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Home My WebLink AboutSouth Lida Resort_39000090076000_Septic System Permits_CERTIFICATE OF COMPLIANCE'9 SEWAGE SYSTEM i S. 'ilm pm 2i^tii day of January to certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. This certificate has been issued this i9jaII feiiPI The premises covered by this certificate are legally described as: i. ia Lake No. ^6-747 Sec. 3.Twp. SoLith Lida Resort G, L, 2 Range )\ P Twp. Name Mapl aMOOd Mm mti IS m pa Mmm' mm mM Owner: Name David Gilles'pey___________ Address RR3 f Pel i esn T4TTli Pi wmm/Zip No.. ms 191hPermit No. SP^ Msocfslm K. Lee, Shoreland Administrator Otter Tail County, Minnesota Signed by:. mMKL-0871>009 mfl\] m IS9035 <■=".uaOl 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 Plrt. C^r OwnerOwner ^icUx:> A, 5-^ nilPermit No..LEGAL Date DESCRIPTION AND ~ 7 ^ - n/i/iicx-.At JcZLOCATION ■7^ Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. First Initial Mailling Address —No. Street, City and State Zip No,Tel. No.Last Name P&Aod^/AOWNER Cinn<f:SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only .19 .M Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signature NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD ( Q !::^jLrLi6n ^/JUiD Sq. Ft.GIs.Sq. Ft.Capacity S'd Ft.Ft.Ft.Distance from nearest well ^6Ft.Distance from lake or stream Ft.Ft. /6)Ft.Distance from occupied building Ft.Ft. /O/ODistance from property line Ft.Ft.Ft. Ft.Distance from bottom to Water Table Ft.Ft. AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on ., 19 , Time ...M By 19 ..iiif......... ..... .... - /''•/ .......T PERCOLATION TEST DATA:Date of First Test Rate Test Tw€ Date of Second Test Rate 1st en By .£...7.6 -First Test -I- 2nd Test Rato2nd 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 a,.. P.I..Dated fignature 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 up>on violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Issued Date: Shoreland Management Office 3"..^6Fee $Surcharge $ ^i0Oyin\jsi: JA^llUJU) h^pt. ______au^ifyio .________ _____ Comments:. Lfuji Form No. MKL-0771-003 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM W te || ^Mfice V lowy ^ Inspector Pli». — 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 Mailling Address —No. Street, City and State Zip No,Tel. No. OWNER SEWAGE SYSTEM INSTALLER Name. %^‘OQ A m. This System will be ready for inspection on., 19. This space for office use only IQ oP'OO /? 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 GIs.Capacity Sq. Ft.Sq. Ft. Ft.Ft.Distance from nearest well Ft. Distance from lake or stream Ft.Ft.Ft. Distance from occupied building Ft.Ft.Ft. Distance from property line Ft.Ft.Ft. Distance from bottom to Water Table Ft.Ft.Ft. AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time ,JVI By PERCOLATION TEST DATA:Date of First Test 19 , Rate Date of Second Test 19 , Rate 1st Test Taken By First Test -I- 2nd Test ’2'Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement; strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. (Call or use attached mailer notice.) Dated Signature Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Permit: Issued Date: S h o r e I a ment Office Fee $Surcharge $ < Comments:. Form No. MKL-0771-003 VICTSII LUHOCIN t e«.. PUlHTIKI. FEIUUt r*LLt. 158906 >INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould be Actual Should be Should beActual Capacity JSec S FGIs.GIs.S F SF S F ■r-i /U6Distance from Nearest Well Hep.F 75F 50FFF F J 1/SODistance from Lake or Stream F F F F F F t ODistance from Occupied Building 10 2020FFFc.._F F F Distance from Property Line 10 10 10FFFFF F Distance from Bottom to Water Table 4 4FFFFF F --------- S-c-,Inspector's Comments:I u 3 I isZ^Date of Inspection f Time of Inspection M / V. Ay ^ Signature of fjhspector / INTERPRETATION OF ABBREVIATIONS GIs = Gallons SF - Square Feet ” Linear Feet Job TitleF AgencyMKL-0771-003-Backer ^ ' C/iwr* /r.i'"'f •; » r- st !•— •\> f r, , I;itfI' >' >rj iV'r-0 •si ;u»; A (.*-(*■. t I\>I --------1 V 1_____. I ;“'v. ' ■\/^ «-I I\• I ;•1 • ■V 5 . *. “O O ^> V 6-i i r.i o '^'I'N Ii 1 .\ 1 t ■ i i' .< < r- 11 cl :j j 4*. ■)■ I )lie '.'‘•’■';I /i I ■'• \ N Ijt d ® '•' ^4vO O iI [\:I r\\C b '». '!■\\ir- a ■:}I I Itif■£i>9^'O'I IIf ' I A'I . y'/i w •; Is oN f /Ve r; i 1 ------ / i i'* /:! : ■> M PERCOLATION TEST DATA Price $1.00 pej^ pmJ. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 >Sc 0+ k kid n r i. 7^6- 7 9?.?Ph. No.Owner:Mailing Address: /I A.Q d i c[Q\n rc^ I /^CC iS cjs0> ill ti Aj SC S'7norj .^La^ Name C. *’•'First Middle Pk L A irl ct NAME St. & No. T~ j -A/ TWP. City State Zip NLegal Description:74TK - 63 RANGE1A cn rs_p /f. OC'. 4c. CJ LAKE OR RIVER NO.SEC.TWP NAME TEST HOLE NO. 2TEST HOLE NO. 1 s^6 ?fc inches; Diameter of HoleDepth To Bottom of Hole,Depth to Bottom of Holeinches;Diameter of Hole inchesinches /c i p/<- r-J St f ru r-,y ,■ c' V / Qr^ Oi <d ^ p /«- (i.C /OS E Depth, Inches Soil Texture la 7<j Depth, Inches Soil Texture 19 7-Date Date Sr^'^cicj Acri. n'\ f/tji Q.in.Lj 0-3-J.Percolation Test Bv____ ■O/TUjciPercolation Test By____¥Y■^ -7 - ZLQ r. /u!I?:pi III f! Qc (J /-€, f UJFirm Name.oc FirmName,f iJi t cir)aLU CC f~ V- Lc- rd mm D .^ V ^v-Cw r .■/m a7 .Address.CC Address < COOtter Tall County License No.Otter Tail County License No,.h-COLUMeasurement, Inches Depth in Water Level, Inches H Measurement, Inches Depth in Water Level, Inches Time Remarks Time Remarks o ^ - 3 <i asH 3 y<pRl'/T/ i3o 3 '40 3 : SO 30 A 39. V4 3/ %1 4<v/ /• V c. rc4i ‘so 3:00 33 Ad /3 - os/•• SS'a s as / ‘^9.a '/4a ■ os 6- iS 3i ‘ S/zf.■3 •• 75'3 - as 3 a A33 %/3 SS'2 ■ as MKL-0S71-C See Booklet, "How to Run o Percolation Test" by Agriculture Ext. Service, Un. of Minn. yc> Y- —>3 00I ■ ^ ? 0 0 SOIL ABSORPTION SYSTEM WORKSHEET Owner Name: Average Percolation Rate Number Bedrooms Critical Slope J sq . ft.Bedroom Absorption Area: X Number of Bedrooms /c^y jTSq, 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. Percolation Rate Per BedroomPer BedroomPercolation Rate 17 198701 18 202852 19 2063100 20 2101154 21 2141255 226135 218 23 222140 24 2261508 25 2301609 26 23416510 27 23817011 28 24217512 29 24618013 250 300^ 330b 3018514 4515190 6019416 a Unsuitable for seepage pits b Unsuitable for absorption system