HomeMy WebLinkAboutPaul Lake Resort_20000990341000_Septic System Permits_f
OTTER TAIL COUNTY
LAND & RESOURCE MANAGEMENT
PUBUC WORKS DIVISION
WWW CO OTTER-TAIL MN US9tmRTRII
GOVERNMENT SERVICES CENTER
540 WEST FIR AVENUE
FERGUS FALLS. MN 56537
218-998-8095
FAX 218-998-8112
5/22/2017
Wayne H & Jeanette C Caughey
43736 Paul Lake Dr W
PerhamMN 56573 8616
RE: Primary Owner: Wayne H & Jeanette C Caughey
Sewage Treatment System Servicing Tax Parcel Number: 20000150087001
Described as:Sec 15
Sect-15 Twp-136 Range-040
1.57 AC
*.60 AC IN GL 1 & .97 AC IN
Twp Edna Township
Lake: 56-335 Paul
As of 05/22/2017 the (7) holding tanks (Sewage Treatment Installation Permit # 24552
servicing your property was determined to be in compliance with the provisions of the
Sanitation Code of Otter Tail County.
Please be advised that this certification is only valid for five years from the date of this
inspection 5/12/2017.
If you have any questions regarding this matter, please contact our office.
Sincerely,
Scott Ellingson
Inspector
c
APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM
LAND & RESOURCE MANAGEMENT
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537
218-998-8095
www.co.otter-tail.mn.useOTTER Tim £ - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue)COUNTT-HIAACfOTII
APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No.
LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER SECTION TWPNO.RANGE TWP NAME
PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD
VJ73C Au/
. 30 AC J/V / r M
^ OO f
LEGAL DESCRIPTION
Last Name First Initial Mailing Address Daytime Phone No.U.. f /j)UrpixryProperty
Owner JT1. dT
X / ^7 A/
src
Contractor
Lie.#
/r^y
THIS SPACE FOR OFFICE USE ONLY
A.M.
1 , the year of>• This System will be ready for inspection on P.M.at
A.M. P.M.
Date Received Time Received L&R Official
NSTALLATION (circle one)TYPE OF SEWAGE TREATMENT SYSTEM DESIGN DATA
AS SHOWN ON DRAWING
'tHTP^pTacement
Collector r Est.Residential
(A) New
(B) Replacement
(C) Add on
(D) New
(E) Replacement
(F) Add on Soil
Treatment
Area
(I) Add on LiftTank
Design Flow (Gallons/Day)Effluent Distribution
Gravity
( ) Pressure GIs ___GIs Ft.Siz(
(M) 5,000 — 10,000
Setoack To NearesUflilgType I Type II Ft.Ft.Ft.7^(20) Trench, Rock (27) Rapidly Permeable
— Ft.^ Ft.Setback To OHWL(21) Trench, Gravelless (28) Flood Plain
(22) Trench, Chamber (29), Privies Ft.—- Ft.Ft.Setback To Bluff(30) Holding Tank S(23) Bed
'Contract Required)(24) Mound Ft.____Ft.----Ft.Setback To Dwelling
(25) At Grade Type III
Setback To Non-Dweliing Ft.-----Ft.(31) Other/Problem Soils/<12" Soil(26) Greywater
Type IV(34) Tank Only Setback To Nearest
Lot Line Ft._FL(32) Public Domain &
Proprietary Technologies(35) Other
Setback To Road Right-Of-Way 6Depth of Well Ft.—EL ■X.Type V
Total It Bedrooms (33) Performance Elevation Above
Restrictive Layer Ft.—Ft.Ft.Y /(N^Garbage Disposal Y / NAbatement
PERCTESTD^A
/d nj/'a < /Y1 ,fftS License #Highest RateDate 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.Thls permit is valid for a period of six (6) rnonths. 2.This permit does not inciude the buiiding sewer (sewer iine).
PC>/-7~ f//
Permit Fee $Date:
Tgnature of Property Owner/merxt for Ow,
Rec. No..Date:
Land 8t Pesoorce Meoegement Offici^
Date StampComments:
L&R Initial _[ilgglForm No. BK — 04-2014-06 357,243 • Victor Lundeen Co.. Printers • Fergus Falls, Minnesota
/V€
e
APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM
LAND & RESOURCE MANAGEMENT
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537
218-998-8095
www.co.otter-tail.mn.us
OTTCR Tflll WHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue)eoiUTTaiMaiioTii
APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No.
LAKE NUMBER AKBRIVER NAME AKE/RIVER
CASS
f/
SECTION TWP NO.RANGE TWPNAME
/r-
//•— <:
PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD
///y //y■ - / l\ /■ 1- -Cf
LEGAL DESCRIPTION • L'. ' /(l: 7/v c / / ■ AC/,
Last Name First Initial Mailing Address Daytime Phone No.
Property
Owner
^ /
A?a^
/ A A A'A ''
■/
A~,gAt 'fi\4-1.4^
/
//; 7/Contractor
Lie.#-u
z-r: :'~y^ -7■ r.yZ7
THIS SPACE FOR OFFICE USE ONLY
10:33 #■slix zon>■ This System will be ready for inspection on , the year of at
3'.)0
Date Received Time Received L&R Official
TYPE OF NSTALLATION (circle one)SEWAGE TREATMENT SYSTEM DESIGN DATA
AS SHOWN ON DRAWINGResidential
(A) New
(B) Replacement
(C) Add on
Collector Other Est.
(D) New
(E) Replacement
(F) Add on
(G) New
(H) Replacement
(I) Add on Soil
Treatment
Area
Tank Lift
Design Flow (Gallons/Day)
(J) 0
(K) 1 — 2,499
(L) 2,500 — 4,999
(M) 5,000 — 10,000
Effluent Distribution
( ) Gravity
( ) Pressure GIs .. GIs Ft./ ./ISize 7
Setback To Nearest We|lType I Type II Ft.Ft.Ft.7
(20) Trench, Rock (27) Rapidly Permeable
Ft.Ft. Ft.Setback To OHWL(21) Trench, Gravelless (28) Flood Plain
(22) Trench, Chamber (29) Privies Ft.Ft. Ft.Setback To Bluff(23) Bed (30) Holding Tank
(Contract Required)(24) Mound Ft.Ft. Ft.Setback To Dwelling
(25) At Grade Type III
Setback To Non-Dwelling(26) Greywater (31) Other/Problem Soils/<12" Soil Ft..-Ft.-- Ft.
Type IV(34) Tank Only Setback To Nearest
Lot Line Ft.Ft.Ft.(32) Public Domain &
Proprietary Technologies
(35) Other
Setback To Road Right-Of-WayDepth of Well Ft.Ft.~ Ft.■bType V
Total # Bedrooms (33) Performance Elevation Above
Restrictive Layer Ft.-Ft.- Ft.Abatement Y / N Garbage Disposal Y / N
PERC TEST DATA
Designer
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.
License #Date of Test Highest Rate
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.Thls permit is valid for a period of six (6) months. 2.This permit does not include the building sewer (sewer line).
Date:Permit Fee $/ 7’
Signature of Property Owner/Agent for Owngry^ /
.- > ' ' A- A
Date:Rec. No..
Land & Resource Management Offidat
7”
Comments:
1^1^Form No. BK — 04-2014-06 357,243 • Victor Lundeen Co.. Printers • Fergus Falls. Minnesota
SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS
STA (Soil Treatment Area)
OUTHOUSE j
TRENCH REDUCTIONfLIFT TANKCATEGORY
I.OJO LP glS.Rock {tenches with inchesCapacity2GLS.
of sidewaINpr %FT FT FTSetback from Nearest Well
fPreduction / equ^alent toSetback from Buried
Water Suction Pipe FT FT FT
Setback from Buried Pipe
Distributing Water Under Pressure
STA CAL^LATION
(Soil Tre^ent Area)Id FT FT FT
5^'Setback from OHWL (lake &/or river) FT FT Ft.
Setback from Bluff FT FT,FT FP
Setback from Dwelling FT FT MOUND / AT-GRADE
ROCK BEDSetback from Non-Dwelling FT FT FT
Setback from Nearest Property Line FT FT FT Ft. X Ft.
(D*Setback from Right-of-Way FT FT FP
Elevation above Restrictive Layer FT FT FT
SAND IN MOUNDINSTALLERS COMMENTS
SEPTIC TANK(s)Holding Tank / Lift Alarm YES
# Tanks Installed__H.Holes [Old System Pumped & Destroye^t^ YES □ NO Wei
Manuf.
Model # 1,000 CP
Number of Laterals #Lateral F^e Size IN
Perforation Spacing Ft.Perforation Dialneter Size IN
□ YES jj^NOFILTERSPUMPSGallons Per Minute Feet of Total Head
Inspector's Comments:
Sketch:
LAKb I
j
I
!
As of , the above described sewage system installation
was found to be compliant with the provisions of the Sanitation
Code of Otter Tail County. ^Initial/L S, R OfficialDateTime
Land S Resource Manat fnt Official
Form No. BK — 04-2014-06 357,243 • Victor Lund«fln Co.. Printers > Fergus Falls. Minnesota
5D0WN-^
i,
?omtr-3
u o
\ All JS i! CRLMfl ION rSODL'Cft WATERTIGHT TESTING CERTIFICATION FORM
Manufacturer’s Name: Brown Wilbert Inc
Address; 3921 Roosevelt Rd St Cloud MN 56301
Ch\Xit UlLVbo'sContractor Name:
Phone Number:
Installation Address:
City:State: MN
Certification
I certify that the following model (s) have completed watertight testing, as stated in the Minnesota
Administrative Code SPS 384.25.
I also certify that there have been no changes in the dcsign/manufacturer of each tank since its original listing.
test performed bydate of test
Sxv(xcjy\Signature of Manufacturer/Representative
Ayi Title:
Date:
Print Name:
Signatine^
£
Signature of Contractor/Installer:
Print Name://> S
i"- S^-/7Date;Signature;
c &.
\
Units 1,5 s 1 bed, double occupancy cabin.
Units 2, 3, 4, 6, 7 = 40' max. camp trailer.
Tanks A, B, C, D, E, F, G = 1,000 gal minimum.
All tanks +50' to Ordinary High Water Level.
All tanks +10' to Cabin/Trailer Units.
Rumbing & Septic designed
by Andrus Watkins
Uc# 076071-MR
MPCA Lie #1933
20-O'40'
All proposed sewer lines are 4" schedule 40 PVC pipe
★ & fittings ASTM D-2665 with 1% slope minimum.
All lines +10' to water lines.Paul Lake Resort
43736 W Paul Lake Dr
Perham, MN 56573
Parcel; 20000150087001
Edna Twp
Sec-15 Twp-136 Rnq-040
k.^ All proposed water lines are 1" poly with 0% slope.
All brass fittings.
Proposed deep well = 0.75 HP, 15 GPM. 3W,
230V, Legend Steel 93721540, tank pressure
WX-PR 44 gallon 40-60 PSI.
N
Lake
t \
♦ 50'toOHWI.1
2
LlXflO'toUnil
x>an out 3 /Clean out S^ xv.*can out
ifB C
Private Drive
%
4 way3 way 4 way 3 way
Clean out Clean OutirHEP6 7Deep wel
Pressure tank
e +20' to ROW♦20' to ROW
W Paul Lake Dr
SITE DATA WORKSHEET
LAND & RESOURCE MANAGEMENT
GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537
218-998-8095
www.co.otter-tail.mn.usOTTgRTSmeoupTT-aiBOffioTft
Sewage Treatment System Permit #OWNER:
U.
LAST NACii FlffST
ADDRESS:
y3 fikul l\0 ./)r. L) /(tyJj/jryi
MIDDLE TELEPHONE NUMBER
ml 7 3A
STR./RT CITY STATE ZIP CODE
jT6-53r EzU.i'OCL_
/LAKE/RIVER NO.LAKE NAME SEC.TWP RANGE TWP. NAME
LEGAL DESCRIPTION:SOIL BORING LOG/ 6~7/-1C.. (oO/^C^/hJ
i -t , ^ 7
Jl 7:>nzDn z. n sr 7 z:>cD /
PARCEL NUMBER
'•/3 73/j’ Ar./ Aitc ,0
E-9H Address or Directions From Nearest Public Road
COLOR a
MUNSELL NO.
DEPTH
(INCHES)TEXTURE STRUCTURE
BLOCKY
PLATY
PRISMATIC
NONE
BLOCKY
PLATY
PRISMATIC
NONE
NUMBER OF BEDROOMS BLOCKY
PLATY
PRISMATIC
NONE
GARBAGE DISPOSAL: YES NOTo be dti\!e^
.ft. SEWER LINE SEPARATIONS^ ft.WELL: CASING DEPTH BLOCKY
PLATY
PRISMATIC
NONE
FLOODPLAIN:BLUFF: YES NO
VEGETATION: AQUATIC TERRESTRIAL
BLOCKY
PLATY
PRISMATIC
NONE
SLOPE AT INSTALLATION SITE:%
TYPE OF OBSERVATION: Probe Pit Boring /
PARENT MATERIAL: Till Outwash Loess Bedrock Alluvium
ORIGINAL SOIL:Yes No Date of Soil Boring
COMPACTED SOIL: Yes No
DEPTH OF BORING (To 7' or restrictive layer):.^__
PERC TEST #1
ft.Date of Perc Test
PERC TEST #2- TWO TESTS ARE REQUIRED -
TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE J.IML INTERVAL(MINUTES!WATER DEPTH WATER DROP PERC RATESTARTSTART
DROPTIME PERC TIME DROP PERCTIMEINTERVAL(Ml WATER DEPTH WATER DROP 1C RATE TIME INTERVAL(MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL/^----- =V TIME DROP PERC DROPTIME PERC
INTERVAL (t^UTES)'TIME INTERVAL (MINUTES!WATER DROP PERC RATE TIME WATER DEPTH WATER BRQP PERC RATEREFILLREFILL
TIME DROP PERC TIME DROP PERC
XWATER ^QP /WATER DROPTIMEINTERVAL (MINUTES!WATER DEPTH PERC RATE TIME INTERVALIMINUTESI R DEPTH PERC RATE7REFILLREFILL
TIME DROP PERC DROP PERCTIME
WATER DROP S. water DROPTIMEINTERVAL (MINUTES!WATER DEPTH PERC RATE TIME INTERVAL (MINUTES)WATER PERTH PERC RATE7REFILLREFILL
PERC TIME DROP PERC
TIME INTERVAL (MINUTES!WATER D^TH WATER DROP P^C RATE TIME INTERVAL(MINUIESI WATER DEPTH WATER DRQI PERC RATEREFILLREFILL
TIME DROP LRC.TIME DROP PERC
PCRC RATETIMEINTERVAL (MINUTESI ^TER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTEST WATER DEPTH WATER DROP\REFILL REFILL
TIME ‘ DROPTIMEDROPPERC PERC
TIME INTERVAL (MINUTE WATER DEPTH WATER DROP PERC RATE TIME INTERVAL(MINUTES)WATER DEPTH WATER DROP PERC RATE/REFILL REFILL
DROPTIME PERC TIME DROP PERC
SEPTIC TANK MANUFACTURER:
PROPOSED DESIGN:
X_ ATGRADE.HOLDING TANK
SPECIFY:
GRAVITY DIST.PRESSURE DISTTRENCHBED.MOUND.
Tn d frT!OUTHOUSE.OTHER.SEWER LINE.
— SYSTEM DESIGN ON BACK —
f •
:
!^ ^ ! I ■ . . MSystem design must be to scale and must include tljie proposed location of the jsewage system, all existing/
j proposed buildings, property lines, the ordinary higl^i water level of the water body, bluff and jail water wells
!-....within 150'oHhe sewage-system. lf-there-are any-qi|jestions7-see-tihe University pf-Minnesota-Site7Evaluatio^-
I worksheets. I i ^ ! i
! ■ ; I ;
1 •!
:!j1i;
!i)!5i feetinch(es)j equalsi feet, orgrid(s) equalsScale:i I
II(
!1
MPCA LICENSE #:I
/ (t ^DESIGNED BY:LICENSE CATEGORY:Li^/^ /CA
I I ^ ^ ^
1 1U'i1
FIRM NAME:f /y y -DATE:-r 2t-------
ADDRESSi 1iiSIGNATURE:\\j i
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3&4.251 • ViciorjLundeen Co. Primers • Fergus Falls. MN * .1-800'346-4870BK —04-2014 029 1
!
Land & Resource Management
GSC, 540 W Fir, Fergus Fails, MN 56537
^TTtRTMii 218-998-8095; Website: www.co.ott8rtaii.mn.u8
Subsurface Sewage Treatment System Management Plan
Sewage Treatment System Permit Number: ^
Property Information:
Section Township NameLake / River Number Lake / River Name Lake / River Ciass
Property’s E-911 AddressParcel Number(s)
^OOOO 003^100 I (XU (//e.
Property Owner
f)C- •H'
T7 7
This management plan will identify the operation and maintenance activities necessary to ensure long-term
performance of your septic system. Some of these activities must be performed by you, the homeowner. Other
tasks must be performed by a licensed septic service provider.
Homeowner’s Management Tasks - Should Be Checked Every 6 months:
Leaks - Check (look, listen) for leaks in toilets and dripping faucets. Repair leaks promptly.
Surfacing sewage - Regularly check for wet or spongy soil around your soil treatment area.
Effluent filter (if applicable) - Inspect and clean twice a year or more.
Pump Tank Alarms - Alarm signals when there is a problem. Contact a sen/ice provider any time an alarm signals.
Holding Tank Alarms - Can be either an electronic or a manual float, when activated, service (pumping) is required.
Event counter or water meter (if applicable) - Record your water use.
Vegetative Cover- Establish and maintain a vegetative cover over the sewage system.
Professional’s (Licensed Septic Service Provider) Management Tasks - Shouid Be Checked Every 24
Months (2 Years);
m Check to make sure tank is not leaking.
^ Check and clean the in-tank effluent filter.
^ Check the sludge/scum layer levels in ail septic tanks,
n Recommend if tank should be pumped.
J Check inlet and outlet baffles,
n Check the drainfield effluent levels in the rock layer.
^ Check the pump and alarm system functions.
^ Check wiring for corrosion and function.
Provide homeowner with list of results and any action to be taken.
^ Check inspection pipe caps (replace as necessary).
7 Check manhole cover (accessibility, security, or damage).
I understand it is my responsibility to properly operate and maintain the sewage treatment system on this property in
accordance with this Subsurface Sewage Treatment System Management Plan.
Property Owner-
Signature Date
The following link will provide information from the University of Minnesota, regarding a Septic System Owner’s Guide:httD://www.extension.umn.edu/environment/housinQ-technoloav/moisture-manaaement/seDtic-svstem-owner-ouide/
LR: Onlino Permitting Forms 2016: SSTS Management Plan FMaUe 07-27-2016
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
W ;te —, Office
V low — Inspector
Pli^. * — Owner
Card — Owner
yofj'' G ^ / P(X^
Permit No.LEGAL
Date
DESCRIPTION
AND
Pn.J /$i) JH‘/OLOCATION
Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name
IDENTIFICATION: Please Print All Information.
Last Name MaillinsLAdiicess —No. Street,,^ity apd StateA A ^ At.Tel. No.First Initial Zip No.
0nisOWNER (T
ISMSEWAGE
SYSTEM
INSTALLER
Name.
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 Owner or Agent Signature
NUMBER OF BEDROOMS:ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
GIs.Sq. Ft.Sq. Ft.Capacity
'k Ft.Ft. Ft.Distance from nearest well
7^Ft.Distance from lake or stream Ft.Ft.
Ft.Distance from occupied buildinq Ft.Ft.
T/ADistance 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 Time ,M By
>..2./PERCOLATION TEST DATA:4 AeW Date of First Test , 19 Rate
2ZQ 1Date of Second Test , 19 Rate
Test TakTr By
I /I ~2.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.)
Dated
Permit:
condition that the person to whom it is granted, and his agents, employees and workmen shal/confdrm in all respects to ordinances of Otter Tail County Minnesota.
This permit may be revoked at any time upon violation of any said ordinance. j / ( 'v
NOTE: Permit void if work is not commenced within six (6) months. / \ \ /I
Permission is hereby granted to the above named applicant to perform the work in the above staternent. Thie permit is granted upon express
Issued Date:
Shoreland Management Offi<ff^'73
^ i Pa
^~7.
Fee $Surcharge $
lita C‘ri,Comments:.Vv
( )pL/AjP2^
vicret Lu«Dt(« a ce . paiauea. rcnaus ra^La mimii 158906
Cl - /U9\3 00Tiyok^
Form No. MKL-0771-003
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 — inspector
Pli/ — Owner
Card — Owner
Permit No..LEGAL
Date
DESCRIPTION
AND
LOCATION
Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name
IDENTIFICATION: Please Print All Information.
Last Name InitialFirst Mailling Address —No. Street, City and State Zip No.Tei. 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 Signa;ture
NUMBER OF BEDROOMS:ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
GIs.Capacity Sq. Ft.Sq. Ft.
Ft.Ft.Distance from nearest well 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 Ft.Ft.Ft.
AH distances are shortest distance between nearest points
RECORD OF TESTS:
Inspection was made on 19 , Time 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. (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:
Issued Date:
Shoreland Management Office
"HT 'SSUeW^Fee $Surcharge $
Comments:.
Form No. MKL-0771-003 vierea tuHattM • co.. •eiaTca* rtaaut rM.k* hihh.158906
1
ft
• \\INSPECTION 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
/SL'O 'iOS' SFCapacityGIs.GIs.S F S F SF
TlDistance from Nearest Well F 75F 50FF F
■75')^ PDistance from Lake or Stream F F F F F
Distance from Occupied Building 10 2020FFFF F
/l)Distance from Property Line 10 10 10FFFFF F
Distance from Bottom to Water Table 4 4FFFF F
______________JU-xA
Inspector's Comments:
t^-<y
ySxj iri^
3ooc^ L, ff-
Date of Inspection
a!Time of Inspection M
Signature of InspectorINTERPRETATION
OF ABBREVIATIONS
GIs « Gallons
SF * Square Feet
F “ Linear Feet
Job Title. ;■
Agency
'v ^
A:' •*:' * '
M KL-0771-003-Backer - 1. I
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PERCOLATION TEST DATA Price $7.00 per pad.
SHORELAISID MANAGEMENT
OTTER TAIL COUNTY
Fergus Falls, Minnesota 56537
Ph. No.Owner:Mailing Address:
L^t Name First Middle St. & No.City State Zip No.Legal
Description:
Lake OR RIVER NO.SEC.NAME TWP.RANGE TWP NAME
TEST HOLE NO. 2TEST HOLE NO. 1
<4^ ^/* inches: Diameter of HoleUpDepth to Bottom of HoleDepth To Bottom of Hole.Jnchesinches;Diameter of Hole inches
?-/IzZ7„Depth, Inches Soil Texture Depth, Inches Soil TextureDate.Date 19_____
€ e
Percolation
^ Test By___C=rf
Percolation
Test By____A aAUJFirm
Name / 5 Firm
Name.A 2 t/-DaLU
U 0 tr
LUAddress.QC Address
Qi ?<
cnOtter Tall County License No..Otter Tail County License No_H
LUMeasurement,
Inches Depth in Water
Level, Inches
H Measurement,
Inches Depth in Water
Level. Inches
Time Remarks Time Remarks
o
H■r ro^/>y
r z(_______ > ^ ,___________________ A.✓^ ^ <
r ryp 7y\y}ff
7s ^7 6 f’ i
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1' X.S'f7 ////4
MKL-0871-028
See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn.
m mS , .ag> 'mmm
iVy,
CERTIFICATE OF COMPLIANCE ►'■y
SEWAGE SYSTEM
RESIDENCE
I
25th 79 76 ■March<iaj^ o/:r/z/s certificate has been issued this
m Mto certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota.■ :'(4
Bi The premises covered by this certificate are legally described as:
Lake No 56-•‘^15 Ser.l^ Twp. I36 Range |[0 Twp. Name.Edna
2.1^ Acre plat in G.L. 1
Paul Lake Resort iM
iT3€«George 01son____________________________
114.44^"^-*^^^ St. S.^ Stillwaterj Mlnnaaota
Owner: Name.m LSmAddress.
55082Zip No.
1581Permit No. SP_
Signed by:.
Malcolm K. Lee, Shoreland Administrator
]59035 i-UHsecN « ee. paintcas. fckbus f«lls, uinm
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
• Office
— Inspector Owner Owner
CXcdjz /
fiuJ. /oJLe
\5SIPermit No..LEGAL
Date
DESCRIPTION
AND
^-33.6 Pou^LOCATION
Lake No.Lake Name Lake Classif.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.
f)
ol// .
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 Rac'd By Owner or Agent Signa.ture
NUMBER OF BEDROOMS;ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
A.im.~7.50 Gii.Capacity Sq.Sq. Ft.
5£> ^ Ft.Ft. Ft.Distance from nearest well
'IS Ft."~?S Ft.Distance from lake or stream Ft.
Ft.rSLO Ft.Distance from occupied building Ft.
10IT) Ft.Distance from property line Ft.Ft.
7Distance from bottom to Water Table Ft.Ft.Ft.
AH distances are shortest distance between nearest points
RECORD OF TESTS:
Inspection was made on 19 , Time ,M By
- )„ 19 ...7..S..PERCOLATION TEST DATA:Date of First Test Rate
Date of Second Test 19 , Rate
1st Test Taken ByV'/:x /
First Test -I- 2nd Test "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, sketchesand specifications submitted herewith and which are approved by Shoreland Management Offi
cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the
responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for Inspection. (Cali or use attached mailer notice.)
r'
9 - S--75Dated
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.
9-3 7£>Issued Date:
Shoreland Management Office
s SC 4030Fee $Surcharge $
Comments:.
Form No. MKL-0771-003 158906
v'CToa LuaftCiH 4 CO., aaiauoo. FCaau* r*LLt. mimm
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
.*
Office
Inspector/V
/— Owner
c d Owner
I.
Permit No.,hLEGAL
f Date7DESCRIPTION
AND
LOCATION
Lake No.Lake Name Lake Classif.Sec.TWP TWP NameRange
IDENTIFICATION: Please Print All Information.
Last Name First Initial Mailling Address —No. Street, City and State Zip No.Tel. No.
OWNER
SEWAGE
SYSTEM
INSTALLER
Name,
c2.:oo Pfv\This System will be ready for inspection on., 19,
This space for office use only
^ ■ Qt> A • M19
Date Rec'd Time Rec'd Phone Cal) Rec'd By Owner or Agent Signa.ture
NUMBER OF BEDROOMS;ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
GIs.Capacity Sq. Ft.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 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 ='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 that the job is ready for inspection. (Call or use attached mailer notice.)
Dated
Signature
Permit:
condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota.
This permit may be revoked at any time upon violation of any said ordinance.
NOTE: Permit void if work is not commenced within six (6) months.
Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express
Sh\j^iWiJ^Issued Date:
Management Office
O
Fee $Surcharge $
Comments:.
viCToa LuMtttM t eo.. vaiatiat. mrsu> r«LLtForm No. IVIKL-0771-003 158906
\INSPECTION 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
Capacity /Vo SF
7 F
GIs.GIs.S F S F S F
-7Distance from Nearest Well F F F F F
7Distance from Lake or Stream gb/-9Df-FFFF>F F
7Distance from Occupied Building 10/O 2020FFF F
^04-Distance from Property Line yOf-F
F
10 10F 10FFF F
Distance from Bottom to Water Table 4 4FFFF F
Inspector's Comments:
Date of Inspection .19JZ^
Time of Inspection.
Signature of InspectorINTERPRETATION
OF ABBREVIATIONS
GIs - Gallons
SF = Square Feet
F » Linear Feet
Job Title
Agency
MKL>0771-00 Backer
PERCOLATION TEST DATA hr ICC ^
SHORELAIMD MANAGEMENT
OTTER TAIL COUNTY
Fergus Falls, Minnesota 56537
Mailing Address:
Ph. No.Owner:
Last Name Middle St. & No.City State Zip No.Legal
Description:
LAKE OR RIVER NO.SEC.NAME TWP.RANGE TWP NAME
TEST HOLE NO. 2TEST HOLE NO. 1
Depth To Bottom of Hole,Depth to Bottom of Hole inches; Diameter of Holeinches;Diameter of Hole inchesinches
Depth, Inches Soil Texture Depth. Inches Soil Texture Date 19_____
/ 2^Percolation
Test By____
Percolation
Test By____53 W-Q
HiFirmName.GC Firm
Name.DoLU
q:
HIAddress.QC Address
<
CO
Otter Tall County License No.Otter Tail County License No_1-coHIMeasurement,
Inches Depth in Water
Level, Inches
1-Measurement,
Inches Depth in Water
Level. Inches
Time Remarks Time Remarks
o5I-
V
MKL-0871-028X
See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn.
Department of
LAND & RESOURCE MANAGEMENT
COUNTY OF OTTER TAIL
Phone 218-739-2271
Court House
Fergus Falls, Minnesota 56537
MALCOLM K. LEE, Administrator
September 22, 197^
Mr. George Olson 1UUU5 l^fch St. S.
Stillwater, Minnesota 55082
Dear Mr. Olson:
On September 5, 1973 you were issued an abatement notice for
the sewage system on Paul Lake Resort. When I Inspected the new
system being installed by Robert Palubicki, only the four south
erly cabins were being served by the new system.
You requested that you be allowed until the following year to
update the remaining sewage system since your plans included
building on the northerly end of the resort and that area would
better serve for a drain field for the northerly cabins.
Since the extension period is exceeded and construction on
the new structure is in progress we are requiring that the
remaining non-complying sewage systems be brought up to standard.
Please contact our office concerning your plans for updating
the systems.
Sincerely,
Richard A. Berge
Land & Resource Management
Imb
SHORELAND MANAGEMENT ORDINANCE - DIVISION OF EMERGENCY SERVICE - SUBDIVISION CONTROL ORDINANCE
SOLID WASTE ORDINANCE
SEWAGE SYSTEM CLEANERS ORDINANCE - RECORDER, OTTER TAIL COUNTY PLANNING ADVISORY COMMISSION
RIGHT-OF-WAY SETBACK ORDINANCE FUEL AND ENERGY COORDINATION
1
H0MELA1MP MAMAGEMEMT
COUWTY OF OTTER TAIL
Phone 218-739-2271
Court Houffi
Fersus Falls, Minnesota 5(5637
MALCOLM K. LEE, Administrator
November 12, 1973
Mr. George Olson 1U4U5 l5th St. S,
Stillwater, Minnesota 55082
Dear Mr. Olson;
On November 7, 1973 I inspected the sewage system at
Paul Lake Resort.
At that time the sewage system was not complete. Only
the four southerly cabins are being served by the new
system. The abatement notice requires updating of all
sewage systems on Paul Lake Resort property. Also the
lift station was not installed at the time of inspection,
nor was the old system pumped out and filled with earthen
material.
Please con tact this office when the remaining work has been
completed and ready for inspection.
Sincerely,
Richard A, Berge
Inspector
Shoreland Management
Imb
cc: ■ Mr, Bob Palubicki
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 - Office
Yellow — Inspector
Pink — Owner
Card — Owner
S3 A.Permit No..LEGAL
Date
DESCRIPTION
AND
/PnLOCATION jn Cl
Lake No. Lake Name Lake Classif.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.
/VVW <r/ Sn,OWNER
53-0^
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 Signa^ture
zNUMBER OF BEDROOMS:ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
V90 Sq. Ft.
fno>
GIs.Capacity Sc/Ft.
Ft.Ft.Ft.Distance from nearest well
77^^ Ft.Distance from lake or stream Ft.Ft.
Ft.Distance from occupied building Ft.^r\Ft.
ZQDistance from property line /oFt.Ft.Ft.
7Ft.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 ..........JW By
.. 19...2S.
, 19....^^..., Rate
9/J3.-^/PERCOLATIOP^TEST DATA: Date of First Test Rate
Date of Second Test /
1st Test Taken By
f f tFirst Test -I- 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 r
The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in
forjnspection. (Call or use attached mailer notice.)
V^ /ys
Dated.
Signature
Permit;
condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota.
This permit may be revoked at any time upon violation of any said ordinance.
NOTE; Permit void if work is not commenced within six 16) 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
Issued Date;
6~0c5 ®
Fee $Surcharge $
S /^ CSC <;
Comments:.
Form No. MKL-0771-003 .158906
vierea urMCCa • M.. pbimtci
‘
SHORELAIMD MANAGEMENT - COUNTY OF OTTER TAIL
COUNTY COURT HOUSE
Phone 218-739-2271 - Fergus Falls, Mn. 56537
APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM
1
Whife - Office
Yellow — Inspector
Pink — Owner
^"'ard — Owner
•i
i
Permit No.,)LEGAL
<yc >Date/ au-DESCRIPTION
AND
,7 y
Lake Name
/ ■
LOCATION
Lake No.Lake Classif.Sec.TWP Range TWP Name
IDENTIFICATION: Please Print All Information.
First Initial Mailling Address —No. Street, City and StateLast Name Zip No.Tel. No.
i ('"I TOWNER ,_.4
;
'4) f*' c i•'> /.
SEWAGE
SYSTEM
INSTALLER
Name.
/J//- ^This System will be ready for inspection on./ 'oo, 19.
This space for office use only ■
/!- ^19
1Date Rec'd Time Rec'd Phone Call Rac'd By Owner or Agent Signature
NUMBER OF BEDROOMS:ESTIMATED COST:
SEWAGE DISPOSAL SYSTEM DATA:
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
GIs.Sq. Ft.Sq. Ft.Capacity
Ft. Ft.Ft.Distance from nearest well ; k_. -
5~ Ft.Ft.Ft.Distance from lake or stream
Ft.Ft.Distance from occupied building Ft.
/<T'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:3
Inspection was made on 19 ...... , Time..
^ 3
,M By
RatePERCOLATION TEST DATA:
, ' ■ y
_____________________ -. l/ y, / A ■
Date of First Test 19 ;
Date of Second Test 19 Rate
;1st Test Taken By
r }/First Test -I- 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. (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:
/I/
Issued Date:;Shoreland Management Office
f iFee $Surcharge $/
Comments:.
i
VICTOI LUHBCIII i C».. PIINTC<i». rC«<US FALL*. MillH.158906Form No. MKL-0771-003
INSPECTION RESULTS
Inspector must make all measurements
SEWAGE DISPOSAL SYSTEM STATISTICS
SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORY
Should beActualShould be Actual Actual Should be
Capacity GIs.s F S F S F
Distance from Nearest Well /cS O ^F75 50F F F F
uDistance from Lake or Stream F F F F F
5“6^ F fDistance from Occupied Building 10 2020FFF F
Distance from Property Line 10 10 10FFFF F
Distance from Bottom to Water Table 4 4FFFF F F
Inspector's Comments:
V L //v /A___ist___itA
/9>*/ .\p
^ &
,'Q b•g
k
•S*v5 r~
/"Sas.axn.
19J>?Date of Inspection,
^ :ooTime of Inspection
Signature of InspectorINTERPRETATION
OF ABBREVIATIONS
GIs = Gallons
SF = Square Feet
= Linear Feet
Job TitleF
AgencyMKL-0771-003-Backer
'i.
r*
Price $ 1.00 per pad.PERCOLATION TEST DATA
SHORELAND MANAGEMENT
OTTER TAIL COUNTY
Fergus Falls, Minnesota 56537 Ph. No.
Mailing Address:Owner:
Zip No.Last Name First StateMiddleSt. & No.City
^Legal
Description:
TWP NAMESEC. TWP.RANGELAKE OR RIVER NO.NAME
TEST HOLE NO. 2TEST HOLE NO. 1
inchesDepth to Bottom of Hole inches; Diameter of HoleDepth To Bottom of Hole,Diameter of HoleInches;inches
Soil TextureDepth, Inches Depth. Inches Soil TextureDate 19
-/LPercolation
Test By____
Percolation
Test By .^ /QLUFirm
Name.
Firm
Name.
QC
DaLUGC
LU
Address.QC Address
<
CO
Otter Tail County License No..Otter Tail County License No..H-coLUMeasurement,
Inches Depth in Water
Level, Inches
1-Measurement,Depth in Water
Level. InchesTimeRemarksTime Remarks
O -------:------
^ Ls
5-^
/cyJ/V/•/ a-i
ji 4 ■;
MKL-0871 -028159179 ®ViCTO* LUMDCIH t CO . FRiNUat. FCRSut FAkLl.
See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn.
«
t
» '
•>
ABATEMENT NOTICE
Shoreland Management
COUNTY OF OTTER TAIL
Court House
Fergus Falls, Minn. 56537
> >
i 797__ijJay of Sept.Dated this.
To.Gftorgft m won — nuriPT- of* Paul Tjalro PgSOrt
Rt. # 2Address.
Zip Code 3Perhanij MinnesotaCity and State.
the sanitary sewage systemYou are hereby notified that.
Which you maintain at (Legal Description and Location)
Paul Lake Resort
li_ 1^6N iiOWPaulRD Edna
Lake No.Range Twp. NameSec.Twp.Lake Name Class.
constructedis not
in accordance with minimum standards of the Otter Tail County, Minnesota Shoreland Management Ordinance.
system is discharging to illegal area
You are hereby ordered to abate the above described condition within 30_days from this date. If you fail to
correct the above defect you may be subject to a fine, imprisonment or injunction proceedings.
^2shoreland Management Officia
PROOF OF SERVICE
State of Minnesota
County of Otter Tail
Fergus Falls, Minnesota 56537
The above notice and order was served by me on.
to /iA s C £ o fi U ^ S 6
premisesr-^^Sy-pmting zrcopy thereof upon the desvtibed preijmes.
JL
1923., by handing a copy thereof
fthe (owner-occupant-agent) of the above described
I
Otter Tail C<^nty Sheriff Department
*Strike out words that do not apply.
cc: Harlan Nelson, George Walter, Steve Van Drake, Robert Fritz, Richard Astrup
MKL-0372-035
161820 Victor Lundoon tir Co.. Prlnlori, For(u* FolU. Minn.