL IMINUTESl WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERC TIME INTERVAL (MINUTES)WATER DROPWATER DEPTH PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL -r-------- =TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE . REFILL REFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL DROP“^ ___ =~nWTIMEPERCTIME DROP INTERVAL (MINUTES)WATER DROPTIMEWATER DEPTH PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL IMINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES!' WATER DEPTH WATER DROP P^RC RATEREFILLREFILL TIME ' pro"TIME DROP PERC PRDPDSED DESIGN: TRENCH,BED,ATGRADE.MOUND.HOLDING TANK,GRAVITY DIST.PRESSURE DIST, X OUTHOUSE.SEWER LINE.OTHER.SPECIFY:. — sysre/u DESIGIM ON BACK — Department of LAND & RflSOURGE MANAGEMENT COUNTY OF OTTER TAIL Phone: (218) 739-2271 Court House FERGUS FALLS, MINNESOTA 56537 ^(ah A lA/aj )Uh f kcyj Iajl‘' ib c June 11, 1999 MURRY POINT INC. c/o Sue Seheiding 920 W. Colfax Wadena, MN 56482 CCl4/\ RE: Septic System, Lot 1 except N 96 Rds, West Lake (56-114). Dear Ms. Seheiding: I am writing you this letter as a follow up to our meeting of June 10, 1999. After discussing your situation with Bill Kalar, Administrator of Land & Resource Management, we,decided that the septic system presently on your property is _- adequate to satisfy your Abatement with.one exception. r- / ( The greywater sewer line running from the main cabin to the bathhouse must be at^^y . least 20’from all wells. The hand pump well servicing this cabin-is less than 20’ / away. Furthermore, all sewer lines between 20’ and 50’ must be air-tested by a Licensed Plumber. Your sewer line has not been air tested. There appears to be only two solutions to this problem, either move the well or the J sewer line. Of the two, moving the sewer line would probably be the easiest. As long as the spot the sewer line leaves the house is at least 20’ from the well and is air-tested if it is less than 50’ from the well, your Abatement will be satisfied. ; i / i (yj\A Sewage System Permit is required from our office to do this work. Please havg) . , this taken care of by August 2, 1999. i- If you have any questions, please contact me at our office. Sincerely, IahGeorge Hausske Inspector ; GH/mls ! • xk OK) * r' • • *v V-. SEWAGE SYSTEM ABATEMENT NOTICE i LAND & RESOURCE I4ANAGEMENT COUNTY OF OTTER TAIL COURTHOUSE, FERGUS FALLS, MN 56537 (218) 739-2271' 1 Lake Number: (56- 114) Lake Name: WiLEAF I •• MURRAY POINT INC , ATTN SUE SCHEIDING 920 COLFAX AVE SW " WADENA, MN 56482 1752 I’ You are hereby notified that the sewage system which you maintain on the . vVfpllowing described property: .„UNPLATTED l,v SUB LOT A OF GOV'T LOT 3 LOT 1 EX N 96 RDS Sec:I Range:Twp:134 03816;. iParcel Number:Lake Assoc/Flre #:35000160159000 35000170169000 108093 j ■ is not constructed and/or located in accordance' with minimum standards of j the .Shoreland Management Ordinance of Otter Tail County. f Please: be advised that you must correct this before July 15, 1999. .should contact this office in order to determine what corrections and permits are required prior to complying with triis notification. You1 ■ ;• < . r Land & Resource Management Official - Dated 4/1/99 ■i- First-Class Mail Postage & Fees Paid USPS Permit No. G-10 United States Postal Service V address, and ZIP Code in this box • T^pR 6 1999 LAND RESOy^HO & RESOURCE MANAGEMENT County ot Otter Tail FerausFatts!*Minnesota 56537 « SENDER:I also wish to receive the follow­ ing services (for an extra fee):2 u) □ Complete items 1 and/or 2 for additional services. Complete items 3, 4a, and 4b.0)(Ag □ Print your name and address on the reverse of this form to thy r^mjgs^5 □ Attach this form to the front of the mailpiece, or on the b'^ iryiacedoes not si 1 ■ □ Addressee's Address 2. □ Restricted Delivery 2£ S, permit. iz □ Write ‘Return Receipt Requested' on the mailpiece below the article number. □ The Return Receipt will show to whom the ailide was delivered and the date O delivered.o . Article Number _ ] ®7^i 5^ E 4b. Service Type * 2 □ Registered ^^S5ertified □ Express Mail □ Insured □ Return Receipt lor Merctendise /□ COD ■g 3. Article Addressed to:4a. CLE MURRAY POINT INC 920COLFAX AVE SW WADENA, MN 56482 0>O flC D>COCOLU 3QCOOO7. Date of Delivei<i>•Z oc 8. Addressee's Address (Only if requited and c fee is paid) “ 3 5. Received By: (Print Name)I-lU |Eoq a 6. Sigi 2 ReceiptPSFc I Z 321 7^^ £25 us Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail (See reverse) Sent to Street & Number Post Office, State. & ZIP Code 1$Postage MURRAY POINT INC 920COLFAX AVE SW WAOENA, MN 56482 VTIIVM U u/atc> uwu*w>Return Receipt Showing to Whom, Date, 4 Addressee's Address Q.< o $TOTAL Postage & Feeso00 eo Postmailt or DateiOu_ C/D0. stick postage stamps to article to cover First-Class postage, certified mail fee, and charges for any selected optional services (See front). 1. If you want this receipt postmarked, stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier (no extra charge). 2. If you do not want this receipt postmarked, stick the gummed stub to the right ol the return address of the article, date, detach, and retain the receipt, and mail the artide. 3. If you want a return receipt, write the certified mail number and your name and address on a return receipt card. Form 3811, and attach it to the front of the artide by means of the gummed ends if space permits. Otherwise, affix to back of artide. Endorse front of artide RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restrided to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the artide. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested, check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make an inquiry. S2S<n£ in05O) Q. < oo00 CO .io (O102595-97-B-0145 •Q. FIELD NOTES 56-DATELAKE NO. ;LAKE NAME: Parcel No.: i7- o ic,H-e>ac> lb FIRE NO.:LEGAL DESCRIPTION 3tci> /-o’f ^ cr(jf /t?V“ S Uo-h I /J 9 6 OWNERS NAME AND ADDRESS: M, ^ y S<Aju Comments: ? SOI S^Z - Z752, SEPARATION DISTANCES(IN FEET) OUTHOUSEABSORPTION AREASEWER LINE TANK WELL OHWL SJ LOT LINE 1DWELLING3^ $ NON DWELLING GROUND ELEVATION @ vit>/ hJt tiREASON(S) FOR ABATEMENT: dxpJy <■ ^ ^3 //0«£^ ^^3^ f./'/.3 ',c.T ..r *>/ /• *''V /1 ------- /t^© '1^1^ — <"‘Ws A-A CA»^Vv /C'Vv^T,-l/>\ ^ '“2?"'^^ i < SKETCH ON BACK... Inspector's Signature(s) : N. \/\\\\/>. rii' V ■ D o I ^or ri<_\U- h»^J f'^f^ Wtll I •ft^ 3 VO I 3 <a t) &3 INSPECTION RESULTS \‘I ^3 OInspector must make all measurements IZ- s; ColX tSEWAGE DISPOSAL SVSTEM STATISTICS 2 - 3 ^ <I DRAIN fieldSEPTIC TANK SEEPAGE PITCATEGORYActualShould Be Actual Should Be Actual Should Be /6cc$Capacity '^P-QetfvZX ',SFGIs.Gls.S F S F ‘ \I/oa'^;/ooDistance from Nearest Well F F F F F F ;I 1sK : ->7r. Distance from Lake or Stream F F F F Fi ^ Distance from Occupied Building i ' >^'i\^3I 2_;F F F F F F y /O'/oDistance from Property Line . F F .F F F. ::4^3. Distance from Bottom to Water Table Co. 3FF .F F F Fi' { T>VVL^! ' a ' : Inspector's Comments: I wI _a>7 .:.\ yo-//-??Date of Inspection! J//30Time of Inspection Signature oninspoclorINTERPRETATION OF ABBREVIATIONS Gls = Gallons Job TitleSF = Square Feet F = Linear Feel MKL • 03208$ ■ Backer Agency /*T (3 V ^0,0Ui.r I N CAI i M P/u>ne<i inTo To SeurA^f caLi'h ^ uJAicr; r-r f : ^rort l^^^dOO SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTE WhiU’ — Office Yellow ~~ Inspector Fink — Owner to mAPermit No..LEGAL DESCRIPTION OdZJl -LmMyIf 25--151AND A //V L on-(- L/?kfi’ ____^ C> /(n 3 5! gJ L pn. La kR t\iLOCATION g j TWP NameLako Claasif.Lake No.Lake Name Sec.TWP Range IDENTIFICATION: Please Print All Information. Lost Name__________________________First Initial Mai.ling Address — No. Street, City and StateyAfyfit ls/ku'J.Tel. No.Zip No. 1 'OWNER 7m- i-lcfjj I / Tl n^M.-,mp"Th.ry I Scl^ I n F^CajJli-inn l^-n I B)or IbiSEWAGE SYSTEM ■ INSTALLER 9ai/-tJ lO-fOThis System will be ready for inspection on., 19 This space for office use only MO Plyone CallTime Rec'd A Date Rac’d Rec'd By Owner or Agent Signature , , ;^#6m8ER OF BEDROOMS: KoU3£ ^IrOOf^Si ESTIMATED COST; SEWAGE DISPOSAL SYSTEM DATA:5 SEPTIC TANK SEEPAGE PIT DRAIN FIELD fj ffrrO Gis. 5o+ Ft. ^O C Sq. Ft.Sq./Ft.Capacity Ft.Ft.Distance from nfearest well Ti, I I \75 f- Ft, .. Distance from lake or stream Ft.'Ft.• \/o Ft.• i Distance frbm occupied building f Ft.Ft. 7loo -f- Ft.Distance from property line / oO -T Ft.Ft. /o JO Ft..Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points •s ■ VRECORD OF TESTS: Inspectftfn was made on 19,, Time ,NI By j' 3.-J1-M... .... PERCOLATION TEST DATA: 'Ikf'jl 7r-. Date of First Test 19 Rate l^..,...../.Date of Second Test 19 Rate 1st Test Taken By 11 ^ .on s+ 2nd Test 7.../.First Test 2nd Test Taken By 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, 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 \ob is ready for inspection. , j f-31-A / /y J, ' Slgnatu^ ^ ' Dated. 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, 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. 3-M- 93 51'H 4 Issued Date: Shoro)and Managomont OfficeFee !i; fJO-OT)Rec If ;S3V3EOComments:etftT Form No MKL-032085 225239 — Vcioi lundeen Co , P<nte's. feians fars, MN[i APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - FERGUS FALLS, MN 56537 WHITE—Office YELLOW— L&R Inspector PINK — Owner/Contractor 7^irf s,L. 3LEGAL Permit No. .^^Yes (^NoDESCRIPTION Abatement:AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER ^ CLASSjAj (7, SECTION TWP. NO.RANGE TWPNAME FIRE OR L^E ASSCCIATION NUMBER f3^ 3? PARCEL NUMBER(S) '^o^.-OpQ-J (o - GOO .q > IDENTIFICATION: Please Print All Information FirstLast Name Initial Mailing Address — No. Street, City and State Zip Code Telephone Na Property Owner //LJo—, /ItIav . 2. 63 !■^S'^o Sewage System Installer Name /P3 B63A /JLi^.^J.,t^6-? /State Lie. It - %1 petn> This System will be ready for inspection on.the year of This space tor office use only NUMBER OF BEDROOMS:I ^A.M. .PM.GARBAGE DISPOSAL: ( )YES (- ) NOPhone C&\ Rec'd ByTime Rec'dirfcf TYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ) Septic tank ( ) Lift station (Alarm Required) ( ) Drainfield ( ) Trenches ( ) Bed ( ) Mound * luthouSe-^ ^ () Sewer line J EFh:UENlLDlSTRte(jl10N ( ) Gravity ( ) Pressure SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTS TANK DRAINFIELD Ft“(Capacity GIs. Ft.Distance from nearest well Ft. Distance from lake, wetland or river (OHWL)Ft.Ft. Ft.Distance from dwelling Ft.Distance from non-dwelling FL( Ft. Ft.Distance from property line Distance from bottom to Water Table Ft. Ft./ All distances are shortest distance between nearest points PERCOLATION TEST DATA:WATER WELL DEPTH * ABSORBTION AREA FOR MOUNDS Date of Perc TestPerc Tester .ftz Rate of 2nd Test Average RateRate of 1 st Test 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 Tall, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and sprecifications submitted herewith and which are approved by Shoreland management Official shall become a part of the permit. Applicant further agrees that no part of the system shail be covered untii it has been inspected and accepted. It shall be the respon­ sibility of the applicant for the permit to notify the County Shoreland Management that the jc^b is ready for inspection. ^ DATE: ^ _________________ f/i-'i \ ^ 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 con­ dition that the person to whom it is granted, and his agent, empioyees and workmen shall 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. e.Issued Date: Land i Resource MandgamOnt OfficeGOc: Fee $.Rec # Comments: 291.095 ■ Vetor Luitdeen Co.. Primsrs * Fergus Fails. Minr>esouBK 0795-003 INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS \ DRAINFIELDHOLDING SEPTIC TANK LIFT TANKCATEGORY Actual Minimum Capacity GLS. FT®GLS. Distance from Nearest Weii FT FT FT Distance from Buried Water Suction Pipe FT FT FT 50 Distance from Buried Pipe Distributing Water Under Pressure FT FT FT 10 Distance from Lake, Wetland or River (OHWL)FT FT FT Distance from Dwelling FT FT FT 10/20 Distance from Non-Dwelling FT FT FT Distance form Nearest Property Line FT FT FT 10 Distance from Bottom to Water Table FT EL FT 3 Holding Tank/Lift Alarm YES NO Old System Pumped & Destroyed YES NO Sewer Line to Well Separation DRAINFIELD CALCULATIONINTERPRETATION OF ABBREVIATIONS GLS. = Gallons FT® = Square Feet FT = Linear Feet Actual Minimum FTX FT 20 Mil MOUND CALCULATION ROCK REDUCTION Inspector's Comments:ABSORBTION AREA Rock trenches with inches .Ft. X of rock under pipe for .% Ft2 .ft® DRreduction / equivalent to SKETCH: \* Department of LAND & RESOl^RCE MANAGEMENT COUNTY OF OTTER Phone2ia~739-2271 Court House Fergus Falls..Minnesota 5^37 MAUCOtM K. tCE, Adminhtrstor tail May 13, 1986 Franny Murray S£ 5th Street Wadena» MN 56482 fi£; Sewage eystem for lake lot Dear Ms* Murray: As per our telephone conversation of May 2, 1966 an onsite inspection of the e»ti8ting septic tank, on your property was conducted on May 5, 1986. This inspection revealed that this tank ia a porous rather than a sealed tank and is located 64 feet froasVest Leaf Lake Tacher than the required 75 feet* Since this is the case, we can not approve the use of this tank in its present cood it ioln'and location.-.' If.-you have any questions regarding this matter please contact our office. Sincerely, on West Leaf Lake (56-114), ^ /5 /a\ ^ A ^ 0>a^ to, 'fA \ ' /*Vos «sr- Bill Kalar Asst. Administrator i imgb i ■j^tQ d(^ ^ /ncn^eJ. osu^r SHORELAND MA^iAGEMENTOflD^NANCE - DtVtSION OF EMERGENCY SERVICE - SUBDIVISION CONTROL ORDINANCE SOLID WASTE ORDINANCE - RIGHT-OFAVAY SETBACK ORDINANCE - FUEL AND ENERGY COOROlNATlQN SEWAGE SYSTEM CLEANERS ORDINANCE - RECORDER. OTTER TAIL COUNTY PLANNING ADVISORY COMMISSION / I icT/ V, - ♦' •I #« > CUUN I Y Luun I l-IUUiC Pink — Own*' Cord-0-n*»Phone 218*739*2271 - Fergus'Falls. Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM pFtAIN FIELDSEEPAGE PITSEPTIC TANKCATEGORY •' - Should be\Should be Should be Actuel Actust Actual ysssaLoi / AJ %Permit No.Capacity /3oo GIs.GIs.SF S F SF S FLEGAL SO. Distance: from Nearest Well ^75 50, e>fc fj-u, / \J F F F F FDESCRIPTION 7‘TDistance from Lake or StreamAND F F F'F F F -BQ -3t- J,mLLiU Lake &las«IL Sec, TWP____________Range________________TWP Name LOCf^l ION Lq1_20Distance from Occupied Building 10 20FFFF F Lake No. Lak lame Distance from Property LineIDENTIFICATION: Pleate Print All information./6 1010 10 F F F F F F Tel. No.Zip No.Maillinfl Address —No, Street, City and StateInitialFirst Last Name <7F ,<y AmJ Distance from Bottom to Water TableAtkun 33FFF F F'FOWNERT SEWAGE SYSTEM INSTALLER Name. ^ Joo^ CtacJ" __-9/ _ Inspector's Comments;I/-//r fC ~ ^^o'fn This System wit! be ready for inspection on This space for office use only aa f Crx19____X ' •->r-/? ,.«f ic II y pk eta Rac'd Time Rac'd mone Call Rac'd By /.W Owner or Agant Signature % ■ Uo /V G ^ ■ ' ~ Ae'i 7 /NUMBER OF BEDROOMS:ESTIMATED COST:.*C&a{cJ\r ui'Cj,SEWAGE DISPOSAL SYSTEM DATA:(nffi’ SEEPAGE PIT DRAIN FIELDSEPTIC TANK /If ISO.Sq. Ft.Sq. Ft.GIs.Capacity 1so ■ to^t^A/lOri Ft- . - 2i0 „ Ft.Ft.(VIDistance from nearest well 7 A1:75:7C Et,Ft. L/i 5r J Ft.Distance from lake or stream 7y /■AInspertion_lV Date of-Iuy VFt.Ft.Ft. /n : \n Distance from occupied building /A ;JJl Ft.Ft.Ft.A- Mnictartro frnm nrnofirtv line Time of Inspection -7 Ft.Ft.■t. '2^*7 7 '' Slgna^re of Intpec^rT nearest points S'Ud-f Lie)INTERPRETATION OF ABBREVIATIONS/kui Y Gla " Gallena1SF " Square Feet Job TitleBy....F .“ Linear Feet .s... 19^...I;Rate.Agency MKL*0‘77 l*00;^Backer...SSI., Rate....../^..C).1V r 19 r0 V'elF„?....-..A.l.2A K/ avvt p YQU lCw. r(pu^ y Disposal System herein specified, agreeing to do ell such work in lal StJWege Disposal Code Minimum Standards sot forth by Minn* lerewith and which are approved by Shoreland Management Off i* e covered until it has been In: , job isjieady for inspection. spected and accepted. It shall be the ':S70If) gjyDated. 0-granted to the above named applicant to perform the work described in the ebove statement. This permit is gra it is granted, and his agents, employees and workmen shall conform in all,respects to ordinances of Otter Tail County Minnesota. nted upon express'Permit: Permission is hereby .'Condition the person to whom This permit may be revoked at any time upon violation of anyjaid ordinance. NOTE: Permit^oid if work'is not commenced within six (6f months./!) AaL JqJSdJpPQ^ (c W0Ci? Shoreland Manageof^t OfficeIsued Date:. 2D^r£.Ca<.lFee $,V c> o 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 — Ottica Yellow — Inspector Pink — Owner Mx- ^ GL3 mbPermit No.,LEGAL '-6DESCRIPTION AND 5^-//V LoA- R.b L rVi ( L r. k/ 4^ i ■^‘■1N TWP LOCATION C > TWP NameLake Oassif.Sec.RangeLake NameLake No. IDENTIFICATION: Please Print All Information. Last Name yQ First Initial Maying Address — No. Street, City and State Zip No.Tel. No. OWNER T^x-t y I I lx txCiujd^i^I gx>A IblSEWAGE SYSTEM INSTALLER Name I T/i/s System will be ready for inspection , 19.on. This space for office use only 19 M Date Rec'd Owner or Agent SignatureTime Rec'd Phone Call Rec'd By Sai-h Koine JlNUMBER OF BEDROOMS;ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD Sq. Ft.I ^ mrC 5qF Ft. GIs.Sq/Ft.Capacity c Ft.Ft.Distance from nearest well 7^ b- Ft.Ft. Ft.Distance from lake or stream Ft.Ft.Distance from occupied building Ft. (CfO F-Distance from property line Ft.Ft./ qO j- Ft. /o JO Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time ,JVI By ... ........i.T...I...\..-.^..^. PERCOLATION TEST DATA: 1st Test Taken By Date of First Test ,, 19 , Rate Date of Second Test 19 , Rate t •. oHSI •+ 2ndFirst Test 2 Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn­ esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi­ cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. , /- Si- gf Signature Dated ■fcr Permission is hereby granted to the above named applicant to perform the work described in the above statement. This p*mit 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: y7is/MShor^and Management Office Issued Date: Fee $Rec # Comments: Form No. MKL-032085 225239 — Victor Lundeen Co.. Printefs, Fergus Fds, MN tf. SHORELAND 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 mtPermit No.,LEGAL < !■ DESCRIPTION / ^ OaXh 'L/Fiidty 25-- ^5?AND ' /^/‘-j L P/,-( L/tL-.LEJ5/L''j '!> uJI IMLOCATIONyir - TWP NameLake Classif.Sec.TWP RangeLake NameLake No. IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State Tel, No.Zip No.InitialLast Name First / lyj. y/Ff A-i5t ^ '^K-cj •/q td/h \2t\LA5ff HO r tzZt. TfiT~ OWNER i , Sr h ,1 }~h:uji inK I iHf IbiFCV CXiAXi.il/Yf a '?00-SEWAGE SYSTEM INSTALLER TName_L 11 f I -I o ?T9 O ^010-fOThis System will be ready for inspection , 19,on.i This space for office use only iNdO_„I3 -iDate Rec'd Owner or Agent Signa^tureTime Rec'd Phone Call Rec'd By ■-•I ■! NUMBER OF BEDROOMS: ^ .ESTIMATED COST:0t5 ■'i I ■ . SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD /j <toO GIs.5^0 O Sq. Ft.Sq./Ft.Capacity /qO-+Ft.Ft.Ft.Distance from nearest well ,.70-f Ft.Ft.Distance from lake or stream Ft..-.I',5 Ft.Distance from occupied building Ft. Ft. /OO -hDistance from property line / o o Ft.Ft.Ft. /o IQ Ft.Ft. Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points IRECORD OF TESTS:I Inspection was made on 19,, Time ,JVI By ....^....L. .... ... PERCOLATION TEST DATA;Date of First Test , 19 , Rate 1 Date of Second Test 19 Rate! ■ 1 ■i 1st Test Taken By ■1 7?. <7 75+ 2ndFirst 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 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. Agreement: /-q/ ^9 !;Dated Signature Permission is hereby granted to the above named applicant to perform the work described in the above statement. This pel-mit is granted upon express condition that the prerson 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: 9^1 /J/2,/' /// ' Shonland Management Office Issued Date:_____ Fee VJ Rec # ISSUEDComments: Form No. MKL-032085 225239 — Victor LumJeen Co., Printers, Fergus Fans. MN 3 c^ to Cj c3 St:II ^INSPECTION RESULTS •S 8 \*r ^ oInspector must make all measurements iz. I eotX 2 - 3 ^ "s' X 2U SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Actual Should Be Capacity WAOe^-A /COO Soz.GIs.GIs.S F S F S F S F +■(JoaDistance from Nearest Well /ooFFFF F F 75^ F 7rDistance from Lake or Stream F F F F F '7^ 4 Ui(f_ ____ 33Distance from Occupied Building I 2-F F F F F F rt-/CJ /ODistance from Property Line F F F F F F . -PZaDistance from Bottom to Water Table 3 3F F F F F F y y L Inspector’s Comments: 'V' ■ t'-' ■ ^ ■ i- Date of Inspection //}3oTime of Inspection n!^Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job Title ^ MKL - 032085 • Backer Agency i /0^^ \(3 V ^0 3 U^j ► iS^}.fc'' -**«-**•**-** -S(L' SmSgigc£&u iLmm}]'{‘ '/j ^m/VI CERTIFICATE OF APPROVAL SEWAGE SYSTEM H (»^S9PecembeAday ofThis certificate has been issued this to certify that the sewage system installed as per sewage permit number indicated below has been appnn ..! for use 191.5' iis I by Otter Tail County, Minnesota. I a The premises covered by this certificate are legally described as:W M'£-; wi.Lak^t.Range134Sec. 1 b56-114 MipiH Twp.Twp. NameLake No. m Sablot "A" oi Gl 3 Kdj to Pebble Bay "Bathhoiue"il'.fi » II Owner: Name Uii/i/iaij Potyit^ Jne. % RobeAt Joiet______ l^tdland. MI ■s km m lion .^eott StAeeXAddressI 4S640Zip No. Malc*)lniV. Lee, Land & Resource Management Administrator Oiler Tail County, Minnesota mh.m Permit No. SP Signed by: !' ft)'S*''! MKL-0987001 « m-wwit. r. 243,984 — Victor Lundeen Co.. Printers. Fergus Falls, Minnesota feet/inches GRID PLOT PLAN SKETCHING FORMScale: 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. ^2 * r ^ u 7 21598 7®MKL-0871-029 VICTOn LUNOECN CO.. PniHTERS. FERGUS FALLS. UINH. 215502® VICTOR LUNOEEN CO,. PRINTERS. FEROUS FALLS. UINN.MKL *0871 -028 PERCOLATION TEST DATA LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. Owner:Mailing Address: - / /Cast Name First Leg -^ Lt.y|<.e Zip No.StateMiddleSt. & No.City Legal Description:L AcS'LL TWP NAMESEC.TWP.RANGENAMELAKE OR RIVER NO. TEST HOLE NO. 2TEST HOLE NO. 1 10 r^.z Depth to Bottom o1 HoleDepth To Bottom of Hole.inches; Diameter of Holeinches;Diameter of Hole inchesinches // Depth, Inches Soil Texture Depth, Inches Soil TextureDate.Date /APercolation Test By____ Percolation Test Bv .7^,/Q Jl f y t*FirmName.'7Firm Name. Clo:Z LU CC '77 LUAddress.GC Address < COOtter Tail County License No..Otter Tail County License No..H-coLUMeasure­ ment, inches Time Intervals minutes Drop in water level, inches Percolation rate minutes per inch Time Interval, minutes Measure­ ment inches Drop in water level, rate minutes per inch PercolationRemarks:Time Remarks:TimeO inches5 //a ‘t H dior3Z/oMl J ^/O.4 Y 3/La /a MQ_-?:Z i V W y-t/01 a ■ >0CIdA2sc/-, to yc>^ y)^ aw % LLX nay ±01XT '_______minutes per inch ..z /See Booklet. "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN Percolation rate -.minutes per inchPercolation rate \ 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 Cord — Owner Permit No.,%LEGAL DESCRIPTION AND /7 /'?^ .??>MSb-nlLOCATION £_; Lake No.TWP Name..Lake Name.Lake Classif.. . TWPSec.Range IDENTIFICATION: Please Print All Information. Tel. No.Zip No.Initial Mailling Address —No. Street, City and StateLast Name First MlOWNER f SEWAGE SYSTEM , INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only ,19 Date Rac'd Owner or Agent SignatureTime Rec'd Phone CaU Rec'd By /NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD 2M7f<7) Gis.Sq. Ft.Sq. Ft.Capacity smiso.Ft. Ft. Ft.Distance from nearest well Ft. Ft. Ft.Distance from lake or stream Ft.Ft. Ft.Distance from occupied building Ml MLDistance’from property line Ft.Ft.Ft. 3^Ft.Ft.Ft.Distance from bottom to Water- Table AH distances are shortest distance between nearest points RECORD OF TESTS; ... Time .7,:r/0..... ............................ lUO..Inspection was made on By:ttZK , 19 fC...PERCOLATION TEST DATA: -Alf __1st Test Taken Sy Date of First Test Rate , 19...^^.., Rate.........Date of Second Test A!-f 2nd Test Taken *3y %2-....2....First Test.....ff............-I- 2nd Test 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 jobjsjeady for inspection. Signature (./D <JuhDated 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: K) MuL 19^5Issued Date: 20 CaskFee $ ^ /2LComments;. Form No. MKL-0771-003 Review battle lake, Minnesota — JP--,'-3»■ vr-'^wa.. t -•wynfi.'T" 7”^ fr'r' • r- »..‘I.V \:>■t,.y, .f.-; c INSPECTION RESULTS)'y ' ' ' Inspector must make all measurements.’SSr;:Sfe ■ -r r :• SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGQRY Should beActual Actual Should be Actual Should be \ Capacity GIs.GIs.S F S F S F S F Distance from Nearest Well 5075FFFF F F Distance from Lake or Stream F F F FFF 20 2010Distance from Occupied Building F F F F FF Distance from Property Line 10 1010FFFFF F 3Distance from Bottom to Water Table 3FFF F F F \Inspector’s Commettjts: I > v' Date of Inspection .19.. ...'.V \,*• 1 Time of Inspection.M . T . i- r. ' " V.'\'" 'V I '%*• *•' Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs * Gallons SF ■ Square Feet F * Linear Feet \\i ■A'•%w, Job Title ■■. • .t •' r . ■ -ft. , i -'»a w'--i’ ."!• ii ' . ft. ' '••.■•.‘'m-: i,. ’. AgencyMKL-0771-003-Backer K . ft ft. >4-- ' .j*!? '-It'j n* r ,iiin fi ■ fft • ■:V*• .■ ■ K ■ . » ..V fV. ■ * ; {r’..; . . ■■■‘4'fc o V.. -if-Wi'' is..x - i, f) :-i■' •sr. i'-.-n. vf iy.'''. , (. /.’s' • -d-i , fit ; f 'V': ,>'’*T ■ -n ‘-'(.T i. • . ■ r 'it .<■ -iS' ■ ■ :’ni . •ft ^ ft; ‘lu il V 'Tht.-, r. ;.;4l I'•I e-.::ft 'ftv ^V. ‘ “ ft.s^, ‘ . ■ V -.S • * '■v ' ■ - I ft..X ' V . -t- ^1-; .'t V '1 *V ft t«.i . •> \ *1 >• 1 1 ^ u.: . V a *-s\X'Aftftft'A’l ■ )ftv; V ■ ■ .. - V ■ ^ A •ft. y k- - ■•r ft ......ft /II. V-- irf*'• *e,;,s. 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 White-Offl™ Yellow — Inspector Pink — Owner Card—Owner AJ % fiji:Permit No.,LEGAL DESCRIPTION , C>k Ao fS-LL. AND zz/'9('>aaJ_m /JJA /a.LOCATION TWP NameLake No. Lake Classif.TWPLake Name Sec,Range IDENTIFICATION: Please Print All Information. Tel. No.Zip No.Mailling Address —No. Street, City and StateLast Name First Initial f- ■i Ai/iy/U h< i Mi ■h 'OWNER s.; ■AC4-i SEWAGE SYSTEM INSTALLER Name, This System will be ready for inspection on.id , 19. This space for office use only pkTime Rec'd ^one Ca .19 Date Rec'd Owner or Agent SignatureII Rec'd By NUMBER OF BEDROOMS:ESTIMATED COST:/ SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD .f.—,/GIs.Sq. Ft.Sq. Ft.Capacity 04^ Ft.Ft. Ft.Distance from nearest well zs:Ft.Ft.Ft.Distance from lake or stream i in Ft. Ft.Distance from occupied building Ft. V_\m./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: ... i9..£5' , .... ... ...... 19 ...... 19....^^.., Inspection was made on Time By..... PERCOLATION TEST DATA:Date of First Test Rate L..dDate of Second Test Rate..........r,:’ngat\ 1st Test Taken By 2 .0..y/First Test.....a.+ 2nd Test o‘**y Rate2nd Test Taken By 2 The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn­ esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi­ cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. Dated Signature Permit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. \0i i'y ! / _________ Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express 1 / Issued Date: Shoreland Management Office Fee $QasK // / Comments: Form No. MKL-0771-003 [^eviiw BATUC LAKE. MINNESOTA ■WF I' 7t '*4 -■ INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should be Actual Should be Irc Capacity /loo GIs.GIs.S F S F S FS F2^ 5-0Distance from Nearest Well 5075FFFF FF 7iu‘251.Distance from Lake or Stream F F F F F F io^20 2010Distance from Occupied Building F F F F FF 10 10Distance from Property Line /O 10F F F F F F 3Distance from Bottom to Water Table 3F F F F FF ifir"Inspector's Comments:M Joc»^r]C "•lerCa. ^oi'D ^ d^Oi ^ ______________________________ <x^Crx ________________nnai^ltPil'P______________ Ajto^ l,\yf ^ iJo ^ceuSrj'A^ ~ cJdryy^ {x> ^ ________/la'/ — /u5^ h t^O^Kr'y ^/c ( ((- /jo I((VlV4 f A 20 2}L ST5 ■ 105 1 1Date of Inspection /o: 3>n Az-MTime of Inspection 7 T y-r/ z'/ ^ /Slgna^re of Inspec^rINTERPRETATION//OF ABBREVIATIONSGIs• GallonsSF■ Square Feet Job TitleF* Linear Feet iV "fvtAv AgencyMKL-0771-003-Backer 75 (/ JLJ) t 0 ■ f 215S02® VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. UINN. -PERCOLATION TEST DATA ;D AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. oc r ^ M^ ____LaitMSiame Mailing Address:Owner: v5^UJet- cf.t C ut A— Zip No.StateFirst f CityMiddleSt. & No. n> raJ ^ /T'e.Legal Description: /3 e UJ a. js. TWP NAMESEC. ... TWP.. / , RANGE/V 9Lp ?f4SNAME j 4v-e. o c4LAKE OR RIVER NO. , T) C ^ fj T \ I TEST HOLE NO. 2TEST HOLE NO. 1 Q CoDepth to Bottom of Hole inches; Diameter of Hole jnchesDepth To Bottom of Hole inches;Diameter of Hole inches jt i>7/19 ^ ^19 ^6^Depth, Inches Soil Texture Soil Texture / L.cc^ /oDepth. InchesDate Date _____ ,, P ¥ V 0 - 1-H iSa-^ i-U Percolation Test By___ Percolation Test By .Ho a.VZJt.Q/ 7 111FirmName.F irm Name.OC aLU cc. 'r^ c. ( - ^ UJAddress.(O CC Address f < inOtter Tail County License No.,Otter Tail County License No_1-in\LUMeasure­ ment, inches Measure­ ment inches • Percolation rate minutes per inch Drop in water level, inches Percolation rate minutes per inch h-Time I nterval, minutes Drop in water level, inches Time Intervals minutes \Remarks:Remarks:\^Time Times.o I-I n57$uS^fO jpf 2>C.OL^v%: 1'^, ^ S ^ // rdy 7^ifCM.~ I ^2>L . cf11 IM R7it, t-g LI4 "1..6 >S_4J< , 50. t ■ 3t>?—w 3.%f.a/ <!t,Qi-n* (ui 52S !30 . ?frO/■9 iCo ILt£/^5(|(>6 1.0/<■ : L A?i2z /./5V'..J.k A6^ /Ik A R_a /. Q See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN, Percolation rate =.minutes per Inchminutes per inch Percolation rate = I<3M 7f I ■ 1 :i V-\i:\ \\>\i wAV i■1 \\ I o \\'>3 \ . (>“. > , H ; I t.v'^ V) 9&;; USC^f<L 7 flrCO;:f 4 sf h■{O' \I i (iJ r '!__>J>esh_ , /va^d L )i I !I■u'fi II -T :_■//I iI i j —- - •!;/:-Ii !II j- 4i I f■~ VO 14 c r'/-t.: '1; Si( ^/‘ y-i Ho ./» / J? rc//* (? 6 r/t--r --iii ^ '/v ^l>$- .■* w<-fi trf y n /(4.I ^ - ; :1