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Home My WebLink AboutS & C Park Properties LLC _55000110069009_Memos,Correspondences, File Notes_Marsha Bowman Marsha Bowman Monday, May 07, 2018 11:44 AM 'Pelican Hills RV Park'; Chris'LeGlair. RE: Pelican Hills RV Park question From: Sent: To: Subject: Good Afternoon, This is a follow-up to this morning’s phone conversation. I would like to confirm that since the the proposed Class A Motor Coach is located outside of the Shoreland Area (greater than 1,000’ from the lake), a Permit from our Office is not required. If you have any questions, please contact me. Have a nice afternoon! Marsha McwiKct/Bcnumcw/ Offvc^Adminiitratxyr La^\d/£r KeiOurce'Ha^xcL^eme^ QSC, 540 W fir MW 56537 218-998-8099 r^OTTiR TRU\j^ ooofiTT • cilOBiiera From: Pelican Hills RV Park <pelicanhillsrvpark@gmail.com> Sent: Sunday, May 06, 2018 11:12 AM To: Chris LeClair <cleclair@co.ottertail.mn.us>; Marsha Bowman <MBowman@co.ottertail.mn.us> Subject: Pelican Hills RV Park question Hi Chris and Marsha I have a question regarding the mobile home area in our park. Our park has 14 spots licensed as mobile home (manufactured home) not sure what wording you guys use. We have one that is trying to sell his unit. The potential buyer is wondering if it is possible to put a Class A Motor Coach (really expensive motor home) in that spot. As I have only owned the park for just over a year now, I wanted to double check with you guys before I did anything with it. I wasnt sure what the regulations state. The site , is over 1200 ft from the lake shore if that matters Thanks >- 5 1 i- otter Tail County, Minnesota Accuracy is not guaranteed. NOT to be construed or used as a legal description. PCrX-AS-UKT ’n- S PgLICAWCfl mmI1000 fta- Copyright2014OtterTailCounty, MN-Accuracyis NOT guaranteed. For REFERENCE purposes only. THIS ISNOTALEGAL DOCUMENT Mon Apr 17 2017 04:02:17 PM r. } Marsha Bowman Marsha Bowman Tuesday, April 18, 2017 3:25 PM garyweinberger@gmail.com Pelican Hills RV Park, Lot 133; Non-Shoreland Area From: Sent: To: Subject: Gary, ■y Please be aware that Otter Tail Gounty’s permitting authority (except for Onsite Sewage Treatment Systems) is limited to those properties that lie within Shoreland Areas. A property would be considered to be within the Shoreland Area if it lies within 1;000 feet of a classified lake or 300 feet of a river and outside incorporated limits of any municipality in the County. Since this property appears to be located outside of a Shoreland Area, Otter Tail County has no permitting authority. ' If you have any further questions, please contact our Office. Marsha ■1 Mariha/Bowmaiv Office'Admlniitrator Lccnd/&r QSC. 5WW Fir MW 56537 218-998-8099 «■ r' y / ,1 1 7 1 •I i Js jm Pelican Lake pelican Hillsy;S Main Entrance □ Public Facilities □ RV Sites I I Mobile Home Sites I I Tent Sites .v-v. S. PELICAN DRIVE i-o 3 GAS >I Toni ITSp ml store I■o RVPARKa|32 'ill 28 2G ^y23/^R K Io 29 j27 j 2'O N 20 G/^38 V' «31 19cSH2 MAP IS NOT TO SCALE •®/333'5O 173r>imi B 13 15•-t U 9O3liC/5 No5 -16T 57 C ’ ®8 1?14 16I47 4b 50 51 52 53 54 55Y5-R 58 59 60a.□oo PARKINGA 186?63 V5411 111DH6665n>3 0 Ffn PARKING■o #/Oo9P4373 I 74 I 75 I O PARKING I !Private Home3 1 K) O y. fC STORAGE FACILITYoo3 fO3 ^169^68^157^66^■44^ Rolling Hills Golf CourseKJ- o APPROVAL FORM lAA/e request permission to make the following improvements; Add a deck K Add a storage shed or storage bin Other _____________________________ Size Location on your site / 3 3 Draw Diagram & Location of Improvement (include dimensions and RV unit) 1 g:-/ Ri/c if £j a Z RV Length 5^ -^ ft This is RV ^Lfd 1Qrr A:Draw Deck-> Here 9I /V I2'y-30'!J.J.»-----------1-//, ii e/ ^CP■{~ i w rl f.O UC- f"-L<-' ^ (JAC/ / /■ / c. c-u $1. ^h -Mo. V'/'S I(y;// e h I J i]/O 9.Scaf- i (Jf f !!<■-/: e t n c aI' '■ ! nqa / .f ///(1/ ccjp a /“ ^ (27h'! i t\C9 A ^ SS Request submitted by; 7^0 0 t V /■ t' “'■■Site No /3 7Name(s); rN. Signa^dpS^ 1/•y /'/7ffflG j- Date To be completed by Pelican Hills Approved or Disapproved (circle one) by Pelican Hills Seasonal Park, Inc. d/b/a Pelican Hills RV Park By; Signature Date Revised May 2015 IM I N N E S 0 T A I MDHIPEPARTIWEHTOfHEAlTHI Protecting, maintaining and improving the health of all Minnesotans June 1, 2012 Scott Olson 20098 So.Pelican Drive Pelican Rapids, Minnesota 56572 Dear Mr. Scott Olson: Subject:Pelican Hills RV Park, 20098 S. Pelican Drive, Pelican rapids. Otter Tail County, Minnesota, Project No. 120439 Thank you for submitting your plans for remodel to the Minnesota Department of Health (MDH). We are enclosing a copy of our report covering an examination of your plans and specifications on the above- designated project. The plan appears to be in general compliance with the standards of this department and has been approved with the following changes and/or comments in the enclosed report. Ten working days prior to completion of the project, please contact Glenn Donnay with our Fergus Falls district office at 218-332-5251 or glenn.donnav@state.mn.us in order to arrange for a final inspection. If you have any questions, please contact me at 320-223-7357 or mark.anderson@state.mn.us . Sincerely, Mark W. Anderson, RS Environmental Health Services, Plan Review P.O. Box 64975 St. Paul, MN 55164-0975 mark.anderson@state.mn.us MWA:smp Enclosures CC:Marty Hanson Mr. William Kalar, Zoning Administrator Glenn Donnay, Minnesota Department of Health Rick Toms, Minnesota Department of Health General Information: 631-201-5000 • Toll-free: 888-345-0823 • TTY: 651-201-5797 • www.health.state.mn.ui An equal opportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on Rem MHP / RCA: Pelican Hills RV Park, Project No. 120439 Location: 20098 S. Pelican Drive, Pelican rapids, MN 56572, Otter Tail County Date Received: April 6, 2012Date Approved: May 29, 2012 Submitted by: Marty Hanson, 41750 Bugle Boy Ln., Pelican Rapids, MN 56572, (218) 863- 7031 Ownership: Scott Olson, 20098 So.Pelican Drive, Pelican Rapids, MN 56572, (218) 583-2750 Scope of Project: Construction of 9 independent sites. These sites have been licensed in the past, however they have not been installed or utilized. The current number of licensed sites will not change. The designation of the sites will change from 6 dependent and 160 independent to 2 dependent and 166 independent. ^ 1. No portion of the park may be subject to flooding. 2. Recreational camping vehicles shall be separated from each other by at least ten feet. Any accessory structure such as awnings, car ports, or individual storage facilities, shall for the purpose of this separation requirement, be considered part of the recreational camping vehicle. 3. A minimum lot size of 2,000 square feet shall be provided for each recreational camping site. * All sites are 40’ x 60’ or 2400 ft^ 4. All recreational camping vehicles shall be located no less than 25 feet from any camping area boundary line abutting a public street and at least ten feet from any other property boundary line. 5. All systems of plumbing shall be installed in accordance with the provisions of Chapter 4715 of the Minnesota Plumbing Code. For information call 651-284-5067 or visit their website at www.dli.mn.gov/CCLD/Plumbing.asp. * Plumbing plans were approved on April 20,2012 6. Obtain an electrical inspection from the Minnesota Electrical Licensing and Inspection. All electrical systems must comply with the currently adopted edition of National Electrical Code. Contact MN Electrical Licensing & Inspection at 651-284-5026 or visit their website at www.dli.mn.gov/CCLD/Electrical.asp for information on electrical requirements and the name of the electrical inspector in your area. 7. All sewage and other water carried wastes shall be discharged into a municipal sewage system which is operated under a permit issued by the Minnesota Pollution Control Agency whenever such a system is available. When such a system is not available, a sewage Pelican Hills RV Park Rem MHP / RCA Project No. 120439 Page 2 May 29, 2012 disposal system acceptable to the Minnesota Department of Health and the Minnesota Pollution Control Agency shall be provided. Fire protection shall be provided in accordance with the requirements of the state fire marshal. 8. 9.Refuse Facilities: Provide at least one garbage container for every four recreational campsites. Sincerely, Mark W. Anderson, RS Environmental Health Services, Plan Review P.O. Box 64975 St. Paul, MN 55164-0975 mark.anderson@state.mn.us K I M I N N E 5 0 T A I MDH ‘i IDEPARTMENTofHEALTHI Protecting, maintaining and improving the health of all Minnesotans April 4,2012 pgrpi'/h-;:^ ?ni?0Pelican Hills Seasonal Park, Inc. 20098 South Pelican Drive Pelican Rapids, Minnesota 56572 r~LANu^;. !^'v Ladies and Gentlemen: Subject: Recreational Camping Area at Pelican Hills RV Park, 20098 South Pelican Drive, Pelican Rapids, Otter Tail County, Minnesota, Project No. 120294 Thank you for submitting your plans for remodel to the Minnesota Department of Health (MDH). We are enclosing a copy of our report covering an examination of your plans and specifications on the above- designated project. The plan appears to be in general compliance with the standards of this department and has been approved with the following changes and/or conunents in the enclosed report. Ten working days prior to completion of the project, please contact Mr. Glen Donnay with our Fergus Falls district office at 218/332-5152 or at glenn.donnav@state.mn.us in order to arrange for a final inspection. A final opening inspection can not be conducted until a license application is submitted with the appropriate fees to MDH. Please submit application and fees to: Minnesota Department of Health Environmental Health Services Section 625 Robert Street North, P.O. Box 64495 St. Paul, Minnesota 55164-0495 If you have any questions, please contact me at 320-223-7357 or mark.anderson@state.mn.us. Sincerely, Mark W. Anderson, RS Environmental Health Services, Plan Review P.O. Box 64975 St. Paul, MN 55164-0975 mark.anderson@state.mn.us MWA:jlr Enclosures Mr. William Kalar, Zoning Administrator Mr. Glen Donnay, Minnesota Department of Health cc: General Information: 651-201-5000 • Toll-free: 888-345-0823 • TTY: 651-201-5797 • www.health.state.mn.us An eqtial opportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on recreational camping area: Pelican Hills RV Park, Project No. 120294 Location: 20098; South.Pelican Drive, Pelican Rapids, MN 56572, Otter Tail County Date Approved: March 14, 2012 Date Received: February 14, 2012 Submitted by: Pelican Hills Seasonal Park, Inc., 20098 South Pelican Drive, Pelican Rapids, MN 56572,X2I8) 532-3726 Ownership: Pelican Hills Seasonal Park, Inc., 20098 South Pelican Drive, Pelican Rapids, MN 56572,(218) 532-3726 Scope of Project: Changing over 6 dependent sites to be 6 independent sites with the addition of septic and water - license will need to be changed once final inspection to accurately represent the types of sites licensed. 1. Recreational camping vehicles shall be.separated from each other by at least ten feet; Any accessory structure such as awnings, car ports, or individual storage facilities, shall for the purpose of this separation requirement, be considered part of the recreational camping vehicle. 2. A minimum lot size of 2,000 square feet shall be provided for each recreational camping site. *Lot sizes are to be 40’ x 60’ with a total of 2400 ft^ 3. All systems of plumbing shall be installed in accordance with the provisions of Chapter 4715 of the Minnesota Plumbing Code. For information call 651-284-5067 or visit their website at www.dli.mn.gov/CCLD/Plumbing.asp. *No plumbing plan approval has been received for these additional sites *Any new wells installed shall be registered with Drinking Water Protection and tested prior to use, satisfactory water test shall be provided. 4. Obtain an electrical inspection from the Minnesota Electrical Licensing and Inspection. All electrical systems must comply with the currently adopted edition of National Electrical . Code. Contact MN Electrical Licensing & Inspection at 651 -284-5026 or visit their website at www.dli.mn.gov/CCLD/Electrical.asp for information on electrical requirements and the name of the electrical inspector in your area 5. All sewage and other water earned wastes shall be discharged into a municipal sewage system which is operated under a pennit-issued by the Minnesota Pollution Control Agency whenever such a system is available. When such a system is not available, a sewage disposal system acceptable to the Minnesota Department of Health and the Minnesota Pollution Control Agency shall be provided. Pelican Hills RV Park Recreational Camping Area Project No. 120294 Page 2 April 4, 2012 * Provide certificate of installation (compliance) for the new septic installations at time of inspection. 6. Refuse Facilities: Provide at least one garbage container for every four recreational campsites. Sincerely, Mark W. Anderson, RS . Environmental Health Services, Plan Review P.O. Box 64975 St. Paul, MN 55164-0975 mark.anderson@state .mn .us Compliance Inspection Form for Existing individual Sewage Treatment Systems4 Minnesota Pollution Control Agency Jompletion of this form fulhUs the minimal requirements of Minn. StaL § 115.55 (1999) and Minnesota R. ch. 7080 (1999). Please refer _______________________to local ordinances for other requirannents or other required information. General: Date of inspection: '1^ Reason for inspection; Property Owner(s) .1 Gr I Person requesting Inspection Site Address ^roper4y AUh eo B.Jc Telephone (2iiii S3 3.-3'?^ C Telephone ('2H) ^53 1 -OiS9 ZloCodenA<i r 9 City Fire No^Parcel No. 5'5006 ((OOf^9nd^Township Name _______________ Legal Description IliUP 131 Rarlo^ S ‘/a. S€<^ll^ 5e)y 4 Tujpi?^g^T/-q /VLci,t/vA^-4-*^ I \Regulatory Authority. System Clarification Systems built prior to April 1,1996 and not located in Shoreland or Wellhead Protection Area or Serving a Food, Beverage or Lodging EstabB^yiient Systems! located in Shoreland or Wellhead Protection Areas or Se^ng a Food, Beveragy c^ l-odging Estabiish- ment or syst^ns Biflt after March 31,1996 r-. • ■ .. Is the system imminent threat to public health or safety? (a yes answer is an ifPHS system) • Discharge of sewage to the grottfid surface - Discharge of sewage to draintile or sufeca wates? YES - Sewage backup into dwelling? - Situation with the potential to immediateiy and adversely impact or threaten public health or safety? Is the system an imminent threat to ptifalic health or safety? (a ves answer is an ITPHS 'svsterri) - Discharge of sewage to the ground surface? - Discharge of sewage to draintile or surface Yfaters? Yl^ NO - Sewage badojp into dweSing? YES NO - Situation with the potential to Immediately and adversely impact or threaten public health or safety? YES NO YES YES is the system fatilnq? (a yes answer is a faiiing system - Less than THREE feet of vertical separation bdwaen system bottom and saturated son or bedrock? YES - A seepage pit, cesspool, drywell, or leading pit? YES YES NO Is the system falling? Ya yes answer is a falling system) -LsssthanTWOfe^ofvert^separationbetweeh' system bottom and saturded soil or bedrock? YES NO * A seepage pit cesspool, dryweil. or leaching pit? YES NO 1 Is the system non-compllant? - Is the system regulated under a monitoring plan or operating permit? (ff oo> 9° page 2) if yes, - Has the required monitoring taken place? YES NO (If no, the system is non-<xmptylng) Is the system non-compliant? | - Is the system regulated under a monitoring plan or | operating permit? (if no. go to page 2) YES ; if yes, - Has the required monitoring taken place? YES NO (if no, the system is non-comptying) YES NO - The monitoring Indicate that the system meets perfor mance expectations? (If no, the system is non-cofnplytng) - The monitoring indicate that the system meets p^or- mance expectations? YES NO (IT no, the system is noTKomptykig) YES NO Page 1 of 2 wq-wwists4.31 pe\'lAll's g\7I crvn^Property Owner(s)__Fire No./ Parcel No. S5 OCQ M 064^100^^7 System Components (Please describe the system components): ^ V ;2^00 Ck! 2 5^. CJ y C<-Q' e i w What methods were used to make the determinations for the compliance inspection? (Note: No standard protocol exists. The following list is not exhaustive, rrot In sequential order nor indicates which combinations are necessary to make a determination) Separation Distance jZCconducted soil borings ,1 ,0^Depth to redox ^ ^^ Q^Depth to system bc^tom □ Examined records O County Verification Records □ Other Watertight tank(si Probed tank bottom Observed low liquid level □ Examined const records □ Examined empty (pumped) lank O Probed outside lank for black soils □ Pressure/vaccum check □ Other Hydraulic Functioning ^Searched for surface outlet □ Performed hydraulic test Jg^Searched for seeping in yard □ Checked for back-up in home □ Excessive ponding In soil system □ Homeowner testimony □ Examined for surging in tank □ "Black soil* above soil system □ Other_ til STATUS OF THE SYSTEM Based oh the compliance criteria above the system status is (check one) compliance (functioning), Dfailing (to protect groundwater). Dan imminent threat to public health or safety (ITPHS), □ nonrcompliant (monitoring issue), □ compliant (non Of the 3 previous conditions), or □ insufficient infdrrnatipn to make determinatipn. Theipfore, this document Is a^^^bertificate of Compliance □Ndtjpe NoncpmpHance DUnknown compliance SUGGESTED ATTACHMENTS: ' 1) Sltesketah. Suggested items for sketch include: well, well setback to ,sy^rnjdwelling of other buildings. tank(s),sgil.treatment system, tBservBd son treatment area; property lines, surface water and soil boring locations. 2) Soil boring logs, showing each horizon^ Indicate the texture, color, recjoximorphic feateres depth to bedrock, standing water and whether the material is fUi. 3) A list of any and aS requkements of the local ordinance that are cfiffefent from the state requirernents referred to on this form. ■4) A homeowner survey, signed by the homeowner as being factual. 5) Monitoring data as appropriate. GERTinCATION I hereby certiiy as a sfote of Minnesota licansed Inspector anfj/dr Designer | or Qualified Employee Inspector and/or Qualified Em ployee De^ner I that I conducted an investigatibn that ac^^tely determined the compliance status this system and that my recorded observations are accurate as of this date. Np determination pf^future hydraulic performance has been nor cari be made due to unknown canditions during system constrifotfon, abuse of the system, inadequate maintenance, or future water usage. f \/gc e; r Phone 9 w. ______________ Addres^ ^33*CTo, *Sxl rUi<x Address ^ / c>- jC£ Inspector’s name (print). )^\0 .License and/or Registration Number Employed by Signature ^ Upgrade Requirements [derfved from Mirrf^^ta Statutes § 115.55) An ITPHS must be upgraded, replaced, or its use discontinued within ten rnonths of receipt of this notice or within a shorter period if requiiPd by iocai ordinance.' If the sy^emfaiis to provide sufficient groundwater protection, then tim system must be up^aded, replacBd, .or S3 use cBsconfinued wShin tho time required by rule or the local ordinance. If an existing system iQ not feUing BS defined in law. and has at least two feet of de^n soli separation, then the system need not be upgraded, repaired, replaced, or its use discontir)- ued, notwithstanding any local ordinance that is more strict This does not epply to systems In shoreland areas, wellhead protection areas, or those used in connection with food, beverage, and lodging establishments as defined in law. Date Pfl/io O O SiTY ), Compliance Inspection Form1Minnesota Pollution Control Agency 520 Lafayette Road North St Paul, MN 55155-4194 Existing Subsurface Sewage Treatment Systems (SSTS) Instructions on page 7 Parcel number: 000^1 PARCEL: System status: Compliant □ Noncompliant (based on all compnbnce requirements) Summary Form Property Information Property owner name(s): Property address: Property owner’s address (if different): County: Date system coristfucted: System Description Brief system description: Local permit number: __ Is the system: In Shoreland area? □ Yes J^JMo An U.S. Environmental'Protection ^Agency (EPA) Class V Injection Well? □ Yes JgQ^o Compliance Status (Based on state requirements - additional local requirements may also apply.) Based on the information gathered and reported on attached forms, the compliance status of this system is (check one): j^Certificate of Compliance - valid until (3 years from date of report): □ Notice of Noncompliance - For Noncompliant systems: The reason for noncompliance is: _______ This noncompliant system is classified as (check one below): □ Imminent threat to public health & safety □ Failing to protect ground water □ Not in compliance with operating permit APP:SEPTIC 20toYEAR: SCANNED: U;W^ 1^1/'C.CL y\ M\0CLOv1~> Permitting authority; | I ------ Property owner phone; Reason for inspection: Sg-p^S.C^ 3.Number of bedrooms: Design flow rate: □ Yes ,P?Tno □ Yes ^3^0 In Wellhead Protection Area? System serving a Minnesota Department of Heath (MDH) licensed facility? Certification (Completed form must be submitted to the local unit of government within 15 days.) I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No detennination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse, of the system, inadequate maintenance, or future water usage.Name: V\ i V^t Business license nanae and number: Name of local unit of goaemnnent/ Signature;-------^ J I A V i ____________________ Certification number: mo or'T'J .'cjC: ^OWi,v4-— Date; •4Required Attachments pages long. ■04Hydraulic Performance l^^ank Integrity E-6oil Separation □ Operating Permit Form (if applicable) □ System drawing/As-built drawing □ An assessment of any local requi(^ents that are different from what is required on this form □ Soil Boring Logs □ Abandonment form (if appropriate) □ Other information (list): Inspector Complete: This Inspection Report is Check compliance forms attached: Upgrade Requirements (derived from Minn. Stat. § 115.55) An imminent threat to public health and safety (ITPHS) must be upgraded, replaced, or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system is failing to protect ground water, the system must be upgraded, replaced, or its use discontinued within the time required by local ordinance. If an existing system is not failing as dePmed in law, and has at least two feet of design soil separation, then the system need not be upgraded, repaired, replaced, or its' use discontinued, notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food, beverage, and lodging establishments as defined in law. Compliance Inspection Form for Existing SSTSwq-wwists4-31 411108 ^ ( ] O CJ7<0^^System status^,^S*Compliant □ Noncompliant (as determined by this form) | Parcel number: PARCEL: APP:SEPTIC Hydraulic Performance and Other Compliance YEAR:20ftg Compliance Issue #1 of 4 Date of observation: SCANNED: Reason for observation: ________ This form expires upon next inspection or in three years, whichever occurs first: Compliance questions/criteria: (Required) (Check the appropriate box)___________ Verification Method*: (Optional) (Check the appropriate box) ^ Searched for surface outlet □ Performed hydraulic test ^ Searched for seeping in yard | i □ Checked for backup in home □ Excessive ponding in soil systern/D-boxes Homeowner testimony □ Examined for surging in tank □ "Biack soil" above soil dispersal system □ System requires “emergency" pumping n Performed dye test □ Other: □ Yes ^^^lDoes the system discharge sewage to the ground surface?_______________________; No D YesDoes the system discharge sewage to drain tile or surface waters? ! □ Yes j2\NoDoes the system cause sewage backup into dwelling or establishment?________ □ Yes NoDo other situations exist that have the potential to immediately and adversely impact or threaten public health or safety (electrical, unsafe covers, etc.)?________ Any “yes" answer indicates that the system is an imminent threat to pubiic heaith and safety. □ Yes j^NoDoes the system pose a threat to ground water for any conditions deemed non- protective as determined by the inspector? ; "Yes" indicates that the system is failing to protect ground water. If "yes", describe the condition noted: * No standard protocol exists. This list is not exhaustive, in sequential order, nor does it indicate which combinations are necessary to make this determination. Certification This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency’s (MPCA) Compliance Inspection Form for Existing Subsurface Sewage Treatment Systems. Observations, interpretations, and conclusions must be completed by an inspector. Completed form must be submitted to the local unit of government within 15 days. | ; Cl ^ \ ^i CJ\v\Property owner name(s): Property address: Property owner's address (if different): County: 0HIo90o^&r »o. Phone: I hereby certify that I personally made the observations, interpretations, and conclusions reported on this form and that they are correct.i civ \/lo p rZ' Certification number:IName: IBusiness license name and number: Name of local unit of go\ei|iiment: Signature rc/ C-Sr or O Date: : Compliance Inspection Form for Existing SSTSwq-wwists4-31 411108 S'S Ocap \ lOc»G System status: Compliant □ Noncompliant ("as determined^this form)Parcel number: PARCEL: APP:SEPTICTank Integrity and Safety Compliance Compliance Issue #2 of 4 Date of observation: This form expires on (three years); 20<)6YEAR: SCANNED:l\-Reason for observation; Compliance questions/criteria: (Required) (Check the appropriate box)_________ Verification Method**: (Optional) (Check the appropriate box) JSC Probed tank bottom D Observed low liquid level Examined construction records □ Examined empty (pumped) tank □ Probed outside tank for “black soil" □ Pressure/vacuum check □ Other; _________________ Does the system consist of a seepage pit*, D Yes ^^No cesspool, drywell, or leaching pit? □ Yes NoDo any sewage tank(s) leak below their designed operating depth?__________ If yes, identify^which sewage tank leaks. ________________________ Any “yes” answer indicates that the system is failing to protect ground water. * Seepage pits meeting 7080.2550 may be compliant if allowed in ordinance by local permitting authority. ** No standard protocol exists. This list is not exhaustive, In sequential order, nor does it indicate which combinations are necessary to make this determination. Safety Check □ Yes* ^Yes DNo* □ Yes ^ No □ Yes* ^ No 1. Are any maintenance hole covers damaged, cracked, or appeared to be structurally unsound? 2. Were all maintenance hole covers replaced in a secured manner (e.g., all screws replaced)? 3. Was secondary access restraint present (safety pan, second cover, or safety netting) - highly recommended. 4. Was any other safety/health issue present? Explain: _______________________________________________________________________ *System is an imminent threat to public health and safety. Certification This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's (MPCA) Compliance Inspection FormTor Existing Subsurface Sewage Treatment Sysjtems. Observations, interpretations, and conclusions must be completed by an inspector, maintainer, or serviceprdvider.’'C6'mplet^'form must be subTnittedtdthelocal unit of government within 15 days. Property owner name(s): Property address: Property owner’s address (if different); County: I hereby certify that I personally made the observations, interpretations, and conclusions reported on this form and that they are correct. Dr •( Phone: ! c\r _______ _________ Certification number: U j Cj£: Name: Business license name and number: Name of local unit of/gb\(ernment; / Signature:^ l^lo or /dDate: Compliance Inspection Form for Existins SSTSwq-wwists4-31 411108 ! Parcel number: S S^<0^<:::a f _ System status;,^S]Compliant □ Noncompliant (as determined ^this form) 9 PARCEL: APP:SEPTICSoil Separation Compliance and Other Compliance Compliance Issue #3 of 4 Date of observation: This information on this form does not expire. 20$0YEAR: : ;SCANNED: Reason for observation: Compliance questions/criteria: (Required) (Check the appropriate box) _____________ Verification Method**: (Optional) (Check the appropriate box) ^^^-Conducted soil observation(s) (attach boring logs) □ Two previous verifications (attach boring logs) □ Other: I For systems built prior to April 1, 1996, and not located in Shoreland or Wellhead Protection Area or not serving a food, beverage or lodging establishment: Does the system have at least a two-foot vertical separation distance from periodically saturated soil or bedrock? ' .^^>Yes □ No For non-performance systems.built April 1, 1996, or later or for non-performance systems located in Shoreland or Wellhead Protection Areas or serving a food, beverage or lodging , establishment: Does the system have a three-foot vertical separation distance from periodically saturated soil or bedrock?*_______________________ 1Soil observation does not expire. Prev^ious observations by two independent parties are sufficient, unless site conditions have been altered. I i□ Yes □ No For reduced separation distance systems (i.e., “perforrhance" systems under old 7080.0179 or Type IV or V system under hew 7080. 2350 or 7080.2400): Does the system meet the designed vertical separation distance from periodically saturated soil or bedrock?* ^^______, * May be reduced by up to 15 percent if allowed In local ordinance. j ** No standard protocol exists. This list is not exhaustive, in sequential order, nor does it indicate which combinations are necessary to make this determination.□ Yes □ No Any “no" answer indicates that the system is failing to protect ground water. Certification j This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's (MPCA) Compliance. Inspection Form for Existirig Subsurface Sewage Treatment Systems. Observations, interpretations, and conclusions must be corhpleted by an inspector or'designer. Completed form must be SLibmitted to the Jpcal unit of government within 15 days. ^ At iW m :\kr KProperty owner name(s): Property address: Property owner's address (if different): _______ County: f^Tf4-er4.n.tl : U Phone: / hereby certify that I personally made the observations, interpretations, and conclusions reported on this form and that they are correct. Certification number;Name: . , Business license name and number: Narne of local unit of Signature: , __^ c.'tv.‘=v-A Xw/5 tiio0^(y or irnment: f Date: wq-wwists4-31 : 4MI08 Compliance Inspection Form for Existins SSTS 1. % i [ i "1Pelican Lake PEUCAN HILLS RV PARK 20098 S PEUCAN DR PEUCAN RAPIDS, MN S6572 PH. 800-430-2262 OR 218-532-3726 .ti!NORTHPUBIC' ACCESSii S. PELICAN DRIVE \ (MSif DAVE & MAGGIE AABERG EMILY THOMPSONra T2ri(t n p STOREiATlnK www.pelicanhillspark.coin e-mail: phpxvpark@aol.com \>34A 34 32 30 2i 26NO r 2tii-E729/27/25/20wii AEiiMAP IS NOT TO SCALE 19 ss33TjL 13 ys1,T 45 1 3 »7 49 bO 51 52 )3 54 55 )6 57 ^ ® ®8 12 14 ,fi ^13 58 59 60EPARKINGPARKING 14 MOBILE HOME SITES 3 TENT SITES 1 CAMPING CABIN 157 RV SITES W/niLL HOOKUPS IsHOlj |ll|lo| [zZ]H V1CTLANDS£2.fi.3 PJ'S64£5.££.REST 'D RANT/IF PARKING6966li6170it22.71 PARKING 73 174ii-c ••JifJJLO ii:u PARKINGN 1011:1 T 1/ Y ifr>I'll ■15aRil iiO / MANAGER’S A / HOUSEii;111111Al.i!D 0110 115 4 PELICAN HILLS MOBILE HOME PARK T1Tfii177U 108 g t07 1 010s9$176 Ii'!176,HI 174 Tt53 TTa [■STORAGE FAQLITY ANI EVERGREEN CABINS 173,172 MHU 17 V '\A9/\Aa/ UyU6jI'HI ,UH13170iilIH12fiiVNETLANDSII 1^168^67^16^ /l62/l6l\l6o\^SOUTH169 i /[^Oiling Hills claolf CSnrse !:l ** i,. Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Center - 540 West Fir Fergus Falls, MN 56537 PH: 218-998-8095 Otter Tail County’s Website: www.co.otter-tail.mn.us 4 April 2012 Scott & Cathy Olson (S & C Properties, LLC) 42502 240‘^ Street Battle Lake, MN 56515 RE: Parcel #55000110069009 (formerly known as Pelican Hills RV/MHP Park) located at 20098 Pelican Drive South, Pelican Lake #56-786, Otter Tail County Dear Mr. & Mrs. Olson Thank you for coming in to see me last week. I am sorry that the subject of the requirement for a SDS Permit had not arisen prior to this Spring when you had an installer apply for a Septic Permit from our office to “upgrade” 9 new sites. As I promised last week, I have examined our records of the septic systems servicing the above property and prepared a schematic of where the systems are located. There are two areas that I do not have records of that were installed prior to 1972. These are the system that services the original shower house and adjacent RV sites and MH sites 1-3. I have attached copies of all of the records we have in the property folder for your records. The capacity of the systems I have records of totals 19,900 gallons per day. There is more (3 each, 2-br MH’s and the original full service RV sites and shower house) that I haven’t added. This puts the total capacity of the septic systems under the same ownership and within V2 mile to well above the 10,000 gallon capacity that requires an SDS permit from MPCA. Your point of contact for acquiring an SDS permit is: Denise Oakes MPCA Regional Office 714 Lakes Ave Detroit Lakes, MN 56515 Her phone # is: 218-846-8119. Your plumber will have to contact the MN Dept, of Labor & Industry to submit his sewer line plan for their approval. 2 We have jurisdiction over the septic systems (from the tanks & downstream to the absorption areas). If you have any Compliance Inspection Reports that would shed some light on the two systems that we do not have records of, we need copies for the records. If they are not compliant, they will be subject to our inspection in the future. I hope this letter and the attached/enclosed information is helpful to you. Please let me know if I may be of further assistance. Sincerely, Mark Ronning Inspector Copy to: MPCA (Attn: Denise Oaks) 714 Lakes Ave Suite 220 Detroit Lakes, MN 56515 File 1^ Pelican Lake *?!PUBLIC ACCESS pelican HBls i’' gi I :Main Entrance n Public Facilities □ RV Sites Sf I ig^JI!|jMj‘»«S. PELICAN DRIVE 0,0*'□ Mobile Home Sites I I Tent SitesGAS hm (fliA0EI2 K 43 RVPARKd^^34 IR32 30 23 26 24 A3 29 /27/25/^r3119cSIMAP IS NOT t^Scaleo17 13 15U9 N 46T 57 ^ILI 8 12 14 16I47 49 50 51 52 53 54 56Y « ♦P' i^%A, ‘ifj’ X' [shop]R 58 59 60moPARKING 63 I I ^ MMrol , PARKING PARKIN^^ 186 A 18762 188 0D66189 y J # 9 MB.73 I 74 I 75 I J '1*f%326 %183,125 12*182181 113'\1>11;zPrivate Home 179 180 12>^ n110 115 I 11041 108 107 106 105 m178 S',<I177 176 ,^l5|s|\ 100/ 10^/151/15^ y449y^4Syi4y^4y^ 175 'S,MH7 iW174STORAGE FACILITY I C2 I Cl I MH6*173 sIHMHIH8114V1714/MHMH I' PI ^169^68^167^166^ j \%2j 3/MH170^H13 9 ,156V 2s>? XJ'-zi 'MH /,’1?1057' J58 POND y Ah' AJ159160 Rolling Hills Golf Course MV Page 1 of 1OTC Parcel GISMO Output- NOT a Legal Document Otter Tail County Parcel GISMO I http://www.ottertailcounty.net/servlet/com.esri.esrimap.Esrimap?ServiceName=pc&Clien... 03/29/2012 fiI;■ *ii rjF II' mti mtk :■•} A ''ll nmi:/ vjr rc-LH^AiN MILLS KV KAKK. SECTION 11, TOWNSHIP 137, RANGE 43 OTTER tail county, MN.I I LEGEND • - DENOTES IRON MONUMENT FOUND1O B IRON ROD SET AND MARKED WITH LAND SURVEYOR NO. 40 1 GENERAL NOTES 1.) Bearings gre assumed. I- /I REC-'Vt MAR 0 j ; G-U- LANDi-;Rtsa;Ri A CLIENT G/ISIONS ntfi KOr MCBK 1 2X22iwibr wtly thd Wi aner. (tr v raeait m tnpeed by tide tut drtd sscnUai ad Usi I e" fl 4ub LkosN lad &n<ia uda Ue tan d Ve Sdi d tfonm. m 9LAKE REGION SURVEYING, INC.P.O. ROX #8i 47 N. BROADWAY PELICAN RAPM MINNE80TA, 6B672 PH. <2«) 8B»-H0e PELICAN HILL PARK, INC. 20098 S. PELICAN DRIVE PELICAN RAPIDS, MN 36572 SECTION 11, TOWNSHIP 127, RANGE 43 OTTERTAIL COUNTY, MINNESOTA (wiorr US1 msstn t-l(HlOD1 CERTIFICATE OF SURVEY f’OCCKID TL™-..BW I PW8 UoM Ml 40S27 WNC FlUE: \2001\10l\l01bdry.iJwg firiETTu] MDHiDEPAgTMHITot HEALTH! Protecting, maintaining and improving de health of all Minnesotans June 23, 2000 Pelican Hills Park, Inc.Route 4, Box 218-BPelican Rapids, Minnesota 56572 Gentlemen/Ladies; Subject: Recreational Camping Area at Pelican Hills Park, Inc., Scambler Township, Otter Tail County, Minnesota. Plan No. 003857 We are enclosing a copy of our report covering an examination of plans and specifications on the above-designated project. The plans and specifications appear to be in general compliance with^the standards of this department. Please see the enclosed report for additional changes and/or cdrpents. It is the project owner’s responsibility to retain the plans at the project location,' This review does not pertain to the Engineering design (i.e., plumbing, swimming pools, service connections, sewage systems). A separate report regarding the Engineering Review will be sent. Ten working days prior to completion of the project, please contact Mr. Tony Georgeson from our Fergus Falls district office at 218/739-7585, in order to arrange for a final on-site inspection. If you have any questions in regard to the information contained in this report, please contact me at 651/215-0862. Sincerely. 5 Steve CraigPublic Health Sanitarian Environmental Health Services P.O. Box 64975St. Paul. Minnesota 55164-0975 SJC;casEnclosurecc; Project Owner Mr. William Kalar, Zoning AdministratorMr. Tony Georgeson, Minnesota Department of Health MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on recreational camping area: Pelican Hills Park, Inc., Plan No. 003857 Location: Scambler Township, Otter Tail County, Minnesota Date Received: June 22, 2000 Submitted by: Pelican Hills Park, Inc., Route 4, Box 218-B, Pelican Rapids, Minnesota 56572 Date Examined: June 22, 2000 Pelican Hills Park, Inc., Route 4. Box 218-B, Pelican Rapids,Ownership: Minnesota 56572 The following are corrections or requests for additional information necessary before construction of your project: No portion of the park may be subject to flooding.1. Recreational camping vehicles shall be separated from each other by at least ten feet. Any accessory structure such as awnings, car ports, or individual storage facilities, shall for the purpose of this separation requirement, be considered part of the recreational camping vehicle. 2. All recreational camping vehicles shall be located no less than 25 feet from any camping area boundary line abutting a public street and at least ten feet from any other property boundary line. 3. All systems of plumbing shall be installed in accordance with the provisions of Chapter 4715 of the Minnesota Plumbing Code.4: Fire protection shall be provided in accordance with the requirements of the state fire marshal.5. A minimum lot size of 2,000 square feet shall be provided for each recreational camping site.6. Provide at least one garbage container for every four rfec^'eational campsites. 7. . V -2-June 22. 2000Pelican Hollis Park, Inc. Recreational Camping Area Plan No. 003857 8.The scope of this project is the installation of 15 independent campsites. Approved;i. a 5 Steve Craig Public Health Sanitarian Environmental Health Services P.O. Box 64975St. Paul. Minnesota 55164-0975 1. » ast Iul'£'K01^ ^licl 1^ cdoula i^ K CU^'5 md/CdA/} ^Lj_ -51<5. ( r •: 2 9 1999 rdWV£KT Ey 15rINPRmftT]V£~ 2in:sz.535rft w D.I1I3 J 5_t:o_TO ZElAkU-SERV/ C£_;: _S I T£5 :sorrc::M5mTiELp Water piping in BLUE. Sewe system in RED. ^srmGZEUursWKM^^iT?.. tJ 50 ' 2 ■■1 'Ir\>1o PMS-OTiA LiStiT/1 X (/rnkiK;tlAlV WATj.fl/US-S— P~DBSrfil J EXlSTif^Q rWUL SERVlCE SITES; + S-=C. LIT= I PL/iSTfc Firriws \