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Sunset Bay Resort_8087530_Septic System Permits_
Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Governmcw Services CEt^ER - 540 West Fir Fergus Falls, MN 56537 PH: 218-998-8095 Otter TAa. County's Website: www.co.otter-tail.mn.us ?3(j Otter Tail County Compliance inspection Form Addenduhl^'^ce This form is a required attachment to MPCA Compliance Inspection Form for all Existing Subsurface Sewage Treatment Systems in Otter Tail County as of June 1. 2011. Property Information Parcel Number: -/6- o oc>o /vce>o -/6- t^(^-oo\ Property Owner Name(s): __________ Property Address: 37 V 0(7a~hihi. Reason for Inspection: Number of Bedrooms: a.3 In Shoreland Areal* No Lake/River Name. Number, & Class (if applicable): Inspection Results OCT IDjuU. '*'383 M.L.. Yes /<@ Yes Yes /(^ Does the soil treatment area have less than 3 feet of vertical separation? Is the septic tank located less than 50 feet from any well? Is the soil treatment area located less than 50 feet from any deep well? Is the soil treatment area located less than 100 feet from any shallow well? Yes /(^ Does any part of the septic system fail to meet the minimum OHWL setback requirements for the public water classification?Yes "Yes" indicates that the system is failing to protect ground water and is noncompliant. If "Yes", describe the condition noted: Required Attachments: System drawing to scale on next page. Completed MPCA Compliance Inspection form, Pages 1 through 8, revision dated 4/24/09 I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination 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 System Compliance Status(^ompliant^ (Circle one)Non-Compliant Name Certification Number ^ Business License Name & Number M*DV >»'l U «ii L 2.77^ Date Id ^/y-) 2_ AExcel/Comoliance Form (or OTC 4-27-2011 Page 1 of 2 tJ Compliance Inspection FormMinnesota Pollution tiontrol Agency 520 Lafayette Road North St. Paul, MN 55155-4194 Existing Subsurface Sewage Treatment Systems (SSTS) Doc Type Compliance and Enforcement For local tracking purposes;Inspection results based on Minnesota Pollution Control Agency (MPCA) requirements and attached forms - additional local requirements may also apply. Submit completed form to Local Unit of Government (LUG) and system owner within 15 days REC£;V2l- OfjSystem Status System status on date (mm/dd/yyyy): /C ~ /~2~- ■ > Compliant - Certificate of Compliance (Valid for 3 years from report date, unless shorter time frame outlined in Local Ordinance) [U Noncompliant - Notice of Noncompliance (See Upgrade Requirements on page 3.) Reason(s) for noncompliance (check all applicable) □ Impact on Public Health (Compliance Component #1)- Imminent rtireat to public health and safety □ Other Compliance Conditions (Compliance Component #3) - Imminent threat to public health and safety □ Tank Integrity (Compliance Component #2) - Failing to protect groundwater □ Other Compliance Conditions (Compliance Component #3) - Failing to protect groundwater Q Soil Separation (Compliance Component tt4) - Failing to protect groundwater □ Operating permit/monitoring plan requirements (Compliance Component #5j - Noncompliant y ^^el ID# or Sec/Twp/Range; - TTtyO !3'S' ^ O ‘ Aa Reason for inspection. ^ __________ Owner's phone: 2/S*- 1 ~'Z^8o Property Information Property address; 3 S* ^ 7 V Property owner; or Representative phone;Owner’s representative: __________ Local regulatory authortty; i Brief system description: ^ Comments or recommendations: Q--r/1'' Regulatory authority phone: 2 — --3 ^ft,Cert. L- •F'^ . Certification / hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, ipadequate majntenance, or future water usage. inspector name: Business name: Inspector C 7s^Certification number License number: Phone number: S' A - 6~2- 9"^signature:^ XI 7(^ Necessary or Locally Required Attachments Q System/As-built drawing W wi u'vfc□ Forms per local ordinance□ Soil boring logs O Other information (list); 651-296-6300 • 800-657-3864 TTY 651 -282-5332 or 800-657-3864www.pca.state.mn.us •* Available in alternative formats 1 / 4 (f / 4 -n t dlM ^^\/o -/6-/ z_Inspector inifials/Date:Property address. (mm/dd/yyyy) 1. Impact on Public Health - Compliance component #1 of 5 Verification method(s): .i^Searched for surface outlet IS^Searched for seeping in yard/backup in home □ Excessive ponding in soil system,'D-boxes ^^Homeowner testimony fSee Comments/Explanation) G “Black soil' above soil dispersal system Q System requires “emergency" pumping □ Performed dye test G Unable to verify (See Comments/Explanation) Q Other methods not listed (Sae Commants/Explanation) ConnpHance criteria: System discharges sewage to the i Q Yes Sf No ground surface._____________ j System discharges sewage to drain jGYes P^No tile or surface waters.__________________________ System causes sewage backup into Q Yes No dulling or establishment. Any “yes" answer above indicates the system is an imminent direat to public health and safety. Comments/Explanation: 2> Tank Integrity - Compliance component #2 of 5 Verification method(s); ^Probed tank(s) bottom JS. Examined construction records □ Examined Tank Observed liquid level^^elew operating depth □ Examined empty (pumped) tanks(s) G Probed outside tank(s) for “black soil" Q Unable to verify (See Comments/Explanation) Q Other methods not listed fSee Commants/Explanation) Compliance criteria: I System consists of a seepage pit, t Q Yes No cesspool, drywell, or leaching pit. | I Saapaga pita maatrng 7080.2650 may ba compliant if allowed in local onUnance. Q Yes ^NoSewage tank(s) leak below their designed operating depth If yes, which sewage tank(s) leaks; Any "yes" answer above indicates the system is failing to protect groundwater. Comments/Explanation; 3. Other Compliance Conditions - Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound. □ Yes* iS^No □ UnkrMwn n Yes* No □ Unknownb. Other issues (aiect/Kel hazards, etc.) to immediately and adversely impact public health or safety. *System is an imminent threat to public health and safety. Explain: c. System is non-protective of ground water for other conditions as determined by inspector. □ Yes* No •System is failing to protect groundwater. Explain: v'vi TTY 651-282-5332 or 800-657-3864651-296-6300 • 800-657-3864 • Available in alternative formatswww.pca.state.mn.us • ___74 . 7/<</(7 McvJj^^ (nvn/dd/yyyy) Property address:ctor initials/Oate;.-/ 4. Soil Separation - Compliance component #4 of 5 O UnknownDate of installation;Verification method(s): So// observation does not expire. Previous soil obsen/ations by two independent parties are sufficient, unless site conditions have been altered or local requirements differ. □ Conducted soil observation(s) (Mach boring logs) □ Two previous verifications (Mach boring logs) Q Not applicable (Holding tank(s), no drainfield) O Unable to verify fSee Commertts/Explanahon) n Other (See Comments/Explanation) (mm/dd/yyyy) Shoreland/Wellhead protectlon/Food beverage lodging?J^Yes □ No Compliance criteria: □ Yes □ NoFor 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: Drainfield has at least a two-foot vertical separation distance from periodically saturated soil or bedrock. Non-performance systems built April 1, 1996, or later or for non-performance systems located in Shoreland or Wellhead Protection Areas or serving a hood, beverage, or lodging establishment: Drainfield has a three-fbot vertical separation distance from periodically saturated soil or bedrock.* ! Yes □ No Comments/Explanation: Indicate depths or elevationsO Yes □ No“Experimentar, “Other^, or ‘Perfbnvance" systems buitt under pre-2008 Rules; Type IV or V systems built under 2008 Rules (7080. 2350 or 7080.2400 (Advanced Inspector License required) Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock. /a." A. Bottom of distribution media ^3 'B. Periodicativ saturated soil/bedfock C. System separation D Required compliance separation* ‘May be reduced up to 15 percent if allowed by Local Ordinance,Any “no” answer above indicates the system is faiiing to protect groundwater. ^Not applicable5. Operating Permit and Nitrogen BMP* - Compliance component #5 of 5 O Yes Q No If “yes”. A below is required Q Yes □ No If “yes”, B below is required Is the system operated under an Operating Permit? Is the system required to employ a Nitrogen BMP? BMP = Best Management Pmctice(s) specified in the system design If the answer to both questions is “no", this section does not need to be completed. Compliance criteria a. Operating Permit number: ___________________ Have the Operating Pennit requirements been met?O Yes Q No D Yes □ Nob. Is the required nitrogen BMP in place and properly functioning? Any “no” answer indicates Noncompliance. Upgrade Requirements (Mmn. Stat § 116.55) An imminent threat to public health and safety (ITPHS) must be upgraded, replaced, or its use discontinued w4hin ten months of receipt of this notice or vvithin 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 defined 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. TTY 651-282-5332 or 800-657-3864651-296-6300 • 800-657 3864 • Available in alternative formatswww.pca.stdte.mn.us \^y! 193 4 I 0SCALE: 1 INCH » 50 FEET BEARINGS ARE BASED ON AN ASSUMED DATUM. • DENOTES IRON MONUMENT FOUND. O DENOTES IRON MONUMENT SET MARKED ” RLS 13620’ \ CHORD BEARING ] CHORD lengthRADIUSNUMBER DELTA ARC LENGTH / ~^£>0 ,- ■s. / y S LINE c3F OOV' T. LOT 4/ •; 1261.52/#!•■ s 89’56’23’’ W /// f /t oaTUM \ <• « «VSitG5 % start OP Sf?r IS ISV* >nt/ / y i f sw"®* .SQAIE IN FEET 7 / / ■ )i'!,CH 50 FEET.'?E BASED ON AN ASSUMED DATijm S, IRON MONUMENT FOUND. S IRON monument set marked ■' RLS 1 3620" 'CHORD BEARING RADIUS ARC LENGTH . CHORD LENGTH „S G2'05'12’’E 1432. }9 \S2.22 82.21 ■SL'PilC TANK/ r-LlPT SJ'AnO^■ / // //// I N NT-v \ /N / V 1 ■■ K- M j;r : ' C3 IT s ''t. ;! X -Ni' Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY 121 W. Junius Ave., Suite 130 Fergus Falls, MN 56537 Ph: 218-739-2271 Ext. 225 Otter Tail County’s Website: www.co.ottertail.mn.us October 2, 2002 Paul Grabarkewitz & JK Kerr 38274 Co. Hwy 4 Richville, MN 56576 Sewage Treatment System Servicing Tax Pbrcel Number 14000160135000 Described as S 100' of N. 770.7' of Lot 4, Section 16 of Dead Lake Township Dead Lake (56-383) RE: As of September 30, 2002, the sewage treatment system (Sewage Treatment Installation Permit #15423) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a 4 bedroom home. If you have any questions regarding this matter, please contact our office. Sincerely Wayne Roisum Inspector . • '.TB . '■'.T -fUfr ^ ;• ■ REATMENT SYSTEMAPPLICATION FOR PERMIT TO INSTALL SE LAND & RESOURCE MANAdi Vc.ENT vf)lyWHITE-Office YELlOW -L&R Inspector PINK - Owner/ Contractor (after issue) u-■_ hOTTER TAIL COUNTY COUfifT 121 W. JUNIUS AVE. • SU .t H'>- \ -permit no./y.zf. Phone:, (218) 739-2271 • FERGUS fALLf, MN 56537 www.co.ottertail.mn.I 9^(y OAPPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED LAKE/RIVER SECTION TWP N®<I/RANGE , TWP NAiOlE-~,LAKE/RIVER NAMELAKE NUMBER ' PARCEL NUMBER (S) OF PROPERTY BEING SERVICED E-911 ADDRESS *3 // 2. TH Lie?IHOOO ICO IZ^OOO LEGAL DESCRIPTION Daytime Phone No.Mailing AddressFirst InitialLast Name Rird/kMj^z^r7ryfCY>r/^ /T I . A I I y _ / )/id-ba\BMj}J^'^ fpjiL ______ 7HT^L-7 ' ■\j/y] M 'piLl ^1^0 (o^— ____________Time Receiveol Property Owner,, 2 ITT'Si2^Contractor Lie.#S'/, 7 r/^ aTHIS SPACE FOR OFFICE USE ONLY A.M. the year of>• This System will be ready for inspection on .at. .P.M. y L& R OfficialDate Received A.M. P.M. SEWAGE TREATMENT SYSTEM DESIGN DATATYPE OF INSTALLATION (CIRCLE ONE) TANK DRAINFIELD ld/)0<^bl/oOQ> Gis.FfSizeAdd-On/New System (20) Trench, Rock ■ ■ , (21) Trepch, Gravelless ' ‘ (22) Trench, Chamber :^3)'lank, (23) Bed . (34) irench; Rock (24) Mound . (35) Trench, Gravelless (25) At Grade (36) Trench, Chamber (37) Bed (38) ; Mound (39) At Grade (40) Combination j.Replacement Septic' ; Setback to, nearest well ,Ft.>. cn /SlSl. Setback to OHWL (lake &/or river)Ft.Ft.■ C r<c>Ft.Setback to wetland Ft.-o4t2Setback to dwelling Ft.Collector System (26) Trench, Rock (27) Trench, Gravelless (28) Trench, Chamber (29) Bed (30) Mound (31) At Grade. ; (42), Outhouse .■. ‘ (43) Sewer Line (44) Performance . (45) Warrantied ■,‘.(46) Miscellaneous :s Setback to non-dwelling Ft. Setback to nearest property iine Ft.Olhftf ,(41) Tank, Holding Setback to road right-of-way Ft.' Ft. Elevation above restrictive layer Ff.Ft. ALL DISTANCES ARE SHORTEST DI^CTANCE BETWEEN NEAREST POINTS.■f iBEDROOMS____ 'GARBAGE DISP. ABATEMENT Y Op. ABSORPTION AREA FOR MOUNDSDEPTH OF WATER WELL .Ft^HOLDING TANK MONITOR/ DISPOSAL CONTRACT ( ,)^s. ; , , .: ( ) No-L&R Can Not Process EFFLUENT DISTRIBUTION . ■.,:( , ) Gravity. Pressure /jf )^ i'k tDesigner Designer Lie. # PERCOLATION TEST DATA Highest RateDate of Test\ 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 Offer Tail Counfy, Minnesofa. Applicanf agrees that the Site Data Worksheet submitted herewith arid 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 instailation 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 tirne, upon violation of the Sanitation Code. NOTE: This permit is vaiid for a period of six (6) months. A copy of the final Inspection Report will serve as the Certificate of Compliance for approved installations. ■ Signature of Property Owner/Agent for Owner - Sf)-00Permit Fee $Date: ^ O P-Rec. No.Date: Land & Resource Management Office Ai, u) mo MV cL(/)~7?)An aa// fjJt 'flAld, /iJjM/A .%Y?y!f7Aiyj)RjAp rj/lT, A.r/Jtr'kj ,j!iu i>Ynp()m/)!Moot(y/i/)h'))A /n/itbeA/di/b) //; mwj Hfn) ihxUJSiAiA riA-cr-v-L' Pci!/Y.of£. Form No. BK — 0201^003 rt, , 1. f^ ^ I/T-) Comments: _ f1 LT-C 309,738 • Victor Lundoen Co.. Printers • Fergus Falls, Mlrtnosoto SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESgLTS Inspector must make all measurements r- .HOLDING SEPTIC TANK-OUTHOUSEDRAINFIELDLIFT TANKCATEGORY ! (rot)'FT 2FJ2Capacity,GLS.GLS. / ft FT FTFTSetback from Nearest Well Setback from Buried Water Suction Pipe FT FT FTFT t t.^ FTSetback from Buried Pipe Distributing Water Under Pressure FT FT FT rO' O i FT ArO 1^,Setback from OHWL (lake &/or river) FT FTSetback from Setback from Wetland ^ FT cFT FT j;Setback from Dwelling FTin /('j-rj- FTSetback from Non-Dwelling ft FT FT ^0, ; FTSetback from Nearest Property Line lO C ',FT FT FT FTSetback from Right-of-Way . l.(jz^:\ ft FT FT Elevation above Restrictive Layer FT FT FT FT (0^Holding Tank/Lift Alarm NO I, ..Old System Puniped & Destroyed YES NO SEPTIC TANK FILTER Sewer Line to Well Separation DRAINFIELD CALCULATION Actual\ TV .. ! Minimufn Manuf.YES ,FTX/Cn^ / t=xfoModel #.ft^□ NO ft 20 MOUND CALCULATION MOUND /AT-GRADE^ k t i-~0 ROCK REDUCTIONInspector’s Comments:, ABSORBTION AREA Rock trenches with inches f)'‘ S of rock under pipe forFt. X % ■ reduction 7-equivalent toI _ft2 DR.Ft2 SKETCH: Date Time Initial/L & R Official CERTIFICATION OF COMPLIANCE As of Code of Otter Tail County. the above described sewage system installation was found to be compliant with the provisions of the Sanitation Copy of Inspection Report Mailed to Applicant Lahd & Resource Management Official L & R Official / Date 1ud Tiokniiu■ «iui rv u> J wi Sunset Bay Resort Maj^k & Jocelyn Kerr 38274. Co Hwy44 Richviile, MN 56576 September 4^ 2002 TO: Jocelyn Kerr & Paul Grabarkewitz, owners of record, Parcel No. ,14000160135000 RE: Septic System for Pared No. 14000160135000, *'S 100’ of N 770,T of Lot 4 Sec 16 Twp 135 Range 040” This letter will authorize use of the existing 762 sq. R. drain fidd on our property. Parcel No. 14000160135001, described as “S 550’ of Lot 4 Sec 16 Twp 135 Range 040,” which was installed under Permit No. 12276, dated 9/24/1998. for your new dwelling as authorized under Site Permit No. 19146, dated 3/25/2002. Mark A. Kerr SITE DATA WORKSHEET LAND AND RESOURCE MANAGEMENT Otter Tail County 121 W. Junius Ave., Suite 130 Fergus Falls, MN 56537 # OWNER: /^r /• lx //; /_____ jt€.rr ' LAST NAME MIDDLE TELEPHONE NUMBER ADDRESS: STATECITY ZIP CODESTR./RT. A^KE NAME /A-/lASEC.TWP.RANGELAKE/RIVER NO. LEGAL DESCRIPTION:SOIL BORING LOG - DateJ /^>o'o-A t( P^o.y J TU S. s-^o A COLOR & MUNSELL NO. DEPTH (INCHES)TEXTURE STRUCTURE BLOCKY PLAT>^ lyfATICyry/&L‘) /J, ronn ¥ / Yooo /zo r.^'CCiz:!!PRI^ PARCEL NUMBER 7 FIRE NUMBER ONE BLOCKY PLATY PRISMATIC NONE£NUMBER OF BEDROOMS BLOCKY PLATY PRISMATIC NONE GARBAGE DISPOSAL: YES WELL CASING DEPTH: ft. FLOODPLAIN: YES BLOCKY PLATY PRISMATIC NONE i^ESTRIAL VE(3ETATI0N: AQUATIC TJ IV BLOCKY V PLATY I^ISMATIC NONE %SLOPEXT INSTALLATI0N,,8ITE: TYPE OF OBSERVAipN: PARENT MATERIAL Till Probe Pit Boring A/, „ /cs_________ Outwash Loess Bedrock Alluvium COMMENTS: yji in /.<• A/d a/i /A y /a // //9ry'0 e, ^//Ati AuA / ORIGINAL 1L: Yes \No * ^ COMPACTED SOIL: Yes No J/n i />r f tn, k:- ‘ &-J (DEPTH OF BORING:ft.rtvi PERC TEST #2PERC TEST #1 - TWO TESTS ARE REQUIRED - PERC RATE TIME WATER DEPTH WATER DROPTIMEINTERVAL IMINUTES)WATER DEPTH WATER DROP INTERVAL (MINUTES)PERC RATESTARTSTART7^ TIME DROP PERC 'interval (MINUTES)TIME WATER DEPTH PERC~RATE WATER DROPWATER DROP TIME INTERVAL (MINUTES!WATER DEPTH PERC RATEREFlbL^•FILL -J-_____ =TIME DROP PERC TIME DROP PERC ^ATER DEPT^WATER DROP /TIME INTERVAL (MINUTES)PERC RATE TIME INTERVAL fMlNUTES)WATER DEPTH WATER DROP PERC RATEREFILLREFILL DROPTIME PERC ✓ TIME DROP PERC WATER DEPTH WAl^R DROP WATER DEPTH WATER DRO^TIME 'INTERVAL (MINUTES)PERC RATE TIME INTERVAL (MINUTES)PERC RATEREFILLREFILL TIME DROP PERC TIME DROP PERC WATER DEPlfl W^ER DR^WATER DEPTHN. WATER DROPTIMEINTERVAL (MINUTES!PERC RATE TIME INTERVAL IMINUTESI PERC RATEREFILLREFILL 2~Pl^TIME DROP TIME DROP PERC yWATER DEPTH WATER DROfN WATER pgPTH WATER^R~0^TIME PERC RATEINTERVAL (MINUTES)TIME INTERVAL (MINUTES)PERC RATE\REFILL REFILL DROP PERC TIME DROP PERC INTERVAL LMlNUTESf \ PERC RMT INTERVAL (MINUTES).-^ WATER DEPTHTIMEWATER DEPTH WATER DROP TIME WATER DROP PERC RATETILLREFILL rTIMEDROPPERCTIMEDROI PERC INtTfWAC IMINUTESITIMEINTERVAL (MINUTES)WATER DEPTH PERC RATEWATER DROP TIME WATER DEPTH PERC RAK'WATER DROPREFILLREFILL TIME DROP PERC TIME DROP PERC PROPOSED DESIGN: TRENCH MOUND . HOLDING TANKBEDATGRADE- ■ GRAVITY DIST.______ PRESSURE DIST. /AAt A ^///7 T/i £^ s iJ FXSEWER LINE OUTHOUSE OTHER SPECIFY: — SYSTEM DESIGN ON BACK — 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. Scale:grid(s) equals feet, or inch(es) equals feet SUBMITTED BY:SIGNATURE: FIRM NAME:DATE:/V< ADDRESS: 7 ^MPCA LICENSE #: /]7l_ TusAe/4^LICENSE CATEGORY: ~y Admoauq^^".001 pag djnssajg 6ui)sisx3 <^LZZ\ ff IILU-isd lOlJDJS Jill uojiDb 0001 / AdM0AUQ \ .SZ C^uxtldg)s>jUDi pasodojg s>|uo| Bujpjoq )| pa^jaAuoD eq 0( >|UCI( U0|p6 OOS 5 OQOl 5u,|fsisx3 Ot’O 30NVM SEl dAM 91 33S f 103 30 .OSS S 3H1 lOOSSl09lOOOf I # |3=-'Dd1/ >jUDi uo||ob 0001 . _ SU}q- Af-JddOJd 4'¥"-.oz //I 9t't6l .001# M^JSd .ooz09 6ui||aMQ 3>jD"| 0\ jjoojpag ^+ .00Z +\os i V 103 JO ,i.'0LL N JO .001 S OOOSSlOSlOOOf I # |33JDdj .83 Y— Ijay^ pasddojd/ /____^un- jsz M 300,817 • Victor Lundoen Co., Pnmers • Fergus Falls, MN » 1-0OO-346-4B7OBK - 0699 - 029 2\ r=-as mm.m m ¥/’•.'iS m 'D V'i7 ~&Al>£) ___-That's 4k lo;^ (Spk ^Y2s) Dr IMU Auutdd f]£U)d(M£lc^ W:CERTIFICATE OF APPROV: SEWAGE SYSTEM / i •a LIFT STATION & DRAINFIELD&s:ll<mi ntThis Certificate has been issued this 1ST of FEBRUARY, 1999 certify that the sewage system installed as per Seva^ Permit Number 12276 has been approved for use by Otti Minnesota. , to e Treatment SystemmTail County, amiThe property served by this Sewage System is legally describedaa; 1mUNPLATTED S 550' OF LOT 4 m(SUNSET BAY RESORT) mmParcel N\jmber(s): 14000160135001 Section: 16 Township: 135 Range: 040 Township Name: DEAD LAKE TOWNSHIP Lake/River Number: 56-383 Lake/River Name: DEAD Pm. mCurrent Property Owner: PAUL & VIRGINIA GRABARKEWITZ Number of Bedrooms: 4 (LODGE)mm Land & Resource Management Official % m)* ADDED TO EXISTING SEPTIC TANK mii m F 284.709 • Victor Lundeen Co,. Printers • Fergus Falls. MN • 1-0OO-346-487O APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - FERGUS FALLS, MN 56537 WHITE — Office YELLOW — Inspector PINK — Owner r23ilL^ bbo' oFLEGAL Permit No. DESCRIPTION )YesAbatement: (AND LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVERCLASS SECTION TWP. NO.RANGE TWP name HoI toA3^ PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER /IL °J0lH~ooo- ifo-0/55-00/ IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street. City and State Zip Code Telephone No. &uuProperty Owner OX f^lckih llfi FIAaS Sewage System Installer Name State Lie. # A.M. > This System will be ready lor inspection on.the year of P.M..at. This space for office use oniy NUMBER OF BEDROOMS; A.M. t::^NoP.M.GARBAGE DISPOSAL: ( )YES Date Rec'd Year of Time Rec’d Phone Call Rec'd By TYPE OF SEWAGE SYSTEM { ) Holding tank (Alarm Required) (‘ ) Septic tank SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTS TANK DRAINFIELD -70'SL F,'Capacity GIs./OOP ^sl) Lift station (Alarm Required) (>*^ Drainfield ^ojino /5Q Distance from nearest well Ft.Ft. Distance from lake or stream Ft.Ft.( ) Trenches (:a».) Bed ( ) Mound ) Outhouse ) Sewer line /5o Distance from dwelling Ft. Ft./O Distance from non-dwelling Ft.Ft./O /O( (Distance from property line Ft.Ft.yo/O EFFLUENT DISTRIBUTION ( ) Gravity (^2^) Pressure 3Distance from bottom to Water Table Ft.Ft. All distances are shortest distance between nearest points WATER WELL DEPTH PERCOLATION TEST DATA: Olr'NJ MarPerc Tester <^rr Date of Perc Test Rate of 1 St Test Rate of 2nd Test Average Rate Agreement: 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 Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland 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 accepted. It shall be the respon sibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection.& DATE:j 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 con dition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. Issued Date: Land & Resource M^/a^piiwnt Office Rec #Fee $ Comments: BK 0795X)03 ?r)l 0‘j5 ■ ViftlOf l.iJiKlc'ijn Co . Pfinh!!' • 11 rctus r.-jIK. IvImncsoUi APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYST^ \ LAND & RESOURCE MANAGEMENTOTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 - FERGUS FALLS, MN 565: WHITE — Office YELLOW — Inspector PINK — Owner 5bo' VLEGAL Permit No. DESCRIPTION ) Yes (.^stTIoAbatement; (AND LOCATION LAKE NUMBER UKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWP NAME /5 5 ^0I loA)^ PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER H-OOO-0/55-00/ IDENTIFICATION; Please Print All Information A Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No.G^^fS?<CiAjX'TZ. ^6gx 1Property Owner Sewage System Installer Name State Lie. # ^mate Rac’d _____Year of_________Time Rac'd________ jyPhone Call Rec’d By >■ This System will be ready for inspection on the year of PM.i \at. VIA >This space for office use oniy NUMBER OF BEDROOMS: GARBAGE DISPOSAL: ( ) YES (10 TYPE OF SEWAGE SYSTEM ) Holding tank (Alarm Required) ) Septic tank Lift station (Alarm Required); (^) Drainfield ' ( ) Trenches ( >-) Bed ( ) Mound ) Outhouse ) Sewer line SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTS TANK DRAINFIELD{ Ft^/ooo(Capacity GIs. ll ^ojiooDistance from nearest well Ft. Ft. Distance from lake or stream /5 O Ft.Ft. Distance from dwelling Ft.Ft./o Distance from non-dwelling Ft. Ft./O /O (Distance from property line Ft.JO Ft.JO EFFLUENT DISTRIBUTION ) Gravity Pressure 3Distance from bottom to Water Table Ft.Ft.( All distances are shortest distance between nearest points PERCOLATION TEST DATA:WATER WELL DEPTH V\«_ ) \ 4 I VPerc Tester .Date of Perc TestI JORate of 1 St Test Rate of 2nd Test Average Rate > Agreement: 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 Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland 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 accepted. It shall be the respon sibility of the applicant for the permit to notify the County Shoreland Management that the job is^ready for inspection. DATE: -i xc VSignature 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 Ordinance of Otter Tail County, Minnesota. v, This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) mont|^v 1 -iHIssued Date: Land S Resource M^a^ement Office Fee $Rec #i Comments: BK 0795-003 291.095 • Veto* LutuJirt’n Co. Pfmiws • H-h#os Falls. INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS .* DRAINFIELDHOLDING SEPTIC TANK LIFT TANKCATEGORY Actual Minimum '7rOCapacityFT 2 FT2GLS. GLS. rrDistance from Nearest Well FT FT Distance from Buried Water Suction Pipe FT FT FTFT50 Distance from Buried Pipe Distributing Water Under Pressure FT FTFT FT10 ft c2- Oil) ^ p-pDistance from Lake or River (OHWL)FTFT Distance from Dwelling FT FT 10/20 ^FT 50^ ft FTDistance from Non-Dwelling FT FTT FTftDistance form Nearest Property Line FT 10 n: c53 0 3Distance from Bottom to Water Table FTFT FT Holding Tank/Lift Alarm YES NO Old System Pumped & Destroyed YES NO DRAINFIELD CALCULATIONSewer Line to Well SeparationINTERPRETATION OF ABBREVIATIONS GLS. = Gallons FT^ = Square Feet FT = Linear Feet Actual Minimum /3>FTX .ft^FT FT20 ROCK REDUCTION Inspector’s Comments: L ^ if*'Rock trenches with inches T of rock under pipe for .% DF.reduction / equivalent to 1 .^^SKETCH:>, ! Dale of Inspection 1% I (iK Time of Inspection SITE DATA LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, MINI 56537 OWNER: L 0!, r!(fyU /i LAST NAME FIRST MIDDLE TELEPHONE NUMBER ADDRESS:i p/STR./RT.OTY STATE ZIP CODE ____Z3J 662. LAKE/RIVER NO.LAKE NAME SEC. .TWP.RANGE TWP. NAME LEGAL DESCRIPTION:SOIL BORING LOG — Date. COLOR & MUNSELL NO. DEPTH (INCHES)TEXTURE STRUCTURE BLOCKY PLATY PRISMATIC NONEPARCEL NUMBER /ev/^BLOCKY PLATY PRISMATIC NONE : FIRE NUMBER VNUMBER OF BEDROOMS BLOCKY PLATY PRISMATIC NONE GARBAGE DISPOSAL: ' ■; WELL CASING DEPTH:BLOCKY PLATY PRISMATIC NONE FLOODPLAIN: YES VEGETATION: AQUATIC /TERRE^STRLAP BLOCKY PLATY PRISMATIC NONE SLOPE AT INSTALLATION SITE:% TYPE OF OBSERVATION:Probe PARENT MATERIAL:Wy C(Skp> jzk./. ^ 7^ 2, Outwash Loess Bedrock Alluvium COMMENTS:. -----------------------------------------------------— ■ ■; 7^'ORIGINAL SOIL:a ypciy. - COMPACTED SOIL: ^7^ ~0t.,DEPTH OF BORING:ft.I r'- (•PERC TEST #1 PERC TEST #2- TWO TESTS ARE REQUIRED - TIME INTERVAL (MINUTES) ~w. WATER DROP PERC RATE TIME- . m INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEhiC../■.XT.START STARThh-.sy DROP PERC ...)TIME TIME DROP PERC TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE TIME -.INTERVAL (MINUTES) REFILL WATER. DEPTH WATER DROP PERC RATE mTIME ‘ DROP PERC f REFILL wwyxr.Iifi....jp...TIME DROP PERC TIME INTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATE TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATE5MSREFILL REFILL . /£>J-.^i....TIME DROP PERC INTERVAL (MINUTES)PERC RATE TIME'INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEWATER DEPTH WATER DROPTIME m : y...REFILLREFILL f TIMETIMEDROPPERC DROP PERC TIME TIME INTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATEINTERVAL (MINUTES)WATER DEPTH WATER DROP PERC RATESir TIME * DROP PERC REFILLTb /uO-PERCTIMEDROP TIME INTERVAL(MINUTES)■■■ WATER^DEPTH WATER DROP PERC RATEWATER DROP PERC RATEINTERVAL (MINUTES)WATER DEPTH •u .REFILLf.REFILL ,, y ^^^*^^^)iWTERVAL (Mil TIME DROP PERC PERC RATE TIM DROP ' PERC PERC RATE ^WATER DEPTH WATER DROPWATER DEPTH WATER DROPINTERVAL (MINUTES)TIME Tsm REFILLREFILL DROPTIME PERCTIMEDROPPERCTj^E^riMffiTVftTT^lNUTES) REFILL PERC RATEWATER DEPTH WATER DROPWATER DR^PERC RATEWATER DEPTHINTERVAL (MINUTES)TIME REFILL ■5-.TIME DROP PERC PROPOSED DESIGN: PI ST. yPRESSUREGRAVITY, DISJ.MOUND.HOLDING TANKATGRADE.BED.TRENCH SPECIFY: ___________ — SYSTEM DESIGN ON BACK — OUTHOUSE.OTHER.SEWER LINE 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 and all water wells within 150' of the sewage system. GRID PLOT PLAN feet SKETCHING FORMgrid(s) equals ^ feet, orLScale:inch(es) equals ’(lA SUBMITTED BY: _________ FIRM NAME:lyVw Qi»v2jay<r — ADDRESS: PR.'Z, ____________ SIGNATURE: DATE:_____ MPCA LICENSE #: LICENSE CATEGORY:t o o VI I CA \\ . \ ( 4i<r/ Tt) ^^flOl‘*ef 6i<i ^ o / <iy > ■4fez4 I/ V Hli-y vy BK — 0496 — 029 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 . IWHITE — Office Yellow — Inafiector Pink — Owner Permit No.LEGAL DESCRIPTION AND LOCATION LAKE/RIVER NAME LAKE/RIVER I SECTIONLAKE NUMBER TWP RANGE TWP NAME / ^ . 1556i(>- 3?3 FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER(S) PL - 9oN- 000' /(o " 0/6S' 00 / IDENTIFICATION: Please Print All Information LaA Name_____________________Initial I Mailing Address — No. Street. City and StateFirst Zip Code Telephone No. Property Owner ULL f>Z6'7(, Sewage System Installer Name A.M. This System will be ready for inspection on., 19.P.M.at This space for office use oniy NUMBER OF BEDROOMS; A.M. P.M19 GARBAGE DISPOSAL: ( ) YES ( ) NOTime Rec'd Phone Call Rec'd ByDate Rec'd SEWAGE DISPOSAL SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank { ^ ) Septic tank ( ) Drain field ( ) Standard ( ) Bed ( ) Trench ( ) Modified ( ) Mound TANK DRAIN FIELD //TOtOCapacity GIs.Sq Ft Distance from nearest well Ft.■X. /5/)Distance from lake or stream Ft.Ft. lilDistance from building Ft.Ft. ADistance from property line Ft.Ft. EFFLUENT DISTRIBUTION ) Gravity ) Pressure 7Distance from bottom to Water Table Ft.i- All distances are shortest distance between nearest points WATER WELL DEPTH: PERCOLATION TEST DATA: Date o1 , 1 lateI Date of Second Test Rate 1st Test Taken By Firsi + 2nd Test 22nd Test Taken By Agreement: 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 Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part of fhe permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for ir^ection. ^ /r- TjDATE: 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 agent, employees and workmen shall conform in all This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. lects to the Ordinance of Otter Tail County, Minnesota. Issued Date: Land & Resource Management Office^^_______ Rec # ^ _ A P—.____ / Fee $. <yr71Comments: Form No. BK — 0292-003 260,771 — Victor Lundeen Co,, Printers, Fergus Falls, Minnesota SHORELAND MANAGEMENT — COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone: (218) 739-2271 • FERGUS FALLS, MN 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM WHITE — Office Yellow — Inspector Pink — Owner £<UU)lt Permit No.LEGAL DESCRIPTION i 6 55^'AND LOCATION TWPLAKE NUMBER LAKE/RIVER NAME LAKE/RIVER I SECTION RANGE TWP NAME /556L>- 3?:? FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER(S) PL-90M- 000- /& - Y)/56-001 IDENTIFICATION: Please Print All Information La^ Name____________________ First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. Property Owner A A! A/.Sewage System Installer Name - I 9 ^ nt -/a^This System will be ready for inspection on P.M., 19- 7/i/s space for office use only NUMBER OF BEDROOMS: GARBAGE DISPOSAL: ( ) YES ( ) NODate Rec'd Phone Call Rec'd ByTime Rec'd SEWAGE DISPOSAL SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (^ ) Septic tank ( ) Drain field ( ) Standard ( ) Bed { ) Trench ( ) Modified ( ) Mound TANK DRAIN FIELD //)00) sf-Capacity Sq Ft, Distance from nearest well Ft.•t. /5/)Distance from lake or stream Ft.Ft. Distance from building Ft.Ft. . ADistance from property line Ft. Ft. EFFLUENT DISTRIBUTION ) Gravity ) Pressure 7Distance from bottom to Water Table Ft.J.$ All distances are shortest distance between nearest points WATER WELL DEPTH: PERCOLATION TEST DATA: Date oi , 1 late Date of Second Test Rate 1st Test TaKen By First + 2nd Test 2nd Test Taken By 2 Agreement; 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 Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical 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 responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for infection. / DATE: 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 agent, employees and workmen shall conform in all This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. lects to the Ordinance of Otter Tail County, Minnesota. 5 - //-Issued Date: — Land & Resource Management Office Ah j a Fee $.Rec #■.'j Comments: 7)t=:t Form No. BK — 0292-003 260.771 — Victor Lundeen Co.. Printers. Fergus Falls, Minnesota f .‘W > INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK DRAIN FIELD CATEGORY Actual Minimum Actual Minimum GLS.GLS.Capacity SF SF f FTDistance from Nearest Well FT FT FT50 Distance from Buried Water Suction Pipe /VA FT FTFT50 FT 50 Distance from Buried Pipe Distributing Water Under Pressure - n ^FTFTFT10 10 !5d ftDistance from Lake or River (OHWL)15-0-1^/ FT FT ftDistance from Nearest Building FT FT FT1020 ^ ftDistance from Nearest Property Line 10 FT FT 10 FT Distance from Bottom to Water Table FT FT FT FT3 Sewer Line to Well Separation DRAINFIELD CALCULATIONINTERPRETATION OF ABBREVIATIONS GLS. = Gallons SF = Square Feet FT = Linear Feet Actual Minimum FTX -f fta-D ft 20 FT SF Inspector’s Comments: \ SKETCH: X \J ; . i (S' Inspector's Signature C-/-1Z Date of Inspection jn /.?y T/me of Inspection Cdif of- iift Stf\n,in/{jfarfit i>MI /pec e^/. Tei^ /J^ 7i eJrdin fl ’^U I'htdo i«^7^ <foft.ti pr^f^iy ^ I 'mtfur /vV m-'"frf>r £el>is '^7[tiffif 3 ! 1 i \ t B>ay ^’esoeT 3 S' f&ppis V\CVV\Vfi. , 'To-m- 3 — OC\wn p P^cpoz u sjr-vj CA Sx S ^ C c \ *s<fi 'S 6 bl?ArAJFX^CO: 'Ta/^ll cifip PG c OPi/ fee pe*2.soYvSt3 -^nc P£e OAy 3S'3S' ;s?c.i /^dO 3^<j o;g 3*^g> (j) Cg^c, c/)/«}’*>^ sift.Ccvmp^/' S i«o fgfo-2L2t?<2> ' p p«.spAp>^r- -P^UT) 1-f+. or;ii./i^ y<>s-o y / es"S 2-17^ -Th^kz (Zf^p I ^ ' r Department of LAND & RESOURCE MANAGEMENT COUNTY OF OTTER TAIL Phone 218-739-2271 Court House Fergus Falls, Minnesota 56537 MALCOLM K. LEE, Administrator June 11, 1983 Dennis Happel Perham, MN 56573 SP t()223 for Sunset Bay Resort on Dead Lake (56-383)RE: Dear Mr. Happel; As per our conversation on June 10, 1985, the sewage system which installed under SP #6223 will not be issued a certificate of compliance by our office since the septic tanks were not setback the required 150 feet from the ordinary high water mark of Dead Lake. However, since the placement of the septic tanks was as permitted prior to the issuance of SP #6223, all other setback requirements were met, and the actual construction of your sewage system was as permitted, our office will consider this system as a certified sewage system for all practical purposes. If you have any further questions or comments please contact our office. was Sincerely, Bill Kalar Assistant Administrator bmj SHORELAND MANAGEMENT ORDINANCE - DIVISION OF EMERGENCY SERVICE - SUBDIVISION CONTROL ORDINANCE SOLID WASTE ORDINANCE - RIGHT-OF-WAY SETBACK ORDINANCE - FUEL AND ENERGY COORDINATION SEWAGE SYSTEM CLEANERS ORDINANCE - RECORDER, OTTER TAIL COUNTY PLANNING ADVISORY COMMISSION 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 Whit*-Office Yellow — injpArfoc Pink — Owner Cord — Owner L222>Permit No.,LEGAL DESCRIPTION AND /l/J^ /A />-TISS pfLOCATION 6’ Lake No. TWP NameLake Name Lake Classif.Sec.TWP Range IDENTIFICATION: Please Print All Information. Zip No.Tel. No.Last Name Mailling Address —No. Street, City and StateFirstInitial ~P]PS7yel_u _______^CLr in P.O JOWNER - A tr / G> ^ <5 \\ <\ y 1^0/VSEWAGE SYSTEM INSTALLER Name, This System will be ready for inspection on.., 19. This space for office use only 19 .M Date Rac'd Owner or Agent SignatureTime Rac'd Phone Call Rec'd By NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD sqGIs.Sq. Ft.Capacity S-o Ft.Ft.Ft.Distance from nearest well Ft.Distance from lake or stream Ft.Ft. / 6 Ft.Distance from occupied building Ft.Ft. / 0Distance 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 S'- 9 H..PERCOLATION TEST DATA: f^LF- •X o r Date of First Test 19 , Rate ^3ItDate of Second Test,,, Rate 1st Test Taken -I- 2nd Test..... n..First 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 The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in pved 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 it2fas 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 (nspectioc/ Dated lature Permit:Permission is hereby granted to the above named applicant to perform the work described 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 iR 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. Issued Date: Shoreland Management Office Fee $ Comments^fel__i*r^ Form No. MKL-0771-003 J ♦. V \•4 :: ' ’'Cv ■' •> V : ‘ ’./;■» INSPECTION RESULTS ■■ '1. -!*■-Inspector must make all measurements $r .' . i-. V:*V-- ■ -,?» :■.ViTW<i.-vs .!-»: ! .jAC. ■ SEWAGE DISPOSAL SYSTEM STATISTICS . 4 SFEPAGE PIT DRAIN FIELDSEPTIC TANKCATEGORY Actual Should baActualShould be Should beActual Capacity s Fs FCIS.GIs.S F S F 50Distance from Nearest Well 75 FFFFFF Distance from Lake or Stream FFFF F F 202010Distance from Occupied Building FFFFFF 10 1010Distance from Property Line F F FFFF 33Distance from Bottom to Water Table F F F FFF A : Inspector's Comments': •* V. •*. Date of Inspection..19___ I’A *.Time of Inspection..M c IVAmi Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs * Gallons SF ■ Square Feet F “ Linear Feet 1 .t Job Title•' , . m-m. - ■'e.<«a • Oi • .<v ' ,Agency MKL-0771-003> Backer ^-4 x>- r ’i A \■ r * •. > » e.; ' •..i ' ..-li-' V <- <^"c> - h\JL \>;*i ' .»■ 1 ' ' ..'' ».♦ '. .vvb: ' -‘C*-. i' •' • ■’< 1' i ,a;5. TfT .VT' If-? : V '' ..J .1^'*'* » 'r. • • >L ■' /'V ■ iS'-V •'■’•OV.V*tt f ; >f i! i'y* -.-'v • ‘ I' ^ • 5. , 2^ € aMM'i i. 'M .:C> r..'' ff i f SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEI/VAGE DISPOSAL SYSTEM 4 •While-Office Ve/iow —insi^cfof Pink — Owner Cord —Owrrer Permit No.. LEGAL uhS^ei-DESCRIPTION AND 7i ■J'L- JLOCATION4- TWP NameLake Clauif.Sec.TWP RangeLake NameLake No. IDENTIFICATION: Please Print All Information. Zip No.Tel. No.Mailling Address —No. Street, City and StateInitialFirstLast Name OWNER SEWAGE SYSTEM INSTALLER Name. _, 19^^d- O I'Sitoo- \.ooy.yvv-This System will be ready for inspection on.Si This space for office use only ^ ' 'XO .M19 Owner or Agent SignatureDate Rac'd Time Rec'd Phone Call Rec'd By ZiNUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD GIs.Sq. Ft.Sq. Ft.Capacity Ft.Ft. Ft.Distance from nearest well Ft. Ft.Ft.Distance from lake or stream Ft.Ft.Ft.Distance from occupied building Distance from property line Ft. Ft. ' "Vt.4. Distance from bottonZto 1/Vatei^''fgble'Ft.Ft. lAII distances are shortest pistance between nearest points .r RECORD OF TESTS: lnspej|ig||i^ w^n^ad^, Time ,M By PERCO ,, 19 » Rate»>•19....C.^.7late of Second Test., Rate \1st Test Taken B •/. ..a s. c-■VFirst 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. /■>k.Dated.) ^ature 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. Issued Date: Shoreland Management Office ■ ^ ^ ■' ,i> H ' z 5Fee $ Comments:. Form No. MKL-0771-003 (^tVKW lAITli UKf, MINNISOTA ■ -T \■5 -^^.'JW i ■- J-k r>i ^ '-j»'''• V JfeCW. INSPECTION RESULTS Inspector must make all measurements7 SEWAGE DISPOSAL SYSTEM STATISTICS t 9) SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYCONjeActualShould be Should beActualActualShould be c2 t F2770^7^^ GIs.3SCapacity GIs.S F S FS F lo^ 50Distance from Nearest Well 75FFF F F 4-t'2SIZ^120 -Distance from Lake or Stream F F F F F F ( m 20 2010Distance from Occupied Building F F F F FF F 10 1010Distance from Property Line FFFFF 33Distance from Bottom to Water Table F F F F F F i-v Inspector's Comments:_ Q3 JSloHI grg xr'J /Ci ,Pin'<-0/ I /' X ^5-0 llaoi\-------- f ' & cp>oi:v\.a, y oxMp^ Ora'» oS h- 7^ ^ /: 3 Q oT#ggc\ ,9^^ ^ 'ZGDate of Inspection 2?e/I Z^'i O (0Time of Inspection.M INTERPRETATION OF ABBREVIATIONS Gl* - Gallons SF ■ Square Feet F “ Linear FMt j_^ Job Title3^9 AgencyMKL-0771-003-Backer (^0 — wtll 'oS.S -tp/2^/O ''C^ i v\ *V i 5 « I yx-oAjtn Um lT)oS-»-t //-/ 0 ioc/Ao )' /o n!I vrv^ 9/ - \ ' - • V /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 Whif-Officm . ^YeHow — Inspector Pink — O^er Cord — Ownw '. h ^Permit No.LEGAL DESCRIPTION AND MF // r 4^/LOCATION Lake No.Lake Name Lake Classif.Sec.TWP TWP NameRange IDENTIFICATION: Please Print All Information. \^iTThigLast Name First Initial Tel. No.Address —No. Street, City and State Zip No. OWNER tSEWAGE 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 jpCC GIs.Capacity Ft.Sq. Ft. Ft.Ft.Ft.Distance from nearest well /roFt.Distance from lake or stream Ft.Ft. Z£.R CDistance from occupied building Ft.Ft.Ft. Distance from property line Ft.Ft.Ft. /3/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 L.aPERCOLATION TEST DATA:Date of First Test . 19 ...'Rate /f .T,Date of Second Test 19 Rate 1st Test Taken/By 2 Rate /OrUtFirst Test + 2nd Test ae 2nd 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 Agreement: oyed by Shoreland Management Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it/fas been in%|;ected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that thejshJs ready for nspection. /^f5Dated Permit:Permission is hereby granted to the above named applicant to perform the work describe 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 (61 months.L'J3 A/y /frr 2C>^ Issued Date: Shoreland Management Office Fee $Pec Comments:. Form No. MKL-0771-003 QfVIIW tATTif lAKI. KINNiSOTA w4 ^i V>'V 4 . '; '-fji: ■ > i ' ^ \ ' ■.•»-V /-; •- -il VINSPECTION RESULTSV ■'■:*' I;Inspector must make all measurements .•r. ■iU;. • . ■ *. V --a V «rr •r. i V ,•SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PIT DRAIN FIELDSEPTIC TANKCATEGORY Should beActualActualShould be Should beActual Capacity s FSFS FGIs.GIs.S F • •50H75Distance from Nearest Well FFFFF% Distance from Lake or Stream’' )FFFF Fi 202010Distance from Occupied Building Distance from Property Line FFFF F F 10 1010F FF F F F 33Distance from Bottom to Water Table F FFF F F Inspector's Comments: ;■ i : Date of Inspection 19____ ■ ' u r-: r‘ :«» i *'Time of Inspection .M V*' 'J Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs “ Gallons SF " Square Feet “ Linear Feet Job Title •iF^ ^ ><v • . 5K;. V , T ■ ’' f J-' o.-:. •**’-. r ■.j r« ^r AgencyMKL-0771-003-Backer / ■ -;<• ^ r --If. . -* ^£‘ ; .''3 jni . • ■ 'v f. ... s I'WjV' ...._• : 1'’ - ‘i^\.■ i?.,C ' 5 t; >1%vy*..' 1 •■r:)' ■ ifi . r -' v'f *'■ ,. ■ *r* ■ y- , ' ':.'X !f-> r f?; ■ ./T.ij-v.;';** V . r/j y »I V. 'tHI? */■:’ r,r'y •■. ■' 1 !i< .' ,• i i *• ■ r;, y..if ”3ry.t S' • .-.i•f ?'nt . ■1'^:ri 4V. ■ V '■4VV rl' ' ir.. J '■ ' iIk.'V... '... >- 5-' 4....i....:;^n / •I'’.' -^ ^v; .t- . >■ ..-y: f\Ja 4— r* 1 * >»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 * «WhiM-OWn Ye/fow — inspetfor Pink — Owner Cord —Owner Permit No.,LEGAL DESCRIPTION AND LOCATION Lake No.TWP NameLake Name Lake Clastif.Sec.TWP Range IDENTIFICATION: Please Print All Information. Zip No.Tel. No.Last Name First Initial Mailling Address —No. Street, City and State OWNER / .. SEWAGE SYSTEM INSTALLER Name. ^ j2^6o r4([S This System wit! be reedy for inspection on., 1 This space for office use only /iu 19 Date Time Rec'd Phone Call Rec'd By Owner or Agent Signature ffti ■'m XNUMBER OF BEDROOMS:ESTIMATED COST:) SEWAGE DISPOSAL SYSTEM DATA: /SEPTIC TANK SEEPAGE PIT DRAIN FIELD i r )U.GIs.-Sq. Ft.Sq. Ft.Capacity Ft.Ft. Ft.Distance from nearest well V T XFt.Distance from lake or stream Ft. Ft. Ft.Distance from occupied buildipu Distance from property line Ft. Ft.A r,_vrmx/Ft.Ft. Ft. ____________________aDistance from bottom to Water Table ' Ft.Ft.Ft. AH distances are shortest distance between nearest points RECORD OF TESTS:.a. V - |W.. , Time ......... 19...,;:. Inspection was made on 19 M By ....£....rf^.... PERCOLATION TEST DATA:Date of First Test 2, Rate h. ZZDate of Second, Test Rate 1st Test Taken By //’ y C--/First Test -1- 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 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. 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: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 Dtter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NDTE: Permit void if work is not commenced within six (61 months.r Issued Date:/j Shoreland Management Office-35 Fee $ \Comments:,i Form No. MKL-0771-003 (^EVIIW RATTLE LAKE, MiNNCSOtA \ Z>. ,U33^ ^ ^ ^ ^ r —9: ^ ^ j INSPECTION RESULTS J * Inspector must make all measurements 9 \ f • * - ■ SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should beActualShould be Capacity GIs.SFGIs.SF S FS F 50Distance from Nearest Well 75F F FFFF Distance from Lake or Stream F F FF F F 202010Distance from Occupied Building FF F F F F 10 1010Distance from Property Line F FF F F F 33Distance from Bottom to Water Table F F F F F F Inspector's Comment:_______________TCo- yyjerA^ *^^**-^ ^ ‘A 30^ SiJU. \ U'xQH ' ' ■<<?gFT'^ g-;>6Date of Inspection 19 II • ^___iSbnTime of Inspection 6K. signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs - Gallons SF “ Square Feet F - Linear Feet Job Title Agency MKL-0771-00 3-Backer t ,r ■*'- ■■%-V i /c) e0 , /c/ a e../C-- 01> 1 /"It MKL-0871 -028 215502® VICTOR LUNOEEN CO.. PRINTERS. FERGUS FALLS. UINN.PERCOLATION TEST DATA / Cc -f-y J c i£AND AND RESOURCE MANAGEMENT Otter Tail County F >' e ^ Fergus Falls, Minnesota 56537 ; ■ L' <T'c. f'Ph. No. Mailing Address:Owner:jy ( ■ f,a ! -i/ R./\Je C-f' ./res 9'3Q>'J/e h y>! h> Zip No.StateCitySt. & No.First Middle F iL h Last Name , t/ I ‘ a eLegal Description:!L Ho 10 £_■cs’ a SEC.TWP NAMERANGENAMELAKE OR RIVER NO.'( 3(4’ ^ TEST HOLE NO. 2TEST HOLE NO. 1 /i( O HODepth to Bottom of Hole inches; Diameter of Hole jnchesDepth To Bottom of Hole Diameter of Holeinches;inches /A-/ ^9Soil TextureDepth, Inches Soil TextureDepth, InchesDate19A/f(/ Fd 'rJ Ai So/c'7 n'-ro/Percolation Test By____ Percolation Test Bv .'(f o yy*'HTt 0 !/6 '/ A :i,Q'/I'LUFirmName.QC Firm Name.DaLU CC LU Address.GC •Address < CO Otter Tail County License No.Otter Tail County License No..CO LUMeasure ment, inches Drop in water level, Inches Percolation rate minutes per inch Percolation rate minutes per inch Time Intervals minutes Time Interval, minutes Measure ment inches Drop in water level, inches Remarks:Remarks:Time Timeo§ I-//fJMit ' Hf 0/J.'oe \ ^ AI Hi %, 0 C>LHo . 6 .\ f ( I /1>•V AH')A ^ -tr O'II ! 1 ■?->3 7>l J ■3,fy ?' 3 3 I Z-U 1 -0)C’./' 1; f ■;> -I2.(0 0, 3o t .r/3 -9.-’r i V 'U ( j €iy O ’u'- -ho 6. 4II S3 -C // -c:rf-o ■r,! /'■( P1 • 7f r5 6 Ifi c=/1/ </\ • 91 I . in hL OOL./; 1 / f 0 /S'), o / , g j_/-• C1 ( T’ysis- ~^3 /9 /7".T 9iu r g--- /( ^ Cf^See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN. Percolation rate =.minutes per inchminutes per inch Percolation rate = J J 7 t’Q rT’ ^ d- d fo( ■215502® VICTOR LUNDCEN CO,, PfllNI£R6, FERGUS FALLS,MKL -0871 -028 PERCOLATION TEST DATA LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph, No, Owner:Mailing Address: I? a. ^tjtI/'.'I g • /i :C L. S / 3 1 1 v'} > ^Zip No.State f‘j 5 e / / ilf' HO HI Last Name First St, & No. /'/ Middle Legal Description:~D t’ It t,/ , ^r■ -hL ^ ^ IZ4/Cc AA r^-' TWP NAMESEC. TWP.RANGENAMELAKE OR RIVER NO.i¥ ( ,4 C,-cCi c//■5 /j y<tc^-b ) f t./7C"-C)ar f / TEST HOLE NO. 1 - E> 'if- -c. c!r.-,3 'f p/ P!d u ,'t_.TEST HOLE NO. 2 - / ■ o 4.6 3aH 0 Depth to Bottom of Hole inches; Diameter of HoleDepth To Bottom of Hole,jnchesinches;Diameter of Hole inches /Aia V -7 /Very y 9 19 P-.f'Depth, Inches Soil Texture Depth, Inches Soil TextureDate19 Date A cf.! H ‘6> — 4A - T-6 Percolation Test By___ Percolation Test By . /j>/ * \ >■--p' 5- i-f'Ai '/a' i ,i- V5 a Q rJW'1/ ('f/ <Ju1X1Sc\ (/, J./(e.^n'd C (<-'i(x; "LPy-P, ” ■'/p FirmName.q:FirmNameD\)e, y ^o e.(3- y,c\HpJc S'- (p '' d P H-iuu•- io t'l ' i ni '■QC UJ.. /Address OC Address "■ 3 t>jT Y-.c/lCS - LV ■ A. / -• r[ - -A''If7//. p A t-j( Mif ^7, t ’r r ' COOtter Tail County License No.,Otter Tail County License No..I-CO LUMeasure ment, inches Drop in water level, inches Percolation rate minutes per inch Time I ntervals minutes I-Time Interval, minutes Measure ment inches Drop In water level, inches Percolation rate minutes per inch Remarks:Time Remarks:Timeo I-l d iv flb:t£\/o ^Tib, bfI k- -} ' /J rri: I'p /i g>■/^v-iv fdiY H C Ah'-bl ZA.bu! !I IC, /(' Jo. e fo■ 0t.(TL:6 37 7'/7i 31n‘ i ' It f'l.1,' cC>/, 3 3 jr6 La 3?3 7'7-.-p-.o»c *)ltd)I L^'Q>7: 10 : lb jI: :I,-/; 1^6: iH C ■Ho. Li .47 (^iil /)i" !jH a HitflJd\\ iH Hb' V L A /0,0I IV-- 1 -3 3tH-O ; AO l3,dAI .A HIT Hil!li ni-1 AO:L li HLo(>/:ioI. /pHvlAff^td r-//IA“ Ue. H /3 See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service. Un. of MN, Percolation rate =,minutes per inch minutes per inchPercolation rate =f Oe-Qcl ^"‘7[ B " Io ^/s'33 >4 ^~7(^-•^5. >[ ^/\Q u3&Li- >:16©' ^ /pOO 2=>i Sep+'Q.1,000 \\! ^3l6-' purop > Seek =l"^5'o' ipoo p UVKVip (3 • ^50 0*- • V7r -eio til fS ■fo Off^r- fcJ/ e tA: 5 Dr«tOf\ ky Ociri'ctl S/S/8S '< S^V\Se.'T ^Q.y iTc'^oy-'l VC S30Q FIELD NOTES clio[q7LAKE NO.; 56- 383 DATELAKE NAME; DEAD Parcel No.: 14000160135001LEGAL DESCRIPTION FIRE NO.: \/ /» c-<yU% s^<_, "7 S \/' i/0/\eC(r 'f^4,y A ^ (^^0 OtS,\y 16 135 40 12.20 S 550' OF LOT 4 At' c# sUcjr' 5'-gi^sys-fs / - WA OWNERS NAME AND ADDRESS: GRABARKEWITZ, PAUL GRABARKEWITZ, VIRGINIA RR 1 BOX 96 J ^8’S- ^ C^i> tXx-S- ^ L>uje^n tt 9 111 •6=^ iiiJLbs- «f/^-Pr. rt^S ;i -r 1*^ -t RICHVILLE, MN 56576 OujtH sy^~^ '-f-aXfjuJ. i^lSSComments: 5" SEPARATION DISTANCES(IN FEET) ABSORPTION AREA OUTHOUSESEWER LINE TANK WELL OHWL LOT LINE DWELLING NON DWELLING GROUND ELEVATION @ toREASON(S) FOR ABATEMENT: \ ' :ciL. 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