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North Star Resort_16000360205000_Septic System Permits_
Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Center - 540 West Fir Fergus Falls, MN 56537 PH: 218-998-8095 Otter Tail County’s Website: www.co.otter-tail.mn.us 10/18/2011 JAMES & BARBARA EBERT PO BOX 188 DENTMN 56528 0188 RE: Sewage Treatment System Servicing Tax Parcel Number; 16000360205000 Section: 36 DORA TWP 37.05 AC LOT 4 PARCELS #205 DORA AND #2-010 STAR LAKE NOT TO BE SPLIT Described as: Lake: 56-385 Star Lake As of 10/12/2011 the sewage treatment system (Sewage Treatment Installation Permit # 21542) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a Resort. If you have any questions regarding this matter, please contact our office. Sincerely, ' ScotLEIlingson Inspector v'- APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.usWHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue) Permit No.APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED RANGE TWP NAMETWPNO.LAKE/RIVER CLASS SECTIONLAKE/RIVER NAMELAKE NUMBER Z2.& c:"^l6 Mr PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAI^ /Gac^ ':zCO 2^oS'ODO 33s^32. s Or. j 7. AC. i—cf' H fixi'c-.xls SW(^oY'TO LEGAL DESCRIPTION Daytime Phone No.Initial Mailing AddressFirstLast Name '^rp-f/x -fy ^ ^3 <rzrT'7 Property Owner 2M7(o^ iT ^4?^ trv\e, c^ Contractor Lie.* Z43-3 THIS SPACE FOR OFFICE USE ONLY AM. P.M,, the year of at► This System will be ready for inspection on A.M. P.M. L&R OfficialTime ReceivedDate Received SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWING TYPE OF N STALL ATI ON (circle one) Other Est. (C) New (E) New (B) Replacement (D) Replacement ^(F) Replacement^ CollectorResidential (A) New Soil Treatment Area LiftTank Effluent Distribution ( ) Gravity (X.) Pressure Design Flow (Gallons/Day) UH) 2,500 —<999J JCtX:^\s /S7>OG\s Ft.Size (I) 5,O0CT-^,000 Setback To Nearest Well no — Ft.Ft.Ft.Type IIType I HO(27) Rapidly Permeable(20) Trench, Rock — Ft.Ft.Setback To OHWL(21) Trench, Gravelless (28) Flood Plain (29) Privies(22) Trench, Chamber ///Ft.Ft.Setback To Bluff (30) Holding Tank ( ) Monitoring/Disposal Contract (23) Seepage Bed (24) Mound Ft.Ft.Ft.Setback To Dwelling Type III(25) At Grade Setback To Non-Dwelling Ft.Ft.Ft.(31) Other/Problem Soils/<12" Soil(26) Greywater Type IV /^^^Ft.Setback To Nearest Lot Line Ft.Ft. (32) Public Domain & Proprietary Technologies Depth of Well Total # Bedrooms /fc;gg>z/~ //-/ ZSetback To Road Right-Of-Way Ft.Ft.Ft.Type V (33) Performance Elevation Above Restrictive Layer Ft.— Ft.------ Ft.7^^Y /(_f£)Garbage Disposal YAbatement PERCTEST DATA _______ Highest Rate ^^I'XC^rfA-S License # Date of TestDesigner Agreement; The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accor dance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource 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 approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. 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 agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County. Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. NOTE: I.This permit is vaiid for a period of six (6) months. 2.This permit does not inciude the buiiding sewer (sewer iine). Permit Fee $Date: Signature of Property Owner/Agent tor Owger. Rec. No..Date; Larxi&Resource Management Office Comments: 'ill- j 0 ^on 335,812 • Victor Lundeen Co., Printers • Fergus Fails. MinnesotaForm No. BK — 0209-003 F * APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us ■ WHITE - Office YELLOW - L&R Inspector PINK - Owner / Contractor (after issue) APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. TWP NAMETWPNO.RANGESECTIONLAKE/RIVER NAME LAKE/RIVER CLASSLAKE NUMBER 6 <5.0 PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD /:gQO 2^oS^OOO 33^52. ur. J ~7 . Ac. L-CJ’f' i~cyfd:e'ls -^20 ^0<:>r^ ^ Last Na^ First Initial Mailing Address LEGAL DESCRIPTION h->4= Daytime Phone No. ^ Noyfln. [?./■j'fE *.wr4' Property Owner /1-.^ • 2)17 E io ^ f 'S<-- t 1/J/Ek-'/r-S'W/ ;2Contractor Lie.# /43J3i-* 1 THIS SPACE FOR OFFICE USE ONLY '727-30 P.M., the year of at> This System will be ready for inspection on /a-// - //2-^30 A. L&R OfficialTime ReceivedDate Received SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWING TYPE OF NSTALLATION (circle one) Other Est. (E) New__ (D) Replacement (F) Replacement CollectorResidential (A) New (B) Replacement (C) New Soil Treatment Area LiftTank Effluent Distribution ( ) Gravity (X) Pressure Design Flow (Gallons/Day) (G) 1—2,499(H) 2,500 — 4,999 (T) "'5,000 — To;ooo /<roGQ\sjcxz:^\s — Ft.Size Setback To Nearest Well — Ft.Ft..'^Ft.Type IIType I //E(27) Rapidly Permeable(20) Trench, Rock Ft.R.Setback To OHWL(28) Flood Plain(21) Trench, Gravelless A (22) Trench, Chamber (29) Privies /l//f Ft.////Ft.Ft.Setback To Bluff(30) Holding Tank ( ) Monitoring/Disposal Contract (23) Seepage Bed (24) Mound Ft.Ft.Setback To Dwelling (25) At Grade Type III Setback To Non-Dwelling Ft./^2 Ft.7 Ft.(31) Other/Problem Soils/<12" Soil(26) Greywater Type IV Setback To Nearest Lot Line " Ft.Ft./(32) Public Domain & Proprietary Technologies Depth of Well /X7 /Setback To Road Right-Of-Way Ft." Ft.,/.y^Ft.Type VTotal # Bedrooms /T (33) Performance/{ r y-.- ■■Elevation Above Restrictive Layer " Ft.Ft.Ft.Garbage Disposal Y / - NAbatement Y / N PERC TEST DATA ; 1 /kAu2l-f / (2 Y :'A ;Highest RatelL_^ License It Date of TestDesigner Agreement: The uttdersigned hereby makes application for permit to instaiL aiter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accor dance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource 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 approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. 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 agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. NOTE: I.This permit is vaiid for a period of six (6) months. 2.This permit does not inciude the buiiding sewer (sewer line). c?0 2)'// Permit Fee $...yDate: Signature of Prgperty Owner/Agent for OwoMyf ■A ') E/ Land A Resource Management Office 4:ADate: A Rec. No.. z JRFr.F'iv/nrjComments:i •• j2.3 ./'ll)) 335,812 • Victor Lundeen Co., Prlntera • Fergus Falls, MinnesotForm No. BK — 0209-003 • ..-I - y •**'^ - -I SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements SOIL TREATMENT AREA HOLDING SEPTIC TANK OUTHOUSELIFT TANKCATEGORY Capacity 2FT2GLS.GLS./<Efc)--A. Lp X joi FTFTFTFTSetback from Nearest Well Setback from Buried Water Suction Pipe 50"^FT FT FTFT Setback from Buried Pipe Distributing Water Under Pressure iCt FT FT FT So*FTSetback from OHWL (lake &Jor river)FTFT Setback from Setback from Bluff FT FT FTFT FTSetback from Dwelling FT FT /erf-FTSetback from Non-Dwelling FT FTFT /oerf-FT FTSetback from Nearest Property Line FTFT /0<3^FTFTFTSetback from Right-of-Way FT FTFTElevation above Restrictive Layer FTFT Holding Tank/Lift Alarm NO Old System Pumped & Destroyed TEa TRENCH REDUCTIONSOIL TREATMENT AREA \ CALCULATION MOUND / AT-GRADEFILTERSEPTIC TANK(s) # Tanks Installed -1 inchesRock trenches wJ Manuf.of sidewaii for.%Ft. tt^reduction / equival^ to. Model # l5oo-ai L.P Ft*Soil Treatment Area. no 1*4' Inspector's Comments: 5^^ Sketch: P lryi2Hf Initial / L & R OfficialTimeDate As nf IQ~IL- It Code of Otter Tail County.-----------------^ ^ Land S Resource Ma^^ment Offk^ , the above described sewage system installation was fourt^^ be compliant with the provisions of the Sanitation VTForm No. BK — 0209-003 336.6M • Victor Lundoon Co.. Printort • Porgus Falls, Mlnnasota □Drawing by Andrus Watkins □ OCT 3□Installed 500 gallon splash tank and 4150 square feet of drain field, High Profile Chambers ] * '^esoo/,ce n Ma/0□ □Ebert's Resort 33532 Star Lake Dr Dent, MN 56528 Parcel # 16000360205000 n ill Installed 3 - 1000 gallon tanks and 1000 gallon lift station with dual alternating pumps, Commercial filter in outlet of third tank For rows 1, 2, & 3 Set three 1500 gallon 2 compartment tanks Filter on outlet of 1000 gallon, with dual alternating pumps in 500 gallon side Install dual 2 " pressure lines from lift station to lift station Tanks met all required setbacks from OHWL, Well, and Structures. All sewer lines passed air test witnessed by Gary Topp Dept, of Labor and Industry Installed in 2011 \ Installed ini 2010 i 1000 gallon tank 1500 gallon 2 compartment with dual alternating pumps "" For rows 4 & 5 □ □Installed 500 gallon splash tank and 4150 square feet of drain field, High Profile Chambers□ □ □ Hill nstalled 3 - 1000 gallon tanks and 1000 gallon lift station with dual alternating pumps, Commercial filter in outlet of second tank Proposed in 2011 Set three 1500 gallon 2 compartment tanks with dual alternating pumps in 500 gallon side install 2 " pressure lines from lift station to lift station Tanks will meet all required setbacks from OHWL, Well, and Dwellings Installed in 2010 1000 gallon tank 1500 gallon 2 compartment with dual alternating pumps??= 3 3011 □ □Installed 500 gallon splash tank and 4150 square feet of drain field, High Profile Chambers□ □ □ Installed 3 - 1000 gallon tanks and 1000 gallon lift station with dual alternating pumps, Commercial filter in outlet of second tank Proposed in 2011 Set three 1500 gallon 2 compartment tanks with dual alternating pumps in 500 gallon side Install 2 " pressure lines from lift station to lift station Tanks will meet all required setbacks from OHWL, Well, and Dwellings Installed in 2010 1000 gallon tank 1500 gallon 2 compartment with dual alternating pumpsSPp 2 3 ?01t / / UKD e - APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.usWHITE- Office YELLOW-L & R Inspector PINK - Owner/ Contractor (after issue) APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAMELAKE NUMBER LAKE/RIVER NAME 3Q /JC jOom. PARCELNUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD 3 3^3 /Voc/- J- r LEGAL DESCRIPTION Daytime Phone No.Initial Mailing AddressLast Name First /)orr/A SMr jfks-gfT' _/7?l^_______ Property Owner Contractor Lie.#aPiz9/ /9S3 THIS SPACE FOR OFFICE USE ONLY A.M. P.M., the year of>■ This System will be ready for inspection on at A.M. P.M. L & R OfficialTime ReceivedDate Received SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAW NG NSTALLATION (circl£J2NEITYPE OF (5^her EsQ (E)New (B) Replacement (D) Replacement rjTFT^Diacemenr> CollectorResidential (C) New(A) New Soil Treatment Area LiftTank Design Flow (Gallons/Day) (G) 1 — 2,499 rjph. 2,500 — 4,999 (I) 5,000— 10,000 Effluent Distribution (y') Gravity ( ) Pressure •3 -/o'O '/yofVzZGIs Ft.Size / Setback To Nearest Well sr^jroType II Ft.Type I (20) Trench, Rock (27) Rapidly Permeable Ft.Ft.Ft.Setback To OHWL(28) Flood Plain(21) Trench, Gravelless ^^) Trench, ChamBer'^ / A-^ (29) Privies — Ft.— Ft.__ Ft.Setback To Bluff(30) Holding Tank ( ) Monitoring/Disposal Contract (23) Seepage Bed (24) Mound Ft.2_0 Ft.Ft.Setback To Dwelling lO (25) At Grade Type III Setback To Non-Dwelling Ft.Ft.Ft.(31) Other/Problem Soils/<12" Soil(26) Greywater /O /OI u Type IV Setback To Nearest Lot Line Ft. Ft.Ft.Depth of Well (32) Public Domain & Proprietary Technologies P*1«- Setback To Road Right-Of-Way Ft. Ft.LO Ft.Type VTotal # Bedrooms 1 610 (33) Performance Elevation Above Restrictive Layer Ft.3___Ft.Garbage Disposal Y / CN )Abatement Y /t PERC TEST DATA Highest RateDate of TestDesigner Agreement: The undersigned hereby makes application for permit to install, alter, repair or etdend Sewage Treatment System herein specified, agreeing to do all such work in strict accor dance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource 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 approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. 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 agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. ■* — ‘ ^ ^ ^ r- i /^o///7 months. 2. This permit does not inciude the ouiiding sewer (sewer iine).;i:NOTE: 1. This permit is valid for a / Oate Permit Fee $Sig^^M Df Pmperty Own^Aghit for Owner fRec. No..Date: Land S Resource Management Office /A>^5 DO ? /^/4-C CcS^-Q //=• rns/YT - P//^ /cy)?" ^ A^OVComments: ut r> t/~ - ^xis rt^C- Form N £0)g.ftQ^APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM/LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) f GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.usWHITE-gme YE^OW -L&R Inspector PINK - Owner / Contractor (after issue) I'l-i- lo ILwiv -f'an.Kj K-3-to ^ uln//u> APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED TWP NAMETWPNO.RANGESECTIONLAKeRIVER CLASSLAKE/RIVER NAMELAKE NUMBER . /-T<^ r^Yf /Oorr^ PARCECnUMBER (S) of property being SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD JT3 Z3 /Voi^ ^ r ^ ^ ^/o !LEGAL DESCRIPTION 1 Daytime Phone No.Initial Mailing AddressFirstLast Name .i ^ V;/a ________rz<r2.sr'iAi/rA> ^/r/oArsg:- _/7?/A.----------- J i'e-7'^s-^jr /SrSs'Property Owner Contractor Lie.#S-^3 \ tor inspectioi^n^'^'*^'^ ^ \\ y the year of________________at //lo'.li:TncTTHIS SPACE FOR OFFICE USE o, the year of>■ This System will |re reac^ g) \\1^ /Qx.pyp 5^ Time F^eceivedDate Received SEWAGE TREATMENT SYSTEM DESIGN DATATYPE OF NSTALLATION (circle one) AS SHOWN ON DRAWINGOther Est. > (E) New ‘ - (F) ReplacemfiOty CollectorResidential (A) New (B) Replacement (C) New (D) Replacement Soil Treatment Area LiftTank Effluent Distribution ( y') Gravity ( ) Pressure Design Flow (Gallons/Day) (G) 1 — 2,499 jj); 2,500 — 4,999 (i) 5,000 — 10,000 7.Gis Ft.GIs Size / Setback To Nearest Weil Ft.Ft.Ft.Type IIType I 'T (27) Rapidly Permeable(20) Trench, Rock Ft. Ft.Ft.Setback To OHWL(28) Flood Plain(21) Trench, Gravelless > 7 (22) Trench, Chamber \(29) Privies Ft.Ft.- Ft.Setback To Bluff(23) Seepage Bed (30) Holding Tank ( ) Monitoring/Disposal Contract(24) Mound Ft.t O Ft-Ft.Setback To Dwelling ( ^P I - ^Type III(25) At Grade Setback To Non-Dwelling Ft.Ft. Ft.(31) Other/Problem Soils/<12" Soil(26) Grey water // Type IV Setback To Nearest Lot Line Ft.Ft.Ft./ C-'/>-(32) Public Domain & Proprietary Technologies Depth of Well / >-11 Setback To Road Right-Of-Way Ft.Ft.Ft.Type VTotal # Bedrooms i w / O/Ot / ^/ ^ (33) Performance Elevation Above Restrictive Layer Ft.Ft.Ft.Abatement Y / N Garbage Disposal Y / N »>'1 , PERC TEST DATA Designer y'/'/ ‘ y'-' S/■ L rr '_;^License #/'J3 Highest RateDate of Test Agreement: The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accor dance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource 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 approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. 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 agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Miryiesota. This permit may be revoked at any time upon violation of the Sanitation Code. I 0 f\l /' I \ ^ ^ j j 2 O / j I NOTE: I.This permit is valid for a p^od^f sii^) months. 2.This permit does not Include the building sewer (sewer <<L^ /5~0 Slgfs&turk of Property Owner/Agent for Owner Permit Fee $r: rDate: rj/}u7//ij .''/cr-'—-’ 'Rec. No..Date: L^nd & Resource Management .Office // i 0/ /f'’ ^r- '/C r ^//^ ^ 7W/ iAr^/I L 7 /V/ XDO / ,-L^Comments: / c (7/ D l' ~ a < j /~ / C- >/r J/ r yc/ A /1 SySD 'J7 /t'/Ly.A- ;7 /-■___7•Y 7- / . j /_.C- / ‘ c /. z W /u 'J Form No. BK — 0209-003 335,812 • Victor Lundoon Co., Printors • Forgus Falls. Minnenn SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements A' <% SOIL TREATMENT AREASEPTIC TANK OUTHOUSELIFT TANKCATEGORY 3 OO 6 GLS.Capacity /OO O GLS.FT2 FT/OO/^ ftFT FTSetback from Nearest Well Setback from Buried Water Suction Pipe FTFT FTFT Setback from Buried Pipe Distributing Water Under Pressure /0¥~ ft FT FT/O FT Setback from OHWL (lake &/or river)FT FTFTFT/ao t- Setback from Setback from Bluff FT FT FTFT / o^«- ft FT FTSetback from Dwelling FT FTSetback from Non-Dwelling FT FT/ o FT / 4 FT FTSetback from Nearest Property Line FTjpa r~ FT A.ytj r Setback from Right-of-Way / • • iA- FT FT/o«i r~ FT FT/ 0* ^ 3 ft FTElevation above Restrictive Layer FT FT Holding Tank/Lift Alarm NO Sr/U S€iefvicil\9t6Old System Pumped & Destroyed TRENCH REDUCTIONMOUND / AT-GRADE SOIL TREATMENT AREA CALCULATION SEPTIC TANK(S) # Tanks Installed FILTER cROCK BED LA.with inches —□ NO 2-0/ //P-Ft. X ll^FP Manuf.of sidewall for.%Ft.Ft.Ft. X reduction / equivalent toModel #Ft*Soil Treatment Area. ;.T. n-i JiZXf -r fInspectors Comments: V Sketch: Y- h/f,e{df/n/n II-2-to li'l-lQ Initial / L a R OfficialtimeDate 57^, the above described sewage system installation was found to be compliant with the provisions of the SanitationAs of Code of Otter Tail County.o2oio-P^n — / j* 336.69^ • Victor LundMH Co., Prlnt«r|.>«^rgus Falls, Minniaad^ Land S Resource Management Ot^jem Form No. BK — 0209-003 I If' - y/'C/-' ■* 1 □I □ -'1 Proposed 500 gallon splash tank and 3000 square feet ^ ^ of drain field; High Profile Chambers r u*□-53f-□ .^ D ~v» i w^ I " \> o 'J Hill:i I -XL f tf % Cf. o p %9lf -roT^.o mi •_ Existing 8" Sewer Lin^ tif stl sV!L. VI O'^ tc c'O >> 7s> ^ --r' § ^ Propose^S'^ TOOO gallon tanks and 1000 gallon lift station with dual alternatir^; pumps, Commercial filter in outlet of second tank oc■/- 'T^ : ivTn ^ ^■iC V~>O I X w OS>'^ S' v-1 o\ ' ' ' - \ 1500 gallon 2 compartment with dual altem^ipti^ pumps /ooo^^ ///Sr _ S' r-f-rrn”I TJ1I. -[ V _ii1-s lirEi bAimiwoiR ksi^EETiW.I- > ! » ii^rrt i I M...LAND !& RESOURCE MANAb|EMENT, COUNTY OF OTTER TAlL GO^ERNfi/IENT SER'l/lCESlGENTERtwO WEST FIR, MN 56537L | j i_LU I i u: || r ^ir! 1.[...iJ.l'U.,4./* Iwww.co.otter-tail.nririLUS! J [ p ^ i ! I ; ' ' ' | | _LI L, H Sewage Tr^tment^stem J^rmit # 1^;- j iI-4^ I 1_.L r -II,j..i_..r T i L.■ . 1.J'!! OWNER^f JI J.. '1;~rM!DDLE~\---------\~TELEPHONE-NUMBERI“ *»—«-/7/?S7™‘vUAST-NAME1 TH I•-[-J-r!I I Ii-^1 I.^..i I1ADDRESS: r 1 'i !I I-I~l ^..!... CITY I 1 I ZIP CODE] Ja'T I1 SOIL BORING LOG I ! ; \ I}AKE/RIVER NO. - LAKE\NAME- '•|- i L' ' j I.t.f-----^“'''! ; i LEGAL DESCRIPTION-^ \AT;^.^JC0 iZOS-,^r^ I III mII DEPTH (INGHESr I COLOR & ( MtlJNSELL^NO:STRUCTURETEXTURE __ ___4-4JJJ<^LQGKYl4 ' PLATY ! f ;44-LLUXI I 4“ !, i ;i-j-T Vti I■hr-[ M.I.r \0m:^1.;.I............ 1 1 PRISMATIC T-r NONE IPARCEE NUI\)lBER \ ' E-911 Address or Directions From Nearest Public Road ■- — J.____________________________________________ NUMBER bp BEbROOMsN , ;... .1 I !„„I._.-Tf !-rt‘1-T 1 II.I.!-1 ;-4 I BLOCKY I I i PL'ATY ' : PRISMATIC n7fJbii;iES>ti~ Iblocky I 'i i;MM IJ r i : ■■ ! 1 .. 1 I . i....j PL'ATYI iGARBAGErblSPOSALr-” YESl ' 1 ' ■ 1 ' 4 A ^ * 4 1 ■ 'I ~ CASING DEPTH .UeW\! SEWER LINE SEPARATION: ->^1 Ift.ra,,!.|.4. 4'j.i„4',|„'X^;.j.I.(J,......................'.;. "■ -7FL00pPt:AINn:^S7^^?~j-iBL|^Fr“YES”i4^ H VEGEWIOI>l:HAbu!Arie+ (TERfitsTmA^'^ .44^ .1: 'i,;44 .„4l: ■ I, il: V j SLOPE ATI INSTALLATION SITE: ■ I I I ■ ■ , ....... I L4NOPRISMATIC 4n6^0j. i i WELL:]BLOCKY piiAPf" J I A Mni\jg> II I!-r r.rJ1I IblockyI^ .H’PLjAr'^ : r'jRRlSMATIcL ; 1.1-H'-n6ne ! t . I ' . 1 : —f- 4 r1I tI I 1Ii■;11„,i... ..TYPE.OF OBSERVATION: ..ProbeLi-J Loess ’r f-4*I..I. II..U..L 1. i PARENT Till Oiitwash Bedrock iC^lluviurrLb “T- -4 r ^ Date of SoirBorina "/(!P : 44 1i ORIGINAL jsOIL- i 4 GOMPAGTED SOIL:- I .1iL............... J.._L4_L ;.L^UJ ■ ■ ' i4-No r I !4 ^ .1.j. LDEPTjHtbFHB0RiNG4rXipr^ |^r)^irT4X^^ i -: , _ i:Yes irxt.1.^._44T4XJ-U4.- I I Daterof Perc Test I ! I ..^ft.4. 4 - TIME i I INTERVAL (MINUTES) " I PERC TEST #2I'I I TIME :INTERVAL* {MINUTES)I WATER DEPTH I WATER DROP: I i PERC RATE ! WATER DEPTHi I WATER DROP I I PERC RATE I : I sw , r/avm i.X. r^_j .."T. p T"'""'' , - ..... l .STA ! - Lperc J I MA.Am■ _t. to-':: f 4. .!. I . .1 i I .... \i TIME'. I DROP.!-r I TIME 'INTERVAL* (MINUTES)WATER DEPTH WATER DROP,PERC RATE' 'INTERVAL (MINUTES)1 WATER DEPTHI 1 WATER DROP I I i ;iPERC RATE i j )I IIVIC m .1 .y '.2-4-1 'fe::.;iziZrAA'-----] I I 4-TIME-...V DROP4.....i PERC...1 4.::|4 .- --m J lizi— C i \ •TIME - - U DROP : ! PERC -4 ■'Tit!"•i [ TIME ' INTERVAL*(MINUTES) WATER DEPTH WATER DROP : PERC RATE! ' J I TIME : INTERVAL(MINUTES) WATER DEPTHi l WATER DROP I IPERC RATE I .L. I; - 4- ■life ..:MZ7rA:l ; j ■ R^f t TIME^- 'l DROP t-r-PERC-I- I *WMMTIME 4 !•'F ' - J. • 'f..i..-PERCDROP s WATER DROP:PERC RATE:-...) 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WATER DROP PERC RATE:: TIME i INTERVAL'(MINUTES); WATER DEPTH I I TIME INTERVAL (MINUTES)I WATER DEPTHS , WATER DROP I iPERC RATE I REFILL' 'REFILL/!4 !-.J...iI!} I^TIME I DROP S TIME’ DROP PERC!■ -i --(.!L4.U.,ii- n pRbPOSEDrDESIGNf t- 4-t" /""I,..r J.: ■ 4 'j '■ J'.." .._ 1' ■I |TRENCH.4SJ |BED : -SEWER LINe4_ 4. - , '1 4"; I ■" ■ ; i GRAVITY PI ST. Mi i IPRESSURE DIST ■f 1 I i >-: -t..:-r i ' !ja^ApEpI_4x |MbuNp_ ■ XuTHousEi - ■ ! !other[ _ HOLDING TANKi.f' i ; ^___j SPECIFY:^ SYS^M l^ESiGni pnt BACKM -4 ; 4 ; r-|.fri ; r[.i i , ; i M4 I I I I I 1 t- TT,1T I, ! I i 1 ! 1-j-r-f--:...\...I-f. .1.r t" *:!i—i— .I.-rh--1li1i+xniiL.ISystem design [must be+to scale and must include the proposed location of the sewagp sy|Steryi ^ ^ exi^m^Fpmp|osedjbujIdmgsi4p|rof3er^y lines, 4hje ^dirjiarjy^highf^ >A|ateij ^od\^ Sruf|f^n'dtall-waterpwe|ls-within--l5pHpf4he-sewagej^stem^lf4lierelaire-tariy-qu|estions7-s^^te-U oflMTnn^'esota^SIteTlvatilia I t- ' t ( i \ M * --I ! U ' M i i ! ! ' j- ru_. .. 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Fergus MNX—\315.Victor rX 1 Ebert's North Star Resort Gallons 2320 Figures Include Two Water Meters Gallons 3340 September 1,2010 2410 September 2, 2010 1910 September 3, 2010 1750 September 4, 2010 1920 Septembers, 2010 Metered Water Usage Date July 1, 2010 July 2, 2010 July 3, 2010 July 4, 2010 July 5, 2010 July 6, 2010 July 7, 2010 July 8, 2010 July 9, 2010 July 10, 2010 July 11, 2010 July 12, 2010 July 13, 2010 July 14, 2010 July 15, 2010 July 16, 2010 July 17, 2010 July 18, 2010 July 19, 2010 July 20, 2010 July 21, 2010 July 22, 2010 July 23, 2010 July 24, 2010 July 25, 2010 July 26, 2010 July 27, 2010 July 28, 2010 July 29, 2010 July 30, 2010 July 31, 2010 Gallons 3640 Gallons 4800 Date May 21, 2010 May 22, 2010 May 23, 2010 May 24, 2010 May 25, 2010 May 26, 2010 May 27, 2010 May 28, 2010 May 29, 2010 May 30, 2010 May 31, 2010 Date June 1,2010 June 2, 2010 June 3, 2010 June 4, 2010 June 5, 2010 June 6, 2010 June 7, 2010 June 8, 2010 June 9, 2010 4660 June 10, 2010 3950 June 11, 2010 June 12, 2010 June 13, 2010 June 14, 2010 June 15, 2010 June 16, 2010 June 17, 2010 June 18,2010 June 19, 2010 June 20, 2010 June 21,2010 June 22, 2010 June 23, 2010 June 24, 2010 June 25, 2010 June 26, 2010 June 27, 2010 June 28, 2010 June 29, 2010 June 30, 2010 Gallons 2310 Date August 1, 2010 August 2, 2010 August 3, 2010 August 4, 2010 August 5, 2010 August 6, 2010 August 7, 2010 August 8, 2010 August 9, 2010 August 10, 2010 August 11,2010 August 12, 2010 August 13, 2010 August 14,2010 August 15, 2010 August 16, 2010 August 17, 2010 August 18; 2010 August 19, 2010 August 20, 2010 August 21, 2010 August 22, 2010 August 23, 2010 August 24, 2010 August 25, 2010 August 26, 2010 August 27, 2010 August 28, 2010 August 29, 2010 August 30, 2010 August 31, 2010 Date 3700 2190 3730 4860 2630 2600 3900 2660 2570 4380 4990 2500 2020 4700 4240 I960- 1790 29104280 3080 2520 2710 2800 3880 3080 3800 2360 3380 4630 3270 2780 1560 2190 3830 1440 31404730 1370 1690 2030 1200 3820 3300 1860 4230 1810 3030 4090 3060 1800 1920 2510 2140 2780 3760 1785 3550 3110 1785 4870 1860 1610 4780 2460 2100 3400 1940 3100 2400 1530 3270 3790 4180 2180 2980 4530 1360 2360 3860 1700 4820 2000 1610 4140 1900 2610 1990 2070 3270 1770 2050 2010 2130 3190 1560 4300 2560 Average Flow 3079.091 3289 3024.839 2212.258 3356 Peak Flow 4660 4870 4990 3880 4860 □>□ □Proposed 500 gallon splash tank and 3000 square feet of drain field, High Profile Chambers□ □ u<_□ ^ cTt^yT A-'-: 5C^ai TO Existing 8" Sewer Line Proposed 3 - 1000 gallon tanks and 1000 gallon lift station with dual alternating pumps, Commercial filter in outlet of second tank 1500 gallon 2 compartment with dual alternating pumps (iooo^^ i t'pT i^f 7i S ra X 22 C .£a § ; o> «CO >SEPTIC TANK VALHALLA 2/ .DRAIN FIELD 1 ? fr :j !I ■-J T5 COJ 3c O n O DISTRIBUTION LEGEND “ t- 'r “ oj OH- w O£ So *: c c g <u .? . iBOX • HOOK-UP □ SEPTIC TANK □ DUMP STATION A LIFT STATION c. : ■«<r;S E'V .o ©FORCE 'MAIN 2 o-2 2 W) *- O •E § S O 03 CCl o (0 (D2ra 8“ ra £ro 2 .S’■0 Z .E 4" COLLECTION LINES Ui £ ~•g E€i ■ U s-Is 11l| ift § ra "Dago! S ra c I DUMP STATION LIFT STATION32I o4Ul 5 ^ £ a at si CO 03 <0 O■§2 >E E £ g 3 = ”0 X § J c'ra o o c ^ -u <0 c roi:-|5 1.-a64n ,,c■V 6" COLLECTION LINE 24RENTAL CABINS 28 i 29 25 2 2 §1 ■n CO Q. ?a I'S3026i-il -4= g - CD05 7 c5 ccN-5|o 03 ^ ® CI 2 ra .!£ , ui88" COLLECTION LINE gl' COLLECTION (/)A LINE ,ra2-g| lili ■ I O- ra S i'NII ^|iiiizo g9STAR LAKE r*»I MOBILE HOME SITES p«^ (NO. 56-385) 5‘6 £dX2zE■g ■g EE0303OTO5.P tSHORELAND 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 Permit No. LEGAL Date )ESCRIPTION / !i AND LOCATION •'i 7 . TWP NameTWP RangeLake Classif.Sec.Lake No.Lake Name IDENTIFICATION: Please Print All Information. Zip No.Tel. No.Mailling Address —No. Street, City and StateInitialF irstLast Name !1 Vrr, r.'i. / /rri ’r_TVOWNER I) / , i-i I ->ASEWAGE SYSTEM NSTALLER Name ^ log /i/'AThis System will be ready for inspection on.. 19. This space for office use only 2^.19 Phone Call Rec'd By Owner or Agent SignatureDate Rec'd Time Rec'd NUMBER OF BEDROOMS:ESTIMATED COST; SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD /-I- V-Sq. Ft.Sq. Ft.■ ‘7GIs.Capacity / Ft.Ft.Ft./■> -Distance from nearest well /Ft.Ft.Ft.V' -■•V 7Distance from lake or stream /n' / Ft.Ft.Ft.Distance from occupied building Ft. Ft.Ft.Distance from property line Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: , 19 , Time M Byinspection was made on /PERCOLATION TEST DATA:Date of First Test , 19 , Rate / Date of Second Test 19 Rate) F •. 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 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.) r //, . I / t' '.'--'I/ i--i / '.■' i>■ /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: /I ■ / I' /■Issued Date: Shoreland Management Office i. i•*' /"iFee $Surcharge $ ■ 7Comments:. ;■ / >' /r'.-; / //.■r '■ f '' / V * /•rV'-y.-.- >•' 1 ..N.15a906 VICTOB LUHOICh * CO.. PBINTEM. rCRgus FALL*. UlForm No. MKL-0771-003 vicro* LUHOCCN I CO., pamrfm, rt»sus r»LLi. >258906 INSPECTION RESULTS S Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS i' SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORY Actual Should be Actual Should be Actual Should be m2 ^ ft! 0 S F/Capacity GIs.GIs.;S F SF S Fi\!UntDistance from Nearest Well \75FFF ..50F F //\/54/Distance from Lake or Stream F F ,.F F F1 \4.>0Distance from Occupied Building 10 2020FF F F F DK FDistance from Property Line 10 f; '10 10FFfF. Y/F iDistance from Bottom to Water Table 41 4FFF F Inspector's Comments;! F/g' X 4 I -<? I<A lro/ /) a 'C ' iif 1^ • >( — r U ,71 ( I •.S:, I-/ /■ / /■ :z/ k'5- / Y f? yelhi' ~; f FIDate of Inspection 19 0 / Time of Inspection ,M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet = Linear Feet Job TitleF Agency M KL-0771-003-Backef F., • t '‘•vINSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORY Actual Should be Actual Should be Actual Should be 1M27 ^ 0 S F/Capacity GIs. GIs.S F S F S F /i FDistance from Nearest Well 75FFF 50F F\/\'t'O pDistance from Lake or Stream F F F F F 0 K FDistance from Occupied Building 10 20 20F F F F F DK FDistance from Property Line 10 10 10FFFF F Y 3d.Distance from Bottom to Water Table 4 4FF£F F F \ Inspector's Comments; ■'i 'Y-9 X h)(\vo ]()V-I \ — r ui //p/ /}■ 23 h 1Y- /f f f 7f( >2 , ry\ ^IDate of Inspection /19 0 Time of Inspection M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet = Linear Feet Job TitleF Agency MKL-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 SEI/VAGE DISPOSAL SYSTEM White — Offi^ Yef/ow — Inspecfor Pink — Owner Card — Owner 4 SIaJ Nj <vdlr Permit No.,LEGAL DESCRIPTION AND tCb> W I ClLOCATION TWP Name .Lake Cia&sif.TWP .. RangeLake Name Sec.Lake No. IDENTIFICATION: Please Print All Information. Zip No.Tel. No.InitialFirst Address —No. Street, City and StateLast Name OWNER . sSEWAGE SYSTEM INSTALLER CUfV-WKName, This System will be ready for inspection on. This space for office use only . 19. 19 ,M Owner or Agent SignatureDate Rec'd Time Rec'd Phone Call Rec'd By NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PIT■ I SEPTIC TANK DRAIN-FIELD 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 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 Rate '2nd 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 subrrTiffed herev^Kh and which are approved by Shoreland Management Offi cial shall become a part of the permit. Applicant further agrees that no part ^the''^tem shall be covei^ until it bas-bearrlnspecte^and accepted. It shall be the responsibility of the applicant for the permit to notify the County ShorelancM^nagement that the job is.r^dy for inspection. (Call iv use attaehecLmailer notice.) __^ '-'31. Signature ^ rlntViHri^V? tff^'^i^'^^mmrm This permit is granted upon express ft - T, - 4Dated Permit: Permission is hereby granted to the above named applicant to perform the 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 $ Comments:. [^EVIfW BAIIIE LAKE. MINNESOTAForm No. MKL-0771-003 /• INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS / SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORY Should beActualShould be Actual Should be Actual Capacity GIs.GIs.S F S F S F S F Distance from Nearest Well 75 50FFFF F F Distance from Lake or Stream F F F F F F t Distance from Occupied Building 2010 20FFF F F F Distance from Property Line 10 10 10FFFF F F Distance from Bottom to Water Table 33FFF F F ■F Inspector's Comments: . / ; Date of Inspection 19___ ;Time of Inspection ■ ;M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet = Linear Feet Job TitleF Agency M KL-0771-003-Backer \ >■ * SHORELAND MANAGEMENT - COUNTY OF OTTER TAI COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White-Offic* YeWoy/ — Inspector Pink — Owner Card — Owner Permit No.. LEGAL DESCRIPTION AND LOCATION TWP NameTWPRangeLake Classif.Sec.Lake No. Lake Name IDENTIFICATION: Please Print All Information. Zip No.Tel. No.Mailling Address —No. Street, City and StateInitialFirstLast Name OWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on.., 19. This space for office use only .M,19 Owner or Agent SignatureDate Rec'd Phone Call Rec'd ByTime 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 Ft. Ft. Ft.Distance from property line Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: ,, 19 , Time JVl ByInspection was made on PERCOLATION TEST DATA:Date of First Test 19 > Rate Date of Second Test 19 , Rate 1st Test Taken By -I- 2nd TestFirst Test 1 Rate 2nd 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 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. Issued Date: Shoreland Management Office Fee $>•N c\V; Comments:. [^EVIIW tATnC LAKE. MlNNfSOtAForm No. MKL-0771-003 ... ...t 7 7 I 4 -4 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 SF Distance from Nearest Well 75 50FFFFF F Distance from Lake or Stream F F F F F F Distance from Occupied Building 2010 20FFFFF F Distance from Property Line 10 10 10FFF F F F Distance from Bottom to Water Table 33FFF 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 AgencyM KL-0771-003-Backw i l^jCi •■«' i-~^'f:f V=^:'^' .“l-* 'i- Cr;’ ■> .‘ V|'!-r' -I"- '. ■:' ; t - 4- : ■•■.•tI fatoKj * f^eso/i}-‘ ' ;|j^,1m mi-P- ■' -:5 a!;.'-- I-', 'i '< . m n si;• ...tS#9# ':.' 1 f • .-■■ iK^;„ l~\ £ .■V HHx - 1 ^ iji: ■ . 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Owner Owner sf yy ^ su^ 1/^3Permit No.,LEGAL Date DESCRIPTION AND 3 ^ l3(o ^ ILOCATION Lake No.Lake Name Lake Classif.TWPSec.TWP NameRange IDENTIFICATION: Please Print All Information. Last Name Initial Mailling Address —No. Street, City and StateFirst Zip No.Tel. No. ES£/Zl TTtrnOWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection , 19.on. 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 /Sa-gw-Sq. Ft.GIs.Capacity Sq. Ft. Ft.Ft.Ft.Distance from nearest well 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 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 Rate Date of Second Test 19 , Rate 1st Test Taken By 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 thM-the jZb is ready for inspect!or use attached mailer notice.) t 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. <C3-^-js- gyIssued Date: Shoreland Management Office Fee $Surcharge $ Comments:.A ^A^tL4. Form No. MKL-0771-003 VICTOa LUHOffM t c«.. pimuai. rc««ua fM.L*. wi«a.lS8906 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 te — Office V low — Intpector Pi>.. — OwnerCard — jOwner rJo V /V/V Permit No..LEGAL DateIrr-DESCRIPTION C"o AND /LOCATION Lake No.Lake Name Sec.Lake Classif.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Initial Mailling Address —No. Street, City and State Zip No.Tel. No.Last Name First OWNER SEWAGE SYSTEM INSTALLER 22XName. This System will be ready for inspection .. 19.on. 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.Sq. Ft.Capacity Sq. Ft.-* Ft.Ft.Ft.Distance from nearest well Ft.Distance from lake or stream Ft.Ft. Distance from occupied building Ft.Ft.Ft. Distance from property line Ft.Ft.Ft. 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 ,JVI By PERCOLATION TEST DATA:Date of First Test 19 , 19 > Rate Date of Second Test , Rate 1st Test Taken By First Test + 2nd Test 1 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 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: t' ' f •Issued Date:. Shoreland Management Office Fee $Surcharge $I 'NO cert issued t ^ R'-Comments;.-Jo -r 'yJj< Form No. MKL-0771-003 vieroD LUHSCCN t co.. aatHtciti. rciteus fall*, himh.158906 V INSPECTION RESULTS '4 Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould be Actual Should be Actual Should be Capacity GIs.GIs.S F IS F S F S F ? Distance from Nearest Well F 75F 50FFF F Distance from Lake or Stream F F F F F F Distance from Occupied Building 10 2020FFFFF F Distance from Property Line 10 10 10FFFFF F Distance from Bottom to Water Table 4 4FFFFF F } Inspector's Comments: lL __J-f lo 0 :------^ o lo 'Date of Inspection Time of Inspection, Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF “ Square Feet “ Linear Feet Job TitleF AgencyMKL-0771-003-Backer err.5 I) CERTIFICATE OF COMPLIANCE mi SEWAGE SYSTEM f^iII30th19__JS—.JanuaryThis certificate has been issued this day of. mmMS4Kmto certify eompliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota.WMiiThe premises covered by this eertifieate are legally described as: Range IfMLake No 56-355 flee 36 Twp. 136 Twp. Name Do ra m SE% of SW?§Valhalla Resort m m■%fC 1^1y # wm M fea Douglas WeatherheadOwner: Name. ftfe’i T Box 167» Dent, MinnesotaAddress. ^6t^28Z/p A^o. 901Permit No. SP_ Signed by:. Malcolm K. Lee, Shoreland Administrator Otter Tail County, Minnesota In accordance with Lav/s of Minnesota )^|^§^1969 Chapter 777 work completed in 197U MKL-0871-009 A' -Pf -mi Njf ivW-fWWWfWfWfVfWfW^f...... fmfvff"r 15^)035 'ricfo* lunscts I eo p*ii*rrn rt»:u5 mu 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 — 0^4^er Card — Owner I'SL ^ S 6J ijcuj /Permit No..LEGAL Date DESCRIPTION AND tLL/3 ^n-n it ^^to'3AS Lake Name LOCATION Lake Classif.Sec.Lake No.TWP Range TWP Name IDENTIFICATION: Please Print All Information. First Initial Mailling Address —No, Street, City and StateLast Name Zip No.Tel. No. /i Jr a. r ri /tjcyt—y'^T~feytj OWNER nSEWAGE SYSTEM INSTALLER Name, This System will be ready for inspection on.,, 19. This space for office use only ,19 .M Phone Call Rec'd ByDate Rec'd Time Rec'd Owner or Agent Signa^ture ESTIMATED COST: C)t>0 ,NUMBER OF BEDROOMS: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD 3'7'/n -rf-Sq. Ft.it-/ O Cvrxn Sq. Ft.Capacity Ft.Ft.Ft.Distance from nearest well y--f- Ft.Ft.gTO h Ft.Distance from lake or stream /- Ft.Ft.Ft.Distance from occupied building Distance from property line Zrn Ft.Ft./<D i- Ft. 7Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest fSoints RECORD OF TESTS: Inspection was made on 19,, Time ..........JVI By. 19.... . 19..... /PERCOLATION TEST DATA:Date of First Test Rate /Date of Second Test Rate 1st Test Taken By ./.2./* 1 /First Test -I- 2nd Test s 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 mailer notice.)responsibility of the applicant for the permit to notify the County Shoreland Management that the-ipb is ready for inspection attachi /y</ 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 cMform 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: /t YV\Issued Date: /shoreland Managers 17-/Vt:- ^1^7 Office 3 30i'. 00Fee $Surcharge $ g-.r-7 I rC. $ AA Kv ^ ^ vr5Comments:.S'______ A j7^ -lb 7^5Jlfee,-----Xq ±kMXlr p t -t ^ n VICTSR UIRBCeH 4 CO.. PIIRT(aR. riO«US F4i.|.a. HIHN iForm No. MKL-0771-003 158906 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL I COUNTY COURT HOUSE I Phone 218-739-2271 — Fergus Falls, Mn. 56537 Application for permit to install sewage disposal system White Yellow — Insjpector Pink — Ovvner Card — ^wner Office h \ I;Permit No.,LEGAL /Date )DESCRIPTION AND J■tLOCATION '■ 7 Lake No.Lake Classif.Lake Name Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Last Name First Initial Mailling Address —No. Street, City and State Zip No.Tel. No. OWNER 9^ I!i SEWAGE SYSTEM INSTALLER Name. V />9 % :oo /}/A2J£This System will be ready for inspection on... 19. This space for office use only 5Vgo_^M2^19 Date Rac'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 r Sq. Ft.GIs.Capacity Sq. Ft.Y- Ft.Ft.Ft.Distance from nearest well /■> r Ft.Distance from lake or stream Ft.Ft. Distance from occupied building Ft.Ft.Ft. Distance from property line Ft.Ft.Ft. 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 JVI By /'■7'PERCOLATION TEST DATA:Date of First Test , 19 , Rate /19.....RateDate of Second Test 1st Test Taken By /First Test 2nd Test 2 Rate2nd Tost 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 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.) 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: 7 . / Y i ' '-(Issued Date: Shoreland Management Office 1 f/o-Fee $Surcharge $/ y'r^.n -' 7 / ’ kt‘ h C <7Comments:. ;>A I VA V J-' i Form No. MKL-0771-003 viCToe LuMBEta t CO.. PHiaTcet. rtesus miN. 158906 • "v, V INSPECTION RESULTS / Inspector must make all measurements J. n St SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Actual Should beShould be m2.^ ^c>0 SFICapacityGIs.GIs.S F S F S F d-fjQ FDistance from Nearest Well 75 50FFFF F /-I'OfDistance from Lake or Stream F F F F Fi ok FDistance from Occupied Building 201020FFF F F OK C7K FDistance from Property Line 10 10 10FFFF F Y FDistance from Bottom to Water Table 4 4FFF F Inspector's Comments: T77U23'X / ¥I < cf3=7O) % I'J ^ I y 1-^ ,?! ( z«»4 / 72/ Ko /r T / (!^;Date of Inspection,19. Time of Inspection,M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet = Linear Feet Job TitleF Agency MKL-0771.003-Backet I l/.». "i * .V ' y.v 1 PERCOLATION TEST DATA Price $1.00 per pad. r SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No. Owner:Mailing Address:Weatherhead, Terry Mn 56528Box 167 DentVALHALU RESORT Zip No.Last Name First Middle St. & No.StateCity Legal Description:Sec 36 136 4156-386 DoraStar Lake SEC. TWP.RANGE TWP NAMELAKE OR RIVER NO.NAME TEST HOLE NO. 2TEST HOLE NO. 1 CDepth to Bottom of Hole inchesinches; Diameter of HoleDepth To Bottom of Hole,inches; Diameter of Hole inches 19Depth, Inches Soil Texture/yjeJi Depth, Inches Soil TextureDate,Date • / -Percolation Test By____ Percolation Test By .S, J. Elfert oLUFirm Name.Firm Name. CC DoLU tr Perham^ Mn 5^573 UJAddress.QC Address < COOtter Tail County License No..Otter Tail County License No...I-COUJMeasurement, Inches Depth in Water Level, Inches Depth in Water Level. Inches H Measurement, InchesTimeRemarksTime Remarks o I /J/'y 3£> / y /y /33- 4^/3ZC.3^. >-3cA 3^ ^3.S y f z3>-/V-/^-3j 3 y 3/3 33- V /^////3^i3 h ^/33l 13 '> ^/3J^3 7 ^^33 \. I 3k^\ o ■! PERCOLATION RATE » See Booklet, “How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. kin/men MKL-0871-028159179 ®viCTO* LuNDCtN « CO . vuiKTiat. rtnaui rM.i.1. ► ? I ! ! / j i i /O c- I /x /L>i/iCO / . f F\EV.O-^OBAv\N UEGE!^ o HOOK OQ OOW\P ^ UPT 4« COULECT^ON SEPTK tp.kk ^UP tani^ STAT\0N STAT\0N ■*’sr" pOP^P /MA\N UNE-^-\ 2^ 9 3lO16 station 4W^tIt\on 1722\53 1 18 \2 23274 6\3\924 i >5 728\4une620COUUECTION25 829\5Z\2630 UNE- couuecT'ON8 7 HOWP-8 W°®s^ES N ST/^P„(NO.56' (>