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Sunset Beach Resort_29000990814000_Septic System Permits_
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)t OlPermit No.APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED / SECTION /TWP NO.RANGE /TWP NAMELAKE/RIVER CLASSLAKE/RIVER NAME iO. ^^/-rrcZ LAKE NUMBER y /3t2fT ■7( E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED C-r.'J- 9 lycyy?- 90/9 ooo y LEGAL DESCRIPTION y, /Y /Daytime Phone No.Mailing AddressFirstInitialLast Name y/Cr.Property Owner tP^iyLP /.a/PL . rT 9^ -/^: y ; 'j-r <T/r*;■ 1\ ..lo7 itl\ v^\- j ^ 4~ •>I7'3 / y V.Contractor Lie.#■/(y / ri c 5 7. < / ryva yV THIS SPACE FOB OFFICE USE ONLY A.M.•Zcx) y at / yp o, the year of► This System will be ready for inspection on elate Received . P.M. L&R OfficialTime Received SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAW NG TYPE OF NSTALLATION (C/rcleo/ve; Other Est. (E) New (F) Replacement CollectorResidential (A) New (B) Replacement (C) New (D) Replacement Soil Tank Lift Treatment AreaDesign Fiow (Gailons/Day) (G) 1 —2,499 (H) 2,500 — 4,999 ( I) 5,000 — 10,000 Effiuent Distribution ( V ) Gravity ( ) Pressure /K^GIs - r Ft.//yT? GIs7Size Setback To Nearest Well i Ft.Ft.Ft.Type I Type II (27) Rapidly Permeable(20) Trench, Rock i Ft.Ft.Ft.Setback To OHWL !(21) Trench, Gravelless (28) Flood Plain (29) Privies(22) Trench, Chamber y// Ft-Ft.Ft.Setback To Bluff I (30) Holding Tank ( ) Monitoring/Disposal Contract (23) Seepage Bed II (24) Mound Ft.Ft.Ft.Setback To Dwelling Type III(25) At Grade Setback To Non-Dwelling Ft.Ft.Ft.(31) Other/Problem Soils/<12" Soil(26) Greywater /V Type IV Setback To Nearest Lot Line Ft.Ft.9 Ft.(32) Public Domain & Proprietary Technologies Depth of Well Setback To Road Right-Of-Way Ft.Ft.Ft.V /PIPType VTotal # Bedrooms (33) Performance Elevation Above Restrictive Layer Ft.y Ft.Ft.Abatement Y / N Garbage Disposal Y / N PERC TEST DATA ^//■7/p9L yyyp Highest RateDate of TestLicense #Designer Agreement; The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accor dance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource Management Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. NOTE: I.Thls permit is valid for a period of six (6) months. 2.This permit does not include the building sewer (sewer line)..i I \!-1 /'Permit Fee $Date: Signature of Property Owner/Agent for Owner 3Rec. No..Date; ;Land S Resource Management Cmce -y Vj ■, rV-cV<7.'^ I 4 “Vt"/■< . ( o L--Comments: c./ 4 y Form No. BK — 0209-003 335,812 • Victor Lundaen Co., Printers • Fergus Falls. MInnesata SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS. Inspector must make all measurements SOIL TREATMENT AREA HOLDING SEPTIC TANK OUTHOUSELIFT TANKCATEGORY ! Capacity FT2[LS. FT FT FTn-Setback from Nearest Well MO ^ Setback from Buried Water Suction Pipe FT FTFT FT Setback from Buried Pipe Distributing Water Under Pressure ib-h/0-h ft FTFT FT ftJoO /- FTSetback from OHWL (lake &/or river)FT FT Setback from Setback from Bluff FTFTFTFT -h- ftSetback from Dwelling FTFTFT/D ^ Setback from Non-Dwelling FT FTFTFT /o ^Setback from Nearest Property Line FT FT FTFT/C ^ J5C3-ASetback from Right-of-Way FTFTFT FT 3-^Elevation above Restrictive Layer FT FT FT FT Holding Tank/Lift Alarm NO ■7 Old System Pumped & Destroyed YES NO TRENCH REDUCTIONMOUND / AT-GRADE SOIL TREATMENT AREA CALCULATION FILTERSEPTIC TANK(s) # Tanks installed / ROCK BED/inchesftock trencnes with of sidewall for___ /T □ YES ja'NO %Ft. X Ft. X Ft.Ft.{n ('ll ^ ft2reduction / equivalent to Soil Treatment Area. Model #Ft*Ft* V ///cInspector's Comments:12.±^ - (.(,0 Sketch: f IV» /^. cu V— /AJ- /Oo " / Date' / Time Initial / L & R Official H7 /D 9 , the above described sewage system installation was found to be compliant with the provisions of the SanitationAs of Code of Otter Tail County. tOffi^JLand & Resource Management 336,654 • Victor Lundoon Co.. Prtntors • Forguo Foils, MInnooMForm No. BK ^ 0209-003 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) ^ O/ (a (oPermit No.APPLICATION MUST BE COMPLETE IN ORDER TO BE PROCESSED TWP NAMETWP NO.RANGELAKE/RIVER SECTIONLAKE/RIVER NAMELAKE NUMBER z-t 39 E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED $t:it-9 9 oooyz LEGAL DESCRIPTION /3j¥ Daytime Phone No.Mailing AddressInitialFirstLast Name PCSD/J 5t7 ________ M/J Property Owner XI 7.7 &LContractor Lie.# .-v\. THIS SPACE FOR OFFICE USE ONLY '-il'Z-y A.M. , the year of>■ This System will be ready for inspection on 4%£5) PM. Time Received L&R OfficialReceived SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAW NG TYPE OF NSTALLATION (circle one) Other Est.Residential (A) New (B) Replacement Collector Re^cement(C) New (D) Replacement Soil LiftTank Treatment AreaDesign Flow (Gallons/Day) <J5}> — 2,499 (H) 2,500 — 4,999 (I) 5,000 — 10,000 Eff^nt Distribution (\/) Gravity ( ) Pressure ^^GlsSize Setback To Nearest Well Ft.Ft.Type IIType I *1'50 (27) Rapidly Permeable(20) Trench, Rock Ft.Ft.Setback To OHWL f r<p(21) Trench, Gravelless (28) Flood Plain jTz^^^rench. Chamber (29) Privies Ft. Ft.Setback To Bluff(30) Holding Tank ( ) Monitoring/Disposal Contract (23) Seepage Bed (24) Mound Ft.Setback To Dwelling (25) At Grade Type III Setback To Non-Dwelling F*-Ft.Ft(31) Other/Problem Soils/<12" Soil(26) Greywater Type IV Setback To Nearest Lot Line Ft.Ft. (32) Pubiic Domain & Proprietary Technologies Depth of^pIL Setback To Road Right-Of-Way Ft.Ft.Ft.-tioType VTotal # Bedrooms (33) Performance Elevation Above Restrictive Layer 3Ft.Ft.Garbage Disposal Y / NAbatement PERC TEST DATA A. a.Date of Test Highest RateLicense #Designer Agreement: The undersigned hereby makes application for permit to install, alter, repair or extend Sewage Treatment System herein specified, agreeing to do all such work in strict accor dance with Sanitation Code of Otter Tail County, Minnesota. Applicant agrees that the Site Data Worksheet submitted herewith and which is approved by a Land & Resource Management Official shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and approved for use. It shall be the responsibility of the applicant for the permit to notify Land & Resource Management that the installation is ready for inspection. Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Sanitation Code of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of the Sanitation Code. NOTE: I.This permit Is valid for a period of six (6) months. 2.This permit does not include the building sewer (sewer line). Permit Fee $Date: Signature of Property Owner/Agent for Owner N3l<=i3Rec. No..Date: Land & Resource ManagementOwce C'f- '\V 0^ l_crT,\oar xj—Comments: Form No. BK — 0209-003 335.612 • Victor Lundeen Co.. Printers • Fergus Falls, Minnesota 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: :5uA/ier- TELEPHONE NUMBERMIDDLEFIRSTLAST NAME ADDRESS: ZIP CODESTATECITYSTR./RT. 7jr /J^ 39 TWP NAMERANGESEC. TWP.LAKE NAMELAKE/RIVER NO. SOIL BORING LOGLEGAL DESCRIPTION: COLOR & MUNSELL NO. DEPTH (INCHES) 2 9iP{FK>‘/ STRUCTURETEXTURE BLOCKY PLATY PRISMATIC NONE \ze*ej/ PARCEL NUMBER ST.BLOCKY PLATY PRISMATIC NONE E-9H Address or Directions From Nearest Public Road NUMBER OF BEDROOMS GARBAGE DISPOSAL: YES |(^^NO^ WELL: CASING DEPTH ft. SEWER LINE SEPARATION: ^O'ft. BLUFF: BLOCKY PLATY PRISMATIC NONE S/yJi3 BLOCKY PLATY PRISMATIC NONE FLOODPLAIN: YES <^r^trIaJ^ VEGETATION: AQUATIC BLOCKY PLATY PRISMATIC NONE %SLOPE AT INSTALLATION SITE: TYPE OF OBSERVATION: Probe Pit <5?PARENT MATERIAL: Outwash Loess Bedrock Alluvium » /idJpYORIGINAL SOIL: <^s;> No Date of Soil Boring. ^0^ COMPACTED SOIL: Yes 2DEPTH OF BORING (To 7' or restrictive layer):.ft.Date of Perc Test PERC TEST #2PERC TEST # 1 - TWO TESTS ARE REQUIRED - PERC RATEWAT^DEPTH WATER DROPINTERVAL (MINUTES)TIMEWATER DROP PERC RATEWAT^DEPTHTIMEINTERVAL (MINUTES) u j1It*TIMr DROP PERC TIME DROP PERC PERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES)TIMEPERC RATEINTERVAL (MINUTES)WATER DEPTH WATER DROPTIME w iP.Sif.LlS'MREFILLREFILL TIME DROP PERC JO PERCTIMEDROP PERC RATEWATER DROPINTERVAL (MINUTES)WA^R DEPTHTIMEWATER DROP PERC RATEDEPTHTIMEINTERVAL (MINUTES)WAT^ 5 TIME DROP PERC REFILLREFII^ /P PERCDROPTIME WATER DROP PERC RATEWATER DEPTHTIMEINTERVAL (MINUTES!WATER DEPTH WATER DROP PERC RATETIME INTERVAL(MINUTES) REFILLREFILL PERCTIMEDROPPERCTIMEDROP PERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES)TIMEWATER DROP PERC RATEWATER DEPTHINTERVAL (MINUTES)TIME REFILLREFILL TIME DROP PERCPERCTIMEDROP PERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES)PERC RATE TIMEWATER DROPINTERVAL (MINUTES)WATER DEPTHTIME REFILLREFILL PERCTIMEDROPPERCTIMEDROP PERC RATEWATER DEPTH WATER DROPINTERVAL IMINUTESITIMEWATER DROP PERC RATEWATER DEPTHINTERVAL (MINUTES)TIME REFILLREFILL DROP PERCTIMETIMEDROPPERC PERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES)TIMEPERC RATEWATER DEPTH WATER DROPINTERVAL (MINUTES)TIME REFILLREFILL DROP PERCTIMEPERCTIMEDROP PROPOSED DESIGN: GRAVITY DIST.PRESSURE DIST..HOLDING TANK.MOUNDATGRADE,BED.TRENCH SPECIFY:.OUTHOUSE.OTHER.SEWER LINE. — 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. If there are any questions, see the University of Minnesota Site Evaluation worksheets. /feetScale:______ DESIGNED BY: grid(s) equals feet, or inch(es) equals MPCA LICENSE #: LICENSE CATEGORY: Z?/ 4/x'/FIRM NAME:_ Schuetter's Septic Solutions, LLC 23725 240th Ave. Fergus Falls MN 56537 DATE: ADDRESS:SIGNATURE: / iI o o J\£0'----- G)M ;S)+’iHO' f AT fH BK - 1003 - 029 315.904 • Victor Lundeen Co.. Printers •. Fergus Falls, MN • 1-800-346-4870 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 so•)c 5April 30, 2009 Scott E & Cathy Olson 42502 240th St Battle Lake, MN 56515 Sewage Treatment System Servicing Tax Parcel Number 29000280190004 Described as PT S.L. A of G.L. 1 BG 342.4' W of NE COR, W 976.8', Section 28 of Girard Township, W Battle (56-239) RE: As of 4/29/09, the sewage treatment system (Sewage Treatment Installation Permit #20166) servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a 5 bedroom home. If you have any questions regarding this matter, please contact our office. Sincerely, Mark Ronning Inspector T‘Scale: Each grid equals feet/inches_feet/inches ;GRID PLOT PLAN SKETCHING FORMoca/e; tach grid equals GRID PLOT PLAN SKETCHING FORM 1rt-t- i- !DatedDated 1919T*^ _ _ _ _ „ ............................. - Signsturey^ Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently 7 on lot and any proposed structures. 71I17^L __ 7 , 7 - ’ ! I Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sp^^ard for each builckng currently on lot and any proposed structures. ^ ^t.\1 -p f- 4-I :A s^w.se.4U\m n;>T ga ' ! •'5. IIt i- ^ ' is.'n <y•S. rr< A —« Hr.oi-ry.> L ; l4--X &4 .ir m tf X ff ? i,i. I-t- T3 0 03HS i S jr ^c>S^ xz:: Sf> 5 p ^ tsP^'7 <; 3 I f too > CAhin 5 ar: I /a •'i X- /liaex I\S0^ t:>-1-.V I ■ frs•a t CAr^f X.. 0^ E :ZIM+B 1- A C A + —'—'~^K MO'"/ ty P\joo |—5:xr NVi;4- ‘nS:-^ X' K izi.4r t-.-na.i;,-;-;i-a-rXriID T j__L -4rTt-T Xi-44-X VJ +a+T Tt)t2.■I - «4-+II ;I I -X ;iI4.nT T 4'•s I i J&x-i-T !i 1r-r-nxtiTr 1'I I±-h1jj.1?iI I i!I 1 4-TTT 1:!1---IS XLT11!I tT T I ti! a^- 0SHORELAND 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 pT. ^L8 ,.F Qk!(iZ-ihaP) / ^S9JPermit No.LEGAL / DESCRIPTION AND cft-r6AC HLOCATION SECTIONLAKE NUMBER LAKE/RIVER NAME LAKE/RIVER '"(iD AS /2>3 2>=i TWP RANGE TWP NAME PARCEL NUMBER(S) ' 1^70-GOH FIRE OR LAKE ASSOCIATION NUMBER «3.‘^ ' ccc-o9/‘-j i-kfj ogj (-oco IDENTIFICATION: Please Print All Information Zip CodeFirst Initial Mailing Address — No. Street, City and StateLast Name Telephone No. (2jt 3 Bc'k t&!Property Owner Sewage System Installer Name 7~-boi i9_2^ nt\This System will be ready for inspection on P.M. This space for office use only NUMBER OF BEDROOMS; 91 ^<9'19 GARBAGE DISPOSAL: ( ) YES NODate Rec'd Time Rec’d Phone Call Rec'd By SEWAGE DISPOSAL SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank Septic tank ) Drain field ( ) Standard ( ) Bed (^^Trench ( ) Modified ( ) Mound r TANK DRAIN FIELD Capacity SqFt./ OOO GIs. 50 SODistance from nearest well Ft.Ft. 5oDistance from lake or stream Ft.Ft. AO Ft.Distance from building }o Ft. ;oDistance from property line /oFt.Ft, EFFLUENT DISTRIBUTION Gravity ) Pressure 3 Ft.Distance from bottom to Water Table Ft. All distances are shortest distance between nearest points( WATER WELL DEPTH:\ ■76 5-JLSPERCOLATraN TEST DATA: Date of First Test K . 19 Rate 5 -JL5Date of Second Test , 19 Rate o 1st Test Taken By too£>a 1a.First Test + 2nd Test 2nd Test Taken By 2 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 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 tor the permit to notify the County Shoreland Management that the job is ready for inspection. DATE:I Signature Permit: Permission is hereby granted to the above named applicant to perform the work described imthe that the person to whom it is granted, and his agent, employees and workmen shall conforrrMn ai. 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. U ) / / |bove statement. This permit is granted upon express condition respects to the Ordinance ler Tail County, Minnesota. ■i -A/Issued Date:■;-1 Lag/f^STResource MOC 1 S5 //y^/55 ■1 Fee $Rec #_ ns. Pfcg. E..L,Comments: I Form No. BK — 0292-003 260,771 — V - •••■V-,7 INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS! SEPTIC TANK DRAIN FIELDCATEGORYActualMinimumActual Minimum SFCapacityGLS.GLS.SF 77^ ft3ir<3 ftDistance from Nearest Well FT FT50 Distance from Buried Water Suction Pipe FT 50 FT FT 50 FT Distance from Buried Pipe Distributing Water Under Pressure FT FT10FT 10 FT VTO FTHsO FTDistance from Lake or River (OHWL)FT FT /4<3 FT 4'D FT a^jb FT Distance from Nearest Building FT FT1020 Distance from Nearest Property Line FT 10 FT10 /O^ FTDistance from Bottom to Water Table FT FT FT3 Sewer Line to Well Separation DRAINFiELD CALCULATIONINTERPRETATION OF ABBREVIATIONS GLS. = Gallons SF = Square Feet FT = Linear Feet '3Actual Minimum trt>FTX c>FT FT20 SF Inspector’s Comments: SKETCH: !i Inspector's Signature Date of Inspection Time of Inspection . J // 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 f At SAS oF Gk/(JZ IHA^ Kci-( ^]ICl / St^>n.s>e\ Permit No.LEGAL DESCRIPTION AND LOCATION SECTIONLAKE NUMBER LAKE/RIVER NAME LAKE/RIVER TWP RANGE TWP NAME FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER(S) 'Ooo-APj "GCC ^08/*^ ~hkt\) OQ^X-^OCO IDENTIFICATION: Please Print All Information Mailing Address — No. Street. City and State Zip CodeLast Name First Initial Telephone No. £7- 3 &K i&lProperty Owner ryiAj 5&S/5i Sewage System Installer Name A.M. This System will be ready for inspection on., 19.P.M.at This space for office use oniy & JaJJ-TS NUMBER OF BEDROOMS: A.M. P.M19 kip NOGARBAGE DISPOSAL: ( ) YESDate Rec'd Time Rec'd Phone Call Rec'd By SEWAGE DISPOSAL SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM { ) Holding tank Septic tank i^Sn Drain field ( ) Standard ( ) Bed ( ^^Trench ( ) Modified ( ) Mound TANK DRAIN FIELD Capacity SqFt./ 000 GIs 50 50Distance from nearest well Ft.Ft. So SoDistance from lake or stream Ft. Ft. AO FtDistance from building 10 Ft. 10Distance from property line 10 Ft.Ft. EFFLUENT DISTRIBUTION (^f^Gravity ( ) Pressure 3Distance from bottom to Water Table Ft.Ft. All distances are shortest distance between nearest points WATER WELL DEPTH:t "76 , 195'JlsPERCOLATION TEST DATA: Date of First Test Rate S-X5Date of Second Test , 19 Rate f, 1st Test Taken By 4First Test -I- 2nd Test 2 Rate2nd 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 Otficical 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 inspection. aDATE: Signature Permit: Permission is hereby granted to the above named applicant to perform the work described im4he that the person to whom it is granted, and his agent, employees and workmen shall conforryun gi 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. ibove statement. This permit is granted upon express condition respects to the Ordinanceof^^er Tail County, Minnesota. Issued Date: 00 Resource Management OfficeLai Fee $.Rec ft. ^ As> S>ex h.LComments: Form No. BK — 0292-003 260.771 — Vidor Lundeen Co., Printers, Fergus Falls, Minnesota f PERCOLATION TEST DATAK LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, MN 56537OWNE^ . LAST NAME/>^.V |OnfOS«T i(eSDer'^ gr.^ X /f/ _ c7? J33 SEC. TWP. ex s. u. /) o¥ ©. u, I g£ 341,h' W 0^ net (Lc« W‘n(c.S' I SeL.'{ 3I7,W'^ S La) Sg/.■$■'-TO Lb^ 51 oa) Lt, J9-DiOO'^n-o/9/o-cin</PARCEL NUMBER ' IX)'II0 MIDDLE TELEPHONE NUMBER ADDRESS! ^S?S^''state ZIP CODESTR./RT 3^ G>'fiL^^ range TWP. NAMELAKE/RIVER NO.LAKE NAME LEGAL DESCRIPTION: M'.) « £ C E I V K £? 2 7 1992 LAND 6 RSSCURCE NUMBER/BEDROOMSFIRE NUMBER — TWO TESTS ARE REQUIRED — TEST HOLE NO.TEST HOLE NO. 2 c cDepth To Bottom of Hole.inches;Diameter of Hole.inches Depth To Bottom of Hole inches; Diameter of Hole inches S" OS'la s~- a S'11Soil Texture Date 19Depth, Inches Date 19Soil TextureDepth, Inches piv\Q SQivl 00" ^Percolation Test By Firm Name 1?Q(\eg Percolation Test By. Firm Name Boh Roke^0 Q UOU poYgS \n l~ln-4c0 iQ l?f, ) 8ex ^^0 I Soym Iji iiv M^.SZ5S~I SZ^'7fAddressAddress)T Otter Tail County License No.Ill Otter Tail County License No.H PERC TEST # 1 PERC TEST # 2 IKTERVALfMINUTBX}WATBRDBPTH PBRCRATBTIMEWATER DROP TIME priERVALaowifrBs>WATER DEFTH WATER MtOP PERC RATESTART• TART'?So3Sr T'nMU DROP PERC 'HMll E&ROP reiR?“IWTBRVALfMDIUTBa WATER DgPfH PERORATEWATER DROP TIME INTERVAL fMIWUTH^WATER DEPTH W/OERDROP rate RATEIMREFILLREFILL,/I TIHB-Pli4r “pBirerIP:.I T 'nV4B ■ DROP PBRC INTERVAL tVilNinEP WATER DEPTH WATER DROP PERORATETIME TIME INTERVAL fMINUTBST WATER DEFTW WATER DROP PERORATESS^/153REFILL RBEILL.S- DROP PBRC ^ 4 S', a TIME bROP PBRg~ /TObS" INTERVAL (MIKirrEST WATER DEPTH PERORATEWiPERDROP INTERVAL OynNlfTESI WATER DEPTH WATER DROP PERORATE REFILL REFILL _I A -^ 'llKm ^ PROP Wrc'llMH ^ DROP PERC /q-.3.?.ji5?Il£l INTERVAL fMPIUTESI REFILL PERORATETIME WATTO DEPTH WATER DR(y TTKC INTERVAL (MPUrtESI WATER DEPTH WATER DROP PERORATE 5^XU3 5-t/REFILLsz 1 rSS Iuc::5".I ' A *____-_______ 'HMM PROP PIEtftC ______A /raUB” bRCK*' INTERVAL <MINIJTES>TIME WATER DEPTH reRC RATEWATER DROP TIME INTERVAL IMINITTESI WATER DEPTH WATER DROP PERORATE XILREFILL REFILL us 'HMK DROP PBRC Ii I ^ DROP j. INTERVAL IMINirTES)WATER DEPTH PERORATETINE TIMEWATER DROP INTERVAL IMINUrBfl WitfER DEPTH WATER DROP PERORATE REFILL REFILL TTKOr DK5F" pbrc TOXE~ DROP PfeRti INTERVAL IMTNmESITIME WATER DEPTH WATER PROP PERORATE TIME INTERVAL iMtwtrmn WATER DEPTH WATER DROP PERORATE REFILL REFILL ttm6~ • BRbF PERC VkMB DROP PERC~ COMMENTS/CALCULA TIONS:rk MKL — 0390 - 005 250,615 — Victor Lundeen Co., Printers, Fergus Fails, Minnesota 6- p - ?a kJ. ^»-^-e_ 4 ^ 4 jd’^J-^-c. ^O O j “ /Si5 ^ J2sZ^X l]SD t // ;^5" dx- 4S- /OOd ,^^eyC^^ '. ^ J300^7575J 4**^ ^^‘-j?*''*^ jOO ^7^ /=r^ X />g ^ 7y7 rr^ P.cpfl 4<^>o ^ .-^3. 4c- . ^//X .^3 3^^ ^ ,/U^t^ <Ay^ eX. ^ 3d, ~^jC'yy<. @ H-12^ ^ yn&Ji_ I JM^ ‘ fz.efr L/^jk i 1^ ihvl ■ .. fUcuKT.^^auACL-e 1 c^zct^ ^^/cA^rul:^.- (J-M- Cp ~ I £k. C' 2W l)az}^^AAken'&dt s^ 1 !&:^a /// A^&JUAp^ /^ttrr CERTIFICATE OF APPROVAL SEWAGE SYSTEM a lUh day of NovmbeA 19 J1This certificate has been issued this iM§ mto certify that the sewage system installed as per sewage permit number indicated below has been approved for use by Otter Tail County, Minnesota.mfM The premises covered by this certificate are legally described as: GTjuxxdLake No. 56-239 Twp. 1332S Range 39Sec.Twp. Name iSpt 0^ SL S GL 1 (13.14 acAeJ>]29-000-28-0190-004 m29-000-99-0814-000 thia 29-000-99-0821-000 Lot 1 Blk 1 tfuiu Lot 8 Blk 1, Sunset Hetgkts [M.SimAe;t Beac.fi ReAo^ m¥AP.d Kaffi/SanApt Beach RpJ,antOwner: Name mAddress Rtf3 Rny 181 Battfc lahPj MM aZip No.:.'g Land & Resource Managemcnl Official q3t;7Permit No. SP Signed by: Oner Tail County. MinnesotaMKL-0987001 253.617 Vidor Lundeen Co . Primers, I’ergus l-alls. Minnesoia «> *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 GY- // Permit No.. w 0 ^ O-rpr 3 <4LEGAL /-o (-K ■ •$<£ ON u iII7 : vJ 7C/. Sr Gos- DESCRIPTION I AND LoXe-fOQO/ 33Vv ■ -A 3^LOCATION Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State Tel. No.Last Name First Initial Zip No.---------r+ K \ aa -4OWNER 'P>P)rTL-BPeSorJ~. . .y X', ri ,Uf--G « a-y •< ^Ony5 R ■SEWAGE SYSTEM INSTALLER //Q. <h'Name, !K) This System will be ready for inspection on.,J\9_______ _(G T'l Jp^ This space for office tvse only .,s.y .M Owner or Agent Signature iJ^ j —^ IDate Rec'd Time Rec'd Phone Call Rec'd By NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD /'i/'XCaR'GIs.Sq/' Ft.Capacity Sq. Ft. !£// Ft.f G7G o 0Ft.Ft.Ft.Distance from nearest well iiLIrorrt lake r: )T\i,' •O'I j Ft."Distance Ft.or strearti 57i 'I \Distance from occupied building - ' Ex ', 't ^ Ft.Ft.\ 4/r3Distance from property line Ft.ft.Ft.,-4 J'v~ri.rii—^ Distance from bottom to Water Table Ft.Ft.Ft. All distances are shortest distance between nearest points RECORD OF TESTS: X' J Q >?mv rvInspection was made on 19,, Time ByM m..^.IF../.PERCOLATION TEST DATA:Date of First Test ............ 19 gate. Rate19..!?0.,iL-Date of Second Test .S1st Test Taken By //First Test...+ 2nd Test 5)Rate2nd Test Taken By I 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. I understand that I have been granted a sewage system site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any addi tional permits are required by the township for my proposed project. /Signature r 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, jn all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. ' NOTE: Permit void if work is not commenced within six (6) months. Permit: \ ±47 4j - Shorelaha-Mar^aementIssued Date:___ .-A . -47 Fee $Rec #• V*VrX\CERT ISSUED \Comments:4 / Form No. MKL-032085 237,443 — Victor Lundeen Co.. Printers, Fergus Falls, Minnesota ipiF ’ T '' ”,1^ viw. •'•♦ •4 INSPECTION RESULTS M 2^Inspector must make all measurements I ^ c50 I r- ' SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYActualShould Be Actual Should Be Actual Should Be i- 0 p y ^ sroc QuCapacity GIs.S F S F SF S F Distance fr^m Nearest Well Q9'1>P I(o3F F F F F FV Lu!<)0Distance from Lake or Stream /(TO F F F F F F I O 3 r Distance from Occupied Building T57 F F F F F F12. )o^Distance from Property Line F ioFFF F F ^0^Distance from Bottom to Water Table 3 3FFFFF F Inspector’s Comments: f . pN/7 C V ^ r-Co ct?i ^A~i<r -coo ^ '/3^O C-^ O M.'v la. ^4—toy > A ■(d Pi U ^iOi'tP S v'> •i 2 f -fPlx (3 ■(4-V 4-Ai.>\ 5 V\ p -^ l/v yy jp.a V- .r^1* s (\ A-r <5/I ■ s-■l/'^0Date of Inspection 19 z: 3 0Time of Inspection M F ■ ’JLvy^ Signature of ihspeclor f >-y INTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job Title MKL - 03208S - Backar Agency itWfl Ir- \-'—i~t Hi 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 While — Office Yellow — Inspector Pink — Owner / Permit No., w OF fviror a t- ipr ^ w sci / sw Lot 3 YLEGAL OoT(\^rz^ 4-0 lM.. ^ ONIDESCRIPTION I AND l^3 3^w- 13 c\I^ll-GO^ -3-yfLOCATION Lake No.Lake Classif.Lake Name TWP TWP NameSec.Range IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and State 3 8ox 1^7 Last Name Initial Zip No.Tel. No.First K^o>c fecDOWNER 'iaiTL.e L-K tOT) rj8£Fk>K . u./'V -f-vv <SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only 19 ,M Owner or Agent Signature JaL /Date Rec'd Time Rec'd Phone Call Rec'd By HNUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD taoc GIs.Capacity Sc/Ft.Sq. Ft. o 0Ft.Ft.Ft.Distance from nearest well 5T3 Ft.Distance from lake or stream Ft.Ft. /o z<fFt.Distance from occupied building Ft.Ft. ioDistance from property line Ft.Ft.Ft. 3Ft.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 m...LPERCOLATION TEST DATA:Date of First Test , 19 Rate^o]p fQ./Date of Second Test 19 Rate 1st Test Taken Byg(jk:e5 I IfFirst Test + 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. SignatoryCf /C-^yyrp j I understand that I have been granted a sewage system site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any addi tional permits are required by the township for my proposed project. 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 4- ^1-^0 oIssued Date: Shoreland Management 9Fee $Rec It Comments: Form No. MKL-032085 237,443 — Victor Lundeen Co.. Printers, Fergus Falls, Minnesota s>*4 ty: ■ 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 i White — Office Yellow — Inspector Pink — Owner ser k£s<jer' S.L. B OF krL / Permit No.,}LEGAL OP DESCRIPTION AND (o-D zir nji-f le^wLOCATION Lake No.Lake Name Lake Classif.Sec.TWP NameTWPRange IDENTIFICATION:' Please Print All Information. Mailing Address — No. Street, City and State Tel. No.Last Name First Initial Zip No. O 3 /^/OWNER ■e E fTCP o< m ^ ' f---------- * ■ V £) P-'Y c Bj -g.SEWAGE SYSTEM INSTALLER Name. \i\ 6'I Li-\\ I ,r\ ' ^ ' 1> Tfy/s System will be ready for inspection 19_i I.on. 4Thif space for office use^oiily %!o \! M Date Rec'd Time Rec’d Phone Call Rec'd By Owr*er or Agent Signature^ . .5, ______■ v-ry cl 1NUMBER OF BEDROOMS:ESTIMATED COST: ^ SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD ■ /7^7GIs,Sol Ft.Qapacity Sq. Ft. Ft.Ft.Ft.Distance from nearest well 77)45^0 i/C\Ft.Ft.Distance from lake or stream Ft. 7JODistance from occupied building Ft.Ft.Ft. /oDistance from property line Ft.Ft.Ft. 3Ft.Distance from bottom to Water Table Ft. Ft.I AH distances are shortest distance between nearest points T C7 RECORD OF TESTS:\7o o N -4-i >:;1 X T' 4e>i-Inspection was made on 19 , Time .M By i 4/ '/ ,, 19 Rate , 19 PERCOLATION TEST DATA: 73>L- Date of First Test /90Date of Second Test , Rate T^t Taken By t 1st f /IFirst Test + 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. fI understand that I have been granted a sewage system site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township In order to determine whether or not any addi tional permits are required by the township for my proposed project. i / rSignature 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 V - YdIssued Date: ' Sfwreland Management Office0=^"'5-yFeeRec #ICE^T ISSUEDComments:i 1 Form No. MKL-032085 237.443 ~ Victor Lundeen Co.. Printers, Fergus Falls, Minnesota » « 1¥ INSPECTION RESULTS Inspector must make all measurements \* SEWAGE DISPOSAL SYSTEM STATISTICS 10r. SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORYShould BeActual Actual Should Be Actual Should Be ICapacity Qls.GIs.S F S F S FS F (2^fS ((-WVrJDistance from Nearest Well F F F F FF /IDistarlbe from Lake or Stream /OS'FF FF FF ^ /C ( V Distance from Occupied Building V/F F F F F FSo3-rii. (*• Distance from Property Line F F F F FF rdDistance from Bottom to Water Tabie 3 3FF F FFF D j. Inspector’s Comments: t S l-1Oi- t?S Y la yar Zl. •■H ■1 ■ ■1 '<1 45 I' ^ y b i o “-■4 s- u-Date of Inspection, "2>'/27 oTime of Inspection M (^4 1f rn Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F = Linear Feet Job Title MKL • 032085 > Backtr Aj3«ncy \ / 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 — lnspecH>r Pink — Owner S'-'A N/ 5 IFT S.L- ^ (^L } Permit No.LEGAL PTDESCRIPTION AND (oO ar )3J^ 2^1 w-LOCATION Lake No.Lake Name Lake Classtf,TWP NameSec.TWP Range IDENTIFICATION: Please Print All Information. Mailing Address — No. Street, City and StateFirstInitial Zip No.Tei. No.Last Name O 2.3 Qcy^ ig'fOWNER ccsr$-fSEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only 19 M OwnerDate Rec'd Phone Call Rec'd ByTime Rec'd 6>NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD 7V7GIs.Capacity S/ Ft.Sq. Ft. ^<2 Ft.Ft.Ft.Distance from nearest well S'O Ft.Distance from lake or stream Ft.Ft. LO Ft.Distance from occupied building Ft.£L /O loDistance from property line Ft.Ft.Ft. 3Ft.Distance from bottom to Water Table Ft.Ft. AH distances are shortest distance between nearest 'points RECORD OF TESTS: Inspection was made on , 19 , Time M By 19 Rate / RCOLATION TEST DATA:Date of First Test /19..^.^. Date of Second Test , Rate Test Taken By1st (/IFirst Test + 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. I understand that I have been granted a sewage system site permit in accordance with the requirements of the Shoreland Management Ordinance of Otter Tail County. I understand I must contact my township in order to determine whether or not any addi tional permits are required by the township for my proposed project. P\/ ' / A c H, 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 16) 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 ^7- 90Issued Date: Shoreland Management /iffice Fee Rec # Comments: Form No. MKL-032085 237,443 — Victor Lundeen Co.. Printers, Fergus Falls, Minnesota 1 GRID PLOT PLAN SKETCHING FORMfeet/inchesScale: Each grid equals 19Dated:Signature Please sketch your lot indicating setbacks from road right-of-way, lake and sideyard for each building currently on lot and any proposed structures. : I I r/ L i tzp\p c X ^Cl%/ «*.N, ^5■ I r i I- I ' •'V' !"VK rs 1 21598 7®MKL-0871-029 VICTOR LUNOCEN CO . RRINTER$. rCRSUS FALLS. OHER TAIL COUNTY DEPARTMENT OF PUBLIC HEALTH SUB OFFICE; 222 2nd AVENUE S.E PERHAM, MINNESOTA 56573 MAIN OFFICE OHER TAIL COUNTY COURTHOUSE FERGUS FALLS, MINNESOTA 56537 218-739-2271 April 30, 1990 Tim Griep Land & Resource Re: Sewer System for Sunset Beach Dear Tim, Minimum drainfieldsizing for the cabins at Sunset Beach Resort shall be as follows; 2two cabin system (4 bedrooms) - 250 ft. three cabin system (7 bedrooms) - 450 ft.^ 1. 2. The maximum drainfield width for either system shall be 25 ft. Doug Johnson DJ/jn CERTinCATE OF APPROVAL SEWAGE SYSTEMft 2nd NovmbeAThis certificate has been issued this day of to certify that the sewage system installed as per sewage permit number indicated below has been approved for use m :by Otter Tail Count}’. Minnesota. The premises covered by this certificate are legally described as:. *' 56-239 GvioAdnTwp. ^RangeLake No.Sec.Twp. Nameat- ■it Sun6zt Beach ReJionX ?t SL A oi GL ImiCabfyu ^1,2,3,4 6 5) Owner: Name F-^ed KoLk.S.T m^3 Box ISl Battle. Lake., MMAddress at 56575Zip No. Ua£Ac^Permit No. SP ^S295 Signed by: Umd & Resource Managemeni OfTicial Oiler Tail Counly. MinnesotaMKL-0987001 Vidor Luivlecn Co. Primers, Fergus F'alls. Mtnnesoia ;215502® VICTOR LUNDCEN CO.. PRINTERS. FERGUS FALLS. UINN.PERCOLATION TEST DATAMKL -0871 -028 LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. Mailing Address:Owner: / Fv-eo/ First -.rMiddle LAKE OR RIVER NO. NAME SEC. of i , 3/y^.V' UJ AJe uj iv 3 17.9^^ 5UJ s'r/.r''^ 5^ c Je af' ^ Bok]9I fetHk Ub H Y\. Zip' No.St. & No.City StateLast Name Legal Description;(r \{/^023ixTWP.RANGE TWP NAME S' ■ntml C/.) TEST HOLE NO. 2TEST HOLE NO. 1 \v G^' Depth to Bottom of Hole inches; Diameter of Hole JnchesDepth To Bottom of Hole,inches;Diameter of Hole inches mu-Soil TextureDepth, Inches Depth, Inches Soil TextureDate 19 DateSo?hc/ Soh ffok-e.^Percolation Test Bv___ Percolation Test Bv .QUJ /C c -S-g PV/ c HoA" 7 9^:2 Firm Name.QC F irm Name.:5€trvi c-€-DO fou^-c /8oV I^^WVKvAQ - hv>. LU oc AS k h H'UJ y Nu.LUAddress.QC Addressn< ilA ll^Otter Tail Countv License No..Otter Tail County License No..C/5LUMeasure ment,inches Time Intervals minutes Drop in water level, inches Percolation rate minutes per inch I-Measure- ment inches Percolation rate minutes per inch Time I nterval, minutes Drop in water level, inches Remarks:Remarks:Time Timeo Pi “lieJ§ I-£11:31 H3? m:U3M 5I £S ILM ,^2IS'r.-bs i\An:.^s 1±c ILTL 1 h:3!lys jL_k. !\:'S7 1 11 (37 13.11 1mva.i(3i 13I1ilili1 I lAli£k113a 1 1 ii3a I\I 1 See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN.Percolation rate =Percolation rate minutes per inch minutes per inch 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 Whila-Office Yellow — Inspector Pink — Owner Cord — Owner Permit No.,«< LEGAL /" DESCRIPTION AND LOCATION TWP NameRangeTWPLake Classif.Sec.Lake NameLake No. IDENTIFICATION: Please Print AM Information. Tel, No.Zip No.Mailling Address —No. Street, City and StateInitialFirstLast Name OWNER SEWAGE SYSTEM INSTALLER Name. g^lbL^ / Z , QQ prys This System will be ready for inspection on.., 19. This space for office use only Thl^S<L.pt- Owner or Agent SignatureDate Rec'd Phone Call Rec'd ByTime Rec'd NUMBER OF BEDROOMS;ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD Sq. Ft.GIs.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 Ft. Ft. Ft.Distance from property line Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on „ 19 , Time ,JVI By rPERCOLATION TEST DATA:Date of First Test , 19 Rate Date of Second Test i. Rate19 1st Test Taken By -I- 2nd TestFirst 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 $ CERTlFlCATr ISSV ZDComments:. j Form No. MKL-0771-003 [^ViEW tATHE lAKE. MINNESOTA i -W t^.7 .' -*• INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORY Actual Should be Actual Should be Actual Should be ^17sf 73 sCapacityGIs.GIs.S F S F S F 4^0 4^0 .Distance from Nearest Well 75 50FFFF F 4so 5-0Distance from Lake or Stream F F F F FF .7*0Distance from Occupied Building 2010 20FFFF F t- F50Distance from Property Line 1010 10FFFF F ^7* p Distance from Bottom to Water Table 33FFFF F / 6) ^ \ji C>a YVT p 5; ) fo ^Inspector's Comments: I— O ! / jyxJ^- py 'T^nK^ ) .9I2Date of Inspection /Z'.5o £mTime of Inspection. signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs Gallons SF " Square Feet F “ Linear Feet Job Title AgencyMKL-077 l-003-B8cker I 27 c9' 3 7 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 Wh/t* — Office Yelhw — (rapector P/nk — Own0f Cord— Owner Permit No..LEGAL I3q- c/K Q_ s 0 7''!“ ^^ u n f* DESCRIPTION AND <33 37^(^-239 v^yLOCATION TWP NameRangeSec.TWPLake Name Lake Classif.Lake No. IDENTIFICATION: Please Print All Information. Zip No.Tel. No.Mailling Address —No. Street, City and StateFirstInitialLast Name -i om H ‘'h h } nX. w k;m rJ ■bOWNER + 'arSEWAGE SYSTEM INSTALLER y r>Name. This System will be ready for inspection on.19. This space for office use only .19 .M Owner or Agent SignatureDate Rac'd Time Rec'd Phone Call Rec'd By BEDROOMS: ClQ yv7 ^ S* /NUMBER OFESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD 13S^ISOO GIs.Sq. Ft.Sq. Ft.Capacity //(TOFt.Ft.Ft.Distance from nearest well Ft. Ft. Ft.Distance from lake or stream i er Ft.Ft. Ft.Distance from occupied building I oJ <DDistance from property line Ft. Ft.Ft. 5Ft. Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19 , Time ,JVI By L..Z...tc...IPERCOLATION TEST DAJA: Q> To Date of First Test Rate, 19 V Z,.iTDate of Second Test 19 , Rate<^c\r 1st Test Taken By I I•I . toFirst Test -I- 2nd Test S 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.) (7p.- y 2-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 ail 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.C"rIssued Date: Shoreland Management Office& Fee & I ^ ■Ccc, Comments:, Form No. MKL-0771-003 @fVKW tATTlf lAKi. KINNfSOTA INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should' be Should beActual Capacity GIs.S FGIs.S F S F S F Distance from Nearest Well 75 50FFFF F ■F , . Distance from Lake or Stream F F F F F ■F 20Distance from Occupied Building 2010FFFFF F Distance from Property Line 10 10 10FFFFF F Distance from Bottom to Water Table 33F■ F F'F F F Inspector's Comments: 1 Date of Inspection 19___ !’ • Time of Inspection,M Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F ® Linear Feet Job Title Agency , MKL-0771-003-Backer • 1 21SS02@ VICTOR LUNOEEH CO.. PRINTERS, FERGUS FALLS. UINN,PERCOLATION TEST DATA. MKL -0871 -028 LAND AND RESOURCE MANAGEMENT .Otter Tail County Fergus Falls, Minnesota 56537 Ph. No. . Mailing Address:Owner: 5uv\5.e4 Rq.SOvH' (f'-cd kalk)tltlBaiife L^kp Zip No.StateFirstSt. & No.CityLast Name IWeleHe Legal Description;:i8 (j- liMie-;4-^i4j-)F 1-0 l(g NAME PT 5,L.yi c-^C.L ) ^ 3G. !JJ<^ TWP NAME (y~oTni V x^Sc/^os/^ TWP.SEC.RANGELAKE OR RIVER NO. ILet^^ CD ft) TEST HOLE NO. 2TEST HOLE NO. 1 II ". V(<z Depth to Bottom of Hole inches; Diameter of Hole JnchesDepth To Bottom of Hole,inches;Diameter of Hole inches M ~3.MSoil TextureDepth. Inches Depth.Inches Soil TextureDate19 Date 19F Q.QiA/jfwe SCiwj. Bob BstcesPercolation Test Bv____ Percolation Test Bv .Q UJ •pebs Stprftc -Set-v/ceRfife Sepfi; .TeirViri?FirmName.OC Firm Name.DoLU QC d^hhiuto , A/i/j- £^6S~S'fUj>sr.~frl LUAddress.iAf/i Ln QC Addressn< m /iSCO Otter Tail County License No..Otter Tail County License No.,I-coUJMeasure ment, inches Time Intervals minutes Drop in water.level, inches Percolation rate minutes per inch H Time Interval, minutes Measure ment inches Drop in water level, inches Percolation rate minutes per inch Remarks;Remarks;Time TimeO 5 a:H IM Re-^nk-l li!a:c)7 M )X07 1iMI AM i Je_3'’a:o?7inn:oq .5“1a/IDj-klAia\o 1IVii9"Jim iX II II I 10“ixa IX g1 \1 JlLli 111»3is:1L4KM:IX m ia"I 1I w 1 1 See Booklet-, "How -.to Run a Percolation Test" by Agriculture Ext. Service, Un. of MN.i\ Percolation rate =.minutes per inch minutes per inchPercolation rate =s • •; m CERTIFICATE OF COMPLIANCE SEWAGE SYSTEM S2V^cmboAThis certificate has been issued this 19.day of TIto certify compliance with regulations of Shoreland Management Ordinance, Qtter Tail County, Minnesota. I The premises covered by this certificate are legally described as: Range 39 GaAjOJuLTwp. ^ 33Sec.JA.Lake No. 56-239 Twp. Name. mi SameX. Bzack ReAoAX. ■ s m’r- •• JameA ZuieeAfnkOwner: Name. A ddress RoliXz 2. Hznnim, Hinnuotai.r m 56551Zip No. Permit No. SP 4963 Signed by.yvy^ Icolm K. Lee, Shoreland Administrator ter Tail County, Miimesota MKL-0871-009 // a 159035 *'eret uMCia a m. rtiarta. nMM rauj. wm 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 te y low — Inspector Pii.. — Ov\4ner Card. — "Owner Office \ Permit No.,LEGAL Datet'x K --DESCRIPTION I J , /"V. AND LOCATION Lake No.Sec.TWP NameLake Name Lake Classif.TWP Range IDENTIFICATION; Please Print All Information. Zip No.Tel. No.First Initial Mailling Address —No. Street, City and StateLast Name OWNER SEWAGE SYSTEM INSTALLER Name. s/DQ<?A fo I'tOOThis System will be ready for inspection , 19.on. This space for office use only i cS ^.^M Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signature NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD GIs.Sq. Ft.Capacity Sq. Ft. Ft.Ft.Ft.Distance from nearest well Ft.Distance from lake or stream Ft.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 ,JVI By PERCOLATION TEST DATA:Date of First Test 19 , Rate Date of Second Test 19 , Rate 1st Test Taken By First Test -I- 2nd Test 2 Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement: strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. (Call or use attached mailer notice.) Dated. Signature Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it Is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE; Permit void if work is not commenced within six (6) months. Permit: Issued Date: Shoreland Management Office yV''-'Fee $Surcharge $C 2-82[cert ssued Comments:. Form No. MKL-0771-003 VICToa LWM»CEN « CO.. MiaTtHt. PCHSU* Fackl. HIHN 15S906 ".INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEPTIC TANK SEEPAGE PIT DRAIN FIELDCATEGORY Actual Should be kCtual Should be Actual Should be 7 ?Capacity GIs.GIs.s F SF S F S F l&O FtooDistance from Nearest Well F 5F 50FF F 2£Distance from Lake or Stream F F F F :7g> FlADistance from Occupied Building 10 2020FFFF F Id tl5 FDistance from Property Line 10 10 10FFF F 3Distance from Bottom to Water Table F F F F F F uInspector's Comments:^ -p 1.> .19-2/Date of Inspection Time of Inspection.M GJc^ signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs ° Gallons SF » Square Feet * Linear Feet Job TitleF AgencyMKL-0771*003> Backer 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 te — Office V low — Inspector Pli.. — Owffer Card — Owner i-s/ -j’/ Permit No.,LEGAL Date DESCRIPTION AND 6(c LJ ■o2<fLOCATION Lake Classif.Sec.TWP Range TWP NameLake No.Lake Name IDENTIFICATION:Please Print All Information. Tel. No.Zip No.Initial Mailling Address —No, Street. City and StateLast Name First T5sLW>-ez? £ .OWNER ■5^7Su. 0(L<Xa^ /LL-6SEWAGE SYSTEM INSTALLER I a ,Name, This System will be ready for inspection . 19.on. This space for office use only ,19 .M Date Rec'd Time Rec'd Owner or Agent SignaturePhone Call Rec'd By NUMBER OF BEDROOMS: ^ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT /DRAIN FIELD ^cy^>2..^q. Ft.Sq./roQOCapacity Ft.YO O Ft.Ft.Distance from nearest well Ft. Ft.Ft.Distance from lake or stream cx^ OFt.Ft.Distance from occupied building Ft. /c;Distance from property line Ft.Ft.Ft. Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between neares^points RECORD OF TESTS: Inspection was made on 19 , Time .M By y-oi 7 19 .<T/.....PERCOLATION TEST DATA:Date of First Test Rate cuu£Date of Second Testro 19 , Rate& Taken By1st Te 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 b responsibility of the applicant for the permit to notify the County Shoreland Management that thi jo5 is ready for inspection. (Call or use attached mailer notice.) vered until it has been inspected and accepted. It shall be the 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 7-SIssued Date: Shoreland Management Office Fee $Surcharge $ Comments:. Form No. MKL-0771-003 Vicroe LUNOECN *CO., paiMTCM, rceou) ruLi. ui>>n.158906 PERCOLATION TEST DATA Price $1.00 per pad.. SHORELAIMD MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No.Owner:Mailing Address: yy'£"7^ ^I?"f Zip No.wLast Name Middle St. & No. / i 1> TWP. State .Legal Description: «r . LAKE OR RIVER NO. NAME SEC.RANGE TWP NAME % 5^ TEST HOLE NO. 2TEST HOLE a>"Depth to Bottom of HoleDepth To Bottom of Hole,inches; Diameter of Hole.jnchesinches;Diameter of Hole inches 19^.2.Depth, Inches Soil Texture ^Depth. Inches Soil Textur^^2i^?^^colation Test By___ Date.Date 19 LSI. jP^colation Te^ By____U-1 aUJ uTirmName.U-CC 3 OLU CC ^S.L___ UJ4^Address.QC Address < S</iOtter Tail County License No..Otter Tail County License No^H(/>UJMeasurement. inches Depth in Water Level. Inches t / jr I u___IS- -I— / Measurement, Inches Depth in Water Level. InchesL/UT^l'IlrZ£C Remarks Remarks llULLCLLLL/____>rtQ_ ILLILL-ILULLL / "U1rfLSLIelq.LS_LSl / "/IL ^ & MKL-0871-028 183-818 See Booklet, "How to Run a Percolation Test" by Agriculture Ext Service, Un. of Minn. @fVlfW SAIUf LAKE MINNESOTA i V rrj ^ w I Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Center - 540 West Fir Fergus Falls, MN 56537 PH: 21S-998-8095 OTTER Tail County’s Website; www.co.otter-tail.mn.us December 5, 2008 Rick Toms Minnesota Department of Health 1505 Pebble Road Suite 300 Fergus Falls, MN 56537 RE: Sewage System Servicing Sunset Beach Resort, West Battle Lake (56-239) Dear Mr. Toms Our records indicate that on August 10, 1981 a sewage system (Sewage System Installation Permit #4638) was installed on the above-mentioned property. Our records also indicate that this installation was in compliance with the provisions of the Sanitation Code of Otter Tail County in effect at the time. Since this is the case, we would still consider this sewage system as being in compliance with our current Sanitation Code requirements. Should this sewage system malfunction it would have to be repaired or replaced in conformance with the provisions of the Sanitation Code in effect at the time of failure. If you have any questions regarding this matter, piease contact our office. Sincerely, Bill Kalar Administrator BK/mIs «, ■TT'fif ^iJ fC gs8Al 2^j^Bu 'aP'4.(I CERTIFICATE OF COMPLIANCE i SEWAGE SYSTEM% m mJm mThis certificate has been issued this day of.19__ai27 th January m 1^S;to certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. r-5^ - r <KS The premises covered by this certificate are legally described as:IIp-i 56-239 28 Twp. 133 Range 39 Twp. Name GirardLake No.rf mh:: 'm Sunset Beach Resort 13 . ■■■•S rm Ur mm ik Owner: Name.James R. Zwpirink Address Rt. 2f Henning. MNfe . 56551Zip No. ■i iT^ Permit No. SP 4638'r Signed by:. Milcrflm K. Lee, Shoreland Administrator Otter Tail County, Minnesota iMKL-087!-009 'i ?TTKr?5 ?w 17^ ®159035 v'ctoi tantt* » eo. riiiMTcii. rcMut r»ui. wiu PER CO LA TION TEST DA TA Price $1.00 per pad. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 fS ^ Ph. No.Owner:Mailing Address: /9 ^ Zip No.Last Name MiddleFirst St. & No. ./J^. TWP. j8tate Legal Description: ^ (a ' 0^ ^ ‘'f LAKE OR RIVER NO.AX-RANGENAMESEC.TWP NAME 5 TEST HOLE NO. 2/IX TEST HOLE NO. 1 u-U >“Depth to Bottom of HoleDepth To Bottom of Hole. inches; Diameter of Holeinches; Diameter of Hole Jnchesinches Depth, Inches Soil Texture nat« / 2 7 10 ^ / lX Depth, Inches Z-^Z-Soil Texture 19Z/Date JjL JJJL ercoiation ^Tirm ZjLa •fernIT Name4DoUJCC UJ ^ / Address.GC Address < 77 /t COOtter Tail County License No..Otter Tail County License No^I-to111Me^urement, * Inches Depth in Water Level, Inches H Measurement, Inches Depth in Water Level. Inches Time Remarks Time Remarks oi’t u!l- U ^ ifpC' > ff-0 LL/ I *'If LL (LL Lf' I j; /L'L (L //Z LILL f» J -«*<y L i/ 1 7 MKL-0871-028 183-818 See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. [Review flAiuE lake Minnesota ?<r:'Z<rr mm mS r'h CERTIFICATE OF COMPLIANCE » te ptIf Wi SEWAGE SYSTEM m 29 th day of January 19. 75...,r/j/s certificate has been issued this ¥% §to certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. The premises covered by this certificate are legally described as: n Lake No. 5^-239 28 Twp. 133 Range_3S-Twp. Name GipardSec.r= ififc ¥ '/ Sunset Beach Resort Ip & Campground Aaron Johnson if pi Owner: Name.'ik 1-^4 Route #2. Henning. MinnesotaAddress. m Zip No.f-*s 682^"1 Permit No. SP_ Signed by:. Malcolm K. Lee, Shoreland Administrator Otter Tail County, Minnesota *MKL-087 1-009 mm '( ®159035 '"Cia* Lu«8ct«i 4 ee. fc»su* hll». 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.Card pw^ier l^rmit No. Date LEGAL DESCRIPTION d02—/O Or AND (^l rtOiV'cLr^n sRLOCATION Lake Name Lake Classif.Sec.Lake No.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Initial Mailling Address --No. Street, City and StateLast Name First Zip No.Tel. No. /sT^^ t t\■J o/v C2OWNER SEWAGE SYSTEM INSTALLER Name, This System will be ready for inspection 19.on. 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 GIs.Sq. Ft.Sq. Ft.Capacity Ft.Ft.Ft.c5~0 7J5Distance from nearest well Ft.Ft.Distance from lake or stream Ft. nFt.Ft.Distance from occupied building Ft. fGDistance from property line zo Ft.Ft.Ft. Ft.Ft.Distance from bottom to Water Table Ft. AH distances are shortest distance between nearest points I 7 RECORD OF TESTS: Inspection was made on , 19,, Time ........M By. , 19 .....>5;. , 19.... .^...zi5.o... ,...^....Z3a 3PERCOLATION TEST DATA:Date of First Test Rate sL s~Date of Second Test Rate 1st Test ken By .5./1 First Test + 2nd Test 2 Rate2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein sp>ecified. 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, sketchesand 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 anjfUKt:e ~ responsibility of the applicant for the permit to notify the County Shoreland Management that the jobls^ady for inspectio^^Call ipted. It shall be the se attached mailer notice.) ^ /s~ Signature Dated * Permit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in ail 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 tement. This permit is granted upon express ? X.S- A XIssued Date: Shorelapd Management Office. SG i5-^3. A^qFee $Surcharge $ £/n\Comments:.I t\ Form No. MKL-0771-003 vtCTsa uiMacKH 4 C0-. paiNTca*. rc««u* rM.L«. MiNM.15S90e 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 Card — Owner L Permit No..V.'LEGAL Datec:^DESCRIPTION d/O Cy r'l AND /i)f y > i re. '■ r?r.n tLOCATIONt Lake Classif.Sec.TWP TWP NameLake No.Lake Name Range IDENTIFICATION: Please Print All Information. Mailling Address —No. Street, City and State Zip No.Tei. No.First InitialLast Name y-r-\ ro <\ K-■ ij -rOWNER T ; ASEWAGE SYSTEM INSTALLER Name. ^ fi 7This System will be ready for inspection on.j, 19.H ■j This space for office use only 19 M ] Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signa.ture NUMBER 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 yo Ft.Ft.Ft.Distance from lake or stream aoFt.Ft.Ft.Distance from occupied building Distance from property line Ft.Ft. Ft. / Ft.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points ’ RECORD OF TESTS: Inspection was made on ., 19,, Time ,JVI By 19......!h...T7.:^.a i3PERCOLATION TEST DATA:Date of First Test 19 Rate Date of Second Test Rate i1st Test Taken By 9JFirst Test ■F 2nd Test "i Rata2nd Test Taken By The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work inAgreement; strict accordance with ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minn esota Department of Health. Applicant agrees that plot plan, sketches and specifications submitted herewith and which are approved by Shoreland Management Offi cial shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. (Call or use attached mailer notice.) Dated Signature Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Permit: n" J/■.': / /< /V o r 'M / _. <•; 7 Q ( Issued Date: Shoreland Management Office. -TO/ - OC-./.A.: /\hFee $iSurcharge $ -■/9 u’ CComments:. /.,y'f \ Sb Form No. MKL-0771-003 VICTOt LUliftCllt 4 CO.. POiaUNO. FCIMUS FALLO. HIMII 158906 INSPECTION RESULTS 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 SF S F Distance from Nearest Well 75F F 50FFF F Distance from Lake or Stream F F F F F F Distance from Occupied Building 201020FFFFF F Distance from Property Line 10 10 10FFF F F F Distance from Bottom to Water Table 4 4FFFF F F /f___oQ — O PPInspector's Comments: / 'J—O— V D ^0 - ^ oo Jf T 5^ ,J .19IZ.VVIDate of Inspection \Vlc^_PjATime of Inspection, i// °(T 7SignaturepectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF “ Square Feet » Linear Feet Job TitleF AgencyMKL-0771.003-Backer ) •/ PERCOLATION TEST DATA Price $ 1.00 per pad. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No. Mailing Address:Owner: rf)Jx- ' St. & No. h-i<5-L- FirstLast Name ^2ityMiddle Zip No.State Legal Description:rJf LAKE OR RIVER NO.NAME SEC.TWP.RANGE TWP NAME TEST HOLE NO. 2TEST HOLE NO. 1 Depth to Bottom ot HoleDepth To Bottom of Hole.inches;inches; Diameter of HoleDiameter of Hole jnchesinches Soil TextureDepth, Inches Depth, Inches Soil TextureDate19_Date 19 Percolation Test By____ Percolation Test Bv .QUJFirmName.ir Firm Name,DoLU CC LUAddress.CC Address < COOtter Tall County License No.Ott^Tail County License No..HcoLUMeasurement, I nches____ Depth in Water Level, Inches Measurement, ____I nches Depth in Water Level. Inches Time Remarks Time Remarks ogH Lf- It3. 1 591 79 W1CT0* LUHC-CIH * CO Pt>iurt»9 fCPCui r*LLa, w:x>i MKL-0871-028 See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. iMsi CERTIFICATE OF COMPLIANCE hSEWAGE SYSTEM EM iM tM 3rd 19 74day of DecemberThis certificate has been issued this to certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. The premises covered by this certificate are legally described as: WM pi If#mf:Lake No. 56-239 Sec—M Twp. 133 Range__2^Twp. Name, filrard SIeteltaSunset Beach Resort mmm p4 PIII ta Ummm Owner: Name.Aaron Johnson Route 112, Henningf MinnesotaAddress. Zip No.56551’'3 fMPermit No. SP_505-Signed by:.m Malcolm K. Lee, Shoreland Administrator Otter Tail County, Minnesota-J!/ MKL-087 1-009 s S;v@'''S^WWll*S¥SF$S-»-5F¥lf’5V*W«W«HV|f#F3w%vy-^--T»i. ®159035 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 bellow — Inspector Pink — Oil^norCardOwner IPermit No.LEGAL Date DESCRIPTION AND JJA _21.LOCATION /Lake Lake Classif.Sec.TWPLake No.Name Range TWP Name IDENTIFICATION: Please Print All Information. First Initial Mailling Address —No. Street, City and State Zip No.Tel. No.Name OWNER /t SEWAGE SYSTEM INSTALLER Name, This System will be ready for inspection on.., 19. This space for office use only .19 .M Phone Call Rec'd ByDate Rec'd Time Rec'd Owner or Agent Signature ESTIMATED COST;NUMBER OF BEDROOMS: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PITSEPTIC TANK DRAIN FIELD / <T ^ Sq. Ft.GIs.—‘ O — Sq. Ft.Capacity Ft.Ft.Distance from nearest well 5T^Ft.Ft. Ft.Distance from lake or stream / a Ft.Ft.Distance from occupied buildinq Ft. / ^Distance from property line Ft.Ft.X o Ft. Ft.Ft.c ~Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: ,, 19,Inspection was made on , Time ..........JVI By 19 , 19.ZY.... .yc..c...j.. ....f&r.rn/.Jf. PERCOLATION TEST DATA: 1st Te« Taken By 2nd Test taken By \ Date of First Test.... O Date of Second Test Rate , Rate First Test -I- 2nd Test 2 Rate 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. AppI icant 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.) y-/r- ?YDated 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 $ Comments:. Form No. MKL-0771-003 vicTca LUMoccN 4 CO.. rc««u$ r*4.La. mimh.158906 itSHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM __ Office Yellow Inspect&f Pink — Owner Card — Owner White •jI -i 9oiPermit No.,LEGAL / ,*- ~ ? yDate DESCRIPTION AND 73JL llALOCATION Lake NameLake No.Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. initial Mailling Address —No. Street, City and StateLast Name ,First Zip No.Tel. No. y.y, r’ 2OWNER SEWAGE SYSTEM INSTALLER Name, M— ‘-/•.cPc 2>- This System will be ready for inspection on :=___ 19,2V This s^ace ^j^office use only V- ,0 L /) 3Z> ^ . 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 ••''5 >GIs.' " Sq. Ft.Capacity Sq. Ft.oy Ft.Ft.Ft.Distance from nearest well J Ft.Distance from lake or stream Ft. Ft. /Ft.Distance from occupied building Ft.Ft. Distance 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 ..........JVI By........... 19 2.1..... Rate , i9.zr..... = ^i3 Z....3..Z... PERCOLATION TEST DATA:Date of First Test /<■ / 2Date of Second Test Rate 1st Test Taken By rA'2.:.....^:..y......+ 2nd Test...^.......2.....ff..tv First Test 2nd Test T^ken By 2 Rate 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 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 condition that the person to whom it is granted, and his agents, employees and workmen shall conform iri 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. ,7 ' Y i-:J 7^ 2 CL, JV',Issued Date: Shoreland Management OfficeI! y ?-r A y ,Fee $_1 Surcharge $\ ^ '' y 7Comments:. /tSSUED(''.KRTir 11^^ * ^: Form No. MKL-0771-003 , ...a 158906vierea utnetiH t ea.. mmmtci «- INSPECTION RESULTS Inspector must make all measurements r_' SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should be Actual Should be Capacity GIs.GIs.S F S F SF ^C> FDistance from Nearest Well 75 50FFFF F /^6fDistance from Lake or Stream F F F F F Distance from Occupied Building 201020FFFF F Distance from Property Line 10 10 10FFFF F Distance from Bottom to Water Table 4 4FFFF F /rLLInspector's Comments: (fJL mrt^/yn\fAff f a I W I.r Date of Inspection 19 I Time of Inspection, Signature>of InspectorINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet » Linear Feet Job TitleF Agency MKL-0771-003-Backer . vi - t ? ; PERCOLATION TEST DATA Price $1.00per pad. . f SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No.Owner:Mailing Address: 0 Last Name First Middle St. & No.City State < • Zip No. ‘ * H > VLegal Description;<LAKE OR RIVER NO.SEC.NAME TWP.RANGE TWP NAME \ TEST HOLE NO. 2TEST HOLE NO. 1 T» Depth to Bottom of HoleDepth To Bottom of Hole. inches; Diameter of Hole inchesinches; Diameter of Hole Inches } 3 19-2-^rjf^}3 ..7YDepth, Inches Soil Texture Depth. Inches Soil TextureDate Date D-I3l^^jU±APercolation Test By____ Percolation Test By____ lU//k//1E -Vjr irmNameDoUJ oc UJAddress.CC Address Otter Tail County License No..Otter Tail County License No..C/> UJMeasurement, Inches Depth in Water Level, Inches H Measurement, Inches Depth in Water Level. Inches Time Remarks Time Remarks o <l5 d^:qo I D.-/0 3L V V/ ^9.s'Allg>- jl:S *3 6-''-'//3.a. ; VV/^5 3 3 ^3 ^^ 7 ^ // g 1 V<g>g: ¥' 2"'Zi'^S-Qa.1 .s~o t4' /i?\4/u2"3 :3 3 / ^/O'xMto. IP yJ^3_/ /> » / 5y -2I ; MKL-0871-028 See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. /s Th^ ri'i T/> t6£ JLs:/?SThl’^ *■ /lA\\ I Ii I I 1If I ...I 1..i I II I1 -4-I I\\ %%\\►i rj ■%«\ N/I> ♦ . i 4l 4#v! I I I i .Ji V______------0 ‘ec/ ) / / / "t-t ■"HK\ / / \SEPTIC TANK A DRAIN FIELD SITEt __;-50"___ Ns5 36W NNX NVX »... PROPERTY CORNER" ■*: CORNER ’i' ( !I 1jI YARDLIGHTi!j w-s s:!? I > I~<S>I o «I cr.“to QI :ro O(/I I ;■ 4 submersible. WELL - 76' DEEP I'cQ. II II . 20SCALE: TOTAL OF 18 ACRES 1 \ I WATER LINEI— ,V— 1 SEWER LINE— S— 1iJ!vvAi En—SCR»^’C.E' WS•: SEWER SERVICEs-s / i CABIN EXISTING 1■ SUPgRV/SloU aaihn.,,.^ I! I !\II!i CABIN 12^!I NO lP(c^O^( '—-1 I n"56'06’W[/, propei^y/ _ CORNER 1 . \(01r0»>Hi_J UJ ’oI-<\J1"^. •shoreline 1 -siesrrsMe: ■ i LAKEBATTLEWEST i