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HomeMy WebLinkAboutWhispering Waters Resort_57000010001001_Septic System Permits_CERTIFICATE OF COMPLIANCE SEWAGE SYSTEM E U4 19.11VzcmbeAIM.day of_This certificate has been issued thisII Lito certify compliance with regulations of Shoreland Management Ordinance, Qtter Tail County, Minnesota. &.T P The premises covered by this certificate are legally described as: Range_IL SveA-dhupTwp. ^Sec._L56 -Twp. Name.Lake No. 0tt(2A. TcuJL RiveA 'J ¥iIMPcuvt oi goveAmznt Lot 1 m VonaZd V. GZad&ontOwner: Name. Adfirpx.^ Routg 2. UndzAMood, Uinnuota ’mm565S6Zip No. 4945Permit No. SP. Signed by:,^colm K. Lee, Shoielwd Administrator Otter Tail County, Minnesota MKL-0871-009 159035 kUMCCa t CO. MiaTCit *«• 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 Whilv — Offrc* Ya/fow — Jnspecfor Pink — Ownar Cord —Ownar Pt Q-ii-)Permit No.. LEGAL DESCRIPTION AND TWP Name Bic HImILOCATION TWP RangeSec.Lake Classif.Lake NameLake No. IDENTIFICATION: Please Print All Information. Tel. No.Zip No.Mailling Address —No. Street, City and StateInitialFirstLast Narne 50^HNOWNER DanSEWAGE SYSTEM INSTALLER Name. This System will be ready for inspection on., 19. This space for office use only 19 Owner or Agent SignaturePhone Call Rac'd ByDate Rac'd Time Rec'd aNUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PIT DRAIN FIELDSEPTIC TANK ISO Sq. Ft.Sq. Ft.GIs.Capacity 50 \DOj^O Ft.Ft.Ft.Distance from nearest well SO soFt.Ft.Ft.Distance from lake or stream iO Ft. Ft.Ft.Distance from occupied building 10 10Ft.Ft.Ft.Distance from property line 33Ft. Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points RECORD OF TESTS: 19^^. , Time M ByInspection was made on 1g-n ih...RateDate of First Test . 19PERCOLATION TEST DATA: 19.3...^G-re<t ^rr-/ 1st Test^Taken By ^Arry , RateDat-3 of Second Test I a /.53-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.) \jj/iy} AODated /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^anagement Office (0. 00Fee $ Comments:. Form No. MKL-0771-003 (^VIIW »AmE UKE, MINNESOTA 1, INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should be Actual Should be Capacity GIs.GIs.S F SF SF SF Distance from Nearest Well 5075FFFF FF Distance from Lake or Stream F F FF FF Distance from Occupied Building 2010 20FFFFF F Distance from Property Line 10 10 10FFF F F F Distance from Bottom to Water Table 33FFF F FF Inspector’s Comments: Date of Inspection .19___ Time of Inspection..M signature of InspectorINTERPRETATION OF ABBREVIATIONS GIs ~ Gallons SF “ Square Feet F - Linear Feet Job Title AgencyMKL-0771-003-Backer ■ i ■ f'' ■ -:'4' 1 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 — Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM Wh/fe — Office Yellow — fn^jecfor Pink — Owner Cord— Owner Permit No.,• 6LEGAL DESCRIPTION AND ■'P~'I ., ; >LOCATION TWP NameLake Classif.TWP RangeSec.Lake No.Lake Name IDENTIFICATION: Please Print All Information. Zip No.Tel. No.Mailling Address —No. Street, City and StateInitialFirstLast Name OWNER SEWAGE SYSTEM INSTALLER 1Name. f1: 30 /qmsr-This System will be ready for inspection on.., 19. This space for office use only .M.19 Owner or Agent SignaturePhone Call Rec'd ByDate Rec'd Time Rec'd NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEEPAGE PIT DRAIN FIELDSEPTIC TANK GIs.Sq. Ft.Sq. Ft.Capacity Ft. Ft.Ft.Distance from nearest well Ft.Ft. Ft.Distance from lake or stream Ft.Ft.Ft.Distance from occupied building 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: „ 19.;^^. , Time ByMInspection was made on Date of First Test ....ii......■PERCOLATION TEST DATA:19 t Rate .i. Data of Second Test 19 , Rate 1st Test Taken By First Test -F 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 expressPermit: condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Issued Date: Shoreland Management Office Fee $/3y:’-.rAl c;*'- ; ".UCERTlFirAT:Comments:. [^CVIfW lAtnl lAKf. MINNESOTAForm No. MKL-0771-003 r //> INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should be Should beActual Capacity GIs.GIs.S F S F \DO't_50Distance from Nearest Well 75FFF F F Distance from Lake or Stream F F F F FF 20Distance from Occupied Building 10 20FFF F F FDistance from Property Line 1010 10FFFF F Distance from Bottom to Water Table 33FF F F F F ttHInspector's Comments: ■X ! Date of Inspection IMiTime of Inspection,,M Signature of InspectorINTERPRETATION OF ABBREVIATIONS Git “ Gallons SF ■ Square Feet F - Linear Feet Job Title AgencyMKL-0771-003-Backer PERCOLATION TEST DATA Price $1.00 per pad. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No. iM Owner:Mailing Address: S, Last Name First Middle St. & No.City State Zip No.Legal Description:.'5^- -/>. /V/}3ZI ^ /CVC hcC’r^ LAKE OR RIVER NO NAME I 3?-Ml SEC.TWP.RANGE)Pir CL! ()4.? TEST HOLE NO. 2TEST HOLE NO. 1 G Lic111Depth To Bottom of Hole,Depth to Bottom of Hole.inches; Diameter of Hole inches; Diameter of Hole.inchesinches 19 (I Depth, Inches Soil Texture Depth. Inches Soil TextureDate DateV /^A<-ir;rcola.ion UvV'j-g: g AM-l u 7r>/p Ct/r.'fe C)-(::)■A -Percolation Test By___-ir>Q /p'~ 5E ZIO -IC^aFirmName.(XAA^Firm Name 0a:tv^aUJQC LUAddress.GC Address < BM-LU>Otter Tall County License No.Otter Tail County License No^H- (/)uMeasurement, I nches Depth In Water Level, inches Measurement, Inches Depth in Water Level. Inches Time Remarks Time Remarks I ^I L.; 5a ^' qXSOOAr, Ci on p Ij3 ^ ^ ZTmS/ aa^A; !( 2ZE2Z / •lA h/ (f37HTnnZ3''t^cC~n/w Mr SZZZ3 WEILIH’Q$-i C . <10 .C; p<y^if SPa<\^__7)7 ^’/ PX MKL-0871-028183-818 See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. [^EVKW eATUE lAKE MINNESOTA S'___________________—ffcLQci V 1/tO'j s ^V I I <r' S''rV o 1^ 3cv> ^ ^•1 m 'V m....vS3§fc^SI®ir^I7‘ m ii's CERTIFICATE OF APPROVAL SEWAGE SYSTEM DRAINFIELD Iff f(J i 19 nday nf February to certify that the sewage system installed as per sewage permit number indicated below has been approved for use 21stTItis certificate has been issued this by Otter Tail County, Minnesota. ft 4 “5?; ,The premises covered by this certificate are legally described as:m mTwp. Name SverdrupLake No. ^^"•378 133 RangeSec. _L Twp. i Pt GL 1 bg SE cor; then N 934', SWLY to ELY shore East Lost Lake ... mAnx iM Wi m mDonald D. & Janice B. GladsonkOwner: Name UTt-:rr.m tlRR#2 Box 700 Underwood, MNAddre.xsIP!i ■?)j m.ww 'M 56586LV"5.Zip No. iT'11035 U/jULa^ Land & Rc.source Management Official Otter Tail County. Minnesota Permit No. SP 'PSigned by:'i (DRAINFIELDS FOR CONDO'S) SP11035(A) - Condo #1 (B) - Condo #2 (C) - Condo #3 MKL-0987001 1 m ?R3P"ETT^5*^ 4-:c 284.909 • Victor Lundeen Co.. Printets • Fergus Falls. WN • t-800-346-4870 APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM WHITE — Office Yellow — Inspector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 56537 (Lon qo ^ I U03SPermit No.LEGAL DESCRIPTION )Yes (y()Abatement: (NoAND^ ^ 5 s' -A-0 s IS Acir<r,s^ S 9S3 ' LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO.RANGE TWP NAME V/13-3^/ PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER - O/- ^ IDENTIFICATION: Please Print All Information First Mailing Address — No. Street, City and State Telephone No.Last Name Initial Zip Code a -7(^0Property Owner a /AatP y* ikJ Q-ts Sewage System Installer Name A.M. This System will be ready for inspection on P.M., 19-at This space for office use only & NUMBER OF BEDROOMS: A.M. P.M19 GARBAGE DISPOSAL: { ) YES ( )^ ) NODate Rec'd Time Rec'd Phone Call Rec'd By SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ( ) Septic tank ( ) Lift station (Alarm required) (^) Drain field (^) Trenches ( ) Bed ( ) Mound ( ) Outhouse ( ) Sewer line TAiWK DRAIN FIELD Capacity GIs.Ft. f SD//or)Distance from nearest well Ft. Ft. Distance from lake or stream Ft.Ft. I io/mDistance from building Ft.Ft. 10Distance from property line Ft. Ft. zi:v3Distance from bottom to Water Table Ft. Ft. EFFLUENT DISTRIBUTION ( ) Gravity ( ) Pressure A// distances are shortest distance between nearest points PERCOLATION TEST DATA: WATER WELL DEPTH Perc Tester.ite of Perc Test./ Rate of 1 St Test Rate of 2nd Test Average Rate Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. DATE: Signature Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This per that the person to whom it is granted, and his agent, employees and workmen shall conform in all respe This permit may be revoked at any time upon violation of any said ordinances. iNOTE: Permit void if work is not commenced within six (6) months. ^ | is granted upon express condition to the Ordinance of Otter Tail County, Minnesota. (r>//9 (aIssued Date: Land & Resource Management Office35 gg I'ZHoeiFee $.Rec #. Comments: 277.212 • Victor Lundeen Co., Printers • Fergus Falls, MinnoosiaBK 0795-003 APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM i WHITE — Office Yellow — Inspector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 56537 Pf 6-^ / ^ € Ccr- -H. C OM QO I ^ ^3V //035/LEGAL Permit No. DESCRIPTION ) Yes { NoAbatement: (AND ^ 5 i ^ s' i A^ Pas'/P/y S'/t, S 9S 3 ' LOCATION ^3 /? 0 r c f LAKE NUMBER LAKE/RIVER NAME SECTIONLAKE/RIVER CLASS TWP. NO.RANGE TWP NAME -3?^ 3*////33/u PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER S7- - 0/~ OOCP/~ 0£><5) IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. m 2 -700Property Owner Mryip yASewage System Installer Name cy. A.M. ► This System will be ready for inspection on , 19-P.M.at This space for office use only NUMBER OF BEDROOMS: A.M, 19 P.M GARBAGE DISPOSAL: ( ) YES (VC ) NODate Rec’d Time Rec'd Phone Call Rec’d By SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ( ) Septic tank ( ) Lift Station (Alarm required) (Drain field ( ^) Trenches ( ) Bed ( ) Mound ( ) Outhouse ( ) Sewer line •Ti K DRAIN FIELD Capacity GIs. /yp//yy)Distance from nearest well Ft. Ft. Distance from lake or stream Ft.Ft. t./oboDistance from building Ft.Ft. mDistance from property line Ft.Ft. v5Distance from bottom to Water Table Ft.Ft. EFFLUENT DISTRIBUTION ( ),{) Gravity ( ) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA: WATER WELL DEPTH m ;l u Perc Tester.yOate of Perc Test,Twt/Ti Rate of 1 St Test Rate of 2nd Test Average Rate Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. l.^£yAy^ /DATE: r mff^Signature Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This per that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects" 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. 1is granted upon express condition the Ordinance of Otter Tail County, Minnesota. Issued Date: Land & Resource Management Office36 ‘2^12^06 1 Linif)Fee $.Rec #. /.? f L^ jAtri f ^ /aComments: 277.212 • Victor Lundeen Co.. Printers • Fergus Falls. MinneoslaBK 0795-003 y;T-.7 SEWAGE DISPOSAL SYSTEM STATISTICS INSPECTION RESULTS Inspector must make all measurements DRAIN FIELDHOLDING SEPTIC TANK LIFT TANKCATEGORY Actual Minimum SFGLS. SFCapacityGLS. FTFT FT FTDistance from Nearest Well Distance from Buried Water Suction Pipe____________ Distance from Buried Pipe Distributing Water Under Pressure FT FTFTFT50 FT FT FT 10 FT k ftDistance from Lake or River (OHWL)FT FTFT 5 / FT 10/20 FTFT FTDistance from Nearest Building FTFT FT FTDistance from Nearest Property Line 10 If_5:FTDistance from Bottom to Water Table FT FT 3 YES NOHolding Tank/Lift Alarm YES NOOld System Pumped & Destroyed DRAINFIELD CALCULATIONSewer Line to Well SeparationINTERPRETATION OF ABBREVIATIONS GLS. = Gallons SF = Square Feet FT = Linear Feet ^ FTXActual Minimum FT 20 FT SF "j-hJhuujS-o U/'>a €JjQUu^'Inspector’s Comments: ^ SKETCH: C Inspector's Signature 06.‘7<- Date of Inspection Hf. 'hO Time of Inspection APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM BWHITE — Office Yellow — Inspector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 56537 Hf)3^Cowio Permit No.LEGAL DESCRIPTION )Yes (X^)Abatement: (NoANDALOCATION SECTIONLAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS RANGE TWP NAMETWP. NO. /3 3PJ)/ PARCEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER ^ 7- ~0! - 0<D(f) / - OOO IDENTIFICATION: Please Print All Information First Mailing Address — No. Street, City and State Zip CodeLast Name Initial Telephone No. Property Owner Sewage System installer Name y A.M. This System will be ready for inspection on , 19.P.M.at This space for office use only NUMBER OF BEDROOMS: A.M. (X ) NOP.M19 GARBAGE DISPOSAL: ( ) YESDate Rec'd Time Rec'd Phone Call Rec'd By SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ( ) Septic tank ( ) Lift station (Alarm required) (^) Drain field (X) Trenches ( ) Bed ( ) Mound ( ) Outhouse ( ) Sewer line ANK DRAIN FIELD Capacity GIs.Ft. "T SD//00Distance from nearest well Ft.Ft. Distance from lake or stream Ft. Ft.<$ t /opoDistance from building Ft.Ft. /DDistance from property line Ft.Ft. Distance from bottom to Water Table Ft. Ft. EFFLUENT DISTRIBUTION (y) Gravity ) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA:( WATER WELL DEPTH Perc Tester.Date of Perc Test 3 2:Rate of 1 St Test Rate of 2nd Test Average Rate Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Healfh. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. Permit: Permission is hereby granted to the above named applicant to perform 'the work described in the above statement. This pemiit 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 Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. DATE: Issued Date: Land & Resource Management Office\±H&SIFee $.Rec #. Comments: 277,212 • Victor Lundeen Co., Printers • Fergus Falls. MinnoostaBK 0795-003 ' r7- '1i APPLICATION FOR PERMIT TO INSTALL SEWAGE TREAT!SYSTEM iWHITE r-Office Yellow — Insfiector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 5653 ■ vX ] I CokiJoLEGALi Permit No. - ■>DESCRIPTION •t <x>Abatement: ( ) Yes NoAND{_C^a( A LOCATION LAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS SECTION TWP. NO. IZ 3 RANGE TWP NAME9 I?/ PAFICEL NUMBER(S)FIRE OR LAKE ASSOCIATION NUMBER ^ 7- OCO ' d ~ ooo / - oc>0 IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No. lad d S^c/ Y/)oProperty Owner A d ///Y/ >//' / / /, itj ' r^O /d -h t y od.aSewage System Installer Name 2L. d)30 Vl^/^IL 4^This System will be ready for inspection on . 19. This space for office use only LNUMBER OF BEDROOMS: T-19 GARBAGE DISPOSAL: ( ) YES ( X ) NO Date Rec’d Time Rec'd Phone Call Rec'd By SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ( ) Septic tank ( ') Lift station (Alarm required) (X) Drain field (^) Trenches ( ) Bed ( ) Mound ( ) Outhouse ( ) Sewer line ANK DRAIN FIELD Capacity GIs. 6n//onDistance from nearest well Ft.Ft. r ^6Distance from lake or stream Ft.Ft.t\\J 4Distance from building Ft. Ft. /Ft.Distance from property line Ft. j:Distance from bottom to Water Table Ft.Ft. EFFLUENT DISTRIBUTION (X) Gravity ( ) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA: WATER WELL DEPTH (pp9f=- m)Perc Tester.Date of Perc Test i 3 2Rate of 1st Test Rate of 2nd Test Average Rate Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department I of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part j 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. ! I Signature / // 7) Permit: Permission is hereby granted to the above named applicant to perform (he work described in the above smtement. 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 Ordinance of Otter Tail County, Minnesota, This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. 1DATE: ■' //' hj d j ^ ^\Issued Date; Land & Resource Management Office IlA OS!Fee $.Rec #. T Comments: ! 277.212 • Victor Lundeen Co . Printers • Fergus Falls. MinneostaBK 0795-003 SEWAGE DISPOSAL SYSTEM STATISTICS INSPECTION RESULTS Inspector must make all measurements DRAIN FIELDHOLDING SEPTIC TANK LIFT TANKCATEGORY Actual Minimum GLS. SF SFGLS.Capacity FTFT FTDistance from Nearest Well FT Distance from Buried Water Suction Pipe FT FTFTFT50 Distance from Buried Pipe Distributing Water Under Pressure FTFTFT FT 10 4~ FTFT FTDistance from Lake or River (OHWL)FT 'tn ft 10/20 FTFTDistance from Nearest Building FT ftFTFT FTDistance from Nearest Property Line 10 FT FTFTFT 3Distance from Bottom to Water Table YES NOHolding Tank/Lift Alarm YES NOOld System Pumped & Destroyed DRAINFIELD CALCULATIONSewer Line to Well SeparationINTERPRETATION OF ABBREVIATIONS GLS. = Gallons SF = Square Feet FT = Linear Feet Actual Minimum 3FTX FT FT FT20 SF ! P9^7 r ---''Inspector’s Comments: J SKETCH: \L —4^ n (- A I i ■ %Inspector's Signature i7-U >■ Date of Inspection ■i' I t' % Titrre of Inspection * APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM WHITE — Office Yellow — Inspector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 56537 LL021__ ) Yes ) Permit No.LEGAL DESCRIPTION Abatement: (No/4C4^4/AND LOCATION SECTIONLAKE NUMBER LAKE/RIVER NAME LAKE/RIVER CLASS TWP NAMETWP. NO.RANGE FIRE OR LAKE ASSOCIATION NUMBER RD /ilIV PARCEL NUMBER(S) S‘l( - cop/ OCPO IDENTIFICATION: Please Print All Information First Mailing Address — No. Street, City and State Zip Code Telephone No.Last Name Initial (By ONdencftxJProperty Owner KM Sewage System instailer Name A.M. This System will be ready for inspection on , 19.P.M.at This space for office use oniy CpNUMBER OF BEDROOMS: A.M. P.M19 GARBAGE DISPOSAL: ( ) YES ( ) NODate Rec’d Time Rec'd Phone Call Rec'd By SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTSTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ( ) Septic tank ( ) Lift station (Alarm required) ( ^ Drain field ( ^) Trenches ( ) Bed ) Mound ( ) Outhouse ( ) Sewer line TANK DRAIN FIELD ISOCapacityGIs.Sq Ft. Distance from nearest well Ft.Ft. Distance from lake or stream Ft. Ft.75 Distance from building Ft.Ft. (IdDistance from property line Ft. Ft. 3Distance from bottom to Water Table Ft.Ft. EFFLUENT DISTRIBUTION (^) Gravity ) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA:( WATER WELL DEPTH Perc Tester.Date of Perc Test 3.5 3Rate of 1 St Test Rate of 2nd Test Average Rate Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. 1DATE: Signature Permit: Permission is hereby granted to the above named applicant to perform the work described in the^above stafement. This perrLthTs 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 Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. A-ddiH Issued Date: Land & Resource Management Office Fee $.Rec #__^ Comments:f 277,212 • Victor Lundeen Co.. Printers • Fergus Falls. MinnoostaBK 079B-003 APPLICATION FOR PERMIT TO INSTALL SEWAGE TREATMENT SYSTEM WHITE — Office Yellow — Inspector Pink — Owner LAND & RESOURCE MANAGEMENT OTTER TAIL COUNTY COURT HOUSE Phone:(218)739-2271 - FERGUS FALLS, MN 56537 wall.LEGAL Permit No. DESCRIPTION (\^) NoAbatement: ( ) Yes■(orr^ /4AND LOCATION LAKE NUMBER LAKE/RIVER NAME SECTIONLAKE/RIVER CLASS RANGETWP. NO.TWP NAME €A5i Ro I ilIJl FIRE OR LAKE ASSOCIATION NUMBERPARCEL NUMBER(S) Sl-txo —^ / - CD?/ - CXPO IDENTIFICATION: Please Print All Information Last Name First Initial Mailing Address — No. Street, City and State Zip Code Telephone No.UNJen^caJSgTVPbA/Property Owner ^ tr iSewage System Installer Name I a._3x^A.M. ► This System will be ready for inspection on., 19.P.M. This space for office use oniy (oNUMBER OF BEDROOMS: a./A.M. 19 P.M GARBAGE DISPOSAL: ( ) YES ) NODate Rec'd 'hone Call Rec’d By SEWAGE TREATMENT SYSTEM DATA: MINIMUM REQUIREMENTS ykTYPE OF SEWAGE SYSTEM ( ) Holding tank (Alarm Required) ( ) Septic tank ( ) Lift station (Alarm required) ( Drain field ( ) Trenches ( ) Bed ( ) Mound ( ) Outhouse ( ) Sewer line TANK DRAIN FIELD Jzw -jsoCapacityGIs. ^//OODistance from nearest well Ft. Ft. Distance from lake or stream Ft. Ft.~75 >0Distance from building Ft.Ft. \0Distance from property line Ft.Ft. 3Distance from bottom to Water Table Ft.Ft. EFFLUENT DISTRIBUTION (/X ) Gravity ( ) Pressure All distances are shortest distance between nearest points PERCOLATION TEST DATA: WATER WELL DEPTH e^ir-rT /Perc Tester.Date of Perc Test. 5>1Rate of 1st Test Rate of 2nd Test Average Rate Agreement: The undersigned hereby makes application for permit to install or extend Sewage Disposal System herein specified, agreeing to do all such work in strict accordance with Ordinances of the County of Otter Tail, Minnesota and Minnesota Individual Sewage Disposal Code Minimum Standards set forth by Minnesota Department of Health. Applicant agrees that plot plan sketches and specifications submitted herewith and which are approved by Shoreland Management Officical shall become a part of the permit. Applicant further agrees that no part of the system shall be covered until it has been inspected and accepted. It shall be the responsibilty of the applicant for the permit to notify the County Shoreland Management that the job is ready for inspection. C/n/ %DATE: Permit: Permission is hereby granted to the above named applicant to perform the work described in the above starement. This per that the person to whom it is granted, and his agent, employees and workmen shall conform in all respects to the Ordinance of Otter Tail County, Minnesota. This permit may be revoked at any time upon violation of any said ordinances. NOTE: Permit void if work is not commenced within six (6) months. s granted upon express condition Issued Date:7^Land & Resource Management Office Rec P. ~/~oFee $, IHComments: 277.212 • Victor Lundeen Co.. Printers • Fergus Fall*'BK 0795-003 SEWAGE DISPOSAL SYSTEM STATISTICS INSPECTION RESULTS Inspector must make all measurements DRAIN FIELD^^OLDING----,CSEPTICTANKj gLS. LIFT TANKCATEGORY Actual Minimum 753 SFCapacityGLS.SF FTFT FTDistance from Nearest Well FT Distance from Buried Water Suction Pipe FT FTFTFT50 Distance from Buried Pipe Distributing Water Under Pressure FTFT FTFT10 6^0 ftFTFT FTDistance from Lake or River (OHWL) sy 10/20 FTFT FT FTDistance from Nearest Building ^ FT FTDistance from Nearest Property Line FT FT 10 FT3 FTFTDistance from Bottom to Water Table FT 3 YES NOHolding Tank/Lift Alarm YES NOOld System Pumped & Destroyed Sewer Line to Well Separation DRAINFIELD CALCULATIONINTERPRETATION OF ABBREVIATIONS GLS. = Gallons SF = Square Feet FT = Linear Feet Actual Minimum 3FTX FT-V 753 D.FT 20 FT SF V3 /AracK.Inspector’s Comments: u- m <r lU-ti/•31SKETCH:’Scxt;^ So 13D--- \1 V/ I B uCLL (L -‘ Jpspector's Signature )ate of Inspection Time of Inspection V -i jL- GRID PLOT PLAN SKETCHING FORM — (Must Be To Scale) feet/inchesScale: Each grid equals IT.19Dated: Signature Please sketch your lot indicating setbacks from road right-of-way, take and sideyard for each buiiding currentiy on iot and any proposed structures. \ y Loa o Qk.i I Vi M «.• ■* L- J‘ >|Cio 1 'X % -T?.!5 JO i- © «> *> 'V,nl- 7 I' .r . 3. c <N «TVI 4'ri i’-f Jr S-C'\ %£J3J'v i PERCOLATION TEST DATA LAND AND RESOURCE MANAGEMENT Otter Tail County Fergus Falls, MN 56537 OWNER: FIRST TELEPHONE NUMBERMIDDLELAST NAME ADDRESS: C<^0>C/sL STR./RT. Qoo ZIP CODESTATECITY Sl^e^dujULnsX^s7^iTWP. NAMRANGESEC. (jS<^ <f /f]<\k d^R!» k'l'-tiis JS £f' kf' f-f-t TWPLAKE NAMELAKE/RIVER NO.T~^*t/K3LEGAL DESCRIPTION: C 7 pp^ CJ^^7 PARCEL NUMBER NUMBER/BEDROOMSFIRE NUMBER — TWO TESTS ARE REQUIRED — TEST HOLE NO. 2TEST HOLE NO. I inchesinches;Diameter of Holeinches Depth To Bottom of Holeinches; Diameter of Hole.Depth To Bottom of Hole, 19Date 19DateSoil TextureDepth, Inches Soil TextureDepth. Inches Percolation Test By _ Firm Name ___ Percolation Test By___ Firm Name ___ i T -j-|-4, .. Address Address Otter Tail County License No. Otter Tail County License No. PERC TEST # 2PERC TEST # 1 renCRATB TIME ,£Q2^UffiiUZBiL WATBEPeFTW WAIiKTB»via.(fmwT%r>wAfiparTH WA1 JBU2LTIME STARTSTART f rTIMB CKSF PHRC T1RS~ DIEOF" HUtCTIME rate RATE REFILL JUaSLWATIBBBOr PBI^RAlgprTBRV4L rnmy TEf)mg REFILL T T *nMU * DROP PBRC 'HMU * DROP PbiCcFERCRA7Epamtw^oERpagf TISg IWTERmL rMtmfTBSl WA3 WiqERPRQP FBRCRATBPfTBRVALIMMUTBP REFILLREFILL 4 4 nMU bROP PHRC 'nMB DROP PBRCFERCRATE INTERVAL amflTTW WATER ngPTH WATER DROP FBRCRATBINTERVALWATER PERTHTH»g RBPILLREFILL 4 4 'HMU DROP PBRC nMU ‘ DRbP PBRCFBRCRATBTIMEINTERVAL IMIMirrBl)WATER DEPTHWATER DEOTlfcg REFILLREFILL 4 4 nMB DROP PERO TWBB” DKJ5FFBRCRATBTIMEINTERVAL IMINtfTBft FBRCRATB WATER DEPTH WATER DROPIWTBRWLttlltll/lEP WATBE DEPTHTIMB REFILLREFILL _______A »_______TOwfli '^pr6> -.^phrc ^^ERCRAl^ 4 TBCIB" DRW PBRCFETCRATB Tiiig INTERVAL IMPfinESt RBPILL EAIBR DEPTH WATMIMIQPINTBRWU.041NUIMI WATER DEO REFILL V ••4-TIMU droF~ PBRC TIRE” drop I PERCWAiBRbROTIMBWArBRPEOFERCRATEINTERVAL IMIWinESI WATER DEPTH PBRC RATEWATER DEPTHTIS« EBFILLREFILL V- >4 4iMb~ ^ DROP PBRCTIMB DROP PBRC COMMENTS/CALCVLA TIONS: MKL - 0390 • 005 250,815 — Victor Lundeen Co., Printers, Fergus Falls. Minnesota SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White — Office Yellow — Inspector Pink — Owner Card — Owner /00 Akes or^TA Permit No.LEGAL S ^30-7^!Date DESCRIPTION AND 1/ <ir Cl r iaD TWP Name ' yiy sT I 0 ^ H 0 i 133 _3l/LOCATION Lake Classif.Lake No.Lake Name Sec.TWP Range IDENTIFICATION: Please Print All Information. Initial Mailling Address —No. Street, City and StateFirstLast Name Zip No.Tel. No. vV a'T'30 r\Pr ■ \J-OWNER 4- 6SEWAGE SYSTEM INSTALLER 0 e uy AName, This System will be ready for inspection , 19.on. This space for office use only .19 Phone Call Rac'd ByDate Rec'd Time Rec'd Owner or Agent Signature 3~2 00 NUMBER OF BEDROOMS:ESTIMATED COST:I SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD IXO 0 Sq. Ft.3 (o 0 0 GIs.Iq. Ft.Capacity Ft.Ft.Ft.Distance from nearest well ."-t zroFt.Ft.Distance from lake or stream Ft. ^0\) 0 Ft.Distance from occupied building Ft.Ft. S-/ D mDistance from property line Ft.Ft.Ft. /yFt.Ft.Ft.Distance from bottom to Water Table All distances are shortest distance between nearest points RECORD OF TESTS: Inspection was made on 19,, Time ,M By 'll../.PERCOLATION TEST DATA: Date of First Test , 19 , 19 Rate fDate of Second Test , Rate 1st Tej ‘aken By ro. r,IFirst Test -I- 2nd Test 2 Rate2nd Tear 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. AppI leant 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 tbe-MD is ready/or inspection. (Call or pss attached mailer notice.) L^ ' 3'')•-( 4^ r O C t" Permit: Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon express condition that the person to whom it is granted, and his agents, employees and workmen shall conform in all respects to ordinances of Otter Tail County Minnesota. This permit may be revoked at any time upon violation of any said ordinance. NOTE: Permit void if work is not commenced within six (6) months. Dated, Signature y 30'-'1^1 Shoreland Managenr^i(t^fficeIssued Date: r ^ Se r'T' AMFee $Surcharge $ S -/OOPtooComments:. y Ow ( r f>Lt (t To C.W- '4^ (-< f (t /JSU tft. .10 - ~?oo^^(lovo Form No. MKL-0771-003 VICTOR LUHOCCM 4 CO.. RRlMTCRI. REROUl FM.LI. VI •.1S8906 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 - Yellow — Pink Card Office jInspector Owner Owner /‘ob h ATiK e 3/V--Permit No..0 ruyLEGAL X?- 7 7Date DESCRIPTION AND Tcy - 2'7 r ;/LOCATION Lake No.Lake Classif.Lake Name Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Last Name First Initial Mailling Address —No. Street, City and State Zip No.Tel. No. 7 'i'\i'-(cOWNER SEWAGE SYSTEM INSTALLER Name. Tft/s System will be ready for inspection on., 19. This space for office use only 19 ,M Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signa:|ture NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD 3^00' f-GIs.Sq. Ft.Sq. Ft.Capacity ■'r ■■/t ■ >Ft.Ft. Ft.Distance from nearest well Ft.Distance from lake or stream Ft.Ft. ■t Ft.Distance from occupied building Ft.Ft. / 0Distance from property line Ft.Ft.Ft. j 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 jVl By ' 7' Ai 'A </ o' /I.' PERCOLATION TEST DATA:Date of First Test , 19.... Rate /7 7 !^ 0,Date of Second Test 19 Rate i 1st Test Taken By ■I3 ]'I !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 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: I ; Shoreland Management Office Issued Date:. ^ ■ D 7 h o U aTFee $Surcharge $ cerT''"'HP 7 0 q>J' /dluj -) - /OOP~S~ ■ 7 r? I’ / : Vf C VComments:. ‘ O ; - fI/7l : '5'' r f !'■ r ,■ Form No. MKL-0771-003 VICTOB LUNeCIH • C0-. MIMTtai. PC*<U> rALCt.'MIND 158906L INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual Should be Actual Should be FCapacityGIs.GIs.S F S F SF fhl.^ FDistance from Nearest Well 75 50FFF F hso fDistance from Lake or Stream F F F F F r FDistance from Occupied Building 201020FFFF F LLlDistance from Property Line 10 10 10FFFF F Distance from Bottom to Water Table 4 4FFFF F Inspector's Comments: A- __________ r"*- r 2:-f- I IS-5. 20 I'y1 .‘S tT I C> tP ^ /vv 7• .*•> • if TV19_ 'Date of Inspection ^'JOTime of Inspection M Signature of lns|torINTERPRETATION OF ABBREVIATIONS GIs = Gallons SF = Square Feet F “ Linear Feet •/ Job Title Li AgencyMKL-0771-003-Backer '■ • .s »■» , \i •i. 2.V i PERCOLATION TEST DATA Price $ 1.00 per pad. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No. Owner:Mailing Address: ROYANN RESORT (Dr V Watson)Detroit Lakes Mg Last Name Zip No.First Middle St. & No.StateCity Legal Description:‘?6».378 East Lost 1 133 um Sverdrufi^SEC.TWP NAMETWP.RANGELAKE OR RIVER NO.NAME TEST HOLE NO. 2TEST HOLE NO. 1 Depth to Bottom of Hole, inches; Diameter of Hole inchesDepth To Bottom of Hole,Inches; Diameter of Hole inches 19^VDepth, inches Soil Texture Soil TextureDepth. Inchesi9_2i£Date Date C-o/9/*l L -c /■» ^Percolation Test By____ Percolation Test By .S» J a Elfert &tAC>LtaUJFirmName.FirmName.OC DaLUCC LUMn 56573Address.CC Add ress< Otter Tail County License No.,Otter Tail County License No..I- COUJMeasurement, Inches Depth in Water Level, Inches H Measurement, Inches Depth in Water Level. Inches Time Remarks Time Remarks o§/ 2^'•i'\-9 y'//-Vo 5"% A /'/‘ ^ /'/Z e>Z! V oT z A Zc/ 7/>-/~7 -V/Az^//*-/zz/ //■AAo /e> '-7//1> V2///~A3o / TrJo AA'zZVAa,z-//£> '// O V oZa AVs Iti PERCOLATION RAIE » 10x10^ or 1 Min/Inch MKL-0871-028159179 ®ViCTO* LunOCIM 4 CO Ftflflut FACLt. See Booklet, "How to Run a Percolation Test^y Agriculture Ext. Service, Un. of Minn. EAST LOST LAKE ■“"v.f.......V-T^TT v> 4 n f™1 7d'>r✓•¥> c c c^303 ^\^ ^ g ■ M WELL O \ ^ DRAIN FIELD ’^“12‘xlOO* Min ^(14 Bedrooms) cUCdCL, ooi •Pu SEC I, TWP 133, R41W, SVERDRUP TIVP ROYANN RESORT - EAST LOST UKE #56-378 By Dr Virgil Watson, Detroit Lakes, Mn LEGENDS C Cabins TR Trailer ST Sceptic Tank PS Pumping Station DB Distribution Box Cabins are 20* x 26* Trailer is 8* x 38* w/lO* by 24* Porch atchd /O XJ9 Js X IX ,\Not to scale Ottertail, MnINSTALLER:: McGowan Construction Col, j ■S&.. J>g^<3Tt$Al m <\ :2^c.■*i‘ m.CERTIFICATE OF COMPLIANCE m SEWAGE SYSTEM ’-j !m>i.M17th19 7kday nf JanuaryThis certificate has been issued this iMi to certify compliance with regulations of Shoreland Management Ordinance, Otter Tail County, Minnesota. The premises covered by this certificate are legally described as: Range 4^ W/P'm ©i(56-378 1 Twp. 133 Twp. Name Sve rdrupSec.Lake No. Watson Duplex Project Three Easterly Duplexes ■*v/ W 1Dr. Virgil WatsonOwner: Name.m it,, ■V1135 Washington, Detroit Lakes, MinnesotaA ddress. Iv56501Zip No. ilaicqlm K. Lee, Shoreland Administrator Permit No. SP 897 mSigned by:. Otter Tail County, Minnesota MMKL-087 1-009 Mm. v~' WMm'O 159035 ^’e'O" Lu^Dte*- i eo, f*(»tf««. Ptneui «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 White — Office Yellow — Inspector Pink — Owner Card — Owner KIZPermit No.,LEGAL Date «r /DESCRIPTION 7AND ,"^yjf=>r cipLA fT\/LOCATION Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Mailling Address —No. Street, City and StateFirstInitialLast Name Zip No.Tel. No. //3S~ JL'i)^IPA/0/-1 '~)~Sr*>-rxOWNER SEWAGE SYSTEM INSTALLER Name, This System will be ready for inspection on., 19. This space for office use only ,M,19 Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signa^ture /S^ooo NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD y2nn sg. Ft./S-QC:i GIs.Sqf Ft.Capacity Ft.Ft.Ft.S-GDistance from nearest well All Ft.Ft.Ft.Distance from lake or stream > S~~ Ft./r\Ft.Distance from occupied building Distance from property line Ft. /o 20Ft.Ft.Ft. VFt.Ft.Ft.Distance from bottom to Water Table AH distances are shortest distance between nearest points T RECORD OF TESTS: Inspection was made on 19,, Time ..........M By............ 19 Rate. , 19.Rate 3PERCOLATION TEST DATA:Date of First Test ,/.±/z.33Date of Second Test 1st Test Taken By v3 .25..n 3First Test -F 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 hgs been inspected and accepted. It shall be the responsibility of the applicant for the permit to notify the County Shoreland Management that the jol^^2.dy f^pdrrepectiorrr^? 11 or us8<attached mailer notice.) ^ Signature ' ' Dated, Permission is hereby granted to the above named applicant to perform the work described in the above statement. This permit is granted upon expressPermit: 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. Shpretand Management Offic^^ yIssued Date;,Shp cZoy<2> H»qc7 A)oFee $Surcharge $. 3 /rr-0^ ^Comments:.■i !i ^ vierea lunbcin 4 e«.. pmatca*. vcaawa raLua. «iaa.l58906Form No. MKL-0771-003 1 SHORELAND MANAGEMENT - COUNTY OF OTTER TAIL COUNTY COURT HOUSE Phone 218-739-2271 - Fergus Falls, Mn. 56537 APPLICATION FOR PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM White — Office Yellow — Inspector Pink — Owner Card — Owner '1 /p . (: 4-Permit No.,LEGAL Date9.-'A Ya^ >r )A'^4DESCRIPTION / AND r Az;?3/LOCATION / .* Lake No.Lake Name Lake Classif.Sec.TWP Range TWP Name IDENTIFICATION: Please Print All Information. Last Name First Initial Mailling Address —No, Street, City and State Zip No.Tel. No. gja-U .f^.lyOo /( ,-)/ r/ A-Vi f Sf>-t~xOWNER r>'7SEWAGE SYSTEM INSTALLER Name, This System will be ready for inspection on., 1^. This space for office use only 19 ,M Date Rec'd Time Rec'd Phone Call Rec'd By Owner or Agent Signature /S■ f'NUMBER OF BEDROOMS:ESTIMATED COST: SEWAGE DISPOSAL SYSTEM DATA: SEPTIC TANK SEEPAGE PIT DRAIN FIELD Sq. Ft./ ^400 Sq. Ft.GIs.Capacity .w. Ft.SC)Ft. Ft.Distance from nearest well J 35^Ft.Distance from lake or stream Ft.Ft. -•1 OFt.Distance from occupied building Ft.Ft. /O 30Distance from property line Ft.Ft.Ft. V'/Ft.Ft.Distance from bottom to Water Table Ft. AH distances are shortest distance between nearest points [1 RECORD OF TESTS: Inspection was made on „ 19....... , Time Z.2- y<~f ....M By............ 19 Rate. 19....;r^^..... Rate -3PERCOLATION TEST DATA:Date of First Test r A Date of Second Test 1st Test Taken By J / 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.) AX /-/t ;>r'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: ,3 //A/Xy-y-Issued Date:.C Shpreland Management Office O oFee $Surcharge $ .*" r'' ty w nComments:. J CiV ‘i JForm No. MKL-0771-003 vicToe LuaettM a co.. paianiti. reatu* fall*, hihm 158906 1'.V• ’*5 f i INSPECTION RESULTS Inspector must make all measurements SEWAGE DISPOSAL SYSTEM STATISTICS SEEPAGE PITSEPTIC TANK DRAIN FIELDCATEGORYActualShould be Actual ActualShould be Should be ^soo /^OOsF moCapacityGIs.GIs.S F S F SF Distance from Nearest Well F 5 50FFF F F 75V FDistance from Lake or Stream /PCsFF F/ Distance from Occupied Building f 2010irS4-20FF F F 5t)f VOf FDistance from Property Line 10 0 10FFFF F S' FDistance from Bottom to Water Table 4FFFF F Stod / I ^4Inspector's Comments: 7>3-L____c/^rp CL V llSu Q _____W cvl>0 HA l/p»d per CjA <____^ ,.<1. > ' 19J2_3Date of Inspection Time of Inspection.M atj Signature of^ffspectorINTERPRETATION OF ABBREVIATIONS GIs “ Gallons SF = Square Feet = Linear Feet Job TitleF •Tfi f •S'l»1*.. AgencyMKL-0771-003-Backer '.5 - r 1. If. > .. I * ;• /'>vA/?' - ..V i^ e , , ; / ■ •o‘- » _ “:r*v-*rs^- * ,\ ......; PERCOLATION TEST DATA Price $ 1.00 per pad. SHORELAND MANAGEMENT OTTER TAIL COUNTY Fergus Falls, Minnesota 56537 Ph. No. Mailing Address:Owner: f) Cf R<T? rC L.p,ic^S H\j ^ 0 2^ Middle^ Last Name First St. & No.City State Zip No. Legal Description:/33 Cfi SEC.LAKE OR RIVER NO.TWP.RANGENAME TWP NAME TEST HOLE NO. 2TEST HOLE NO. 1 3 JL.Depth to Bottom of Hole inches; Diameter of Hole JnchesDepth To Bottom of Hole.Diameter of Holeinches;inches S -3-^n'cCT~/ / >/~719_23 VSoil TextureDepth, Inches Depth, Inches Soil TextureDate.Date Co /TCo/}, o) AU J Percolation Test By____ Percolation Test By____/1(3o/> 'Jojy -.15 Q LU Firm Name. Firm Name.CC 3aLU GC LUAddress.or Address < </)Otter Tail County License No.,Otter Tail County License No,_1- LUMeasurement, Inches Depth in Water Level, Inches H Measurement, Inches Depth in Water Level, Inches RemarksTime Time Remarks o‘k.. 1 fO/O / '^/oo>I 3' H % V Vi- 2__^)3'l^k^/O f'h /i W / //I 3 2J (> \1J3^C 7> 13lAJiJl3 7 1/3 vr"\-b3S^ Jli A!/: A ^ PtiiCoLpT/t,7(^\ t - X V (TV jA yHTPPjTPTcfp See Booklet, "How to Run a Percolation Test" by Agriculture Ext. Service, Un. of Minn. MKL-0871-028 AN, l\ i CHESTER a BRUCE LEITCH I" Ill NW COR. SEC I ■V TI33, R 41 iiil 4i!iill I- |v: !■' I Cl iii'tii lil!I-! I I S. [ijt y. iji i Piii:.i 1C iliii C: 1' I r i-1:1 EASTI li (No 56-378)I Recreational Developement LOST II WATER ElEV =100 00 ASSUMED DATUM 0CT3I, 1973 , / XLAKEPll1 /'/)In t! lA iiiiihl h'l Ill i)!i lili III!ii!| iiil = -== ^ v ^ x ;; —:: —~‘ £ :•:; - >• ; : :Tr:-; ";%' :: :; . ;-; — :•; rr:: ~:-; “ :•; —:-: —:; —:-: — :•: — :•; — 7—-r";: " r: — ;■: -7-^;: r’" rr znr ~rr ------. -—,. ^-----------------------, —_ ------- * • ____ « « .^__ „ * * ^.1*:____9 • __________» • .. ____________:. • •______„- -.;; >.* “■■:~Ki-!:ci;7rxzi: i^« NE. COR.SECi^ TWPI33,RGE.4I I in M 17 l:i! ••I7 \ 'it IfCM X rO Cn 3 . , to \Iliil;-i!^; 6N 87°25'30"W "253 03--I SCALE r = 50’i!i':1r :'LJ IIProposed wellh-Q (SERVICE30 ENT for WELL)I O'00COt;fi'ii• - Indicates Iron monu. found 0 - Indicotes Iron monu. ploced with Minn Reg. No.7575 Inserted therein Notel Proposed duplex locotions shown hereon ore as were staked for basement excavation purposes. OiLocationLII01S87°25'30"E --- 233 03-- ^00.00 i'-l ■ M-,;iII20.0':171/ /;' 33.'03'<VI I--94.(xy--|I!W:\ |RmiRE /I 33'I 33'c tr •! Till ."oui.ty, >.ii'.t^■.icrli:;e7 8 7« ,-T' 3U" , 1 id 11-j at t:-Hi!/L. V‘ 7: i/:d.s!-•f 1 V '1 i tlionca oil an a.;JU.;;ea bearing or Lortn -rn: td — /.//I F-:, t;'-'utaOL Corner of o<ri i .>lV'.iarrei.t Le:t i; 33.ut root; ,'n) feet; t:u;nce ..xutii 87*-' 1.3 tGAR...'icuti r;e;nt Ix t 1 fc r a di..:tanco of /thonct- or. a boarii.j of forth par.'illel to the Eantorlj’ la: •• (. t X.i iBo^ment Elev = lt2..5 I2 30" East 337.03 feet to the Easterly line of aai 1 -.f-v ■j-n:..’.i7. ..r li^fnts of t:..,' jurdic 1; eaenr.ont and a 10 foct wide watej d. i. .Z/di 't ir\C(.',‘ or lo .;xutn an .said Eastv-rly line lo^r a distance of 130.00 feet to r'C-di-t of begirininc, su.h'jnct tc t: Eas.t-.-dly 33 feet tlierecf, togetner with aird subject tc a 10 foot wide san.itary se’wei ■ cer.tciliuoB of which are described bclov/ (see descriptions listed below) /t si Q 11 liyev.r th‘ eas.a:.ont, the -H'c”i 1148 I'i.h Qo\i!i;q: !u>\O :<i That part of Gev->rrj,.ont Let 1, Section 1, Tewmshir’ 133, Range 41,Otter Tail Coui:ty, Minnesota descrineo -n: : boutheast ctriu.r of sdi.i Governjr.ent Lot 1; thence on an assuired bearing of forth on tho East-aly line tn.-j- feet to j-cii'.t of boniiadrig of tract to be doscribed; thei.go l.orth 87*^ ..o 30 .7eet jmr.iil'.;l to lTi',- <.ut..-.-ra7 i.x;.' Let 1 fci a distance of 333.03 feet; thence on a boarirug of forth parallel to the Easterly line of ..wi 1 3k-v.;rrj-.e3,t U t 1 tc i a of 130,00 feet; tnence South 87° 25' 30" East for a distance of .;33.03 feet to the Easterly line of said doy. rn .e; t ix.t 1; bearing cf .iouth on said Easterly line for a distance of 130.00 feet tc poirrt cf boydra.ins, subject to tn-- risd.. of t:n ; us lie in tovn-siLip read over the Easterly 33 feet thort^cf, together with and sui. j ect tc a 1' tnct v:i :ie Si'itaiy S’-wer ea.na.,ent .ii.e a lu rot t .-/i o water line oaserrent, the centorliries of which are described belov.n i I. . f * . I i . t.CD 8"BENCH MARf^ RR.Spk. in power o.o‘le) ELEV r||3,3|/ I j ^ 1 ; li I .A V rju .■ nt d .:ta; .Ct’ i n I n .' t i.' ■ J III XIotCO>1114'future 1 GAR. I __________I 24' , ilil X!.t II(i I I!:il ifHi!/(sec descri:..tii.a. : "ii- w)"o iV n/10 1 Joimiei.cix.c it t! iii:t .tinct- oi O'..oU sai -i rnn.ont Range 41, Ctter Tail Coui.ty, Minnesota described as follows;That fart cf Government Let 1, dccticn 1, Township 133, cJouthcast corner of said Goverrusent lot 1; thence on an asGuned boa ring of fortn on the Easterly lino thcr-cf for a ' 30" ,'h'st parxllv:! to tin.- .xmt;n. rly line oi IfC.liil l!‘ I' IN 87^25 ,30"W^ 20000 !.-! H1 !-fi1 hi*\iC - -75‘-\ ;foot tc point of begiming of tract to be described; thence t-.orth 87 lot 1 for a di.jtance of 233.03 feet; thence on a bearing of licrtn parillcl tc tho easterly line cf sai l Goverueoi.t ix.t 1 for .1 distmee of 130.00 feet; thence South 87° 25' 30" East 233.03 fort tc the Listerly lii said Easterly line for a di.etance of 130.00 feet to P’oi:.t of bGaiiiiing, suiject to tnu rigSits of tiie pui.lic in to rr.srdn load c-v»;i tn*- Easterly 33 feet therof, together with and sulrjoct tc a 10 foot v.l .ie sanitary sewer easer.ioiit and a 10 root wi ie water line irisenont, ceiiti.rlinGS cf which are described below (sec description bclov/) 33.03lilt 0; O Io»- s§ lO V) N! \cu bearing of .k-ut:v oiiCUcf s-.ii.: ■■'.cver:u..v:nt Lot 1; tivenc- on a24'i-tiIr--------i future i 4111 trio'Si I I idIgarhX1125it-Ilil/I'll The folio-wing descriiition describes the centerline of a sardtary sewer easement as ej-rtendincj across Lets A and b as dtiscrii.ed aiov';. Tiliu Ear.oiLont would be as follows; Xtr \Basement Eiev.-1II 0o XgAz!Il:ii 133, Ear. TO 41, ( tt* r Tail bounty.O A 10 feet v/ide sanitary sewer easoisei'.t extiTiding across f>art cf GoV‘-'nj;.or.t Ix.t 1, occtiori 1, Tov/iisni; the- centcrliric of wLiab is .loserii-'Oei as fcdlow.;; Gorsvoncing at tae . L.utnuast ci. rnoi' T.lo 2 i!Xoili’B"UJ ;i.i!.nesotd for construction and saintonance p-urn-osos, of said Goverrusent Lot 1; thonco cn an assumed bearing of ucrtii on tire r-ist-'ilp' li.ne t;.or-:.'ot for a .list.ir.c-.- 33' 30" best ;>arallel to the Sioutiicrly lino of said r-cvcnn.c-nt Lot 1 for a distance of 131.03 foot to i'oi;.t of bw.ui.ning of line to t'nence Gouth 4^ 33' tO" //e.st 3oo.c4 toot; tncnco .x/ut:: / 13' .n-st o...,oU foot ariS tni...re ti:r;../.mtin 3, Io(/)ICO oOn.tU I’'!; theiice A.ithGliio116IoI;08 7(:z'/o be doscribed;CO X/;I future I i.» "I '__- Jz* : I \.X- as descrif'od at<;V-.-.The fc llcv/ing would be an easoniont for sanitary sev/er soil absorpticn .y.it-s:; lor tn-. usua.ae of tracts "A" ansi "G" This descri;-ticn snould be included iii the Deed on eac:i of t.ni; <ii.x..vo utmerineQ tracts ana 'wo.'Ul-i D-e as fc. 11s v...,114 ;I \li''iIi izy I-5.0'I1: '3 II1 oaser.cnt for trie co-r.struction and naint-.-rance cf a iiol i soil absc,ration csya'teiT-. cv>.-r tirat part of C-o-i/'-'-rniao-rit Lot 1, 3'iiiiiest'ta .ioscrii.-eci as tollow:',; 'JoraRoncing at the fioutrrevi.st corner of said h' 30" .'lost or. tn-.;- .Liuthorly lino cf sai.l Gev- rniuont l.x-t 1 for .1 dr s- VA Ga:.it.ir3i sewer decticn 1, Tcwi.ship 133, Range 41, ( tt--r Tail County, Gc V'ariunont !x-t 1; thence on an assu:;.ed btrariny cf Li.-rt:i -S/*- tance of 333.u3 feet tc point of beginniny of tract to be doscrined; th. nc-.- oc.nti;.uirig bortn c7° 33' oU" .Vost cs; said .A. atnorly line Easterly line of sai-i Govornii.ont Lxt 1 for 1 -liotauce of o/'or/COIIIS87°25'30"E 150.00 110/I'S87°25'30"E- I____200 00 Ir for a -.Ti.TtartCe of 13-0. OG fo-ot; thence cn a 'nearing of Lortl; par.11..1 tc- tn 30" East 130. GO feet; th.,?r.ce cn a bearing of idcuth for a distance of 180. bU feet to p.oi:.t of bw.giiuviibj. 75'd 33 03 IIIIH:wru t: fIB'J.OO feet; thc-nce dcuth 8V°- -94.00-/-/3 v112\ \ •••/\as sno’wn ht-rtKiii, and -.woulai bo descri.oed!// ri//"A" "b" and24' I<■-------------1 FUTuREtI GAR. The fc llowiug would be an easfirior.t for the purpose of water service to tracts .IS follO'WS. 111!/iII;I iI<m|I /A 10 foc-t wide easGi;ient for writer lino construction arid irairiterance over that p-art of Cover;uuent Lot 1, 'dection 1, Townshiip 133, Range f wnici. is ci-e.-rcribod as fellows; iGor.r;.oriciag at the iJC'Utnoaot corrurr of said Gc-vo-rruuont tiience North i/y.ill /z'biniiescita, tar. cent'-^rlir assui.,od bfxiriiig cf liert'-i cn the Easterly line cf s.xi i dk.'V rnniont Lot 1 for a distance of 54U.0U feet; 3u" .'•Jest par.ill-1 tt. thu .3-outh rly lino of sai i ’K.-vorrn.ent (.et 1 for a nist.inG-.: of e-l.CO feet tc pcirit of beginning of said bearing of uti. parall*-! tc the Ea.:t"rly line of said Gc-Veriur.ent Lot 1 for a distance of 360.00 feet and \r 41, (tt- r Tail Icunty, Let 1; theiice cn an ■■■■ ! t cVBasement Elev.= 110.0I CE ii/I\I o^"o71-0 z'^ 01 z I110 "^ o $ I\Xo r 87IdgQfutureoioUl hi"Ao centc-rlinc; thence on a tiiore tsin.inatiii-.. CO 'As .099I X\z SEPTIC TANK gDRAIN /ol'iR.a; n I1 I'tjI\*— CLEAN OUT ^ ; I O /CDq://D_/FIELD TLiis siiould also be included inTho folic wine wcul-i l-e rn easa;.ei;t lor cc i.stiuct ion and raint narici of a prer-osod Cortr-.uni ty well site. (:iich cf trie alxvo Dee'.j on tracts "A" I /JIII!/!FIELD /"d" and .vould be as Icllow..;;b an 1/FUTURE- 1/ I GAR XDISTRIBUTIONI!lill BOX|!li /An easement for insro-ss .ml egr-TSs for tao con.'tructiim and r.aii.ti;nance of a w--ll puit.p and pressure lystom tc be used for the service to C'jrt.ai:'! -..tu; lex iionx-s and '/.t in-;, l art o-i ■ d:v--riu .i-nt Let 1, . ...ction 1 I /I SE. Cor. Gov'f. Lull,SEC I xj 1I i/Lov.r.snip 133, R.aiige 41, Otter Tail County, Minnesota described as iiiciug at tae Jc-uth.>.ast cc riu.r cf sai-i GciV- rn; oi.t ix-t 1; tt.ence on an assu;.;ed beariri-g of North cn the Easterly line of said 25' 30" A^est parallel to I\ill /'8 folic w.t; Jo-.r;.*. '.'-ov- rr-L;.*-r.t let 1 for a di. t.u.co of L 4i.. GO I'-.. ..-t to point of 'j-e.ginnin j ct trret to bo described; thence North 8/ trie ox/at.dc-rly liro- of sai-i "<-v rTu..ei-.t lx t 1 Ur a -dot-.i.c-.- of . to. a-a I-..‘et; t-s-iice on a bearing of North parall-..':! to the Easterly line of Easterly line of said Government I '^oIII ",70o'I /SjjJ^GazT LOT I, SEC I r\X)i108 d-/I------L_/j. I50.QO ii,r 'h'-/3dL" m./t 3 3. ^'3 foi-t to t: Ti.tmc- or ic. .so rest tc.. p-oint ci o.iglai-sit ( itac-aoTo -X'Utii 4-.-.m i-.i ;.k veiias'-i-.t ;xt 1 ! c.r t - notanci c ura : on.it ;•S I!\2p0d0 ;till>’ fo.!...;. S'.-i it 7; t;--a;ca i..pjo i 1;c.' r xt ,•• -i^-75'..''f 33.0.3 4^^/-23303- .. N87,°25 30 W!X ^ so: .ss ^ss s x x 3=7- ^ x ^^-s-= ^ ^ x ^ x ^ X @ ^Ij t\AJCERTIFICATE OF SURVEY ROBERT B. OSLUND & ASSOCIATES OMK ENGINEERING, INC /ih;.’■4V UiiliilI i Ii;ile !■'* *.»ill;I; 33'r ' 3.5 !lii3! i;’i;: REGISTERED LAND SURVEYORS — CONSULTING CIVIL ENGINEERS OTTER TAIL COUNTY SURVEYOR — KANDIYOHI COUNTY SURVEYOR FERGUS FALLS, MINN. 56537 WILLMAR, MINN. 56201 I HEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PREPARED BY ME OR UN­ DER MY DIRECT SUPERVISION AND THAT 1 AM A DULY REGISTERED LAND SURVEYOR NNESOTA. lili111!ii J PH. 736-4272 PH. 235-4012 ■2-28 VV. WASHINGTON 328 WEST 5TH ST. Ill ill'! j ilil X ill;31 ill'M.C. No. 45, SEC. I T. 133, R. 41 }:] UNDEIldrrtK TliB-,ST4^E ^MI Xr/!ill:''T SD.4TE4^4i- ■ ■ '* ~ zu X UP £5.^ X uee ^ X ^ ^ X ss =77 =7= :-:/== pm x 7=737= psp ^ x x ^ x ^ x ^ r: ym x ^ . REG. NO. 7575111! V zv; X Pa up p 7;:; mp x 7=7 x = ^ x 73=3^ x f=n: ^ ^ ^ r: x 7=73== 3=7 =3 y - 33== 3=s x ^ x ^ x ^^ x ^ x=x ^ x ^ x ^ x ^ x ==e-: «;•; ^ x ^™ y^jx ^ x asi:-; yy x ^ x x ^ x ^ x 7/ f’t ....-.-c . SCALE r = 50' # - fndicafes fron monu. found 0 - Indicates Iron monu, placed with Minn Reg. No.7575 Inserted the^ln. Nofei Proposed duplex locations shown hereon ore as were staked for basement excavation purposes. Thftt part of i5overnocnt Lot 1, Jection 1, Township 133, Range 41, Otter Tail County, Mlnn-'yota dc>:3cribo<i ay follows; 3«giuning at * Southoast comor of raid Govonuuont Lot 1; thence on an ascuincd bearing of North 87^' 25' 30" West on the .Southerly lirte of said Co\ mont Lot 1 for a diutanco of 233.03 feet; thence on a bearing of North parallel to the Easterly lino of said Gov'^rnnont Lot 1 for r distance of 180, un feet; thonce iir.uth 87^ 25' 30" East 233.03 feet to the i:acterly line of , said Government Lot 1; thence on a boar. South on said Easterly line Cor a distance of 180.00 foot to point of - bcgi.nning, subject to the rights of the public in to’wnship over the Easterly 33 feet tlicroof, together with and subject to a 10 foot wide sanitary sower oacement and a 10 foot wide v;ator li? easement,the centorlinrc of which are dcscribofl below (see descriptions listed below) That part of Goverrunont Lot 1, Section 1, Tox\rn:;hip 133, Range 41,Otter Tail County, Mliuiosota described as follows; Coinrnencing at Southeast corner of jiaid CoV‘Tnr’.er\t Let 1; thence on an assumed bearing of North on tho Easterly line thereof for a distance of 10 feet to I'cint of begiriniiig of tract to bo described; thence North 87° 25' 30" West parallel to the Southerly lino of said Governne, . Lot 1 for a dintance of 233.03 feet; thence on a boaring of North parallel to the Eiast'^rly line of said Goverrunont U>t 1 for a die of 100.00 Coot; thcnc'* South 87° >:b' 30" East for a di.stance of 233.03 feet to the Easterly lino of said Government lot 1; thence • bearing of South on tviid Eistorly line for a distance of 180.00 feet to point of ba.7iruiing, subject to t)io rights of public in township road over the Easterly 33 feet thor«?of, together with and sui^joct to a 10 foot vride saidtari' sewor oasenent and a 10 foot water line oasemont, tho cejittrlincs of wliich are described below, {see doscrij:»tion b^ilow) That part of Government Lot 1, Section 1, Township 133, Rango 41, Cttor Tail Comity, Minnesota described as follows; Commencing at Southeast confer of said Govcrrmiont Lot 1; thence on an assumed barring of North on the Easterly line thereof for a distance of 36 foot to ioint of begirining of tract to be described; thence North 87*^ 25' 30" West parallel to tho Southerly line of said Govornmo Lot 1 for d distance of 233.03 feet; thence on a boaring of North }-»arallcl to the Easterly line of said Government Lot 1 for a dir of 180.00 feet; tl\cnco South 87° 25' 30" East 233.03 feet to the Easterly line of said Government Lot 1; tliencc on a bearing of Sc said Easterlj' line lor a distance of 180.00 feet to j-oint of Loginning, subject to tho rights of the public in to'.-mship road over Easterly 33 feet therof, together with and subject to a 10 foot vrido sanitary sower easemejnt and a 10 foot wide water lino easemor oontorlinoc of which are described Vjtdov; {see descrii tiou below) Tiio following description <lo crlr-cs tho centerline of a sanitary sower easement as extending across Lots A and B as described abo\ T)iis Easement v/oult.1 be as follow:;; A 10 foot v/ide sanitary sower eau':i^ici-.t extending across part of Covcrrj-.'.er.t Lot 1, Section 1, To’.'mship 133, Range 41, Cttei' Tail Minncsot.i tor construction and :'.airit<-n.\nce j’urix^se:;, tiio centerline of which is described as follows; Commencir.g at th.c :‘cuth->i: t of said Otworruiient lx;t 1; thence on an assumetl bearing of North on th(^ Easterly line thereof lor a distance of oGO.OU therkC- 87° 25' 30" West i>ar.illel to the Lk'uthorly line of aaid Covcrnrricnt Lot 1 for a distance of 151.03 feet to point of bogir.ning oi 1. be doscribod; thence Jouth 4° 33' 56" Wesc 2GC.54 feet; thence South 78° 15' West 62.00 feet and thoro tormiiwting. Tho following 'would, be an c>aseme'nt for rmnlt.iiy cower coil absorption system for the usuago of tmets Tide description should bo inclu>.iod in the Deed on each of ti\e above described tracts and would be as follows; A sanitary sower o^iccmcnt fer the construction and maintenance of a field soil absorption cystem over that part of Govoriimcnt Lot Section 1, Towinship 133, FVange 41, Otter Tail County, Minnesota described as follows; Copimencing at the I^uthoact cc-rnei of S'li-I Government I-ot 1; tli.'.'nce on an assumed bmring of North 87° 25' 30" West on tho Southerly line of c.ild Govt.!rni[*er.t Lot 1 f>.'i tanco of 233.03 feet to point of beginning of tract to bo described; thence continuing Nort)» 87° 25' 30" West on .s-iid doutnerLy i for a dirjtanco of 150.00 fei.'t; thence on a bearing of North parallel to tho Easterly line of said Govenm'.ont Lot 3 fer i iistanci 180.00 foot; thence South 87*^ 25' 30" East 150.00 feet; thonce on a Lioaring of South for a distanc*.' of 180.00 feet to i-aiut <-1 T)\c follo'wing wc»uld be an oa.'^oir.cnt for tho purpose of water service to tracts "A" "B" and "C" as showj\ hereon, and -would be doscr as follow:;. A. B. C. D" and "C" as describe -id A 10 foot wide oasaiient for water line construction and maintenance over that part of Govcnvjtent Lot 1, .Coctlon 1, Toj^aiship 133, 41, Otter Tall County, MiiJi''::ota-, tho centerline of which is described as follows; Conuuenclng at the St)Uthoast comer ol C<w Lot 1; thence on an assuj.'iCKi Ixiiring of .North on the Easterly line of said Government Lot 1 for a distance of 540.00 toot; thenc** S7® 25' 20" V.'cnt parallel te tl’.e .7cutE.-‘rly li.ne cf r,r>t 1 for a d"* r;r-“.nco of '.M.OO feet to Tolnt of b«yj i n:’. i ncj of ;:.j centerline; thonce on a Uuring of South i;*arallol to the Easterly lino of said Covemment Lot 1 for a distance of 3GO.OO feet an<. there terminating. The followlno, 'would be an •Msomont for construction and naintonanco of a proposed Conmunlcy well olte. This should also }><.• Incli each of the a)jove Deeds on tracts "A" "D" and "C" and would I'kc as follows; An tjafioii.ent for iu'jre.es .ij/l ivjrecs for tho construction and :raintonai\ce of a well f.-umi’ -incJ i rossure s'yr.tfm^ to be ust^d for tiio so- Certain duple-x homes and l.« in : lart of Govcni;nu\t lot 1, Jcction 1, Township 133, R.iivje 41, Cttor Tail Ct.UJ»ty, Mlrmosota desjcril- follow:;; Commenciiuj at the ;x>ut}u.\ist corri'.’r of .'uid Govonxmonc lot 1; thei\ce on an assui:;ed bcjaring of North on the .-asterly lim; Gcwon\r.'.ent lot 1 for a distance of 540.00 foot to jX)int of beginning of tract to bo *loscribod; thonce North B7° 25' 3D" West the Southerly lino of cai<.i t»oV'*rn;:ient lot 1 for a distance oQ 353.03 feet; tJiencc on a boaring of North pt*rallel to the Erstoily said Govomment lot 1 for a distance of 40,00 foot; thence ioutli 87° 25' 30" East 253.03 feet to tiie Easterly line of said (Jovt! Lot 1; thcfiice on a bearing of .louth on aald Easterly line for ii distance of 40.00 feet to point of beginning. ji-^ X mix x ^ x sa ^ x y. x ^ x x is x fej x mr- x sa CERTIFICATE OF SURVEY ROBERT B. OSLUND & ASSOCIATES OMK ENGINEERING, INC.K KEGtSTERED LAND SURVEYORS _ CONSULTING CIVIL ENGINE! OTTER TAIL COUNTY SURVEYOR — KANDIYOHI COUNTY SURVl FERGUS FALLS, MINN. 56537 WILLMAR, MINN. S620I I IIEIlEItVIiK.llTII'Y THAT THIS SUnVEV, PLAN, OH REPOUT WAS PnEPARED BY HI II MY i>ini:irr supeiivisihn and iimt i a\i a duj.y ll|•,f;l.STl•:ll^:H lanhf j' VYliK;'| j ' M ■2-2H W. WASHINGTON 328 WEST 5TH ST. JXJ X I(I NE. COR.SECI^ ' TWRI33,RGE41% V »• K ^ s <I^ ,VX /(VJX fO H \\(Ti 3 . wN87°25'30" —253.03-rw .JiProposed well (SERVICE ENT for WELL)O oLjxationS87®25'30’t — 233.03 ^00.00 r--[ T d /I ■‘73'-'33.03 ^\Vi 94(Xj^-I\\24' I----------------- [fUTUWC .4 I33'33 ZCAR X Bcsement Elev.= (l2,.525\ v;occ!8o03 I II --82 00'- O z oo rOCDooI oCOfuture I gar. ~1 " 24- -f o^CJ z •I »-5.0'3 O8”"COVS07‘>25'3O"E 150.00 noS87°25'30"JE 200 00 ^--7S'-33.03 --94 00V-N ■mN 24' rJfuturev I GAR. a:Basement Elev.= 110.0i/I IS o-J / lA "a" h- oCO eSEPTIC ODRAINTANK '7 I 8'/CLEAN OUTFiELC J FIELD FUrURf.^^ OISTR! BUTTONBOX SE. Cot. Govt. Lot I,SEC Ij /N'8 IL.g0V'T .LOT I, SEC I ..'r 108X^iso.ooI 'h''I I -.75'..33.03/ - 23303---,.--/ N 87° 25 30 W T \ 33'33' r •« M.C. No. 45, SEC. I 1133, R. 41