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Old Town Camp & Resort_10000120082002_Septic System Permits_
SEWAGE SYSTEM% 31 ST DECEMBERThis certificate has been issued this day of to certify that the sewage system installed as per sewage permit number indicated below has been approved for use m by Otter Tail County, Minnesota. §M The premises covered by this certificate are legally described as: Range Ai Twp. NameCLITHERALL56-238 Sec. 1 2 Twp. 13 2Lake No. 12 132 hO 17.02 PART SL F a OF SL G & OF 6L 2wCOM Nw COR GL 2 S 16B6* TO BG E 380' N 33 DEG E 318.29' E 20' Bm S 65.c2' E 29.5 ' S TO LAKE WLY ii Owner: Name Pi AMT^N. JAf.K M. A PAUI TNF A. Pii? BOV 42. n TTHFRAI I . WMAddress% §n 56574Zip No. LJ jJl2i^jcSyvy Liiml & Resource Managcmcnl Official Permit No. SP R961 Signed by: Oiler Tail Counly, MinncsolaMKL-0987001 Vi Iw 253.617 Vicior l.iindeen Co , IViiiiers. I ergui I'iill.s. Mmnesolu • :!! iiII Ii f IR ~ II ^^r" ^ . i r - /CC/jy'/if// - / //- t I! ^ /^‘^r/ i^-:s ~ :Z5T !l!i ^ f Sy^ij5>/» - <py^e-/ -/- />yy ---- •:5' 3<^ ZRI^Y - ^ C7/}Ry/pS / : I V A. cY' — :S> C / c-^-'77/( W..(.. A /^Alif: /..A y^y ^ y::-y cyy^y 'A -,z Z^ZV^///' .y?!f9y,,y^ y;i;Azf^-^YAA / yyt7Ay-£.c-:3 - y-y^y^c^'y- ,//A -.aA2-.yAfC A:-^3■'('■’yy’yy'/ ^pAr-Ayc-y, // ^y>Ar/As-yr.yAjy:y_,AAy'— yyy'^ <cAA-3 '^oi:A0-^-^/AAyy^ ■''^ ■A'^yY a:) '/ Ayy^yAyyyy -7 A'^WAAAyAAy^ yA’fZyy^'yyerA / y-AAy’yy^ 'Ae'<7Ay7 A’A ^■p^yyyfryAAyy ■ yj/y j 9yAy<^-^3yjyyy^'Y- /A7'y 3<A y-pAty-cYA'y ■' —^.yy- . 7/ '// / ■ > /7,rY A yj A ■V pAy<7Ai;7y-yy^yyyy/A y-Y.c/^yAA Z7 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 — Office Yellow — Inspector Pink — Owner OJU S>U- P S 'L Ctf Permit No.LEGAL /O-iPCO V.3 - f)0^2DESCRIPTION Parcel Number AND /\P /X fsa. 'ypLOCATION Lake No. Lake Name Lake Clastif.Sec.TWP NameTWPRange IDENTIFICATION: Please Print All Information. Mailing Address — No, Street, City and State Tel. No.Zip No.Last.^'Jaroe________________ ______First Initial _ Rf- XOWNER 724^ /? f /R/SEWAGE SYSTEM INSTALLER wName. 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 /yNUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PIT /SEPTIC TANK DRAIN FIELDs/^ Sq. Ft.GIs.Capacity Ft. C^O Ft.Ft.Ft.Distance from nearest well A7-5 Ft.Ft.Distance from lake or stream Ft. 7Ft.Distance from occupied building Ft.Ft. /ADistance from property line Ft.Ft.t. Ft.Distance from bottom to Water Table Ft>Ft. AH distances are shortest distance between nearest points 9-/,2§>.9/PERCOLATION TEST DATA:Date of First Test ., 19 , 19 Rate . ‘2s,£r..ZDate of Second Test Rate 1st Test Taken By . R-S = S‘ 3//r t First Test + 2nd Test SS "i 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 th^^the job is ready for inspection. I understand that 1 have been yanfid'a sewage system sttopermlt in accordance with the requirements of the Shoreland Management Ordinance of OlteiL^all Courtly 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. J. I 4 fJ Signature Permit: <^_^rmission is hereby granted to_the_ahova-named applicant to perform the work described in the above statement. This permit is granted upjon express condition thaTthe parson 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. M2l£iP Issued Date: Land & Resource Management Office Fee $ .Q.O Rec # /PA7 D~Fd' .Oa^. cfR JAjrrJpP^ Comments: Form No MKL 082090 253,056 — Victor Lundoon Co.. Printers, Fergus Fails. Minnesota b'.- 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 — Omymt i.f P~h F S'L Cr X f Permit No.(LEGALh.\/o--/3 - r>082'DESCRIPTION Parcel Number AND[ i RD !3z 'ioLOCATION 5?^r Lake Classif.Lake No. Lake Name TWP TWP NameSec.Range IDENTIFICATION: Please Print All Information.!i Mailing Address — No. Street, City and State Zip No.Tel. No.Last Naxpe_____________________________First tnitial R-f 2. R /R/ 9^2 OWNER SEWAGE SYSTEM INSTALLER ■Name.1 I 9-3^a.z)r;This SKSfem will be ready for inspection on.. 19 This space for office use only f/M Date Rec'd Phone Call Rec'd By NUMBER OF BEDROOMS; /JpESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD ^ ^£CL> /ORO Sq. Ft.Capacity ScT. Ft. Ft.Ft.Ft.Distance from nearest well Ft.Distance from lake or stream Ft.Ft. :^oDistance from occupied building Ft.Ft.Ft. 7 ^<9Distance from property line Ft.Ft.t./•;7 7 3Distance from bottom to Water Table Ft.Ft. AH distances are shortest distance between nearest points i iI.?-/.2i‘a..LPERCOLATION TEST DATA:Date of First Test , 19 Rate \,.25.£r..Z.1Date of Second Test 19 Rate 1 1st Test Taken By - S'- -3..S.R,/!/ /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. 3 a i t) I understand that-Hravtrbeen gfanf^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 of not any addi- ,A tional permits are required by the township tor my proposed project. ’ //if L i 14\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 thSrthe porson-towhom 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. Si'-I . y??/Issued Date; Land & Resource Management Office ■IFee $ 20 7Rec # •'-12^Rj'i4£> /97~C Oq^. U’a/'/'/tComments:,;:'5 7 / .•Fonn No. MKL 082090 253,056 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota ........ H I I II..11 niMiipppvpn •9m mmm r: ', ■; INSPECTION RESULTS ■: Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Actual Should Be 4-76 SFCapacity lOOOGIs.Qls.S F S F S F / *ItooDistance from Nearest Well SO F F F F F F f rJ£VDistance from Lake or Stream F F F F F F '4Distance from Occupied Building IS F ■F F F F F /O'Distance from Property Line lAFFFF F F Distance from Bottom to Water Table 3 3FFFFF F Inspector’s Comments: . Ol ; ^0.19^Date of Inspection • *.'1 - Time of Inspection Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet Job me F = Linear Feet MKL - 0320SS - Backvr Agency t 21SS02® VICTOR LUNDCCH CO.. RKIH'miO. FEROUS FALUS. MINN .' m PERCOLATION TEST DATAMKL -0871 -028 LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. IVIailinq Address:Owner: Inufw Middle 'Zip No.StateCitySt. & No.FirstLast Name Legal Description: TWP NAMERANGETWP.SEC.NAMELAKE OR RIVER NO. TEST HOLE NO. 2TEST HOLE NO. 1 I) M (f Depth to Bottom of Hole inches; Diameter of Hole jnchesDepth To Bottom of Hole Diameter of Hnl<» — _____Inches; Inches Depth. Inches Soil Texture Soil TextureDepth, Inches19 19_____Date /iL Se.vNJ ^ Percolatioi Test By__, Percolation Test By .T»7^Q LU r>V r>l5 Firm Name. Firm Name. QC DOLU OC LU Address.(T Address < LnOtter Tail County License No.,Otter Tail County License No..I-C/5 LUMeasure ment, inches Drop in water level. Inches Percolation rate minutes per Inch Time Interval, minutes Measure ment inches Drop in water level, inches Percolation rate minutes per inch Time Intervals minutes Remarks:Remarks:TimeTimeO 9/0^52..Z9 2i J3 5[ HEllX 2. 7Cy I !6 ^ 2S. lM Tn% 5AD AZ. Ml /D) / / AA 93:S ^5 M333 TI =^2S-See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN. Pertolation rate minutes per inchminutes per inch Percolation 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 mim — Office Yellow — Inspector Pink — Owner Old (ice pY ^ Si F J- Sa 6 13U■f-f Permit No.LEGAL 'OdADESCRIPTION Parcel Number AND -.^?y Fh 13. 133.LOCATION Lake No.Lake Name Lake Classif.Sec.TWP NameTWPRange IDENTIFICATION: Please Print All Information. Last NaAe __________________ First ^7/ d Mailing Address — No. Street, City and State Zip No.Tel. No.>n trial 2OWNER 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 7NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD s/ Ft.Qml-.1530 Sq. Ft./OOO GIs.Capacity X 7 SS//&C)Ft.Ft.Ft.Distance from nearest well 'ZS'Ft.Distance from lake or stream Ft.Ft. ZazoDistance from occupied building Ft.Ft.£L7 Distance from property line Ft.Ft. OFt.Distance from bottom to Water Table Ft.Ft. AH distances are shortest distance between nearest points PERCOLATION TEST DATA:Date of First Test , 19 ... , 19... Rate 3..3..L 7/ .Date of Second Test Rate 1»t Tert Taken By .30 r30y .30/First Test + 2nd Test 22nd Test Taken By 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, 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 begD-gfanteg a sewage ayetem site-permit in accordance with the requirements of the Shoreland Management Ordinance of'Otter Tail County. I understand I must contalstmy township in order to determine whether or not any addi tional permits are required By-the-township for-my- proposed project. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This perrrtit 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. 7^.7 ,31. /f?/ lO_L^O za. Issued Date: Land S Resource Management Office ^------Fee $Rec # iOjLcJi. - 0)1~Cjo. f~)op^ rrf Comments: JL w :Form No MKL 082090 ^,056 — Victor Lundeen Co.. Printers. Fergus Falls, Minnesota \ 1 h’:':\ % 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 ' Jk Whits — Office Yeitow — Inspector Pink — Owner V C)JLcL ^&<y071 /V SJ^ F <J~ Permit No.LEGAL 0-ODA>-a - MK^-tOdADESCRIPTION Parcel Number AND IS. /J2. A//)LOCATION Lake Classif.TWP NameLake No.Lake Name Sec.TWP Range IDENTIFICATION: Pleaie Print All Information. Mailing Address — No. Street, City and State Zip No.Tel. No.Last Nar^ __________ _______ First Initial __\ Ffp- F/V. 'VrlOWNER 4^ A SEWAGE SYSTEM INSTALLER Name^si /j 3-009/This System will be ready for inspection on., 19.-T?.. .1 --1This space for office use only /(^ "h 1 a 9^ ^ - .3o p, V, Time Rec'd*^Date Rec'd Phone Call Rac'd By 7NUMBER OF BEDROOMS;ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD S/Pt.'^ ^3Q Sq. Ft.¥r ;2lq.. /OOP GIs.Capacity Ft.Ft.Ft.Distance from nearest well 25Ft.Distance from lake or stream Ft.Ft. X20 3L ODistance from occupied building Ft.Ft.Ft. Distance from property line Ft.Ft. JSDistance from bottom to Water Table Ft.Ft.Ft. AH distances are shortest distance between nearest points 9/..,3aPERCOLATION TEST DATA:Date of First Test 19 Rate ixJ^c,9 )6c^91.....Date of Second Test , 19...Rate 1st Test Taken By ' ^0oor30r-,SOFirst 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 be^rLOxanteiTa Mwage 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. ^gnature Permission is hereby granted to the above named applicant to perform the work described in the above statement. This perrrtit 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 oWr 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: Ssy2t^7_,_mi /O /. <3-0 ^2^9^ ayCYA/?J2/±- Pr? Issued Date:JLand & Resource Management Office Fee $Rec # jDop'f' rrf 2]yJ^-A2cr-x. ~'dL n-TC.Comments:!d.f- Form No MKL 082090 2S3.056 — Victor Lundoon Co., Printer, Fergus Falls, Minnesota rrT ~ t 4 ' ■i INSPECTION RESULTS\•*. oInspector must make all measurements•* SEWAGE DISPOSAL SYSTEM STATISTICS . .‘A-*IIV' V 3S' SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Should BeActual Z - /ocjo sTe^foe^-i 2000 I___________Capacity S32GIs.GIs.S F S F S F S F /ro Distance from Nearest Well F F F F F.JQq '/Q » ~hDistance from Lake or Stream /oo/Q9 F F F F F F Cj rl. ^ F LV t Distance from Occupied Building -k/S'zo ‘F F F F F -F I+ rDistance from Property Line /Q-F F F F o F F Distance from Bottom to Water Table 3 F 3FFFF F L\0 y Inspector’s Comments: 't ^ +0 £> F’. «le(■« o V V ^t>« t pt i to t& rUc0 A y~\ A \ A </rt I 0 4- \ >4,UVL^>W*. '■ «^VvVyvv- * e. 3 V <« \ I €»V4 0M»ne I t> . SQ 3C) 2>\ Z"*- o ^ F«vW 19_^/o-Date of Inspection, 3 ' ZS'Time of Inspection M Ij *Int <A/g S^nafure of Inspector/INTERPRETATION OF ABBREVIATIONS GIs == Gallons SF = Square Feet F = Linear Feet Job Title MKL - 032085 - Bw:lwr Agency 215502® VICTOR LUND6CN CO.. PRINTERS, FERGUS FALLS. UINN.PERCOLATION TEST DATAMKL -0871 -028 LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. Mailing Address:Owner: Zip No.StateCitySt. & No.First MiddleLast Name Legal Description;. TWP NAMESEC.TWP.RANGENAMELAKE OR RIVER NO. TEST HOLE NO. 2TEST HOLE NO. 1 Depth to Bottom of Hole inches; Diameter of Hole JnchesDepth To Bottom of Hole Diameter of Holeinches;inches Depth, Inches Soil Texture Soil TextureDepth, InchesDate19 Date 19_____ jSpvv;3M u/a.'k.Percolation Test By____ 4Percolation Test By .Q LU Firm Name. Firm Name..CC D aLUCC LU Address.CC Address < C/^Otter Tail County License No..Otter Tail County License No..I- coLUMeasure ment, inches Drop in water level, inches Percolation rate minutes per inch Time Interval, minutes Measure ment inches Percolation rate minutes per inch Time Intervals minutes Drop in water level, inches Remarks:Remarks:Time Timeo SlXJ091r,0^ l^Cj ^ 7X\, } u 21-rr Ml'4^IL^K2A Ii K2S /•&IAZ5 }'jJ±SM /O'kKy 2^ f 36 HIJo im /<g> i{i%tj/iQ . .?/!>.’Vi See Booklet, “How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN,Percolation rate =.minutes per inch minutes per inchPercolation rate = APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 White — Office Yellow — Inspector Pink — Owner^ 3 I/ ^<L F S>i-~ & Permit No.LEGAL DESCRIPTION Parcel Number AND Z/7^LOCATION Lake Classif.Sec.Lake No. Lake Name TWP TWP NameRange IDENTIFICATION: Please Print All Information. Last Narrie.^? ^Mailing Address — No. Street, City and State fi''2 First /• jlnitia^Tel. No.Zip No. P^/ /gy OWNER / SEWAGE SYSTEM INSTALLER /, 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 4NUMBER OF BEDROOMS;ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT,DRAIN FIELD /4:S^Ft.\GIs.Capacity Sq. Ft. Ft.Ft.Ft.Distance from nearest well 73 ^73Distance from lake or stream Ft.Ft.Ft. Distance from occupied building Ft.Ft.Ft. 3033Distance from property line Ft.Ft.Ft.A \ Distance from bottom to Water Table Ft.Ft.Ft. All distances are shortest distance between nearest points / 3^3 ... eSSS 9F~9/PERCC^TION TEST D^JA: Date of First Test.... ^ ^ Date of Second Test . 19 . Rate 9-1 .fz...19 Rate 1st Test Taken By .^>7,SYf r .33..r' f First Test + 2nd Test Rate2nd Teat 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. The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in I understand thattbave-beeh qraoted a~sewage system'wta permit in accordance with the requiremehfs of the Shoreland Management Ordinance of 'Dtte^-J^l County. I understand I must contact my township in order to determine whether ornbLany addi- liondL^permits are required by the township for my proposed project.lignature 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. /C/.P70 Issued Date: Land & Resource Management Office Fee $Rec # fr27^fiyc/- nrcwComments: j :Form No MKL 082090 253,056 — Victor LunOeen Co.. Printers, Fergus Falls, Minnesota ‘T,^. t:«'-. n’•i? 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 i -irWhitB — Office Yetlow — Inspector 'i OJlejl ! J- ^X. F S)!- (X3r '' ceXMji^ sW g?^/ i02A - -031^2 -06A I Permit No.f LEGAL■ f ^ DESCRIPTION t Parcel Number AND[ • /S2fLOCATION: r-Lake No. Lake Name Lake Cla&sif.TWPSec. Range TWP Name IDENTIFICATION: Please Print All Information. Mailing Addr^s — No. Street, City and StateLast Name^ ^j First x';lnitiai X-<;^UF*tZc^! //ru?/r Tel. No.Zip No. OWNER 22/^. ^t^S2 (/'Ic /M 2^/ /f^/SEWAGE SYSTEM INSTALLER Name; 2^^ / This System will be ready for inspection on.. 19 VThis space for office use only //X'3 .19 Phone dall Rec'd ByDate Rec'd 4NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD s/ Ft.Sq. Ft.\GIs.Capacity ^ff>//dO2oFt.Ft.Ft.Distance from nearest well 7S Ft.Distance from lake or stream Ft.Ft. /4PDistance from occupied building Ft.Ft.Ft. XZi2Distance from property line Ft.Ft.Ft. \>4^Distance from bottom to Water Table Ft.Ft.Ft. AH distances are shortest distance between nearest points■s 1 i1r\/ 3^3 Rate...7IZI ,5^ = .^7 = 19 ..^.7...PERCOLATION TEST I^TA:Date of First Test RateW±.z..L 1Date of Second Test , 19 1 1st Test Taken By r r fJA^ f \First Tee + 2nd Test 1 aRate2nd Teat Taken By iAgreement; 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 grentetTa 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 i ’ V^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.i 1 Lo/y^o 'a Issued Date:1Land & Resource Management Office Fee $Rec # n/y M2t:.fr^ yr^ nrCAf ■iComments:7^:!■T". ■1 I No. MKL 082090 2S3.056 — Victor Lundeen Co.. Printers, Fer^ Falls, Minnesota m • " - V I S<30 rr^ INSPECTION RESULTS-)VV^ Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS I »X ^ SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActual 4ooo U-«4- '2^0 Gis. Should Be Actual Should Be Should BeActual ) - loon ------------------------------------- Distance from Nearest Well —O C*bi»« jCapacity 'fooaGIs.S F S FS F SF CtU^V fFF F F F • T i/sroDistance from Lake or Stream F F F F F F I2/. / Ijo ~nDistance from Occupied Building F‘F F F F F 4 /ODistance from Property Line F F F F F F Distance from Bottom to Water Table 3 3FFFFF F ^^0/J 'p«Asl>y Inspector’s Comments: ____ p,^ ^ ('^\\\iii 2)■^o V>A Jf»s \a ^ jS y % t~» >v. ^ I ©r fo«A/L3 7 - yxii % 19 y/ .) 0-Date of Inspection Time of Inspection M I fi*’ Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job Tide* ‘ MKL • 032085 • Backer AgencyLft*OL 6oO 21SS02® VICTOR LUNOCCN CO.. f>RIHTER8. FERGUS FALLS. yiNN.PERCOLATION TEST DATAMKL -0871 -028 LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. Mailing Address:Owner: Middle St. & No.Zip No.StateCityFirstLast Name Legal Description: TWP NAMETWP.RANGESEC.NAMELAKE OR RIVER NO. TEST HOLE NO. 2TEST HOLE NO. 1 Depth to Bottom of Hole ^inches; Diameter of Hole.inchesDepth To Bottom of Hole Diameter of Holeinches;inches Depth, Inches Soil Texture Depth. I nches Soil Texture19 Date 19_____ .5pvi/I » i.Z>AVrv Percolatiqn Test Bv Percolation Test Bv .7 :>D"'16IL Q •* vC LU F irm Name.A Firm Name.CC/5 DaLLI CC LU Address.CC Address < C/5Otter Tail County License No..Otter Tall County License No..I- inLUMeasure ment, inches Drop in water level, inches Percolation rate minutes per inch Time Intervals minutes Percolation rate minutes per inch H Time Interval. minutes Measure ment Inches Drop in water level, inches Remarks:Remarks:Time Timeo (--5 is 3Ji7M,LMln'%■^U1 mz A_ 1/ ±ism.m WST\ lAA a: m 76 /Qy /o qjsA/n 7^ m 4% I q' 3 i , jd '4 a I i \ ? £i , jLZli i T I 742 EM-Z&I 3-9 40 W1SM4<n Cf' A\M//5‘ r /iAA 53 See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un, of MN. Percolation rate =ft.minutes per inchminutes per inch Percolation rate =-0. APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218*739-2271 • Fergus Falls, MN 56537mite — Office Y^low — Inspector Pink — Owner y/ ^2^Permit No.LEGAL SA. F- 4- Si- Cr r^Si!cc-jA() IFF /.2. /?j srDESCRIPTION Parcel Number AND LOCATION Lake Classify Sec.Range TWP NameLake No.Lake Name TWP IDENTIFICATION: Please Print All Information. Last Ngme_____ _________ FirstInitjafV Mailing Address — No. Stree^City and State Tel. No.Zip No. >• OWNER .■5:5af SEWAGE SYSTEM INSTALLER Name.:7 y^;i£ This System will be ready for inspection on., 19. This space for office use only ,19 .M Date Rac'd Time Rec'd Phone Call Rec'd By /sNUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD i S9<^t. Sq. Ft.Capacity w So//f*0.60 Ft.Ft.Ft.Distance from nearest well X ^521Distance from lake or stream Ft.Ft.Ft. Ft.Distance from occupied building Ft.Ft. L/O Ft.Distance from property line Ft.Ft. 3Distance from bottom to Water Table Ft.Ft.Ft./ AH distances are shortest distance between nearest points 9-/ .c ^5-PERCOLATION .TEST DATA:Date of First Test , 19 RateL.22.Date of Second Test 19 Rate Itt Test Taken By ' ^ j.)3iSS/ ^f r rFirst Test + 2nd Test 22nd Test Taken By Rate 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 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 sewagersyetem site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter-Teil, County. I understand I must contact my township in order to determine whether or noif any addi tional permits ^re required by the township for my proposed prejecT. Permit: 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. JlllSiP 'CIssued Date: Land & Resource Management Office Fee $Rec # 2-^/3 - 6)TO.Comments:7^ j :Form No. MKL 062090 253.056 — Victor Lundeen Co.. Printers, Fergus Falls. Minnesota "II•') W Ir 09 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 • Fergus Falls, MN 56537 AL-;, White — Office Yellow — Inspector Pink — Owner I * ' if■ <rs>a r SX F X SjL &■/c'-aai-)2 0)9^ Permit No.'LEGAL f:DESCRIPTIONr Parcel Numberfi:AND5 n /3^ po F f/LOCATION Lake No. Lake Name Lake Classif.Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. Last Name ^_____ Firrt Initjaf / Mailing Address — No. Street, City and State/L Xl Tel. No.Zip No, ________ r7P^, v Mam. -FFr'yXs , X\' _______ OWNER SEWAGE SYSTEM INSTALLER "7 C^'ocThis System will be ready for inspection on... 19-2/_ij 1This space for office use only /0-8 ie£/_ Date Rec'd Time Rec'd Phone Call Rec'd By /2NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD7i. yGIS.Sq. Ft.Sq/Ft.Capacity ^0//F>O.^O Ft.Ft.Ft.Distance from nearest well X '7£Distance from iake or stream Ft.Ft.Ft. ■ Ft.Distance from occupied building Ft.Ft. /O Ft.Distance from property line Ft.Ft.J - 5 Distance from bottom to Water Table Ft.Ft.Ft.1AH distances are shortest distance between nearest points .5:5:, "S J'±LrPERCOLATION TEST DATA:Date of First Test 19 , 19 Rate I'^Fi Test Taken By ^ / 13.'./..7../'......Date of Second Test Rate 1st • SS = J.13iSS(<First Test + 2nd Test 2 Rate2nd Test Taken By i 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. 5 iJ'i X j\o ^ ^ . V) Signature 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. 1 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: 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 work described in the above statement. This permit is granted upon express sy. J93/ IdAX3P> Issued Date;■3 ,*Land S "Resource Management Office i1Fee $ "Rec # I. - /OTCa.Comments: e rForm No. MKL 082090 253,056 — Victor Lundoon Co., Printers, Fergus F^ls, Minnesota r-V. -*V ■ V INSPECTION RESULTS 7j'20 & Inspector must make all measurements i SEWAGE DISPOSAL SYSTEM STATISTICS I2,0 SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Actual Should Be I3 - /OOQ 5Tc,»v»(j£XSCapacity 3s»o GIs,GIs.S F S F S F S F I F J®0Distance from Nearest Well ■z-^r FFFFF ±r/SO '5-0Distance from Lake or Stream F F F F F F Distance from Occupied Building F F F F F F t^0 ^FDistance from Property Line FFFF ■ F /s-zdDistance from Bottom to Water Table 3 3FF F rFFF Inspector’s Comments: -t, t ■( I (j of yd s-V-O U D f n< • ■ ^1. ^3 y o s o ? V 3//o- •?-Date of Inspection 19 Z,. / S'Time of Inspection M I tru G ^ Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet ^7 Job THte MKL - 032085 • Backer Agancy % I 5-b 5 75 u■S'c'1 CPV •Sijv --i I^O'Twp 1 yrn1/ 21SS02® VICTOK LUNOECN CO.. PRINTERS. FERGUS FALLS. tIiNN.PERCOLATION TEST DATAMKL-0871 -028 LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. Mailing Address:Owner: Middle St. & No.Zip No.StateCityFirstLast Name Legal Description:.TWP NAMERANGETWP.SEC.NAMELAKE OR RIVER NO. TEST HOLE NO. 2TEST HOLE NO. 1 Depth to Bottom of Hole inches; Diameter of Hole JnchesDepth To Bottom of Hole.inches;Diameter of Hole inches Depth. Inches Soil Texture Soil TextureDepth. InchesDate 19_____19 Date53Z£za ------- \Percolation Test By__i. Percolation Test By .LLaLJJFirm Name. Firm Name.CC DOLit CC Lll Address.CC Address < C/3 Otter Tail County License No..Otter Tail County License No..I-coLUMeasure ment, inches Percolation rate minutes per inch Drop in water level, inches Percolation rate minutes per Inch H Time I nterval, minutes Measure ment inches Drop in water level, inches Time Intervals minutes Remarks:Remarks:Time Timeo§ IqjiA ' (-/a SJi-JM.fenSnzQ-d% U 3, Id n%\ I‘ ZEMsS.S-2M- 2^2. *9 PM]EZa!— lo u'i yojsiti :g_4 /r> Ji% 33.3 7 lAQ S6S 41.mnTI3%SEE-SB4ZZZ5 C^dC... 015 i a ;5^See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MNPercolation rate minutes per Inchminutes per inch Percolation rate = L'l-Urj 1/ ■^!1.'3»< (fCiV(\0'^ ^ - OTTER TAIL COUNTY DEPARTMENT OF PUBLIC HEALTH SUB OFFICE 222 2nd AVENUE S.E. PERHAM, MINNESOTA 56573 218-346-3175 MAIN OFFICE OHER TAIL COUNTY COURTHOUSE FERGUS FALLS, MINNESOTA 56537 218-739-2271 r - ■>^ ^ SFP 2 G 1S91 LAND ti September 26, 1991 TO:Bill Kalar; Otter Tail County Land Use Office FROM:i Otter Tail County Public Health DepartmentRichard Ast^^up Old Town Camp and Trailer Park, Clitherall,SUBJECT:MN The subject sewer system will be repaired in four (4) phases. Phase 1:7 units 6 RCA/MH - 1 cabin 4 - 1000 gallon septic tanks & lift station. 1000 sq ft of soils absorption field. 3 units - Residence 1 - MH, 1 cabin 2 - 1000 gallon septic tanks 530 sq ft soils absorption field. Phase II:7 bedrooms Phase III:7 units 7 cabins - 2 through 8 4 - 1000 gallon septic tanks 1000 sq ft of soils absorption field. 6 units 6 MH 3 - 1000 gallon septic tanks 825 sq ft of soils absorption field. Phase IV: Start date approximately September 25, 1991. 2-3 weeks until completion. Soils absorption fields were reduced in size. REF: Memo dated August 21, 1991. ^ Printad on Racydad Papar. L V p / OTTER TAIL COUNTY DEPARTMENT OF PUBLIC HEALTH MAIN OFFICE OTTER TAIL COUNTY COURTHOUSE FERGUS FALLS, MINNESOTA 56537 218-739-2271 SUB OFFICE 222 2nd AVENUE S.E. PERHAM.MINNESOTA56573 218-346-3175 2 2 1931 Si RLSCUF.GE August 21, 1991 TO: Bill Kalar, OTC Land Use Office FROM: R.J. Astrup, RS, OTCHD Reduction of soils absorption requirements, by reason of seasonal use (Resorts) SUBJECT: Clitherall, MNOld Town Camp, Clitherall Lake, Cabins number 2 through 8, reduced to 1000 square feet. RCA number of units 7, reduced to 1000 square feet. MH number of units 6, reduced to 825 square feet. House group - if the house is to be used as a year around residence it will be treated as a normal unit. 1. No reduction. If however, the house is occupied as a seasonal unit. Resort Managers', Office and home, and is vacated when resort is not in operation, the group may be reduced to 530 square feet. 2. Oak Park Resort, Clitherall Lake, Clitherall, MN The Manager/owners residence will be treated as a year around occupied residence. No reduction. The balance may be reduced to 1300 square feet. f OTTER TAIL COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH COURTHOUSE FERGUS FALLS, MINNESOTA 56537 MOBILE HOME PARK AND/OR RECREATIONAL CAMPING AREA INSPECTION REPORT Park or Camp JrJ ) 6 )j Lie. No. 3~7 Posted.Dated. Cn ^ 'TiA ‘ /M-Location_P.O Xp-fZ- Rc3x42_AddressLicensee No. OccupiedNo. Dep. R.C. SitesNo. Occupied No Occupied _ No. Ind. R.C. Sites /aNo. M.H. SITES Sewage Disposal ^ h. Toilet, Bathing and Laundry Facilities i. Incinerators ______ j. Garbage and Refuse k. Vermin Control ___ l. Night Lighting____ m. ’ Community Kitchen n. Bottled Gas______ o. Fuel Oil Systems__ p. Fire Protection __ Other ___________ a. Location __ b. Caretaker __ c. Spacing____ d. Animals____ e. Water Supply f. Plumbing __ MHD187 PARAGRAPH: r r- y‘^fOy~y>jgLr<^x^ yi^^^/^.y'TyiS>'>1i ^ ~ s — _____________'^y^^yyj^y'’^ J<pyy^yyy.V /I yjc/ 9 g- F _________ Jl^yyOjyy^ X/ ^i^yyo n • *=a>Q,yi2‘^:J)4iri(:yy- yS^y>}. y^y,yyy<y^^ X y' [^y ^OZ!g=>____..-.^ jX yyy-yi X ^ „*--7 i > ■ Inspector Office and Phone No. OTCDPH nElSON BROS PRINTING INC Fergus Faiii. MN S6537 K' V *FIELD NOTES - T/DATELAKE NAME 5~^ '^ 3 K riBE MO.LAEE MO. LBOAL DE8CEIPT0N OF LOTl }0~OQO - i^' O01fX~Oc> 2^J2 - )32 - '^OPARCEL NO. 7~Scy<J-i^ d- PyrA-^ 5L F ^ SLG^ OWNERS NAME /P^J2. ScT^ AJ,OWNERS ADDRESS s/ TYPE OF SBWAOE SYSTEM (IMSPECIDR* S COMMENTS): 7 -S ^ 5 ^ , SEPARATION DISTANCES (IN FEET); SEPTIC TANK SOIL DISPOSAL ABHA WELL M /PP?LAKE LOT LINE OCCUPIED BUILDING ■f fovv\ H '' i-o 'HELEVATION OF THE AREA REASON SYSTEM HAS ABATED; 7,FiyOO -3 ^ S 2 ^0 £yi/<Op P) vj i>r<j ^c-lls ^oe> aJ^zji- A) 5) 7. dlo^c /d /it/ce. C7^ S-.e^(yJxx^^rer>n^cyvn s C/t/u\ SKETCH OF LOT/ON BACK ■ rLo^\<^ I /. 1 .1 ----I’I * -I t •:• ,'J A :4 /51 f a/5!^1i'i -t J^po:i,a 330^' \/ C6 il0^ t '• 0 Jjat /S'I I I •:,F-\ \ '>•;-1 t-i ih <.'■ .U ii ■ ■I -;••:>iri1 '^■/ i'"