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Home My WebLink AboutSenter Seven Inc._14000160133000_Septic System Permits_1 -2. ^ FIELD NOTES LAKE NO.: 56- 383 DATELAKE NAME: DEAD hL^^ILEGAL DESCRIPTION FIRE NO.:Parcel No.: 14000160133000 16 135 40 4.4 S 474' OF GL3 EX .6 AC TR IN SW.CR. REC BK 87 PG 787 / ' OWNERS NAME AND ADDRESS: SENTER SEVEN INC ^ JO \>d^s %CARL SIMONSEN ACCT PO BOX 202 LE CENTER, MN 56057 Comments: •V SEPARATION DISTANCES(IN FEET) ;OUTHOUSEABSORPTION AREASEWER LINE TANK WELL OHWL ' LOT LINE DWELLING NON DWELLING GROUND ELEVATION @ REASON(S) FOR ABATEMENT: \ 'WwM$'S m JiYyr }T'.^ sr^CERTIFICATE OF COMPLIANCE SEWAGE SYSTEM 6 CabinsiW: /97<^??rd day of Aprilr/iA certificate has been issued thisWM m|tS tes /o certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. iif m The premises covered by this certificate are legally described as: Lake No. ^6- 383 Sec. I6 Twp. 13 5 kn.T.nFp,Range Twp. Name.mM tel^ Pf-vKti Senter Seven Resort 5 ac. tract in G.L, #3 Ifi PJy PIr-C fw patlM Senter Seven Corp. Richville. Minnesota Owner: Name. ^6^76Address. Zip No. ir-RBPermit No. SP_ Signed by:.Zv/f , ^ /iMalcolm K. Lee, Shoreland Administrator Otter Tail County, Minnesota 9%MKL-087 1-009 V ®159035 ’'lE’o* LUNBCE** » eo, p»i-<rtRs. p*ll«, bihh CERTIFICATE OF COMPLIANCE SEWAGE SYSTEM 6 Cabins iME119JAApn^ 1??pd day of^This certificate has been issued this iMto certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota.mThe premises covered by this certificate are legally described as: Lake No. ^6- 38l Sec. 16 Twp. 135 4Q Dftad T.plfATwp. Name.Range. Senter Seven Resort5 ac. tract in G.L. #3 'M Senter Seven Corp.Owner:Name. MRichvillef MinnesotaAddress. Zip No. rPermit No. SP_ Signed by: Otter Tail County ; 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 Ph.. Card — Owner Owner Permit No.,LEGAL 9 y.^Date DESCRIPTION ^ <a<j. CidudAND Ltcj)OLOCATION Lake No.Lake Classif.Lake Name Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. Last Name____________________ First Initial Tel. No.Mailling Address —No. Street, City and State Zip No. OWNER 0»<-p. 0^ ^TYb^'. SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on.., 19. This space for office use oniy 19 ,M Date Rac'd Phone Call Rac'd ByTime Rec'd Owner or Agent Signa:|ture ESTIMATED COST: -NUMBER OF BEDROOMS: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD SqGIs.Sq. F/.Capacity . Ft. v52) Ft.Ft.Ft.Distance from nearest well AS^Ft.Ft.Distance from lake or stream Ft. ZA cPfZSFt.Distance from occupied building Ft.Ft. ZA ZADistance 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 ,, 19 , Time JM By J-.3.Zd:..../PERmLATION TEST DATA: rn Date of First Test . 19 Rate 2.-^.J.Yaz.Date of Second Test 19 Rate 1st Test Taken By 3/First Test -I- 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. 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 I Dated 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. Shorelana Management Office 9 7sIssued Date: Fee Surcharge S o?» r)/7n^ /_______ 'A heyZJInf^^ Comments:. iForm No. MKL-0771-003 vicToe uiMscCN • ee.. paniT|*i. pcatui rN.kt. himn 158906 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 Ph.. Card — Owner 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 First Initial IVIailling Address —No. Street, City and State Zip No,Tel. No. OWNER SEWAGE SYSTEM INSTALLER Name. 9- //This System will be ready for inspection on.// ■Q<d /O.yTl, 19. This space for office use oniy 9-.19 Date 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 ( 3 - /^oo 9 GIs.Capacity Sq. Ft.Sq. Ft. Ft.Ft.Ft.Distance from nearest well Ft.Ft.Distance from lake or stream Ft. Ft.Distance from occupied building Ft.Ft. 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: Inspection was made on 19,, Time ,JVI By PERCOLATION TEST DATA:Date of First Test ,, 19 , 19 . Rate Date of Second Test , Rate 1st Test Taken By 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 specificationssubmitted 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 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: Shoreland Management Office Fee $Surcharge $ \SSComments:. Form No. MKL-0771-003 vicToii uiHOCCM 4 CO.. etiMUat. ri<i<us rM.Lt. inee 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 SF1r%Capa,city GIs.GIs.S F S FI S F\ IMuDistance from Nearest Well F F 75F/50F F it >.57;fDistance from Lake or Stream FFF F F / Ff . )lDistance from Occupied Building 10 2020 \ F F L F F F Distance from Property Line 10 10 10FFFF F(j_1 ^ F/Distance from Bottom to Water Table 4 4FFFF F3 Inspector's Comments: I // Date of Inspection 19___ /! Time of Inspection,.M /I Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet * Linear Feet I C Job TitleF AgencyMKL-0771-003-Backer • • C SNT-Et^ O Bj £ A! P£^D t/6 C fy 'Tff^d N f4 i^Tf: >d'CA/3.’A»S' Est, 17^ zT7W >/V6" V" PlabTk. i r=//'/£• -■• o ra Z"^ASrK. /=-ofic£ ,J— ^ S 77? 7y^^/ I H 1 v?C3 OO <5:>< / ^ «S'« Pr/c 77«/i//t / '='/Si D Pc' /V •5>a<3 S'lS^^rrp SOIL ABSORPTION SYSTEM WORKSHEET Owner Name: Average Percolation Rate Number Bedrooms %Critical Slope sq. ft.Bedroom Absorption Area: X Number o£ Bedrooms Sq. feet required Septic Tank Requirements in Gallon Capacity 750 Gals.2 bedrooms or less 900 Gals.3 bedrooms 1,000 Gals.4 bedrooms For each additional bedroom add 250 gals. Per BedroomPercolation RatePer BedroomPercolation Rate 19817701 20218852 206191003 210201154 21 2141255 22 2186135 222231407 226248150 230251609 26 23416510 2382717011 2422817512 2462918013 250 300^ 330^ 3018514 4519015 6019416 a Unsuitable for seepage pits b Unsuitable for absorption system PERCOLATION TEST DATA Price $ 1.00 per pad. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537Aj 'P iz O E U£A/Ph. No. Owner:Mailing Address: Last Name First Middle Zip No.St. & No.StateCity Legal Description; SEC.TWP.RANGE TWP NAMELAKE OR RIVER NO.NAME TEST HOLE NO. 2TEST HOLE NO. 1 /4 2..Depth to Bottom of Hole inches; Diameter of Hole.JnchesDepth To Bottom of Hole.Diameter of Holeinches; inches Depth, Inches Soil Texture Soil TextureDepth. InchesDate.Date 19_____ /i:/t./Percolation Test By____ Percolation Test By , Firm Name______ £OLJJFirm Name.CC ID oUJCC UJ* tZ±Address.cr Address < Otter Tail County License No..Otter Tail County License No..F“ </)UJMeasurement, Inches Depth in Water Level, Inches f-Measurement, Inches Depth in Water Level. Inches Time Remarks RemarksTime OL 03 07.' ^ ^h-■77^77 ^00O z./77 >7__< /~<L^AV'Z—c c-> O y-7f ^ o MKL-0871-028159179 ®VICTO* lUMBECB t C« . BRIHTia*. FCB«Ut FALL*. See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. 1 / v3.