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Home My WebLink AboutSilver Sage Guest Ranch_36000060044000_Septic System Permits_Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Center - 540 West Fir Fergus Falls, MN 56537 PH: 218-998-6095 Otter Tail County’s Website: www.co.otter-tail.mn.us 05/22/2014 Michael R & Joan M Otto 15381 410th Ave ClitheralIMN 56524 9575 RE: Prinnary Owner: Michael R & Joan M Otto Sewage Treatment System Servicing Tax Parcel Number: 36000060044000 Described as:Sec 06 Twp Leaf Mountain Twp Sect-06 Twp-131 Range-039 80.00 AC El/2 SE1/4 Lake: 56-147 Unnamed As of 05/21/2014 the sewage treatment system (Sewage Treatment Installation Permit # 22569 servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for an 850 gal/per day use. If you have any questions regarding this matter, please contact our office. Sincerely, Eric Babolian Inspector APPUCATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER. 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.usWHITE - Office YELLOW - L & R Inspector PINK - Owner/ Contractor (after Issue) APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME SECTIONLAKE/RIVER RANGETWP NO.TWP NAME ___/\JI^ 6 PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD i3jN-7 \ 260000600 HYOOO LEGAL DESCRIPTION e Vi SF y^-i Last Name First Initial Mailing Address Daytime Phone No. IS?gl Av n I [iv'njil ( ___________A)ilK(XcI ^ '^OAA / C>TTOProperty Owner 56S3^ iSdfkKftf LLC- ___LMS__________ smo UulC dA. 11 ^ /yj/j S‘6Sy/ Contractor Lic.« THIS SPACE FOR OFFICE USE ONLY A.M. >■ This System will be ready lor inspection on , the year of P.M.at A.M. P.M. 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 Collector ^ Other Est. (pNew (F) Replacement (C) New (D) Replacement Soil Treatment Area Tank Lift IDesign Flow (Gallons/Day) 1 — 2,499 (H) 2,500 — 4,999 (I) 5,000— 10,000 Effluent Distribution ) Gravity ( ) Pressure 3/^ G's GIs Ft.Size Setback To Nearest Well 100^ Ft.Type I Type II Ft.+ Ft.iCo (20) Trench, Rock (27) Rapidly Permeable lOU Ft.Das Ft.Ft.Setback To OHWL(21) Trench, Gravelless (28) Flood Plain Trench, Chamber (29) Privies Ft.Ft. Ft.Setback To Bluff(23) Bed (30) Holding Tank ( ) Monitoring/Disposal Contract(24) Mound -50' Ft.Ft.Ft.Setback To Dwelling (25) At Grade Type III Setback To Non-Dwelling 75 R.100(26) Grey water (31) Other/Problem Soils/<12" Soil Ft.Ft. Type IV Setback To Nearest Lot Line Ft.^ Ft.Ft.ICX)lOoDepth of Well (32) Public Domain & Proprietary Technologies Setback To Road Right-Of-Way lOo'rFt.Ft. Ft.Type VTotal # Bedrooms m Y / (33) Performance Elevation Above Restrictive Layer 3 Ft.^ Ft.Ft.Garbage Disposal Y /(TAAbatement PERCTEST 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. 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; t.Thls permit is valid for a period of six (6) months. 2.This permit does not includeyfhe building sewer (sewer line). ripOwner/Aaent foc^Owner License ft ^ Date of Test Highest Rate ADate:Permit Fee $ ignature of Prope Date:Rec. No., Resource Martagement OfficjiLand & Date StampComments: SCANID l^lwT^I. 345,197 • Victor Lundeon Co., Printers • Fergus Fails. Minnesota L&R InitialForm No. BK — 07-2011-06 APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.usWHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue) APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASSAJ^ SECTION TWPNO.RANGE TWP NAME ■5 Jufiavy]-^ PARCEL NUMBER (S) OF PROPERTY BEING SERVICED I - */ (Oourff!3)j ■■ / -7 /C./1 L' E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD ■I 2 6coco 600 <VVOOO i CI •LEGAL DESCRIPTION J I5£i y.ic.iILast Name First Initial Mailing Address Daytime Phone No. A)icKa^ IProperty Owner biro Ajc Ci 11 ho'a j ISa^ /Ooaj\1Ci/’U^\f\\(\( l-LY..TSQ^y,} - jj lI {ck\(/\al Contractor Lie.#057/mu THIS SPACE FOR OFFICE USE ONLY /fY>0 A.M. > This System will pe ready for inspection on ____, the year of P.M. ^:/oDate Received Time Received L&R Official TYPE OF NSTALLATION (circle one)SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAW NGResidential (A) New (B) Replacement Collector Other Est. New (F) Replacement (C) New (D) Replacement Soil Treatment Area Tank Lift Design Flow (Gallons/Day) (G> 1 — 2,499 (H) 2,500 — 4,999 (I) 5,000 — 10,000 Effluent Distribution (xL6) Gravity ( ) Pressure GIs GIs Ft.Size Setback To Nearest WellType I Type II . i Ft. Ft.Ft. (20) Trench, Rock (27) Rapidly Permeable y ,-X' S 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 ( ) Monitoring/Disposal Contract(24) Mound t‘1/- Ft.Ft.Setback To Dwelling !(25) At Grade Type III Setback To Non-Dwelling(26) Greywater (31) Cther/Problem Soils/<12" Soil '?5 Ft.Ft.' Ft. Type IV Setback To Nearest Lot Line ■ Ft.Ft.• Ft.Depth of Well (32) Public Domain & Proprietary Technologies Setback To Road Right-Cf-Way Ft.Ft.* Ft.Type VTotal # Bedrooms (33) Performance Elevation Above Restrictive Layer Ft.Ft.Ft.Garbage Disposal Y / NAbatement Y / N PERC TEST DATA J-'.JDesigner 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 tor 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. License #Date of Test Highest Rate ._ NOTE: I.This permit is valid for a period of six (6) months. 2.This permit does not Include the building sewer (sewer line). Date: J "Permit Fee $ Signature of Property Owner/Agent for. Owner i fDate:Rec. No..u. Land & Resource Management Officiat UT Comments: f. Form No. BK — 07-2011-06 345.197 • Victor Lundean Co., Printera • Fargus Falls, Minnesota 7 SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements / ___________________ '2^(;:v -i. « 'SOIL TREATMENT AREA HOLDING SEPTIC TANK OUTHOUSELIFT TANKCATEGORY //OOP yzo FT 2Capacity FT2GLS.GLS.Z. U d? ot K^C^O FT FTFT/^=>7- FTSetback from Nearest Well Setback from Buried Water Suction Pipe FT FTFT FT Setback from Buried Pipe Distributing Water Under Pressure FT FTFTFT '^0)1/— ~2Jo - FTlg.7- ftSetback from OHWL (lake &/or river)FTFT FTSetback from Bluff FT FTFT -^Cw S,7t FT FTSetback from Dwelling FT FT h/j\j ^ft7S-FTSetback from Non-Dwelling FTFT ZOO'*-FT FTFTSetback from Nearest Property Line FT Zc>o FT—4-FTFTSetback from Right-of-Way FT 3 FT FTFTElevation above Restrictive Layer FT Holding Tank/Lift Alarm YES NO Old System Pumped & Destroyed YES NO TRENCH REDUCTIONSOIL TREATMENT AREA CALCULATION MOUND / AT-GRADESEPTIC TANK(S) # Tanks, Installed FILTER ROCK BED ' S /•ZRocMreneherwith inches □ YES NO ■2 O3of sidewall for %Ft.Ft. X Ft.Ft. X 7ZO ft2reduction / equivalent to li^o'TfboO S /(> Ff2FP Soil Treatment Area. Sf.P A .Inspector's Commentsr^^ 'r ^ cl^ oo / Sketch: < li H0OOrooo) —)o O <^75 A.00 “Yat A \7: ■}» ' c V C:I "~ I ^ r > .A- ) ; ) 3?:t _ 1’^ lime initial/L & R OfficialDate the above described sewage system installatiqn was found to be compliant with the provisions of the SanitationAs of Code of Otter Tail Courity. 1^0^ 1^7-■fyf \L rnt OfficialLand & Resource Mai 4^FowrrtJo. BK — 07-2011-06 345^7-•'Wctof Lundaan Co^, Pjinrers * Fergu^ S^s. Mlnnasota SITE DATA WORKSHEET LAND & RESOURCE MANAGEMENT, COUNTY OF OTTER TAIL GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 218-998-8095 www.co.otter-tail.nnn.us Sewage Treatment System Permit #OWNER: /(\ichaAorroLAST NAME FIRST MIDDLE TELEPHONE NUMBER ADDRESS: H/d- l9vc.C'hh\crq\(mto STR./RT.CITY STATE ZIP CODE 6___12L 39 LAKE/RIVER NO.LAKE NAME SEC.TWP.RANGE TWP. NAME LEGAL DESCRIPTION:SOIL BORING LOG E '/i SF Vs COLOR a MUNSELL NO. DEPTH (INCHES)TEXTURE STRUCTURE BLOCKY PLATY PRISMATIC?,AC)00(T PARCEL NUMBER E-91TAddress or Directions From Nearest Public Road (53%) /W .BLOCKY PLATY PRISMATIC cSSEIi (3^ NUMBER OF BEDROOMS BLOCKY PLATYA-GARBAGE DISPOSAL; YES WELL: CASING DEPTH ft. SEWER LINE SEPARATION-^ ft. BLUFF; YES VEGETATION: AQUATIC C^E^ESTRIaD^ pRisi^^Amc(TnonOA BLOCKY PLATY PRISMATIC NONE c®FLOODPLAIN: YES BLOCKY PLATY PRISMATIC NONE SLOPE AT INSTALLATION SITE:% TYPE OF OBSERVATION; Probe Piti PARENT MATERIAL: ([jilP ORIGINAL SOIL: No COMPACTED SOIL: Yes Boring Outwash Loess Bedrock Alluvium Date of Soil Boring. q-m ^■3^DEPTH OF BORING (To 7' or restrictive layer):.ft.Date of Perc Test PERC TEST #1 PERC TEST #2- TWO TESTS ARE REQUIRED - TIME INTERVAL (MINUTESI WATER PERTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE7^/1T7 t(.^js£.6n-START yj.^i 3START .:£L-r_*2_3-^T3::::TIME DROP PERC TIME DROP PERC TIME ■ fJl3 INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE.¥s....1^..J J-.S. 9-3ZM.REFILLJ.U.O.TIME DROP PERC TIME DROP PERC ■m.INTERVAL (MINUTES)WATER DEPTH. WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEZZZ?.3,73./-r./Ilk /.TVTIMEDROPPERC TIME DROP PERCTIMEINTERVAL (MINUTESI WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE/M7^ REFILL 1.%:.ns¥....(..TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE is;777f /.O......n^i.TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEUmj>/tV^./k /lj%r ATT U.J-4REFILL REFILLZ;.v.?r. TIME Drop PERC TIME WOP PERC TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERCTIMEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTESI WATER DEPTH WATER DROP PERC RATEREFILLREFILL TIME DROP PERC PERC PROPOSED DESIGN: TRENCH X BED.ATGRADE.MOUND.HOLDING TANK.GRAVITY DIST..PRESSURE DIST.. — SYSTEM DESIGN ON BACK — ^ SEWER LINE.OUTHOUSE.OTHER.SPECIFY:.a 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, wetlands, bluff and all water wells within 150' of the sewage system. If there are any questions, see the University of Minnesota Site Evaluation worksheets. /grid(s) equals jnch(es) equals feetScale:feet, or MPCA LICENSE #: DESIGNED BY:LICENSE CATEGORY: FIRM NAME:DATE: ADDRESS:SIGNATURE: i I ! 1 BK - 1003 - 029 316.904 • Victor Lundeen Co., Printers •. Fergus Fells, MN • 1-800-346-4870 MPCA LICENSE #: DESIGNED BY:LICENSE CATEGORY: FIRM NAME:DATE: ADDRESS: signa: / /"-* so' /^/\J Q-' ! IV f ^ I✓W § / y Q » \ I crs'?? 1/rs1» I 1I ) 1II \IIVV A .-0A? 4 4 FargutF«li«. MN • 1-800-346-4870BK ^ 1003 — 029 r I M I M M E S 0 T A I MDHiDEPARTMENTOfHIALTHl Protecting, maintaining and improving the health of all Minnesotans December 16, 2013 Joan & Michael Otto 15381 410th Ave Clitherall, Minnesota 56524 Dear Joan & Michael Otto: Silver Sage Guest Ranch, 15381 410th Ave, Clitherall, Otter Tail County, Minnesota, Project No. 140220 Subject: Thank you for submitting plans to the Minnesota Department of Health (MDH). We are enclosing a copy of our report covering an examination of plans and specifications on the above designated project. The plans appear to be in general compliance with the standards of this department and have been approved with the following changes. Please see the enclosed report for the changes and/or comments. Ten working days prior to completion of the project, please contact me in order to arrange for a final opening 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 218-332-5142 or at rebecca.tonneson@state.mn.us . Sincerely, ^e^ecca S. '7<M*te4o*t Rebecca Tonneson, RS Food, Pools, & Lodging Services Section MN Department of Health 1505 Pebble Lake Rd, Suite 300 Fergus Falls, MN 56537 218-332-5142 Rebecca.Tonneson@state.mn.us RST:smp Enclosures CC: Rick Toms, Minnesota Department of Health Mr. William Kalar, Zoning Administrator General Information: 651-201-5000 • Toll-free: 888-345-0823 • TTY: 651-201-5797 • www.health.state.mn.us An equal opportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on New MHP / RCA: Silver Sage Guest Ranch, Project No. 140220 Location: 15381 410th Ave, Clitherall, MN 56524, Otter Tail County Date Approved: December 16, 2013 Date Received: October 7, 2013 Submitted by: Joan Otto, 15381 410th Ave, Clitherall, MN 56524, (218) 864-8007 Ownership: Joan & Michael Otto, 15381 410th Ave, Clitherall, MN 56524, (218) 864-8007 Scope of Project; New campground with 4 independent and 6 dependent campsites. 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. A minimum lot size of 2,000 square feet shall be provided for each recreational camping site.3. 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. 4. An adequate supply of water of safe, sanitary and potable quality shall be provided in each recreational camping area within 400 feet of each campsite. 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. 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 disposal system acceptable to the Minnesota Department of Health and the Minnesota Pollution Control Agency shall be provided. 8. Recreational camping areas accommodating recreational camping vehicles having a self-contained liquid waste system with a waste reservoir shall provide a sanitary station for the disposal of waste water. Such sanitary stations shall be equipped with a four-inch sewer riser pipe, surrounded at the inlet by a concrete apron sloped towards the inlet drain, and provided with a suitable hinged cover. A water outlet, with the necessary appurtenances connected to the camp water supply system, shall be provided to permit periodic wash-down of the immediate adjacent areas. Each recreational camping area accommodating self-contained recreational camping vehicles shall provide sanitary stations in the ratio of one for every 100 recreational camping vehicle sites or fraction thereof. Sanitary dumping stations shall be screened from other activities by visual barriers such as fences, 9. - »i Silver Sage Guest Ranch New MHP / RCA Project No. 140220 Page 2 December 16, 2013 walls, or natural growth and shall be separated from any recreational camping vehicle site by a distance of at least 50 feet. Final disposal of sewage from such dumping stations shall be by a method acceptable to the commissioner of health and Minnesota Pollution Control Agency. In dependent recreational camping areas occupied by recreational camping vehicles that are not equipped with toilet and bathing facilities, one or more central buildings shall be provided equipped with such facilities. The number of fixtures for the required for the number of sites is: 10. ShowersToilets Urinals Lavatories 1Men1 1 1 N/A 1 1Women1 Toilet facilities shall not be more than 400 feet from the furthest site to be served. Fire protection shall be provided in accordance with the requirements of the state fire marshal.11. Shower and Toilet Room Construction:12. Provide floor surfaces within bathing facilities which are constructed of smooth, easily cleanable and durable materials that are impervious to moisture. Floor surfaces must be graded to drain to a floor drain. Provide wall and ceiling finishes within bathing facilities which are constructed of smooth, easily cleanable and durable materials that are impervious to moisture. Exposed studs and rafters are not permitted. Refuse Facilities:13. Provide at least one garbage container for every four recreational campsites. A maximum speed limit of 10 miles per hour must be clearly posted throughout park.14. Sincerely, Rebecca Tonneson, RS Food, Pools, & Lodging Services Section MN Department of Health 1505 Pebble Lake Rd, Suite 300 Fergus Falls, MN 56537 218-332-5142 Rebecca.Tonneson@state.mn.us