The URL can be used to link to this page

Home My WebLink AboutSwan Lake Club_13000190112000 _ 18313_Septic System Permits_Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services center - 540 West Fir Fergus Falls, MN 56537 Ph: 218-998-8095 Otter Tail County’s Website; www.co.otter-tail.mn.us 10/24/2012 Swan Lake Club Inc Attn Richard C Baker 22630 Swan Lake Rd N Fergus Falls MN 56537 8235 RE; Primary Owner: Swan Lake Club Inc Sewage Treatment System Servicing Tax Parcel Number: 13000190112000 Sec 19 Twp Dane Prairie Twp Sect-19 Twp-132 Range-042 29.64 AC PT G.L. 3 (REC BK 203 PG 486) Described as: Lake: 56-781 Swan As of 10/23/2012 the sewage treatment system (Sewage Treatment Installation Permit # 22105 servicing your property was determined to be in compliance with the provisions of the Sanitation Code of Otter Tail County for a 2 bedroom home. If you have any questions regarding this matter, please contact our office. Sincerely, Scott Ellingson Inspector SCANNED ’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) 2^/0^Permit No.APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED TWP NO.RANGE TWP NAMELAKE/RIVER CLASS SECTIONRIVER NAMELAKE NUMBER -7^/J3^7^ E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED LEGAL DESCRIPTION A 19 Th. t t r Daytime Phone No.Mailing AddressFirstInitialLast Name 7%£/rUS jy)/j ________________^LsrS7 Property Owner y J/2i •2/P4T.Contractor Lie.#o^>A /y>jJ 73f1 97/7 THIS SPACE FOR OFFICE USE ONLY A.M. P.M., the year of at.> This System will be ready for inspection on A.M. P.M. L&R OfficialTime ReceivedDate Received SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWING TYPE OF NSTALLATION (circle ONE) Other Est. (E) New (F) Replacement CollectorResidential (A) New[jB))teplacement (C) New (D) Replacement Soil Treatment Area LiftTank Design Flow (Gallons/Day) (G) 1 — 2,499 (H) 2,500 — 4,999 (I) 5,000 — 10,000 ____ Effluent Distribution (>^^f^ravity ( ) Pressure GIsGIs/SZdSize Setback To Nearest Well Ft.Ft.93Type IIType I (27) Rapidly Permeable(20) Trench, Rock Ft. Ft./3^ Ft.Setback To OHWL(28) Flood Plain(21) Trench, Gravelless (29) Privies(22) Trench, Chamber Ft.Ft.Ft.Setback To BluffTank(23) Bed ( ) Monitoring/Disposal Contract(24) Mound Ft.Ft.39Setback To Dwelling Type III(25) At Grade Setback To Non-Dwelling Ft.Ft.Ft.(31) Other/Problem Soils/<12" Soil(26) Greywater Type IV Setback To Nearest Lot Line Ft.Ft.Ft.io-h(32) Public Domain & Proprietary Technologies Depth of Well Setback To Road Right-Of-Way Ft.Ft.lOj- Ft.Type VTotal # Bedrooms 2^(33) Performance Elevation Above Restrictive Layer Ft.Ft.Ft. Garbage Disposal YAbatementC Y^/ N PERCTEST DATA 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.This permit is valid for a period of six (6) months. 2.This permit does not inciude the buiiding sewer (sewer iine). /9s,d2>Permit Fee $Date: ner/Agent tor OwnerSignature of f^pei Eh/O - - 1 Rec. No..Date: Land & Resource Management Official - fha ^£>e£G </ /ir?/hej£:Comments: L&R InitialForm No. BK — 07-2011-06 345,197 • Victor Lundeen Co., Printers • Fergus Falls, Minnesota APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM LAND & RESOURCE MANAGEMENT, OTTER TAIL COUNTY (218-998-8095) GOVERNMENT SERVICES CENTER, 540 WEST FIR, FERGUS FALLS, MN 56537 www.co.otter-tail.mn.us AWHITE - Office YELLOW -L&R Inspector PINK - Owner/ Contractor (after issue) APPLICATION MUST BE COMPLETED IN ORDER TO BE PROCESSED Permit No. LAK^/RIVER NAME LAKE/RIVER CLASS SECTION TWP NO.RANGE TWP NAMELAKE NUMBER /7- ,7^/L A/ E-911 ADDRESS OR DIRECTIONS FROM NEAREST PUBLIC ROADPARCEL NUMBER (S) OF PROPERTY BEING SERVICED 90) 120)0 LEGAL DESCRIPTION A h- &L 2.i t fr iDaytime Phone No.Last Name First Initial Mailing Address IProperty Owner ^ JL paJ / Kf A/^y/r njfj fADfieieS'i 5)i A /riA) ■2)Pi/Y’ ■Contractor Lie.#\ PA -/S / /■t/OTHIS SPACE FOR OFFICE USE ONLY 3^0 ^CUK/p/J3 Date Received , the year of>• This System will be ready for inspection on Time Received (^2 P.M. L&R Offffia? / SEWAGE TREATMENT SYSTEM DESIGN DATA AS SHOWN ON DRAWING TYPE OF NSTALLATION ^c/RCLEO<VEj Other Est. (E) New (F) Replacement Residential (A) New "'(B) Replacement Collector (C) New (D) Replacement Soil Treatment Area LiftTank Design Flow (Gallons/Day) (G) 1 — 2,499 (H) 2,500 — 4,999 (I) 5,000— 10,000 Effluent Distribution (, ) Gravity ( ) Pressure GIs GIs/smSize Setback To Nearest Well Ft. Ft.Type I Type II Ft.'23.(27) Rapidly Permeable(20) Trench, Rock Ft.Ft. Ft.Setback To OHWL(21) Trench, Gravelless (28) Flood Plain (22) Trench, Chamber (29) Privies Ft.Ft. Ft.Setback To Bluff■ (30)j±|fiiSliBg Tank /jaU y ( ) Monitoring/Disposal Contract (23) Bed (24) Mound Ft.Ft. Ft.Setback To Dwelling 29(25) At Grade Type III Setback To Non-Dwelling Ft.Ft.Ft.(31) Other/Problem Soils/<12" Soil(26) Grey water Type IV Setback To Nearest Lot Line Ft. Ft. Ft.(32) Public Domain & Proprietary Technologies Depth of Well Setback To Road Right-Of-Way Ft. Ft. Ft.Type VTotal # Bedrooms 'O) (33) Performance Elevation Above Restrictive Layer Ft. Ft.Ft.V-Garbage Disposal Y / NAbatement Y / N PERCTEST DATA 27 OP■ ,/~4r- ■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. , V'. I 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). 1"5 /Permit Fee $ / 9^. /fZ)n- p^)-f Signature of Pf^erty Owner/Agent for Owner Date: 3 6 6 Ni»?50/O - ^ ~ 17-Rec. No..Date: Land & Resource Ma/iagement Official Comments: / scAum Form No. BK — 07-2011-06 . 345,197 • Victor Lundeon Co.. Printers « Fergus Fells. Minnesota SEWAGE TREATMENT SYSTEM PERMIT INSPECTION RESULTS Inspector must make all measurements SOIL TREATMENT AREA _ HOLDING SEPTIC TANIO OUTHOUSELIFT TANKCATEGORY /l5oo FT2CapacityFT 2GLS.LS. 75 FTFTFT FTSetback from Nearest Well \Setback from Buried Water Suction Pipe 50^\FTFTFT FT Setback from Buried Pipe Distributing Water Under Pressure FTFTFTFT \locrt FTSetback from OHWL (lake &/or river)FT FTFT FTFTSetback from Bluff FT FT FTFTSetback from Dwelling FT FT 10O+FTFTSetback from Non-Dwelling FT FT lO^FTFTSetback from Nearest Property Line FT FT loa FTFTSetback from Right-of-Way FT FT FTFTElevation above Restrictive Layer FT FT Holding Tank/Lift Alarm YES Old System Pumped & Destroyed NO TRENCH REDUCTIONSOIL TREATMENT AREA CALCULATION MOUND / AT-GRADESEPTIC TANK(s) # Tanks Installed FILTER \ROCK BED Rock trenches with inches □ YESManuf.%of sidewall for.Ff. X Ft.Ft. X --Ft. reduction / equivalent to Soil Treatment Area. NO Model # ; q Ft*Ft* Inspector's Comments: Sketch: ^InkiaUL & R OfficialTtmeDate the above described sewage system installation was found to be compliant with the provisions of the SanitationAs of Code of Otter Tail County. i ^ y Land A Resource Managem^t Offidai [^IwTSL 345,197 • Victor Lundeen Co., Printers ■ Fergus Fails, MinnesotaForm No. BK — 07-2011*06 System design must be to scale and must include the proposed location of the sewage system, all existing/proposed buildings, property lines, the ordinary high water level of the water body, wetlands, bluff and all water wells within 150' of the sewage system. If there are any questions, see the University of Minnesota Site Evaluation worksheets. /.grid(s) equals feet, or inch(es) equalsScale:feet MPCA LICENSE #: LICENSE CATEGORY: ;lJcS'SDESIGNED BY: FIRM NAME:DATE:___ ADDRESS:SIGNATURE: i" I I I !f s 'C ^ «?/ rttiOJOf} ^773(^ y3^j.0 <//y scm BK — 1003 — 029 315,904 • Victor Lundeen Co.. Printers •. Fergus Falls. MN • 1-800-346-4870 !i ,L LL. !.i':;,::] . _ ^ ^ SliTEIPAlt/^ cj M.';4| 14I u^, M 1 }_•!■ r n:.[.ur:' I ; ! :: • I !I'I...I III J..I I 4.r-t Itt LAND & RESOlSl^E MANAi^EMEI^ I , : iGOVEMi4lENT to'l/l'GE§rGENTE^ 54d^siFR4Fifeus[ 56537 .1.4 4-4-.rtITr lPu^Pr^21,8->998^8095’^^.rPTC.!^^ i -)L □‘T'I .j..ij. !I il"'-f I ' ii11wvw:co:otter-tail:m !"f .....L4_4 .1 „i I1:444.!'■ Sewage iTreatmeht js'ystem Perm it i #■I..i)rI---1.:..Lj...Ui OWNER: i i ••]..T!'[ 4..^T b^tzlsS'i-ti.!t V !-t..l IIrr-|T.1-J_l.uast-nameA ^FiRST-I l-TELEPHONE-NUMBER- • l-s- 1- i - I I M i MIDDLE-J.rTIII I-I h r1 1.1 1 1-h-.uiADDRESS:! i M : ■ M , - i 1t.t -!—i"•f—r-i----rT ••Ii 1 i..4- \ J^3aS ; :t:smw?t1:"4:4 ......t i i llAKE/RIVER NO\ ...-..u|..I L DESCRIPTION; /yf/jIM I11.[■i DiftttA.M..:iTl':n444:h:4rp^^^^^ i I-i-STATE \yZIPCODE^ \ /32z “r-rr-t" T'4-..j..II "T"I It LAKEtNAME..4[4-- t ; '• t l-4-i—1-- i— ----4--------1-!..-I-4- j I 'TWPt^r>v\RANGE\-\ I -M- ].4 ' ' I f pr t ‘ j-t i I I i SOILfboring! LOG ' ' SECl TWPaNAME -441:44: „i. [ [: I LEG A i..[..[..I I 1f-r 1 4:4DEPTH I [-(INCHES) 1 COLOR ft ' MONSELLNO; STRUchilRElr;1 I Mill texture I1 rt-;t f-[ - -4 t 1 — -,BL0CKYJ------- PLATY I ; , ' PRISMATIC NONE I ..I til 1 ‘I u:•~r'FI L4 I I PARCEL^ lilOnhSER - ; ' : ; .|.[..1........I..[..i...............[.j..............;........ : .............. ~E-911 Address^^or bireciion 's From Wearesf Public Road \.i-1.! r rf-ri.j.j.r.rr-^.r.i ■ j ^ M -1 ; i ' {^ -'t.I" NUMBER-GF BEDRio'OMS j ' ' GARBAGE! DISFfOSAL;! YES ^CnO^ i ' ----[--1-1--j. j. j -i--- -T —■■ *---j --1-..i-..j-—f wELL:TcAsiN'Gi Depth ft.' ‘sewer line separation:!^ .i4-r...I..[-^—f-|'-I-j-t.f ‘ 4-1 I 4 4 I' ' 1 ^ I >4-4.1 I !'"i..i": FLOODPLAIN!—YE S":<:^^!"j~jB LUFFrTTYE S^f^SSS^I ^ AQUATIC Cil^RRESTRIAiP) 4SLGPE ATMNSTALll^TbN^^ ! Y L ' I ^ '.i-'i.I.I ‘i i''|-4 I L..T11 ■|; ,Ii I........4 tBLOCkY p [ - t:pl!aty " PRISMATICM|-T4:NoiEm± 1t:]::[4 it T '!I\t f-iI \I 11—j. l._...L..1 J.ron■■L_L-..L..L.i__I ..I.. 1 '4 : I.h BLoCKY' ' ' 1 PLATY 'Ir 4. !I [■1 Iti 1 i_..L IPRISMATIC ~ NOI^E rI'1 i -t _1 I -ft.J ! 1-}BLGCKY H-peat-y— PRISMATIC ; NOI^E -■ ,.L T rn1!?i.I...l .4 1]LI -[VEGETATION 1 ■I {I III1 I iJBpDCKYi -4 pLatyr RRISMATrC 1 ■ NONE ! I 4I1•fi % ^ 1 i ,I T' jJiYRE.OFj.OBSERyATION:_}.Rro‘be.|4Riti_j_Bonng;i I i !J ,L,1 tr'l !44 [ PARENT MATERIAL; I Till i Outwash 1 Loess Bedrock [ Alliiyi ! i i f I ! ! : 1 I I ! ■ 1 I ! i ' I [ I ; I I I I ! r [ I ! : I [I [ -(—p[..'...r...i- -|...i..I....I...T....: ^ ..,...r'H“ t...I r‘ -T4i ■ r- ■;—! q-p.—,-4- -i rORIGINAL-iSOIL;! 4 Yes ! fNo [urn I ' DatePf SdiliBoring. J._L T 1 ItT T■4.: Ilixtl, 'COMPAGTED SOIL.f iT' 4 i ■ i ^ I _____q-.__^ DEPTH'OF'BORING (To 74or restrictive layer):Li '’pi i.l i t'ii. 4..|>EjAq...TEST|-#-j|.- IYesl i No \’\I . I rrl~rDaiW^f~Perc tSl _ ....; I , j 44 4 . -j.! _ \Twb 'resTS are required - - 1 ______ft.II -!r h :>ERC TEST #21 I 1 ! I i I 1 i 1 I i ! ; L i '4 i M1_I 1 ( 1 i i INTERVAL* (MINUTES) I WATER DEPTH I WATER DROP!PERC RATE I TIME WATER DEPTH!i TIME i INTERVAL (MINUTES) 1_ -L STARTMY-fp-r-i WATER DROP i IPERC RATEI I i_J START..I.j..I r f f II .....I... ---_j_ J-TIMEL J DROP L- 1. PERC.1. I I -4...-4..4-1 4 - \■■"I" 1 L-:I DROP ! .. I PERC.L L .1,iTIME.i_I INTERVAL'(MINUTES) i WATER DEPTH I I WATER DROP I i PERC RATE I I 1 TIME i TIME I INTERVAL (MINUTES)! WATER DEPTH!WATER DROP i IPERC RATE I■n I*- 4-'refill-I•4--!I I * ' REFILL I i[= i + f TlMEI -4-. DROP -!- U PERC4 1 i-11I\[=-s i L-♦TIME -1--4-DR0P -i 4 PERCI I —;f — [ y ^ 'r i , I-4 J_WATER DEPTH 1 L_ WATER DROP-! 4 1....1, i.PERCRATE! 1 ! ...TIME-i! TIME INTERVAL'(MINUTES) INTERVAL (MINUTES).■!_■WATER DEPTHL 1 WATER DROP .£ ! ■ IPERC-RATE _J I I :L4;7"! REFILL I I I.■fr'• r"r : M ‘i= t TlMEr T - DROP -f...f - PERC-I.-f iTIME-r -+ drop...\'T-T'f-"t__I -I PERC —j—f....Y- f I t- I•“•V •INTERVALMMINUTES)?-L-WATER-DEPTH-t-I—WATER-DROP^—I -I—F..4—PERC RATE I -4- 4 4-TIME-l- INTERVAL (MINUTES)- -4-WATER PROP....I ^-4 -L -IPERC-RATE-4 -L-TIME-I -f-WATER DEPTH'^ ...J..... f-lRfflLL-f- ! ITIMI't±h+±i4 Mt H.l-«HFILLt44 T~TTP~rT~t44~i I -nMEi V DROP r~ I PERC ■ iTIME 1 '1 DROP [ f PERC i i -i'T'rrl[ I... r i INTERVAL* (MINUTES)t -i-WATERDEPTH-f- ■—WATER-DROPt- -I PERC RATE h TIME-t-INTERVAL (MINUTES)i-WATER DEPTHh--—tWATER DROP f t--r- -1PERC RATE—i-7- i- -!■ TIME -j '1 i...i■■[ t r1“i I......i 1..i..hi-'i-t-r ■n"i"rrr]' I i I I I I i ::rh::T:r.r,4^. =.L±1 ITIME I i DROP -------- J _■f r MJ MJMiI ;i-II !J_I PERC I I I I I TIME! 1 DROP PERC!I I ~ r WATE^ otajHT .r TIME' ! INTERVALMMINUTES)! r WATER DROP! 1 T~l~r~'PERC'RATEl ri' i I TIME r INTERVAL (MINUTES)1 ~E« DEPTH!I WATER DROP IPERC RATEI j.'L J... ■ I I I I I rn 11t.r -th—i =-i—l. l.j:l....L_.i.i irMr"i TIME' ’i DROP ! ! PERCII DROP ITIME I PERC !I I I I INTERVAL* (MINUTES)! WATER DEPTH ■WATER DROP! S I I I PERC RATE I I TIME i TIME !INTERVAL (MINUTES)WATER DEPTH!I WATER DROP i I i I IPERC RATE i J__I Hi'gfE ,i:rL.!::in4: I TIMEL .’i DROP I ■ I [sma j .4:.4:rm4 Mrr-FT-v _L_L...L-L_. L- -iTIME-L-LLdROP-._LPERC I PERCi I TIME INTERVAL* (MINUTES) I I WATER DEPTH )! WATER DROP! I I I I PERC RATE I I TIME INTERVAL (MINUTES)I WATER DEPTH!WATER DROP !! IPERC RATE I I I j~-r~r4444::4:L. U-4 4I-. Lrefiu- i!- • -I —I—i — f-- —j- I..l-i-.I..!..JI -!!t nZ4ii_44J.r'i-i It: tr-'tvi.J.--1T1ME-DROP-PERC 4TIMEL-f DROP PERC -I■! f ].4j44ivrH--Y.] 4h:4i44:-dTO3xr: I TRENCH L :I- i- i - I 'i T iTi i' 4-4i I-iI HOLDING JANKi...J L . ..GRAVITY DlST. i. I . .PRESSURE DIST. . ................... ...L4.......-X-.t..!..1..!............i....J- ' ■“ rATGRADEBEDMOUND: i i IL-bUTHOUSEi ................... . - SPECIFY:I - - ■ ( L-j (--[-[ j -+i-[ hti I t-|-t I [-t rh 4H4 i 44t ri "4 I ri ■ rr- i !Xt I h i' |sEWE84INE: 44 ^Titt OTHERi 44-i t!-t ttI..L-I...i..[■[H4.-t i.r'I...I received JUL I 6 2012 lands resourceRichard C Baker, MD Swan Lake Club, Pres. July 13, 2012 Dear George: I received the information that you left for me at your front desk. Your information stating a final date often (10) months seems adequate. Thank you for that. It is my understanding that Russ intends to bring the septic system at his residence into full compliance this season, and that he has been in recent communications with you regarding these plans. However, I don't know when he intends to complete the project or who the contractor is. The Swan Lake Club takes compliance with the Otter Tail County, Land and Resource Management very seriously, and we are committed to assisting you with this matter. I realize that you spend a good deal of you in the field, but I would aopreciate your phone call if there is any confusion or we can provide additional information. Sincerely, r 0 Richard C Baker, MD, President Swan Lake Club SCANNED 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 06/10/2011 Robert C & Pamela P Wolfe 18313 Interlaken Ln Fergus Falls Mn 56537 8236 RE: Sewage System Abatement 56-78 an Dear Mr and Ms Wolfe It has been about a year since the Abat^ent Notice on your Swan Lake property. To date, this matter ^mains m^^lved. Be advised that your septic system must be brought into compliame with the^nitation Code of Otter Tail County. If you have any probt^s, pleasei^^a^U^ so we may work out a solution to your Sewage System JjSatemfent, otherwis^l^se have this situation taken care of by 09/24/2011. Faimre to do the above will cause us to turn this matter over to the County Attorney. m \ Sincerely, George Hausske Inspector 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.go.otter-tail.mn.us SEWAGE SYSTEM ABATEMENT NOTICE 08/23/2010 CURRENT PROPERTY OWNER:ROBERT C & PAMELA P WOLFE 18313 INTERLAKEN LN FERGUS FALLS MN 56537 8236 Parcel Number:13000190112002 Section;19 Township Name:DANE PRAIRIE TWP Lake Name: SWAN 56-781 Property Address:18313 INTERLAKEN LN You are hereby notified that the sewage system which you maintain on the above identified parcel is not constructed and/or located in accordance with minimum standards of the Sanitation Code of Otter Tail County. Please be advised that you must correct this situation by 09/24/2010. You should contact this office in order to determine what corrections and permits are required prior to complying with this notification. Georgt^ Hausske & Michael Douglas Land & Resource Management Inspectors 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 Cliol^L hcrrs to ontor g dote /V^ Swan Lake Club Inc Attn: Russel Floberg 18313 Interlaken Ln. Fergus Falls MN 56537 8235 RE: Primary Owner Swan Lake Club Inc Result of Onsite Sewage System Inspection, Non-Compliant Parcel(s) Lake Name 13000190112000 Swan Lake No 56-781 Class RD Dear Swan Lake Club Inc: As part of Otter Tail County’s ongoing Sewage System Inspection Program, our Office inspected your sewer system located at 18364 INTERLAKEN LN on At that time, we found your sewage system to be non-compliant for the following reason(s): Unsealed tanks Please contact our Office by 07/11/2012, at 218-998-8095, so that this matter can hopefully be resolved. Sincerely, George Hausske Inspector Michael Douglas Inspector CHRONOLOGY REGARDING THE SEWAGE SYSTEM ABATEMENT Property Owner: Lake Name:Lake No. 56- Parcel No.: GIS Address: Date Issued: Date Initial Response (owner): 10Date Resolved Fi'x I ^A-lUl riK lie 5'e)/^ Q) tieup T* 4'f^'t' ni- fN Arv^ "xx>i^{ %n>Mlki^>1 f-‘/ Abatement. chronology5-02 p 'o ABATEMENT FIELD NOTES LAKE NAME: __________________ PARCEL NO: }^000 1^0 f I ^OO'h^ TOWNSHIP NAME: Pr4-i>t'-^ LEGAL DESCRIPTION: LAKE NO: f E911 PROPERTY ADDRESS: I Lh,; SECTION NO: LAKE CLASS: \ h +“r / M 3 f P^^iek uJoKe. /MLn. 'Fergus , H K OWNERS NAME(S):. MAILING ADDRESS: / 56637- ^3-3^ TYPE OF EXISTING SEWAGE SYSTEM: HOLDING TANK SEPTIC TANK/DRAINFIELD OTHER: SEPTAGE PIT, DRYWELL OR LEACHING PIT CESSPOOL COMMENTS: SEPARATION DISTANCES fIN FEET^ ABSORPTION AREASEWER LINE TANK OUTHOUSE .WELL ___________ ___________ / OHWL / LOT LINE ___________ DWELLING ___________ NON DWELLING ___________ GROUND ELEVATION @ ___________ REASONfSl FOR ABATEMENT (SKETCH ON BACK...1 VHieAl/J 1aM<S ^//<?/)•>) DATE INSPECTOR'S SIGNATURE(S) EXISTING FILE:YES Logged In Abatement Book ABATEMENT FIELD NOTES FORM 06/07/07 NO /i \ i_rD I' •I i Q- Pt^l “ ................■ . . - - - -- sX. %fc« >*i/P, 'X m&m&ii1^ {£W)CERTIFICATE OF COMPLIANCE SEWAGE SYSTEM ft ItXv'•. ■ '&) «mSi IQth c?(2V nf January 19^12-This certificate has been issued thiswm mmi€i£~ •■'M %;s ro certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. r\'n The premises covered by this certificate are legally described as: Lake No. ‘^6-731 Sec. 19-ijMVi Range JiPTwp. 13^Twp. Name Dfl'ngj i i WMWMmc-:^ Swan Lake Club G. L. 3 ?m['V mm-mfcfsfe-Si WXIBitPt|M ■ -HtJ Fred DablstrortiOwner: Name. IimR1Fergrbs Falla MLAddress. ' •<- •« '4i^-r,Zip No '96537 M «PI 78Permit No. SP_ Signed by:. _________ _ Malcolm K. Lee, Shoreland Administrator Otter Tail County, Minnesota MKL-087 1-009 ®159035 ilCroK (.UNOCCN 4 CO. flilTrsi, fC!>:U« '*1.1.1. HHKI 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 r W ;te - Office V low — Inspector Ph.. Card — Own^r Owner ‘ ^\irs^uxx/n i^oJen C^luJ)Permit No.,LEGAL Date DESCRIPTION AND 13- /3i? pAr>iAXa.6L-l$hLOCATION Lake No. Lake Claasif.Lake Name Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Zip No.Initial Mailling Address —No. Street, City and State Tel. No.Last Name First kQ A^/1 AyY\RCSKxht /OWNER ^oL/SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on... 19. This space for office use only .19 Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signa.ture 2-NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD *33 o750GIs.Sq./f t.Capacity Sq. Ft. 30 60 Ft.Ft.Ft.Distance from nearest well 7 75Ft.Distance from lake or stream Ft.Ft. 1^0 Ft.^0_Eli.Distance from occupied building Ft. iQ Ft.\QDistance from property line Ft.Ft. 5Ft.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.PERCOLATION TEST DATA:Date of First Test 19 Rate P ft Q-A-<gyLA>>^ Test Taken By ( t lO..Date of Second Test 19 ,, Rate 1st L'10 -27)Ih.LD.First Test -I- 2nd 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 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 responsibility of the applicant for the permit to notify the County Shoreland Management that the/obts ready for inspection. (Call or use attached mailer notice.) The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in ered until it has been inspected and accepted. It shall be the 0 - 33-7^ TSgnature JDatedfcr 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 U - g? - vLIssued Date: Shoreland Management Office , toFee $Surcharge $ Comments:. Form No. MKL-0771-003 vicTot LUM9((a a CO.. POiMTcao. rcacui ruLL*. wiaa.158906 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM W te — Office, > low — Inspector Pli.. Card — Owper Owner Permit No.,LEGAL Date DESCRIPTION AND LOCATION TWP TWP NameLake No.Lake Classif.Sec.RangeLake Name IDENTIFICATION: Please Print All Information. Mailling Address —No. Street, City and State Zip No.Tel. No.InitialLast Name First OWNER SEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only ^ 5 IV/I 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: SEPTIC TANK SEEPAGE PIT DRAIN FIELD "330GIs.Sq. Ft.Sq. Ft.Capacity Ft.Ft.Ft.Distance from nearest well Ft.Ft.Ft.Distance from lake or stream Ft.Ft.Distance from occupied building Ft. 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 PERCOLATION TEST DATA:Date of First Test 19 , 19 . Rate Date of Second Test , Rate 1st Test Taken By First 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 Mana ent that the job is ready for inspection. (Call or use attached mailer notice.) ix-h Dated <'9 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 ordinanceC^ NOTE: Permit void if work is not commenced within six 16) months. Permission is hereby granted to the above named applicant to pe»f<jrm the work described in the above statement. This permit is granted upon express Issued Date: Shoreland Management Office Fee $Surcharge $ 0: Comments:.A/O Form No. MKL-0771-003 I5S906 VICT«a kUMftCIN 4 CO.. r«Lt * ! 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 Capacity to>50 3J£iSF F GIs.GIs.S F S F S F Distance from Nearest Well 50 F 75F 50FF F Distance from Lake or Stream to FtoiiOQi F F F F F Distance from Occupied Building auQ *-F F10 2020FFF F Distance from Property Line )0 10 /Oi /O* F10 10FFFF F t>±I.Distance from Bottom to Water Table 4 4FFFF F eicy----uxfjS----Inspector's Comments: ____19^ -7^00 ^ M Date of Inspection Time of Inspection. Signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs » Gallons SF ■ Square Feet * Linear Feet Job TitleF AgencyM KL-0771-003- Backer o V- f c o PERCOLATION TEST DATA Price $1.00 per pad. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No.Owner:Mailing Address: V Tori r Zip No.Last Name First cS u MA ) NAME Middle St. & No.City State TWP NAME Legal Description:zi- iSi LAKE OR RIVER NO.SEC.TWP.RANGE ________L . ^ TEST HOLE NO. 2TEST HOLE NO. 1 Depth To Bottom of Hole,Depth to Bottom of Hole.inches; Diameter of Hole inches; Diameter of Hole.inchesinches Depth, Inches Soil Texture Depth. I nches Soil TextureDate.Date oruixjjJt ^Ao -o - ^D''rxAPercolation Test By____ Percolation Test By____CVL Q LU(T FirmName.QC FirmName.DOLU QC 0^__QsA LUAddress.1 QC Address < C/3Otter Tail County License No..Otter Tail County License No.I- C/3LUMeasurement, Inches Depth in Water Level, Inches I-Measurement, I nches Depth in Water Level. Inches Time Remarks Time Remarks oi * f*(s> //5V- L>' 6, ’ 9^" rS.-as' 3: IS' L>' /o'' f'//J.4 ' // ^'45 ' //^a"/ f iZz" ^ 6>ay - oo iC. k<£4^/U- 3 /'^r____= /s^ '5/ MKL-0871-028\ See Booklet, "How to Run a Percolation Test" by Agriculture Ext Service, Un. of Minn.