HomeMy WebLinkAboutOak Lawn Resort_35000990355000_Septic System Permits_^ Aj ;skL-Jtii;«E^a!i^|g8§g
Land & Resource Document
Standard Operating P
All paperdocuments in Land & Resource mu;
digitally and have complete confidence that;
one does not hav^to seekthe physical pape
April 15, 2022
Goal:
Deadline:
Assignments:
Property Files: Amy, Andrea, Brittany, Catelyn, Elizabeth, Emma, Eric, Michelle, Sheila, Spencer
PUD Files: Chris/Marsha
Plat Files: Chris/Marsha
WCA Files: Cody/Kyle
Point of Contact forInDigital: Marsha
Bar codeswill be generated by usingthe following URL:
https://www.barcodesinc.com/generator/index.php
There is a small window with a barcode generator. Simply type in the window and click "Gene rate
Barcode". Right-click on the barcode that is generated, select "Copy" (Ctrl-C) and "Paste" (Ctrl-V) it into
the word documentyou are using.
Process
There will be two primary document categories and subcategories under each one:
1. PlatsI a)START NEW FILE PAGE
Bar Code "Start New File"
iiiiiiiiiiiiniiiiiiniiiiiiiiiiiiiiiiiiiiiii
STRRT HEH FILE
b) Bar Code with Plat Name
Basswood Beach
c)Sort all contents of the file in chronological order
Any 24"x36" plats encountered, only keep one, all other copies
can be discarded
. 5WV NW -filt-
, pUD hlam^
d)
.*■
V
r 1
i
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 — Olhce
Yellow — Inspector
Pink — Owner
Permit No.,LEGAL
DESCRIPTION
Pflffr IAND
Uj, LehF RO Ai 3^ i£»fLOCATION
Lake No.Lake Name Lake Classif.Sec.TWP TWP NameRange
IDENTIFICATION: Please Print All Information.
Mailing Address — No. Street, City and State Tel. No.Initial Zip No.Last Name First
Gt/Ti^iygc/I'T IdeiWETH a.ssiHEhnjihl'^ mwOWNER
SEWAGE
SYSTEM
INSTALLER
Name,
This System will be ready for inspection on., 19.
This space for office use only
.19 M
Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signature
NUMBER OF BEDROOMS: “S-EEESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
313SGIs.Sq. Ft.Capacity Sq. Ft.4-
^ojiOOFt.Ft. Ft.Distance from nearest well
7^ISFt.Ft. Ft.Distance from lake or stream
Ft.Distance from occupied building Ft.Ft.
1010Distance from property line Ft.Ft.Ft.
3Ft.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
±z...k O.Lm...PERCOLATION TEST DATA:Date of First Test , 19 Rate
n Of LIfjfDate of Second Test , 19 Rate
1st Test Taken ByIfiin OrL /r Of 4First 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.
I understand that I have been granted a sewage system site permit in accordance with
the requirements of the Shoreland Management Ordinance of Otter Tail County. I
understand I must contact my township in order to determine whether or not any addi
tional permits are required by the township for my proposed project.Signature
Permit:
condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota.
This permit may be revoked at any time upon violation of any said ordinance.
NOTE: Permit void if work is not commenced within six (6) months.
Permission is hereby granted to the above named applicant to perform the w<described in the above statement. This permit is granted upon express
Issued Date:
Shoreland Management Office
So.ooFee $Rec #
X Comments:
I g /oo^^ ^
— ISOO C
Form No. MKL-032085 237,443 — Victor Lundeen Co.. Printers, Fergus Falls, Minnesota
I
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
t
V
White — Office
Yeiiow — inspector
Pink — Owner
ISlkPermit No.Of^K Ke.SaiC\LEGAL
Ccc>y)DESCRIPTION
AND
LOCATION
TWP NameLake No.Lake Name Lake Classif.Sec.TWP Range
IDENTIFICATION: Please Print All Information.
Mailing Address — No, Street, City and State Tel. No.Zip No,Last Name First Initial
OWNER
SEWAGE
SYSTEM
INSTALLER
Name.
This System will be ready for inspection on.19.
This space for office use only
,19 M
Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signature
IQ (xizhNUMBER OF BEDROOMS;ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
GIs.Sq/Ft.Sq.yf t.Capacity
Ft.Ft.Ft.Distance from nearest well
7^Ft.Ft.Distance from lake or stream Ft.
Ft.Distance from occupied building Ft.Ft.
/ODistance from property line Ft.Ft.Ft.
Ft.Ft.Ft.Distance from bottom to Water Table
AH distances are shortest distance between nearest points
se e. /Vf /RECORD OF TESTS:
Inspection was made on ,, 19 , Time JVI 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 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.
I understand that I have been granted a sewage system site permit in accordance with
the requirements of the Shoreland Management Ordinance of Otter Tail County. I
understand I must contact my township in order to determine whether or not any addi-
tionai permits are required by the township for my proposed project.iignature
Permit:
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.
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
jS.Issued Date:
Shoreland Management Office
Fee $Rec #
4- — fOOO^. TCTPh. fP -h i! ~ /OPO ^ ^Comments:
Form No. MKL-03208S 237.443 — Victor Lundeon Co., Printers. Fergus Falls, Minnesota
I
t
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
II
White — Office
Yellow — Inspector
Pink — Owner
Ohi. Lh\Or^ QeSaKT Permit No.LEGAL
DESCRIPTION
3AND
LOCATION
Lake No.Lake Name Lake Classif.Sec.TWP NameTWP Range
IDENTIFICATION: Please Print All Information.
Mailing Address — No. Street, City and StateLast Name First Initial Zip No.Tel. No.
OWNER
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
Gis.Sq/Ft.Capacity Sc/Ft.
Ft.Ft.Ft.Distance from nearest well
7^Ft.Distance from lake or stream Ft.Ft.
!0Distance from occupied building Ft.Ft.Ft.
!0Distance from property line Ft.Ft.Ft.
Ft.Distance from bottom to Water Table Ft.Ft.
AH distances are shortest distance between nearest points
PftfCr IS’iseRECORD OF TESTS:
Inspection was made on ., 19 , Time JM 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 Rate2nd Test 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.
I understand that I have been granted a sewage system site permit in accordance with
the requirements of the Shoreland Management Ordinance of Otter Tail County. I
understand I must contact my township in order to determine whether or not any addi
tional permits are required by the township for my proposed project.
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.
The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in
Si^ature
Permit:
/3.Issued Date:
Shoreland Management Office
Fee $Rec #
✓
Comments:
Form No. MKL-032085 237,443 ~ Victor Lundeen Co.. Printers. Fergus Falls, Minnesota
C(_^7'S'5' , , ft
SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL
COUNTY COURT HOUSE A ^
Phone 218-739-2271 • Fergus Falls, MN 56537 ^
APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM ^
/ '■f
<ri/Se
»kV/iite'— Off/cl
Yellow —Jnspector
Pink — Owner
[
(9/9)^ L/Wa/ Res>6f^~r Vt^Ut>
X - 3^fes 7» c^mi^erv^
PfliZV' i
Permit No.LEGAL
DESCRIPTION
35- ?"?- ?35 <;h J7^AND
A2.Lj. lesF
Lake No.
iloLOCATION
Lake Name Lake Classif.Sec.TWP Range TWP Name
IDENTIFICATION: Please Print All Information.
Mailing Address — No. Street, City and State Tel. No.Initial Zip No.Last Name First
GiiTl^tYEcfiT Hsh/ts/irj^^ PIN)C<E/v/b//^ TH flK 7 m.OWNER
SEWAGE
SYSTEM
INSTALLER
Name.
This System will be ready for inspection *-
This space for office use only
Phone Call
, 1
10-
\u19.M
Date Rec'd Time Rec'd Agent Signa^reOwner
NUMBER OF BEDROOMS: S-5i3'ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
3,13SGIs.Sq. Ft.Capacity Sq. Ft.
3oJi6<CFt.Ft.Ft.Distance from nearest well r13ISFt.Distance from lake or stream Ft.Ft.
Ft.Distance from occupied building Ft.Ft.1
//■')
Distance from property line Ft.Ft.Ft.
i '
-3Ft.Ft.Distance from bottom to Water Table Ft.
AH distances are shortest distance between nearest points
RECORD OF TESTS:
Inspection was made on 19 , Time •M By.....L
0. LmPERCOLATION TEST DATA: Date of First Test 19 Rat$
■~t
’ --f-;'I LDate of Second Test 19 Rate
1st Test Taken By
' f 7.4 7.4 /. 1 O . 4,First Test + 2nd Test
2 Rate2nd Test 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.
I understand that I have been granted a sewage system site permit in accordance with
the requirements of the Shoreland Management Ordinance of Otter Tail County. I
understand I must contact my township in order to determine whether or not any addi
tional permits are required by the township for my proposed project.
Permit;
The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in
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.
0^Issued Date:
Shoreland Management Office
1 SSUEDFee .H <G0 'OO C L U 1
Ef at _ LssUfiS
3 4~ P — tOOG r r
Rec #■f
37 fit:/ (^iSCe.
L T S .I f-S
4 Comments:My -3
u■ I- ^3.2.
9HocOI
r .GXSL
Form No. MKL-032085 237,443 — Victor Lundeen Co.. Printers, Fergus Falls, Minnesota
’ \
f
' I4i
•.V.INSPECTION RESULTS
‘ “ Inspector must make all measurements\r:^'V '\^r»r'cV'- 'lo
X 93
3-10' K \oo’ ’^6DS
\
1 “ 6&<?
^2) ^ ^
I
SEWAGE DISPOSAL SYSTEM STATISTICS ( oI-«PPN
SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Actual Should Be
L-tkr^P y
)-JOOO UafOPy (UtU-i-hrt'H IjiO^Capacity Qls.GIs.S F S F S F S F
I I
Distance from Nearest Well 'w c\\nsFFFF F F
/tDistance from Lake or Stream F F F FF
11110Distance frem Occupied Building F F F F F F
/
' Distance from Property Line /o F F F F F F
* *Distance from Bottom t6 Water Table ~ia ;3 3FFFFF F ■i
V>owi>^ -fc it 2 /C300 o P- Iroo
Inspector’s Comments:
Vv V"
V « yV-<«j+hlLi CXt
m4 /oV ^3 = ^9
yp ? 't o<J<
^/QgQ ^Cj ^
3(i» C?'^ roo^
.1 ^ -toy loQ4^1 u ■3k / ,►, A.i
^ /- yvo' 7-»-t«c,uC e oci^ r>r<*'I>s-L 1«,t r= j-^S"
19^
) -2^ x00 t<iw
-*e L\^-P j4-*rV't<i'rv/'o- S~Date of Inspection
ITJ'OO
Time of Inspection M
T
Signature \>f Inspector
f
INTERPRETATION
OF ABBREVIATIONS
GIs = Gallons
SF = Square Feet
F » Linear Feet
Job Title
MKL - 032MS - Backer Agency
I — / (3<J<3 §*oo L'l P'T'
^9 Oro'iu\loao
,t ^ - »11 ‘
t •*White-^ydmas
J^low—inspector
Pink — Owner
t■ i \
f 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
ji:.i
■ ■ ^r 1/
j
1 i
Permit No.,LEGAL i-
DESCRIPTION \
AND
LOCATION
Sac. “ VwPLake No.Lake Name Lake Classif.TWP NameRange
IDENTIFICATION: Please Print All Information.
Mailing Address — No. Street, City and StateLast Name InitialFirst Zip No.Tel. No.
OWNER
SEWAGE
SYSTEM
INSTALLER
Name,
\ ■
This System will be ready for inspection on.,, 19,
!This space for office use only
19 ,M
Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signature
/ONUMBER OF BEDROOMS;ESTIMATED COST:y
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
Sq.,Ft.^ 3^0 Sq/Pt.GIs.Capacity
Ft.Ft.Ft.Distance from nearest well /
7^Distance from lake or stream Ft.Ft.Ft.
Distance from occupied building Ft.Ft.Ft.
7!0Distance from property line Ft.Ft.Ft.
7Ft.Distance from bottom to Water Table Ft.Ft.
AH distances are shortest distance between nearest points
S-££ IRECORD OF TESTS:
Inspection was made on , 19,, Time .By
PERCOLATION TEST DATA:Date of First Test , 19 ...> Rate,
i
Date of Second Test 19 Rate ';
\1st Test Taken By
First Test + 2nd Test 22nd Test Taken By Rate
The undersigned hereby makes application for permit toTHstall 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.
I understand that I have been granted a sewage system site permit in accordance with
the requirements of the Shoreland Management Ordinance of Otter Tail County. I
understand I must contact my township in order to determine whether or not any addi
tional permits are required by the township for my proposed project.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.
Issued Date;
Shoreland Management Office
Fee $____H Rec #
/O 4- Ii ~~ /(Pd)0 7^7^
1 bbUiiD
— (OOOjSl. llZik
— /(^oo ~~
Comments:i ■/
^^7 tLH i
Form No. MKL-032065 237.443 — Victor Lundeen Co.. Printers. Fergus Falls. Minnesota
■ • -
^ i
V
• ,t I%
i
INSPECTION RESULTS i•’i
Inspector must make all measurements
SEWAGE DISPOSAL SYSTEM STATISTICS
— ^4-s\<11a'Y"^ o »w ^
SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Should BeActual Actual Should Be
Capacity -r>>.A s 3g>e»o GIs.Qls.S F S F S F S F
Distance from Nearest Weii /oo F F F F F F
I e>oDistance from Lake or Stream F F F F F F
/
-2 S'Distance from Occupied Building F F F F F F
/oDistance from Properly Line F F F F F F
Distance from Bottom to Water Table 3 3FFFFF F
-Pi DsfOulo ^ -l-Xr^S
Inspector’s Comments:
V-
/o- 3-19^1Date of Inspection
3'/ 30Time of Inspection M
Signhure of Inspector
/
INTERPRETATION
OF ABBREVIATIONS
GIs = Gallons
SF = Square Feet
F = Linear Feet
7 ■
Job We
MKL • 032085 - Backer Agency
i
r, •