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Home My WebLink AboutPine Beach Resort_51000990451000_Septic System Permits_CERTIFICATE OF APPROVAL SEWAGE SYSTEM LIFT & DRAINFIEID * This Certificate has been Issued this 1ST of FEBRUARY, 1999 , to PScertify that the sewage system installed as per Sewage Treatment System Permit Number 12203 has been approved for use by Otter Tail County, X? ■Minnesota. The property served by this Sewage System is legally described as:£ UNPLATTED PART GL 1 COM NE COR SEC 6 S 89 DEG W 1408’ TO BG S 2 DEG W 503.5' N 87 DEG W TO LAKE NLY ■■AALONG SHORELN TO LN S 89 DEG W FROM BG N 89 DEG E 317 TO BGI i»tParcel Number(s): 51000060072001 Section: 06 Township: 136 Range: 039 Township Name: PERHAM TOWNSHIP t€Lake/River Number: 56-245 Lake/River Name: DEVILS Current Property Owner: LEE J & KAREN L OMBERG rf'.Nvunber of Bedrooms: 3 * Replaced existirg dminfield 284.709 • Victor Lundeen Co.. Primers • Fergus Falls, MN • 1-800-346-4870 APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - FERGUS FALLS, MN 56537 WHITE — Office YELLOW — Inspector PINK — Owner F-F c-H Co /Y t S-t^ C, -/-Q 3 /7 ' -Ae) 3 A-c^r^S 5 iJ / 3 ' Y-t> //C lQ,^dZLEGALPermit No.cJ S f f cJ DESCRIPTION Abatement: ( ) Yes () No?AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWR NO.TWP NAMERANGE P^rL(S 6-D 3*7aIS L PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER S'l'Ooo ' ^^06 -007Z 'Oa I IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street. City and State Zip Code Telephone No. /y?A/ s-cs-73 (0 /iKi i>.i^ ej__________ _____L-qjt, 4- OyXJ^A/\ Property Owner PoUtjAs t/.Sewage System Installer Name State Lie. # A.M. >■ This System will be ready for inspection on_the year of PM..at This space for office use oniy NUMBER OF BEDROOMS: 3 A.M. PM.GARBAGE DISPOSAL: ( )YES ( pc') NODate Rec’d Year of Time Rec’d Phone Call Rec’d By TYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ( ) Septic tank sL^S-l't ( y.) Lift station (Alarm Required) ( y) Drainfield ( y ) Trenches ( ) Bed ( ) Mound ( ) Outhouse ( ) Sewer line SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTS t TANK DRAINFIELD ?. Ti.Ft'Capacity GIs.« K 22SO Distance from nearest well Ft. Ft. 444 Distance from lake or stream Ft.Ft.^C>50 Distance from dwelling Ft.Ft./ C? Distance frorn non-dwelling Ft.Ft./ OJO Distance from property line Ft. Ft.^4 (P/oEFFLUENT DISTRIBUTION ( ) Gravity ( y) Pressure Distance from bottom to Water Table Ft.Ft. All distances are shortest distance between nearest points PERCOLATION TEST DATA:WATER WELL DEPTH -25' 9/sArFt'a Ikotj sleJPerc Tester Date of Perc Test . S'?'1.0Rate of 1 St Test Rate of 2nd Test Average 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 Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland management Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the respon sibility of the applicant for the permit to notify the County Shoreland Managemenythaf the job is ready for inspec^on. a DATE: Signature Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. Issued Date: Land <S Resource Management Office Fee $, Comments: ^ -AF i4t A. QluJ^ 'C-A-t, - •A.ietS ^0 kia^ Rec # g? ' rocA, ,IL'U', BK 0795-003 291.095 • Virlor l.utiririin Co, Ptmlut'; • f''tt]ns r;ill-^. Iv'1ino(;sr)l:i t'I APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM ! i LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - FERGUS FALLS, MN 56537 yWHITE —Office YELLOW — Inspector PINK — Owner F-^ G- L \ Co /v / Co 5^ c. 6 /V S7" S cJ 3 FI cr^ S iJ >^oS' i-o /SL ^ l2Fii>1LEGALPermit No.S 2F STc?^ ',DESCRIPTION Abatement: ( ) Yes ('>^ ) NoSA-t-o lie 3'7'-/o AND / h C?,nfL l-u^rL P-^sori-)LOCATION LAKE NUMBER LAKE/RIVER NAME I S LAKE/RIVERCLASS SECTION TWP. NO.RANGE TWP NAME P^rl& 0 -3^Ct - ^5 V >”/3 L PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER S'/ - ^co ■ M eXo -007Z - oa (rFlO^I IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and Stale Zip Code Telephone No. 0 /f/i i?B>a /Property Owner ^ r In■4' _________ */. /r)A/ Sewage System Installer Name State Lie. #1 /'Pff „ /> 30//> This Sysfem will be ready tor inspection on.the year of This space for office use only 3NUMBER OF BEDROOMS: // /ffr^ Dale Rec'd Year ol Time Rec’d ^yn5~€all Rec'd By ( >^)NOGARBAGE DISPOSAL: ( ) YES TYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ) Septic tank s 4 t ^ ( X) Lift station (Alarm Required) FkSO ( X) Drainfield ( X ) Trenches ( ) Bed ) Mound ) Outhouse ) Sewer line SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTS /4f TANK iDRAINFIELD■) Ft^?. -tt \(Capacity GIs.&00 Distance from nearest well Ft.Ft.S'c?TOO \■i Distance from lake or stream Ft. Ft.■?-c)50 Distance from dwelling Ft.Ft.XO/O( Distance from non-dwelling Ft.Ft./ O/O(!!(Distance from property line Ft.CP .Ft-■i/oEFFLUENT DISTRIBUTION ( ) Gravity ( X) Pressure Distance from bottom to Water Table Ft.Ft.i All distances are shortest distance between nearest points PERCOLATION TEST DATA:WATER WELL DEPTH ;25' i ^iqIkorO^((1 Date of Perc Test :Perc Tester . S'j'/. r9Rate of 1 St Test Rate of 2nd Test Average Rate ; Agreement: The undersigned hereby makes application for permit to insfali or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland management Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the respon sibility of the applicant for the permit to notify the County Shoreland ManagemenYth^ the job is ready for inspection. / . DATE: Signature Permit; Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. i Issued Date: Land & Resource Management Office <5^ir<ICCFee $Rec tt Comments: ^ -AF i^P^^ ’ ''' 1 ^ X/k U('y <F roc^ .J^jL ' Cdr^r9 -i-'^ ki. OF■ X< O'F.^ r~• f .f «A • T t" O St cF ~-f't • <A, '■- Ft s4 • -- If P.F.291.095 • Victor LurHtijeft (^o. PdHiws • Fi-ryub FhHs MmtH'MtiaBK 0795<003 INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS ORAINFIELDHOLDING SEPTIC TANK LIFT TANKCATEGORY Actual Minimum ■?Capacity FT=^FT2GLS. GLS. //o'Distance from Nearest Well FT Fr FT FT Distance from Buried Water Suction Pipe ///a\ft FT FT FT50 Distance from Buried Pipe Distributing Water Under Pressure ///O!FT FT 10 FT XDistance from Lake or River (OHWL)/?r~FT FT FT FTDistance from Dwelling FT FT 10/20 FT lOO-^ FTDistance from Noh-Dwelling FT FT FT,•VpP'0V«( 10 FTO 'ftDistance form Nearest Property Line FT FT 3>'Distance from Bottom to Water Table FT FTFT FT 3 veDHolding Tank/Lift Alarm NO Old System Pumped & Destroyed YES Sewer Line to Well Separation ORAINFIELD CALCULATIONINTERPRETATION OF ABBREVIATIONS GLS. = Gallons FT^ = Square Feet FT = Linear Feet IActual Minimum 543FTX FT FT20 ROCK REDUCTION Inspector’s Comments: I' Rock trenches with inches of rock under pipe for .% reduction / equivalent to -5~97 ft^ DR SKETCH: 1 Inspector’s Signature Date ol Inspect^ Time of Inst I ,/^ GRID PLOT PLAN inch(es) equals y ^ feet SKETCHING FORMScale:.grid(s) equals feet, or Dated:., 19 !/Signature Please sketch your lot indicating setbacks from road right-of-way, lake, sideyard and septic tank and drain- field for each building currently on lot and any proposed structures. JL^0 ('L ?-r Ohi'J /lAk/ <5 J%d>f Dr^ ^/-e i1 *k - 0^ nc cvyCU hctcy^ Jj Jcn^U.cL oUll^T^ilijikL Ard nx^jhA Mrh^ow rwV I ^/. OlVJl i Sfe/4-, d/itA^ SOWi ^^ k /9Ai?5 os V-qpRTOILCO f/mit^mtxpirss^MKL — 0871 — 029 201.949 • Victor Lundeen Co. Printers • Fergus Falls, MN • 1-000-346-4870 System design must be to scale and must include the proposed location of the sewage system, all existing/proposed buildings, property lines, the ordinary high water level of the water body and all water wells within 150' of the sewage system. GRID PLOT PLAN inch(es) equals ^O feet SKETCHING FORM/Scale;grid(s) equals feet, or SUBMITTED W<///in t J SIGNATURE; DATE;_____ MPCA LICENSE #; UCENSE CATEGORY; A .y FIRM NAME; £ )0 ADDRESS; L/ t (ILJ< r- fag \C<e<. E JD. .Jft (aOO ^0^ QotK- l/)3 0'pr^ W f.l BK — 0496 — 029 SITE data LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, MN 56537 OWNER: tAk0/^7 b -g-€-CL LAST NAME FIRST MIDDLE TELEPHONE NUMBER ADDRESS: 0.^0. Gic L(Q^ STR./RT. (j^ *' CITY STATE ZIP CODE LAKE NAME o(s f 3g TWP. NAMELAKE/RIVER NO.SEC.TWP.RANGE LEGAL DESCRIPTION:SOIL BORING LOG Date. COLOR & MUNSELL NO. DEPTH (INCHES)TEXTURE STRUCTURE G BLO PLATY PRISMATIC NONE f\ ^/ Qnr7f) &e> O ? ^ OcJ I a- ^k: C)Arfr Q PARCEL NUMBER <^o Y BLOCKY PLATY P&ISMMIC Cnone) FIRE NUMBER 3NUMBER OF BEDROOMS BLOCKY PLATY GARBAGE DISPOSAL: YES PRI^MAH€-va, <yi7^ ^ ft.WELL CASING DEPTH:BLOCKY PLATY PRISMATIC NONE FLOODPLAIN: YES VEGETATION: AQUATIC ertSHSTRiAr BLOCKY PLATY PRISMATIC NONE GSLOPE AT INSTALLATION SITE:% Pit CSorinc^TYPE OF OBSERVATION:Probe PARENT MATERIAL: CH? Outwash Loess Bedrock Alluvium COMMENTS:. ORIGINAL SOIL:No YesCOMPACTED SOIL: DEPTH OF BORING:.ft. PERC TEST #1 PERC TEST #2- TkVO TESTS ARE REQUIRED - TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATE m /START STA^ TIME * DROP PERC i 1 TIME DROP PERCTIMEINTERVAL (MINUTES) WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEVh/ ^REFILL refill/5 /fV21 TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEt2TST /o (htEFILLREFILL/L.,L!^-.ASm-1 / TIME DROP PERC PERCTIME DROPTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATEREFILLREFILL ---------f- --------- =TIME DROP PERC TIME DROP PERC INTERVAL (MINUTES)WATER DEPTHTIME WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL * DROP*~PE^TIME PERC TIME DROP WATER DEPTH WATER DROPTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)PERC RATEREFILLREFILL ------------V PERCTIMEDROPPERCTIMEDROP TIMETIMEINTERVAL IMINUTESI WATER DEPTH WATER DROP PERC RATE INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL • ~dr6T ' ~pF^TIME DROP PERC TIMETIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL {MINUTES)WATER DEPTH WATER DROP ._PLR^ rateREFILLrefill -J-“pTh?;TIME DROP PERC PROPOSED DESIGN: TRENCH BED.ATGRADE.MOUND.HOLDING TANK.GRAVITY DIST.. BoQ ft PRESSURE DIST. OUTHOUSE.SEWER LINE.OTHER.SPECIFY: — SYSTEM DESIGIM ON BACK — m s?^Jj mmmi^3 i--ii ,V®^ CERTIFICATE OF APPROVAL SEWAGE SYSTEM >1 (OctobPA11th 19 31This 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 mmV ,p|!® -3:E^ M tJ '7. ■ j\ iMaaMi by Otter Tail Count}-, Minnesota.Ime■w The premises covered by this certificate are legally described as: j!Twp. Name P^dficiwTwp. ? 36 Range 39i.-.Lake No. 56-245 Sec. _6mm mii".I Ta 300' X 500’ on LK In WW Cod GL 1 0-e■ m:' 'A ■’\'I; PChuck SckzAzOwner: NameV RR 2 Sox 421 ,__PeAham, MMf-i .Address; r i!■i?'56573Zip No. LjnJ & Resource Manjgemcnl OlTicial Ouer Tali County. Minnesota sssoPermit No. SP Signed by: li E'.1 MKL-05S7001 7^. wwsLcn r- / , i V «*):55.fti7 Victor Lundetff) Co , Prinicr>. hergus HjIK. Vl-nnesou 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 4 mite — Office Yellow — Inspector Pink — Owner ^ 3>Oo'kSOO' iry, dct- C- Li. IN ^UJ Permit No.LEGAL DESCRIPTION AND BL~Ai5 tV^.K G-. 0.___-Ofc. 24LOCATION Lake No.Lake Name Lake Cia&sif.Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. I\^iling Address r^o. Street, City and State rich AH Last Name First Initial Zip No,Tel. No. OWNER thl0:40SEWAGE SYSTEM INSTALLER Name This System wilt 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:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD loop 32VGIs.Sq. Ft.Capacity Sq. Ft. SO/wtiFt.Ft.Ft.Distance from nearest well S5Ft.Distance from lake or stream Ft. Ft. 10 :a0Ft.Distance from occupied building Ft.Ft. /oDistance 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 ,JV1 By *3"ERQpLATlON TEJT DATA:PE Date of First Test 19 , Rate rii:TlDate of Second Test 19 Rate 1st Test Taken By dl....- ..LD2 • syFirst Test + 2nd Test Rate2nd Test Taken By Agreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Mlmmum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are appyoved by Shoreland Management Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it ha^een/nspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job>s ready for in>^^ic/i. / 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: 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 / u V - ur / 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 Issued Date: Shoreland Management Office lOIOISFee $Rec # Comments: Form No. MKL-032085 237,443 — Victor Lundeen Co.. Printers, Fergus Falls, Minnesota f 4 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 I "TT- 30o'x Soo' dot- (s Ld. IN idUJ Permit NoLEGAL DESCRIPTION AND 54 ~«^ D^i/i Is D _L___QL /■?/ r h A HLOCATION4) Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. ^^iling Address ^^o. Street, City and StateK K ^ B / 'iXlLast Name First Initial Zip No.Tel. No. .. he r~LOWNER tUi 5^571t}■1SEWAGE SYSTEM INSTALLER Name i L' O oILThis System will be ready for ir)spection 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 J3NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD loop 31!/GIs.Sq. Ft.Capacity Sq. Ft. n ^/c)oFt.Ft.Ft.Distance from nearest well BOFt.Distance from lake or stream Ft.Ft. ID :5,0Ft.Distance from occupied building Ft.Ft. 10IDDistance from property line Ft.Ft.Ft. 3Ft.Distance from bottom to Water Table Ft.Ft. All distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time By.M vj-S. 'li <i'Ti 11..T DATA:Date of First Test 19 Rate. 19....Rate .Q— Date of Second Test Twt Taken By1st .o .551...Q2 .5First Test + 2nd Test 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. AppI leant 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. j ' 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 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.ir /Signatu I 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 Office1422iOlOiSFee $Rec # Comments: Form No. MKL-032085 237.443 — Victor Lundeen Co., Printers. Fergus Falls, Minnesota - ., •, - « ^ yruJL ^ /t' /?€: /JUm^ >-H«^ INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS /I - > ‘ SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Actual Should Be Capacity GIs.GIs.S F S F S F S F Distance from Nearest Well F F F F F F Distance from Lake or Stream F F F F F F C. ■ ^DistaPtce frem'Occupied Building F F F F F F i Distance from Property Line F IFFFFF Distance from Bottom to Water Table 3 3FFFF F F LAK.I Inspector’s Comments: iJLAc*^ ~^h II'^-----Zt f5,UaSS I I 34L-g5'31 fc«'Date of Inspection 19 ^sfro Inspector ^ lohoTime of Inspection M t|Q^ Signa INTERPRETATION OF ABBREVIATIONS . GIs = Gallons SF = Square Feet F = Linear Feet Job TitleQ jPX ^ MKL • 032085 - Backer tAgency -^f-V H\jMtr 5’ £0^'^rCH £tl^0 ^^StKJJ^r I iVc Wim iil^v -'-W*■4«* ;V . , ........... ^: 3^' '■ :?ailt;v:;l«pi;isit4?v^^ J- ■. -,! 'SMM < r.' t • >r^ -. '•• Iftes- ii«>'8 •■3i ?-•' rHf.ll■' •’f'lb ■ --SSI a ’.'•N-V '-% %’ ■ "V-ii -"^•n’Xi: } ->-■ f ■ f msm?- ®b.-W'3'i’■>-''■■■ • ' rnkt-r-^’MM '■.K' E** ’ -.. mmi mii ^iti If D^^P■■\ '■■ \ ■ '3'Si ■PI,:S fe;-;\=.:teV;’^''.? , /'' : p5H^tes WB'- fei’j:: . ..............»l®rSC.3'i3 ■,il^iii^P . . . •* ■' : ♦- ■;■«■ ®.■;■• ■ ■ ■' ;.•.'.' - r m^ '*■3;s’s isf'v-.i,■yy.r.'ilp V.fS rvf''2; • ;E,i-'s;^, . 'S-S'-L'.:fkj -'v.j • f '&i m. - ''V -h S'* m..;; •' ■»■• ■ PERCOLATION TEST DATA LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, MN 56537 OWNER: FIRST MIDDLE TELEPHONE NUMBERLAST NAME ADDRESS; /Ha/ ZIP CODESTR./RT.CITY STATE -^-^vr Lko,/c.(a 13c. T TWP. RANGE'TWP. NAMELAKE NAME SEC.LAKE/RIVER NO. LEGAL DESCRIPTION; /‘t2. 36c^^ X oaj ^ Co-h ( /yu PARCEL NUMBER 3N UMBER/BEDROOMSFIRE NUMBER — TWO TESTS ARE REQUIRED — TEST HOLE NO. 1 TEST HOLE NO. 2"tel BO(.y?inches Depth To Bottom of Hole inches; Diameter of HoleDepth To Bottom of Hole ches;Diameter of Hole.inches ?-l6 i9_Sl/_Date Depth. Inches Soil Texture Date 19Soil TextureDepth. Inches/3cr F'‘6VCH.Percolation Test By _ Firm Name ____ Percolation Test By____ Firm Name ____ S/%n^Cg> Address Address Otter Tail County License No. Otter Tail County License No. PERC TEST # 2PERC TEST # 1 TB^ALpaWlfTBS> /^art)WATER DEPTH WATER DROP PERC RATE TBRVAI^(MIWrBS> ^^TARJrf/ TIME TIME WATER DEPTH WATER PROP PERC RATE ±t Ate r TIME * DRO?~ PERC TIMB • DR61*" PERC PERC RATE PERC RATH TIME INTERVAL 0>4IWinES)WATER DEPTH WATBRDROP TIME INTERVAL fMlNUTTO WATER DEmn WATER DROP35::.REFILL REFILL Z4::-2^--*rtMU ^ bRO^ PBRC ~TIME ~bROP "pSk6 PERC RATHINTERVAL IMINlTTEn WATER DEPTH T TIME INTERVAL fMINUTBO WATER DEPTHTIME WATER DROP PERC RATE :z^::REFILLREFILL rzq-,.„2—4 *rtME ^ DROP PBRCTIME BRSF PBRC PERC RATHITERVAL Q>gNUTBS)^iefilO WATER DEPTH WATER l»Cff TIME INTHRVALfMINinHS>TIME WAITOMPTH.WATER MlOP PERORATE-2:#&3..refill '2^4 TIMB ^ DROP "PBRCTIMB BR5F PERC” PERC RATH TIME INTERVAL (MOfUTHS)TIME INTERVAL fMlNtnHS>WATER DEPTH WATER DROP WATER DEPTH WATBRDROP PERC RATE £REFILL 27•f 'lUMJS DROI^ PBRC TIME ~ DROP PBRC PERC RATE INTERVAL (MINUTBaINTERVAL fMTNUTBSy TIMETIMEWATER DEPTH WATER DROP WATER DEPTH WATER DROP PERC RATE 9s REFILLREFILL 7d:.2^4 4 *nKm DRoi^ PERC“TIMB DROP PERC PERC RATH INTERVAL n>HNUTBSyKTHRVALfMPnnHa ^RBPI^ TIMETIMEWATER DEPTH WATTODROP WATER DEPTH WATBRDROP PERORATE J23:v4 4TIMU' " DROF PERC 'ffME DROP PERCPERORATETIMEINTERVAL IMINUTBSITIMEINTERVAL IMINinHSI WATER MPTH WATER PROP WATER DEPTH WAIHRDROP PERC RATE REFILLREFILL ^7.32:;q7202-. 4PERC ^Brc COMMENTS/CALCULA TIONS: i i MKL - 0390 - 005 250,815 — Victor Lundeen Co., Printers, Fergus Falls, Minnesota: o HANSON'S Plumbing & Heating mmt Vorgas, MN 56587 (218) 342-2422 Pelican Rapids, MN 56572 (218) 863-2422 Porham, MN 56573 (218) 346-2422 1 f:, E -- '■ - OCT o v: 9-27-91 9OTTERTAIL COUNTY LAND AND USE OFFICE COURT HOUSE FERGUS FALLS, MN 56572 '.j- 't:' . PLUMBING TEST AFFIDAVIT LAKE VIEW ACRES, CHUCK SCHER2 DEVILS LAKE PERHAM, MN 56573 PROJECT: ADDRESS: CITY: UNDER GROUND SEWER LINE WITHIN 50 FEET OF WELL OR UNDERGROUND WATERSECTION TESTED: BILL KALERINSPECTOR: APPROVAL NUMBER: ,EM HELD AN AIR UTES. I CERTIFY THAT THE ABOVE PLUMBING SY TEST OF 5 POUNDS AIR PRESSURE FO.15 WITNESSED BY BUCK SCHERE.,/’OWNER THANK you, HANSON’S PLUMBING AND HEATING , f; f’’- %flsa ry. ^‘i'Bt%.'■ a i>CERTIFICATE OF APPROVAL SEWAGE SYSTEM((■i Wi< 88October14th •;=This certificate has been issued this to certify that the sewage system installed as per sewage permit number indicated below has been approved for use by Otter Tail County, Minnesota. day of 19 S', ■S9C|ii* a The premises covered by this certificate are legally described as: Sec. PERHAM3913656-245Lake No.Twp.Range Twp. Name m 6 136 39 TR 300' X 500' ON LAKE IN NW COR LOT 1 DOC #674235i ".'r.-ji/'J fei X LAKEVIEW ACRES RESORTmOwner: Name RR 2 BOX 427, PERHAM, MNAddress p 56573 Zip No. 7795 \jJ JLBkA/yy\Permit No. SP 'PSigned by:i Lund & Resource Management Omdal Otter Tail County, MinnesotaMKL-0987001 tf. JT-263191 Vidor Lundecn Co., Printers, Fergus Falls, Minnesota N9 101015STATEMENT & RECEIPT OF MISCELIANEOUS COLLECTIONS AUDITOR’S OFFICE, OTTER TAIL COUNTY, MIN Fergus Falls, Minnesota 56537___.L Qi7 1 19. To Treasurer of said County: You will receive from__C f \l Sf W ,30°-DOLLARS, $. &FOR ev^ ^0TOTAL$ and credit the amount to the Fund FundReceived the above and have credited same t Steven D. Andrews, County Treasurer Wayne Stein, County Auditor 5|^^eputy By QlJ'DeputyBy Poucher, Mpis. - 45426 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 yuy yyfs/ hs C, (. f \Permit No.,I C’ c} h hjll\ ^— it ^LEGAL DESCRIPTION AND PU ^ / f ^(I oLOCATION TWP NameLake No.Lake Name Lake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State ^'2y______ Last Name First Initial Zip No. Tel. No. Sc.u et--^OWNER 4: 2SEWAGE SYSTEM INSTALLER i¥-Name.(S'.. This System will be ready for inspection on., 19. This space for office use only .19 .M Date Rac'd Time Rac'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 (2) 2000 co 7"r 7 Z993,L/OOO GIs.Capacity Sq. Ft.Sq. Ft. £0 Ft.Ft.Ft.Distance from nearest well 50 Ft.Distance from lake or stream Ft.Ft. 20/O Ft.Distance from occupied building Ft.Ft. /O /ODistance from property line Ft.Ft.Ft. 3-hFt.Distance from bottom to Water Table Ft.Ft. AH distances are shortest distance between nearest points £ KJLAJl )'X>aC tTK ORECORD OF TESTS: Inspection was made on 19 , Time .N1 By PERCOLATION TEST DATA:Date of First Test , 19 , Rate Date of Second Test 19 Rate 1st Test Taken By 5First Test + 2nd Test S 2 Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work 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 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 j^“is ready for ifJsbectioiy. 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. Agreement: pved by Shoreland Management Offi- jL /Signature Permit: Managem/nt Office Issued Date:ShotOQJ2aFee $___ Rec # ^ S fo^ cJoujh / a y-a\Ll. IComments: Form No. MKL-032085 237.443 — Victor Lundeen Co.. Printers, Fergus Falls, Minnesota §^R^LAf^p Management — county pp otte^tail^ ' ' C6uK(TY COURT HOUSE ' ' . '- Phoney 218-739-2271 Fergus Fallsi WiN ^6537 APPLICATION FOR PERMIT TO lySTAU SEWAGEptSPVSAL SlYSTEM tc/. ^ - V1» WhUe — Office YeHow -M /pspecfor -j v > Pink — Owner e I S)i 'n VM jrfi c ' rt O S-' JT=yiAj yv9sI" ‘^T U,ks^'\i: Permit No.I 'X f' h M_G\ LEGAL VDESCRIPTION ■e uy\;AND \r( -'■ U ^LOCATION U Lake No.Lake Name Lake Classif.Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State A. /^ c. - Zip No.Tel. No.Last Name First Initial ' C. ':za'\o. . i nOWNER -F- ISEWAGE SYSTEM INSTALLER . IName, •sis' io:ooThis System will be ready for inspection on., 19, This space for office use on/)> njii- . 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 \,Scf) 7 \ I ■ L/CK)GIs.Sq. Ft.Capacity Sq. Ft.C. I ■V -C r ''■A Ft.Ft.Ft.Distance from nearest well 3C''Ft.Ft.Distance from lake or stream Ft. :? t ■Ft.Distance from occupied building Ft.Ft. /oDistance from property line Ft.Ft.Ft. 4-Ft.Ft.Ft.Distance from bottom to Water Table Ali distances are shortest distance between nearest points Nf/ UL'^. G ^7rRECORD OF TESTS: Inspection was made on 19,, Time JVI PERCOLATION TEST DATA:Date of First Test , Rate...<; Date of Second Test 19 , Rate 1st Test Taken By 54S>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 tional permits are required by the township for my proposed project. Cf ■/^7/ - .! Signature / Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Permit: '7/ r-7Issued Date: Shor^in^ Managerr^t Office7Rec # cT'Fee $ o/ c / a y M i' L\ IC UComments:I i Form No. MKL-0320es 237,443 Victor Lundeen Co.. Printers, Fergus Falls, Minnesota 4-V"o ^ v^ \ '\-^t^.T^ Sov\ s ysl o-C-PiM. dl K\rf"4* V 'Tr\<et\ o~ <^ ‘'’ fniL £<yU-i.-rZ. C-e* U>-«? ■Co llo'»^ Q ■»\ inr^^rf^^y" w <^V\ \ «i Zo I ' • 5 <!••»1 ? c. <1 -ir-X*-I W -j-Kv of-t-’lkA_ C* C+W Co>»p/«4\%rx 4.^-U_> 0 *►'/'0'*v‘ - c?.INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS / V /CO SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Should BeActual Should BeActual I ^OOO ICapacity 3^^ IS/'O - / 0<^o 2ooQQls.Qls.S F S F SF S F I f/C7</Distance from Nearest Well F F F F F F /^aDistance from Lake or Stream F F F F F F 1 (_C>0‘~FDistance from Occupied Building F F F F F A!ir+Distance from Property Line F F F F F F/ YDistance from Bottom to Water Table 3 3F F F F F F Inspector’s Comments: ______ ^ AccoY^i<».cV <.4^V>oV ^\tV o>4 y; Yv»wOvyvC/yo f' 0 \ V V:Jl L{\4 I)<5| <i: O •fc’ ol< 2) p"'/ a.o VVi-^ (K « t/ <sr/~/~a^ 0.4Olc> sys7^/y*'■■■:: ^/v ftxQ » iTC Date of InspftPtinrT _19^/•/ V 4';y >30Time of Inspection M ~T^ GfU^P 'Signature of Inspector INTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job Title • •%! MKL • 0320eS • Backer Agency -(-'VS.] CERTIFICATE OF APPROVAL SEWAGE SYSTEM S:TzbUlXOAlj16 th 19^1This certificate has been issued this to certify that the sewage system installed as per sewage permit number indicated below has been approved for use day of by Otter Tail County, Minnesota. i The premises covered by this certificate are legally described as:• -M ■-MPeAhojv136Range 39 Twp. Name56-245 6Lake No.Sec.Twp. m ■j Tti 300' X 500' on Lakz tn WW CoA. Lot 1mi im•[^oA. 5 bzdA-Oomi, 3 cabtm,] ^ •■1 Chuck ScheAz WiOwner: Name mR^2, PzAham, MWAddress '1 mi II56573Zip No.mmlgh7456Permit No. SP •P Malc^m K. Lee. Land & Resource Management Administrator Otter Tail County, Minnesota Signed by:. MKL-0987001 237.987 — Victor Lundeen Co.. Primers, Fergus Falls. Minncsott 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 mm — Office Yellow — Inspector Pink — Owner Permit No.,LEGAL I' e 3>oo IX ^ vn I £i Lo I )ItJ MW cot.DESCRIPTION AND LOCATION TWP NameLake Name Lake Classif.Sec.TWP RangeLake No. IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State Zip No.Tel. No.First InitialLast Name pitt;Q(i_k m rj0^ V-»^2^OWNER + <J f c /SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only 19 M Date Rac'd Phone Call Rac'd By Owner or Agent SignatureTime Rac'd UMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD Sq/^t. /S^CO GIs.Sq. Ft.Capacity Ft.Ft.Ft.Distance from nearest well Ft.Ft. Ft.Distance from lake or stream /o Ft.Ft.Distance from occupied building Ft. h ICPDistance from property line Ft.Ft.Ft. 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- PERCOLATUQN TEST DATA: MonSgry ~^Cv Date of First Test Rate S7Vyv\Wi Date of Second Test 19 Rate...../, 1st Test Taken By I >I■5^tIFirst 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 cial shall become a part of the permit. Applicant further agrees that no part of the system shall be cowred until it has t responsibility of the applicant for the permit to notify the County Shoreland Management that the job^ ready Jor inS^i approved by Shoreland Management Offi- pen^nspected and accepted. It shall be the :tipn. 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 Issued Date: lenr Office S B£.S jnc-luJuL Cqb C to( \ "T" t Y Q >—«. I w ' O \r\ Fee $ <-tvComments':I n A DUvj /\^ S\Is e,co-vj f:<p <1-^0e»F-3yg- 4-irv-^g, Viv^vH- Form No. MKL032085 r ^ 90/^V. rv«Lo 225239 — Yctor Lundem Co.. Printers, Fergus Ftfs. MN 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 tWi/te — Office Yellow — Inapeptor . Pink — Owner i Permit No.,LEGAL -Te I3>C> o IX Lo I )O VO iro SJ ^C.OC.DESCRIPTION AND IT ^ A v-^ Ino 3^Oavr(L.3LOCATION TWP NameLake Classif.Sec,TWP RangeLake No. Lake Name IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State Tel. No.Zip No.First InitialLast Name -Pc y K^ O V-A c y T.^no rj\r—OWNER + i iO f "P /SEWAGE SYSTEM INSTALLER Name. 9-3 iq?7This System will be ready for inspection on.i This space for office use only t19 -3phone Call Rec'd ByDateTime Rec'd Owner or Agent Signature ~)(-NUMBER OF BEDROOMS; ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD GIs.Sq/Ft.Capacity Sq. Ft. £ O Ft.Ft.Ft.Distance from nearest well Ft.Ft.Distance from lake or stream Ft. / O Ft.Distance from occupied building Ft.Ft. io fCPDistance from property line Ft.Ft.Ft. 3Ft.Ft.Distance from bottom to Water Table Ft. AH distances are shortest distance between nearest points RECORD OF TESTS:j/!Inspection was made on 19,, Time JVI By....j, :rPERCOLATION TEST DATA:Date of First Test Rate19' i YMonSa r> ^^VfYv\\c^19..S...7.' v^Q. ^ Date of Second Test Rate .f.11st Test Taken By I '1/r■5^-A%/+ 2nd Test....../First Test %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 joj/is ready for i The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in ;tion.5 a \9.- 1- ^7 VDated 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 Managerhent Office Fees Rec #3 ' Comments^^ S>~ ^ j u C < ^ S\ 5-I C 4- A-pl- r I o I ^ ^ ^ ^ ^ ’A IS VA C,CDLr-j0 v-J F~.AA S 0\ I VV^y.Y__ii!L-032085 -4-ujl, / <I •O V v-k c.^aForm No. MK 225239 — Victor Lundeen Co., Printers. Fergus Falls, VH A INSPECTION RESULTS Inspector must make all measurements .i V SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELD Nearest Well irJ CATEGORY Actual Should Be Actual Should Be Actual Should Be Capacity GIs.GIs.S F S F S F S F Jc:yO <^C5/0S~Distance from F F F F F F (S^<2>I 75^Distance from Lake or Stream F F F F FF f 2.0/ODistance from Occupied Building F F F F F F /o/'CiDistance from Property Line F F F F F 3Distance from Bottom to Water Table 3F F F F F F Ua ¥Inspector’s Comments: <30^ 'f'Q (jjTO'AV'^ V4Cc("'L/‘ . 'V'O ^ ' <LQ.i'-ay 0\i Cp S \ QvJ ipiy lyxS'V'ullD rJ f- V / it i \ "S' ^ f • i ■ ,9^q- 3-Date of Inspection Time of Inspection Mi' Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job me 1 okA MKL > 032065 • Backer Agency 17/ D 0^ Lo d i 21SS02@ VICTOR UIMOEEH CO.. RRINTCRO. fERCUO FALLS. MINN.PERCOLATION TEST DATAMKL-0871 -028 1 LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Palis, Minnesota 56537 3Ph. No. PlaLMailing Address:Owner: AIa' Zip No.StateCityMiddleSt. & No. '3^ FirstLast Name /^/g4Legal Description:TWP NAMERANGETWP.SEC.NAMELAKE OR RIVER NO. ) /E— *^oo I1 Oo Y~<5 I a ^ o T~ IX S'oo KJ V/vjI ■Jo TEST HOLE NO. 2TEST HOLE NO. 1 inches; Diameter of Hole jnchesDepth to Bottom of Holeinches; Diameter of HoleDepth To Bottom of Hole.inches Soil TextureDepth., InchesSoil TextureDepth, Inches 19_____Date 2^ Sg»*7^yC— Percolation Test Bv_. Percolation Test By____Sio—LU Firm Name.FirmName.OC D7o/LU cc lU AddressQCAddress. < (/)Otter Tail County License No^Otter Tatf County License No..H COlU Percolation rate minutes per inch Measure ment, inches Time Interval. minutes Measure ment inches Drop in water level, inches Drop in water level, inches Percolation rate minutes per inch Time Intervals minutes Remarks:Remarks:TimeTimeo5HtO'VC:?llZi 5Z(/^[OO 'I'.OO Y/92-a31 ilL :Sb n Y.Y 13^-•rm1 I I'-' r"I 7T See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN. 1 minutes per inchPercolation rate minutes per inch Percolation rate = r . .. ,L L -e- 5Z3C7 Ai jFI]> 1 \ I t1 1 i ; 4 \ 11 1I m^9^ i—i. :75^ \ (^p/^SSATT TA^KS