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HomeMy WebLinkAboutSuchy_21000080051002_Septic System Permits_Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY GOVERNMENT SERVICES CENTER - 540 WEST FiR Fergus Falls, MN 56537 PH: 218-998-8095 OTTER Tail County’s WEBSITE: www,co.otter-tail.mn.us July 5, 2007 John & Ron Suchy 2159 12th St White Bear Lake, MN 55110-2601 RE: Sewage Treatment System Servicing Tax Parcel Number 21000080051002 Described as PT GL 1 & 2 S OF CTY RD 6..., Section 8 of Effington Township Block Lake (56-79) As of June 29, 2007, the sewage treatment system (Sewage Treatment Installation Permit #19111) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a holding tank. If you have any questions regarding this matter, please contact our office. Sincerely, Eric Babolian Inspector 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) X- APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS ■> SECTION P NO.RANGE TWP NAME ■"5/:;■ /~ltl k /7^ ' / /rzh/ / L} PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD 7" ^ Ic-z^n /oooOc^Cc y /Co 2; LEGAL DESCRIPTION / ^/•/ 6 A cr Last Name First Initial Mailing Address_____Daytime Phone No.g / /3^ sht AProperty Owner /'>u ^ //rO , J )Contractor Lie. It +73 THIS SPACE FOR OFFICE USE ONLY A S>TtrjjblnO> This System will be ready for inspection on , the year off ITime Received H——^MlP.M. Date Received L&R Officiai SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE)TANK DRAINFIELD Ft'Size /GIs.Add-On/ Replacement (32) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade Setback to nearest well Ft. Ft. /■ Setback to OHWL (lake &/or river)Ft. Ft.\tSetback to wetland Ft.i Ft.6^ Setback to dwelling Ft.Ft./ C -iCollector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade I Setback to non-dwelling Ft. Ft. Setback to nearest property line Ft. Ft.Other ' (41) Tank, Hplding^ ■p2) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous / ^ S-Setback to road right-of-way Ft.Ft.y c ^ Elevation above restrictive layer Ft. Ft. ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. DEPTH OF WATER WELL # BEDROOMS : GARBAGE DISP. Y / N ABATEMENT Y / N ' ABSORPTION AREA FOR MOUNDS EFFLUENTDISTRIBUTION (^'Gravity ( ) Pressure HOLDING TANK MONITOR/ DISPOSAL CONTRACT (^Yes ( ) No-L&R Can Not Process Designer ___ Designer Lie. #. PERCOLATION TEST DATA Date of Test Highest Rate 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 accordance 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 werkmen 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: This permit is vaiid for a period of six (6) months. \ i / (\ of,property 'Owner^ent torpv^r Date: ^Permit Fee $Signature m / 7/7 ^ y/yDate:Rec. No.. Land & Resource Management Office 9-Comments:\~y p I/// Form No. BK — 0906-003 327,315 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota t SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements HOLDING SEPTIC TANK DRAINFIELD OUTHOUSELIFT TANKCATEGORY Capacity I OO D GLS.FT 2GLS.FT2 loo ^ ftSetback from Nearest Well FT FT FT Setback from Buried Water Suction Pipe FT FT FT FT Setback from Buried Pipe Distributing Water Under Pressure FT FT FT FT $1 tSetback from OHWL (lake &/or river)FT FT FT FT Setback from Setback from Wetiand B rs-f L o c FT FT FT FT Setback from Dwelling 3V FT FT FT FT Setback from Non-Dwelling FT FT FT FT Setback from Nearest Property Line -Z-cr/- ft FT FT FT Setback from Right-of-Way FT FT FT FT Elevation above Restrictive Layer FT FT FT FT YE^Holding Tank/Lift Alarm NO Old System Pumped & Destroyed ES NO SEPTIC TANKfSt FILTER Sewer Line to Well Separation DRAINFIELD CALCULATION Actual Minimum# Tanks Installed |Pt)0 tp □ YES FTX /MO ^ ft Manuf. .ft^20 FTModel # MOUND CALCULATION MOUND /AT-GRADE ROCK REDUCTIONInspector’s Comments: A 4^ HT' p/absorbtion area Rock trenches with inches of rock under pipe for .%Ft. X I.AlU DF.reduction / enuivalent toFt2 1SKETCH: - % 7iJOut 1 Date Time Initial/L & R Official As of Code of Otter Tail County. the above described sewage system installation was found to be compliant with the provisions of the Sanitation L ___Lands Resource Management Official r 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 COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME SECTION RANGELAKE/RIVER TWP NO.TWP NAME 7^0 cf-^-77 I PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD i “Zc S700'Z— LEGAL DESCRIPTION Last Name First Mailing Address Daytime Phone No.Initial Property Owner Contractor Lie.#'Tu 73 THIS SPACE FOR OFFICE USE ONLY A.M. >■ This System will be ready for inspection on , the year of P.M.at. A.M. P.M. Date Received Time Received L & R Official SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE)TANK lAINFIELD / Oo Ft"Size GIs.New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade leplacemeni Setback to nearest well Ft.Ft.(3;Eic c>.(33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination Setback to OHWL (lake &/or river)Ft. Ft. 5TJ/~Setback to wetland Ft.Ft. Setback to dwelling Ft.Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade Setback to non-dwelling Ft. Ft. Setback to nearest property line Ft. Ft. [41) TanI Setback to road right-of-way j gy—Ft.Ft.(4A) (jutnouse (43) Sewer Line (44) Performance (45) Miscellaneous Elevation above restrictive layer Ft. Ft. ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS.# BEDROOMS g- GARBAGE DISP. Y ABATEMENT Y / N ABSORPTION AREA FOR i BOUNDSDEPTH OF WATER WELL A Ft^EFFLUENT DISTRIBUTION HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( ) No-L&R Can Not Process nocir|nor Designer Lie. #, PERCOLATION TEST DATAj><Jp3ravity !( )'Pressure Date of Test Highest Rate 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 accordance 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: This permit is vaiid for a period of six (6) months. 7%^ Q. Signature of property ^wner^^ent for / Y/C, zY Date:Permit Fee $ Date:»■Rec. No.. Land & Resource Management Office Comments: Form No. BK — 0906-003 327,315 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota ;I ■i =J... >1^ design must be to scale and must include the proposed location of the sewage system, exktiug/proposed buildings, property lines, the ordinary high water level of the water body, wetlani bluff and all water wells within 150' of the sewage system. If there are any questions, see the Univers j of Minnesota Site Evaluation worksheets !i ;;i 1 h ■;................' ■■ -I-feetqrid(s) equals ^ feet, or 'Scale: ;1 1 •1 'T- IiI.J...1.1.t!i'-,‘mp'gaLICENSE.L.. -----r J- ‘ —' j—■! —' — -I—I— :——.. I -1 ’*—'r—-r - -■ : t ICFNf^E CMEGQRY^^pDESIGNED BY: i j ..11 ..i .FIRIV1 NAME:_n i -- -- ~', k- :■ - --: i, ADDRESS: ' 4 i :—1"I ! !.!.. J i T i II i !:Ii;;!i T i ; 1.i -....- .i- I.. r-l • V- ......' ‘ I .1 rrrj: r~ ........>r rr -'- t-' i > I i...' I L..|.j. Ji ' I M - I .T r :lt +--h-rl..i^ I ir.p..^-H;in -I..:f-4i -L.I iT"..I.t !■ i>: T-r-;—......J— jJ-,— —t:Ki I k W-L ^ nc £tl --h iuld !'“I'iiT rrT"T——i---pr—j 1 —I——1 r- ........U.ri5:...V-.„ ■'"■'r'i............i......1........../ -j .......1.1. x!!-T'l , M”! t rii ' ! - i":|rX4p|:j dXEffl -i—^T f■1~rI T T j!!T.1.I I I •! ■..Tl-i I-u Ii i T i.l-_r I t J Tr•i-1-!n"r!x:1.i a|-1T ._,4_i-■I ! i ■i-I rI--!-I Ti'-i I :tx:),it:'T .L I J-h-i:I-..I L rx:'i ' i ' i-'r T I:..i jIl"... i H-i -i-tX4 XLT. 'FJ:r-I.-J..I ..I I i"; !XXrtt hrh'r'r'T' xrn:ri;:c I1I i.H-M.;]T iIi■h r[II iJ!Xf axt:I zrnIiTIt I-i.inT '1 11TI i Co.. Primal ^ ^arQuaxijXiTTrr ^^idajrHa'dalwejsT; -i-.. i —I.-. i.—t_ h-'3^.804 Luiidajan]:r“rr:J.i ■; i I ;1 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.ottertail.mn.us fI L i <■ r i r November 17, 2006 John Suchy et al 2159 12th St White Bear Lake, MN 55110-2601 RE: Sewage Treatment System Servicing Tax Parcei Number 21000080051002 Described as PT GL 1 & 2 LYING S CO RD 6..., Section 8 of Effington Township, Block Lake (56-79) As of November 15;: 2006, the sewage treatment system (Sewage Treatment Installation Permit #18883) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a holding tank.■>i. If you have any questions regarding this matter, please contact our office. Sincerely,i'Y Eric Babolian Inspector r ■■ 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 I www.co.otter-tail.mn.usWHITE - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue) X APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER ^'6 7*^ LAKE/RIVER NAME SECTION TWP NO.LAKE/RIVER RANGE TWP NAME/C ty \ ^ ^ if PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD Or -ooi']' D Xi LEGAL DESCRIPTION r’l QL !4:i L cc. Last Name InitialFirst Mailing Address Daytime Phone No, L L ^ Property Owner i2_Z a , /I'f /Otif G *<-/ - yO^-^ < J!r;/jrO'l'^ J / r-Contractor Lie.#V — [27^TwisPACEFOR^FicEUSECt^ l^Iidesdiz llkpi—. K '6d ^ f> This System will be ready for inspection on , the year of at : p.M. Date Received Time Received SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE) TANK DRAINFIELD Ft"Size GIs.Add-On/ Replacement (32) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade Setback to nearest well /clV ^Ft.Ft. VS"Setback to OHWL (lake &/or river)Ft. Ft. Setback to wetland Ft. Ft. Setback to dwelling Ft. Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade Setback to non-dwelling Ft. Ft. Setback to nearest property line Ft.Ft.Other ((41),Tank, Holding (42) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous lOSetback to road right-of-way Ft.Ft. Elevation above restrictive layer Ft.Ft. ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. DEPTH OF WATER WELL # BEDROOMS.ABSORPTION AREA FOR MOUNDS GARBAGE DISP. Y / N ABATEMENT Y / N Ft^EFFLUENTDISTRIBUTION ( ) Gravity ( ) Pressure HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( )Yes ( ) No-L&R Can Not Process Designer____ Designer Lie. #. PERCOLATION TEST DATA Date of Test Highest Rate 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 accordance 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: Pormission 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: This permit is valid for a period of six (6) months. i/ Signature of Property Owner/Agent for Owner Date:Permit Fee $ //Date:Rec. No.. Land & Resource Management Office /-;V-I (■Comments:! Form No. BK — 0906-003 327,315 ■ Victor Lundeen Co.. Printers • Fergus Palls. Minnesota . r H •' •*SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements HOLDING SEPTIC TANK DRAINFIELD OUTHOUSELIFT TANKCATEGORY Capacity / OOO GLS.FT2GLS.FT2 4-Setback from Nearest Well FT FT FT FT/do Setback from Buried Water Suction Pipe FT FT FT Setback from Buried Pipe Distributing Water Under Pressure lO'^FT FT FT FT Setback from OHWL (lake &/or river) 9^ Setback from Setback from Wetland S>C t ns FT FT FT FT 3-^I FT FT FT FT Setback from Dwelling FT FT FT FT 30^ FTSetback from Non-Dwelling FT FT FT Setback from Nearest Property Line FT FT FT/O Setback from Right-of-Way /of-FT FT FT FT Elevation above Restrictive Layer FT FT FT FT Holding Tank/Lift Alarm NO Old System Pumped & Destroyed NO SEPTIC TAN KtSt FILTER Sewer Line to Well Separation DRAINFIELD CALCULATION/Actual Minimum# Tanks Installed FTX•hManuf. loo .ft"NO FT 20Model #_ MOUND CALCULATION MOUND /AT-GRADE ROCK REDUCTIONInspector’s Comments: 'RyptAccQ Cs-rhmt LefC. /?$ £>£■£ h>r! fAW^D,___________ ABSORBTION AREA Rock trenches witi inches of rock upder pipe for .%Ft. X ft2 DRrdouction / equivalent to.Ft2 SKETCH: \\ f Lc Ci t !«•/If 3 >■/ T-- 00 0f K \ Time ~'temaU L& R Official //- is-py the above described sewage system instaiiaTIolAs of Code of Otter Tail County. Jo be compliant withtRe'if the Sanjallon C Lafw& Resource Management Official w 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.usWH/r£ - Office YELLOW -L&R Inspector PINK - Owner / Contractor (after issue) APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER SECTION TWP NO.RANGE TWP NAME/fV C /(f c77 / PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROAD 3 S' /^cr, LEGAL DESCRIPTION fh Q L Cia ■ Last Name First Initial Mailing Address Daytime Phone No. \_U L = zb Be c/l'Property Owner 7 iC-f Contractor Lie.# THIS SPACE FOR OFFICE USE ONLY AM. > This System will be ready for inspection on , the year of P.M.at. A.M. P.M. Date Received Time Received L & R Official SEWAGE TREATMEMT-SYSTEKSDESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE) \TANK DRAINFIELD\Ft"Size GIs.j l/rC’'7D /OV ^ Add-On/ Replacement (32) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade /Setback to nearest wei Ft.Ft. Setback to OHWL (lake ri'Ft.Ft. Setback to wetland Ft. Ft. ^ VSetback to dwelling Ft. Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade Setback to non-dwelling Ft.Ft. /DSetback to nearest property line Ft.Ft.Other <41)/Tank, Holding "(42) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous iOSetback to road right-of-way Ft.Ft. Elevation above restrictive layer Ft. Ft. ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS. ABSORPTION AREA FOR MOUNDSDEPTH OF WATER WELL # BEDROOMS GARBAGE DISP. Y / N ABATEMENT Y / N ,Ft^EFFLUENT DISTRIBUTION ( ) Gravity ( ) Pressure HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( )Yes ( ) No-L&R Can Not Process Designer____ Designer Lie. #, PERCOLATION TEST DATA Date of Test Highest Rate 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 accordance 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: This permit is valid for a period of six (6) months. Signature of Properly Owner/Agent for Owner -^4 / -Date:Permit Fee $ / 7 O ^Date:Rec. No.. Land & Resource Management Office kr e. 5't ■-<Comments: Form No. BK — 0906-003 327,315 • Victor LunUeen Co., Printers • Fergus Falls, Minnesota r :otem^ design must be to scale and must include the proposed location of the sewage system, \ existihg/proposed buildings, property lines, the ordinary high water level of the water body, wetland .bluff’and all water wells within 150' of the sewage system. If there are any questions, see the Universi of Minnesota Site Evaluation worksheets. /■ ^ inch(es) equals 3(5^grid(s) equalsScale:feet, or feet r MPCA LICENSE #: 3-177 LICENSE CATEGORY:y ^ A-L, DATE: ' DESIGNED BY: FIRM NAME: • ._________A ADDRESS:\.V-SIGNATURE:■1 / i A ^ * ■ ■ i ■ .ii '■ ;I r-i-i-- r-r------/I/I '1% I / ^7<a.!!■ 'LPi'71!: , i *1 ■1;iIi 3o: ' i: II ■ ... .H.fM 1 : -0-: :4-C'-iPl 7 ■ 7,-i :r, 7 7^:,/>/I !1 :I ;4n;i r" 0; a: Ilf":7 m¥m . i \■ r I!I ! I ;r N'i : • I -I ■. I • ■, . ..:.. li -' • i i i I i ■ ; ..I-:-;- i I !I i I1 :i I' :!;;i II , i ' I ; ,r 1 -1 j ' ' : ; i : j ; ■; ■ : i ! steM H im i :I •|;!I :; 1 I I !i V:I ■ f !.. i !-1 i !i !i■; ! ■-• •■■!......; i :!;!iI!■' i!" .! *"! I • : " I- . •, - - ;;! ! ■i :‘ I;:. I;II'M Ml :I i ;i,...i Ii 1 . :I ;: ' i ; -f 7—: !i I i :i...I !1 I : Lur\deen Co.. Prinrers • Fergus')? BK — 1003 — 029 j. atB^aof • Victor bUs. MN, • 1-B00;346-4e?0I »■ 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.ottertail.mn.us July 14, 2006 John R. & Ronald P. Suchy Et Al 2159 12th St White Bear Lake, MN 55110-2601 RE; Sewage Treatment System Servicing Tax Parcel Number 21000080051002 Described as PT GL 1 & 2 LYING SOUTH OF CO RD 6..., Section 08 of Effington Township, Block Lake (56-79) As of July 5, 2006, the sewage treatment system (Sewage Treatment Installation Permit #18382) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a holding tank. If you have any questions regarding this matter, please contact our office. Sincerely, Tim Griep Inspector •7-C-oC Ok(X') APPUICATION 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.us l/\/HITE - Office YELLOW- Li R Inspector PINK - Owner / Contractor (after issue) APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. TWP NO.RANGE TWP NAMESECTIONLAKE/RIVER NAME KE/RIVERLAKE NUMBER |0 3^I t^c k.':Y7. i-6/^ E-911 ADDRESS OR DIRECTIONS FROM^N^REST PUBLIC ROADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED ----3{rbo U-6^ )r'] LEGAL DESCRIPTION y-r ,„A / ; iI First Initial Mailing Address iJu m/Y //o-a-bd/ Last Name Daytime Phone No. i7]~E±.^ uA .Alp jJ'<J~Property Owner lL/r\T ti i u / A. f'i A r3 i£r , Li t Contractor Lie.#t ■! '/ / y--L- y /- JXc 1U C' A r- V173 3 r-., M i A I -3^ f 0H (V THIS SPACE FOR OFFICE USE ONLY Y^exfC^ at 300 ^ > This System will be ready for inspection on.the year of ^^T&^fficialUf'^ojoL Dare Received y.'/c/ /T^ PM. Time Received SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE) TANK DRAINFIELD Ft"Size GIs.\c>rr L I CO Add-On/New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade 2.Replacement (32) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination Setback to nearest well Ft.Ft.■f' ^-i CfSetback to OHWL (lake. &/or river) ^, ..a----------------------------^Ft.1 /iSetback to wetland /3< QF Ft./ Setback to dwelling y'Ft. Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade ito 'f' Setback to non-dwelling Ft.Ft.Y>c Setback to nearest property line Ft. Ft.Other !c r(41) Tank, Holding, (42) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous Setback to road right-of-way y Ft.Ft.io r Elevation above restrictive layer Ft.Ft. ALL DISTANCES ARE SHORTEST DISTANCE BETWEEN NEAREST POINTS.#BEDROOMS W GARBAGE DISP. Y /;,N ABATEMENT/V)/ N DEPTH OF WATER WELL ABSORPTION ABEA fOR MOUNDS /Irr YEFFLUENTDISTRIBUTION ( ) Gravity ( ) Pressure HOLDING TANK MONITOR/ DISPOSAL CONTRACT () vfes /. r ■ ( ) No-L&R Can N^t^o^i^,o Designer____ Designer Lie. # PERCOLATION TEST DATA Date of Test Highest,Ratei' 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 accordance 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 con­ dition 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: This permit is valid for a period of six (6) months. * ---/<33)-00 Nn fA Sfc/cYi Date: |L- > T - e> ^Permit Fee $ Signature of Property Owner/Agent tor Owne^-, t / //jOfnDate:Rec. No. Land & Resource Management Office f J^.> C't / Y / ci t n A ^ ^ t A \<j .3^/} I rJ U/ a > // //V hAi i tj Comments: . 7 a I (I-( y ■E2. w !/ I yL'- Form No. BK 0203-003 315,609 • Victor Lundeen Co.. Printers * Fergus Falls. Minnesota i■». SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements HOLDING SEPTIC TANK DRAINFIELD OUTHOUSELIFT TANKCATEGORY Capacity looo GLS.2 FT2 Setback from Nearest Well 11 FT FT FT FT Setback from Buried Water Suction Pipe FT FT FT FT Setback from Buried Pipe Distributing Water Linder Pressure FT FT FT FT 13- ' ftSetback from OHWL (lake &/or river) V FT FT FT Setback from Setback from Wetland FT FT FT FT Setback from Dwelling FT FT FT FT Setback from Non-Dwelling FT FT FT FT 4-Setback from Nearest Property Line FT FT FT FTI o lO FTSetback from Right-of-Way FT FT FT Elevation above Restrictive Layer FT FT FT FT Holding Tank/Lift Alarm NO Old System Pumped & Destroyed NO \SEPTIC TANKfSt FILTER Sewer Line to Well Separation DRAINFIELD CALCULATION Actual Minimum# Tanks Installed. □ YES K'no FTXManuf.i ft"FT 20Model # MOUND CALCULATION MOUND /AT-GRADE ROCK REDUCTIONInspector’s Comments: ABSORBTION AREA Rock trenches with inches of rock under pipe for %Ft. X DRreduction / equivalent toFt2 SKETCH: 7r 7^^ ft 3 1%'li' r□M 3a 3^^/S'' If © 0 V.O v-*.'\vv re3; 5^ Date Time Initial/L & R Official the above described sewage system installation was found to be compliant with the provisions of the SanitationAs of Code of Otter Tail County. Land SmesSurck Management Official 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.us WHITE - Office YELLOW- L&R Inspector PINK - Owner / Contractor (after issue) APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED Permit No. LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.TWP NAMERANGE 0 Uckj KO 3e(7fQl E-911 ADDRESS OR DIRECTIONS FROM f*EAREST PUBLIC RWADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED ^<~\-^lnr>OAH 60?'lc6P.) ^■(^3.u. ui.. Last Name First Initial Mailing Address Daytime Phone No. “SUA-VlProperty Owner f ^173 iOcrA^Contractor Lie.#7in- 2^0 7 THIS SPACE FOR OFFICE USE ONLY A.M. ► This System will be ready for inspection on.the year of P.M..at. A.M. P.M. Date Received Time Received L&R Officiai SEWAGE TREATMENT SYSTEM DESIGN DATA - AS SHOWN ON DRAWINGTYPE OF INSTALLATION (CIRCLE ONE) TANK ,DRAINFIE Ft"Size GIs.jOOn Lp ( oo Add-On/New System (20) Trench, Rock (21) Trench, Gravelless (22) Trench, Chamber (23) Bed (24) Mound (25) At Grade Replacement (32) Tank, Septic (33) Tank, Lift (34) Trench, Rock (35) Trench, Gravelless (36) Trench, Chamber (37) Bed (38) Mound (39) At Grade (40) Combination Setback to nearest well Ft.Ft. fit 9'f~ Setback to OHWL (lake ^or river)^ taieU- 4^^ Setback to wetland f I 7cv-wie f t o___________Setback to dwelling ‘ ^ ^ Ft. Ft. lO "V Ft. Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade Setback to non-dwelling lo'i'Ft.'t. Setback to nearest property line Ft.Ft.Ic't-(aI] Tank Holding!) (42) Outhouse (43) Sewer Line (44) Performance (45) Miscellaneous Setback to road right-of-way to V Ft.Ft. Elevation above restrictive layer Ft.Ft. ALL DISTANCES ARE SHORTEST Dl^NCE BETWEEN NEAREST POINTS. DEPTH OF WATER WELL # BEDROOMS GARBAGE DISR Y /<H? ABATEMENT^/ N ABSORI EA FOR MOUNDS EFFLUENT DISTRIBUTION ( ) Gravity ( ) Pressure HOLDING TANK MONITOR/ DISPOSAL MNJRACT (■>L)Yes ( ) No-L&R Can ^ Designer___ Designer Lie. # PERCOLATION TEST DATA Highest^^flti^of Test Agreement; The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing t^o all such work in strict accordance 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 con­ dition 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: This permit is valid for a period of six (6) months. IX rJUL^ Signature of Property Owner/Agent for. Own^ f m-oo6>-Date:Permit Fee $ Date:Rec. No. Land & Resource Management Office Comments: .T!. r\ I (/zt/i ^S /yiriei fi. p Phi o !'> trii'yn iti id ^yyidL &0uPC4C> Form No. BK — 0203-003 315 609 • Victor Lundeen Co.. Printers * Fergus Falls. Minnesota 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. I____inch(es) equals 3 <5^feet.grid(s) equals feet, orScale: 2\ 7?MPCA LICENSE #: DESIGNED BY:LICENSE CATEG0RY:$jv4J<<Jl£C: FIRM NAME:DATE: ADDRESS:SIGNATURE:l.Li. Like. I I a%'V1^^ Vi*^I >4 /^3'ro vc\(/J5 a:m o vVo ,u * 'Wef t = M Dr«.‘A-f^e'isoo BK — 1003 — 029 315.904 • Victor Lundeen Co., Primers • Fergus Falls. MN • 1-800-346-4870 r »-,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.mn.us Sewage Treatment System Permit #OWNER: FIRST 'TELEPHONE NUMBERMIDDLELAST NAME ADDRESS: •m-A STATE ZIP CODECITYSTR./RT. ^ FFi'txa hA TWP NAME ill 9^ SEC. TWP.RANGELAKE/RIVER NO.LAKE NAME LEGAL DESCRIPTION:SOIL BORING LOG ■RUCTURE BLOCKY PLATY PARCEL NUMBER E-9H Address or Directions From Nearest Public Road NONE BLOCKY PLATY NONE VNUMBER OF BEDROOMS BLOCKY PLATY GARBAGE DISPOSAL: YES CASING DEPTH SEWER LINE SEPARATION; S6^ft. FLOODPLAIN: YES NO) BLUFF; YES (N^ ERRESTRlAi/ NONE WELL:BLOCKY PLATY NONEVEGETATION:lQUATIC BLOCKY PLATY PRISMATIC NONE SLOPE AT INSTALLATION SITE:% TYPE OF OBSERVATION; Probe Pit PARENT MATERIAL: ORIGINAL SOIL: No Boring Outwash Loess Bedrock Alluvium Date\f Soil Boring. 0COMPACTED SOIL: Yes \DEPTH OF BORING (To 7’ or restrictive layer):.ft.Date of Perc> Test PERC TEST #2PERC TEST # 1 - TWO TESTS ARE REQUIRED - INTERVAL (M^UTES)2 WATER DEPTH WATER DROP PERC RATEINTfcRVAL (MINUTES!PERC RATEWATER DEPTH WATER DROP TIMETIME STARTkRT r/.\7 TIME DROP PERCTIMEmopPERC/INTERVAL (MINUTkl REFILL \ WATER OROT/PERC RATEWATER DEPTHINTERVAL (MINUffefi}^ REFILL WATER DROP PERC RATE TIMETIMEWATER DEPTH /TIME DROP PERCTIMEDROPPERC/WATER DROP PERC RATE/WATER DROPWATte depth'PERC RATE TIME INTERVAL (MINUTES)WATER DEPTHTIMEINTERVAL (MINUTES)/REFILLREFILL TIME DROP PERCTIMEDROPPERC WATER DEPTH~7 PERC RATEWATER DEPTH TIME INTERVAL (MINUTES)WATER DROP\ WATER DROP PERC RATEINTERVAL (MINUTES)TIME REFILLREFILL \-r--------- =PERCTIMEDROPTIMEDROPPERCWATERXROPWATEtTDEtfH' PERC RATEVtfATER DROPX WATER DEPTH INTERVAL (MINUTES!PERC RATE TIMEINTERVAL (MINUTES!TIME \\REF1UREFILL V\PERCTIMEDROPTIMEDROPPERC INTERVAL (MINUTES). ^ WATER DEPTH PERC RATEINTERVAL (MINUTES)\ WATER DROPWATER DROP PERC RATE TIMEWATER DEPTHTIME \\/REFILLFILLV \......._____TIME -PROP-7"PERCTIMEDROPPERC WATER DROTPE^RATE WATER DEPTH PERC RATE4NTERVAL(MINUTES)INTERVAL (MINUTESIWATER DEPTH WATER DROP TIMETIME \F^IUREFILLV/l^r^VAL (MINUTES)TIME DROP PERCTIMEDROPPERC PERC RATEWATER DEPTH WATER DROPWATER DROP PERC RATE TIMEINTERVAL (MINUTES)WATER DEPTHTIME --\REFILLREFia =TIME X pROP PERCTIMEDROPPERC PROPOSED DESIGN: X PRESSURE DIST..GRAVITY DIST..MOUND.HOLDING TANK.ATGRADE.TRENCH.BED. OTHER.SEWER LINE.OUTHOUSE.SPECIFY;. — SYSTEM DESIGN ON BACK — 1 0(]b i\Aj b ia,■sf i 5 -S 'BB 3 I 2 o-G,4CO fl ()li I isS ra Q. o 2 m P /,- .S’/ it S I-^^4-w^ a it II ?.g ///<3?1 :7 /(7'^^I I I ^,£W'?:m-‘5ir JM /K Su^‘ '^57\7 •'‘^>^5's\oi sO, J/^Is I Q. yop« mo-^ E ^o ) / /]~ ° s ^ i2| I1 £ o82 Sg \/i / t^H\l I II-— s ll li Is C 0)tt1 s /f\v:r p/c o 9 D 0. og£CO I fl 3g.95 ;k CObiov)'^iJ^2 “ Q ^ p "> S$ “ p°l !| flit 7> -2^c^I g IJ::;r:O flO SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, sMn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM OfficeW te V low — Inspector Pii.. Card OwnerOwner Permit No.,LEGAL Date DESCRIPTION AND LOCATION Lake No. Lake Name Lake ClassIf.TWPSec.TWP NameRange IDENTIFICATION: Please Print All Information. Last Name Initial Mailling Address —No. Street, City and State Zip No.Tel. No.First OWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only 19 Date Rec'd Time Rec'd Phone Call Rac'd By Owner or Agent Signa^ture NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD 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.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 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 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 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 $ MOTCAT I FH POR Tf’.OpgrTComments:. jForm No. MKL-0771-003 VICTO* LUHDEKM 4 CO.. OtiaUat. M««U4 SALLt. MIDH 158906 INSPECTION RESULTS f Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORY Actual Should be Actual Should be Actual Should be Capacity GIs.GIs.S F S F S F S F Distance from Nearest Well F 75FF 50F F F Distance from Lake or Stream F F F F F F Distance from Occupied Building 10 2020FFFFF F Distance from Property Line 10 10 10FFFFF F Distance from Bottom to Water Table 4 4FFFFF F Inspector's Comments: i Date of Inspection 19___ Time of Inspection,M signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF ” Square Feet F ■ Linear Feet Job Title AgencyMKL-0771-003-Backer • ■ • I 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 V low — Inspector Ph.. Card Office OwnerOwner Permit No. Date G LLEGAL DESCRIPTION AND K. I 38LOCATION 'VieLake No.Lake Name Lake Classif.Sec.TWP Range TWP N IDENTIFICATION: Please Print All Information. Last Name First Initial Mailling Address —No. Street, City and State Tel. No.Zip No. / rtf' c AOWNER I SEWAGE SYSTEM INSTALLER Name. 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 Rec'd By Owner or Agent Signature /rli AC y—^c number of BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD SZ. Ft,ail GIs.Capacity Sq.j<^nn Ft.Ft.Ft.Distance from nearest well Ft.Distance from lake or stream Ft.Ft.^2^ 7Distance from occupied building Ft.Ft.Ft.y/n zDistance from property line Ft.Ft.Ft./O 7Ft.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 ,JVI By PERCOLATION TEST DATA:Date of First Test , Rate'••t Date of Second Test , 19 ., Rate 1st Test Taken By -I- 2nd Testest 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 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 rei Agreement: for inspection. (Call or use attached mailer notice.) A ADated, Signature Permit:Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permi granted upon expresscondition 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. /Ajd 7>/O ^CJfjQLIssued Date: Shoreland Management Office Fee $Surcharge $ Comments:. r 5 Form No. MKL-0771-003 vicret utMBCCH t m.. PKianfiB. rcnawt r«kL>. m)«m.158906 STATE OF MINNESOTA DEPARTMENT OF HEALTH r‘-S ‘ • .' ■ 'A •• ■ '.- ■ 'Mii ■ >:-s. ■»•'e x4- /'• Ootob«r 28, 1976 ' ■ S' n- ■'V-'A: -i'A'^1-■'■■iS, ■' -f?' ■ Ji , --Jr ■;: „• ^ -•■i*V. ; Nr. L«o Suchy Route #2 Parkers Prairie, NLnaMOtH XbS^Oa«r Mr. Sud^i ;,r- the plans and qteclfioatlmis covering a prcq>osal for you to install 1,500 gallon holding tanks which will receive domestic sewage from five cabins and two canping trailers at Ston^ Point Resort located in Effington Township, Ottertail County, HLnnaeota. The plans and ^leolflcatlons are in general conforalty with the Standards of this Department. At such time as construction is ooapleted, please ocmein- icate with Nr. Richard Astn^, Sanitarian in our Fergus Falls District Office, in order that he may make fin^ on-site infection. If you have any quastlons oonceming this matter, please communicate with us at 612/296-5335. We have received and r ■S’ Tours very truly. 'i. :•.-.V A .■ C. B. Schneider, Section Chief Environmental Field Services . < :• -i.CBS:pacccrlfelcolm Lee, Shoreland Management Admin. Dick Astrup Gary Otnes U' r * . -y^ > r ■ ■-. J •“5 k V -•2-\. >» ’P-'.\ .... : i IftiSfetM ■ V': . ;; ?:■ -AN EQUAL OPPORTUNITY EMPLOYER -■ . ■ - r