Loading...
HomeMy WebLinkAboutPermit Septic Tank 1972-7-28 . . 7~ ~/d_'/JL_.'" iff ">SURN/.ME ~~ ~ /0/7/(, R[CEI~T No, 'IDATE ~ ;zI/e.:t~ ~ ~~ ~' ~,' 3 L.-I'>'i:"7 SECTION fAX LOT CODE CENSUS T~AtT 7~~___ I~~-, RE~ST FOR SITE INSPECTION Fens -2 RANGE ~, ~ 10WNER'~ONSENl'~ YES I y-I NO I I /' ~ . \ C. k,.rw'...j.t.y i-/V TH IS 15 A PRE LI M I NARY REPORT WH I CH DOES NOT I NSURE THE I SSUANCE OF A FUTURE PERM I T. ANY PLANS OR EXPEND ITURES MADE IN REL I ANC!, UPgN WI SJlVORT. ARE AT OI,IN Ri5K~ /~#"",,~~"'-u~ BU ILD I NG YOUR ADDRESS 777 rL ?7l ~"?L~ J~~. NOj4S ,,0 /4 No. 1\CRES 7.-____w/.-L/_ / /' ~ ....-... TOTAL $?...s:-: cJcJ ~-4!4~ ~/.. / ~_/~~<~~ (;~ /~;,"'~" ~ iEL'r;J'H%NO. ApPL I CANTS NTEREST I N, PROPERTY ROPO~ USE '3J ~PE~TY // -:?1/-.2-2?J7<'J ' /;r'f.:'r/"--- ," A"~.A'L/~ 17 ~P'ROPERTY SIZE I LE~ WESS..... !,0}9ffiME""pEC I AL PER~IT AREA URB,..r1 ZING AREA ~ ~Jc:://-17h? /~/L/~.#.h<-<-YES iVI NO I I YES iYl NO I I ~~ Ex IS~ 9-JRUS,TURES I 15 PROPERTY WITHIN ONE MILE OF A 'ctTY? / . F~ WHAT CITY? ,. '"AI YES I I NO l:s::::--r_ PROPOSEO WATER SUPPLY ~~ER PUBLIC I I DISTRICT I I SPRING I I WELL !Xi SPECIFY PROPERTY LOCATION: (DIRECTIONS1~,"7~:/ ~ ;--:' /f'.4/L ~a.-~- ~ -&~~~/-,A~,~~#~#,,///~~~- , APPROVED :/" NOT APPROVED REASON F~ - #' - . r STATUTORY AUTHORITY ORS. 431.130 ANa 447.020 AND -=EL '/7J7LC) $ $ 7CJ/'c/d NAME / /~tfcJ COMMENTS: p!// ~ ~~-'" G OAR 41-020 PAR. 1 '-I INSUFFICIENT LOT SIZE FOR INDIVIDUAL SEWAGE DISPOSAL AND WATER SUPPLY. OAR 41-030 PAR. 1 I-I HEAVY IMPE ~~U5 NON- ABSORPTIVE 501 . OAR 41-020 PA . 1 I I WATE TABLE ABOVE MINIMUM STATE STA OAROS 1-10 ER YES I NO 1- ENGINEERED SITE MODIFICATION FEASIBLE BEFORE CONSTRUCTION IS STARTED BRING THIS FORM TO THE BUILDING AND SANITATION DIVISION ANa MAKE APPLICATION FOR A BUILDING PERMIT. IF THE PROPERTY IS A PORTION ONLY or A TAX LOT, A METES AND BOUNDS DESCRIPTION OF THE PARCEL MUST BE FURNISHED. EXACT SPECIFICATIONS FOR THE SEWAGE OISPOSAL SYSTEM WILL AEPEAR HE BUILDING PERMIT. Two SETS OF THE BUILDING PLANS AND PLOT PLAN WILL BE REQUIR . LANE COUNTY BUILDING AND SANITATION DIVISION ~11 o:~' "" AUTHOR I Z / * I GN A T7Rl CSS-32 DATi ~ - /. # # -,=-\ \ , \ \ I, )q IN '-.) :~ \ I lil 31 ~\ I , , I -.\ ~(,rJ ( , . " , TWP. RG. , SEC. T.L. , DATE COORDINATES E N CENSUS TRACT SIGNATURE PDS I liON NO. CHECKLI ST CRITERIA FOR DETERMINING SITE SUITABILITY FOR DEVELOPMENT UTILIZING SUBSURFACE SEWAGE DISPOSAL METHODS GENERAL CONSIDERATIONS 1. DISTANCE TO COMMUNITY SEWERS 2. DISTANCE TO PUBLIC WATER A. MILES OR fEET, SOURCE A. MILES OR FEET, SOURCE 3. DEVELOPMENT TRENOS IN THE AREA (SHORT ANO LONG RANGE POPULATION OR HOUSING OENSITIES) DU = DwELLING UNtT. A. COMMENT 1 DU/AC~ OR LESS , 2 - 5 DU/ACRE , 6 - 10 au/ACRE 4. PERCENT OR NUMBER OF FAILING SEWAGE DISPOSAL SYSTEMS IN THE GENERAL AREA % A. HAS ENVIRONMENTAL SURVEY BEEN CONDUCTEO YES NO DATE 5. PROJECTEO PLANS AND/OR STUOIES FOR PUBLIC SEWER OR WATER IN THE AREA. (tNDICATE IF AOOPTED). COMMENTS: SPECIFIC CONSIDERATIONS 1. So IL CHARACTER 1ST I CS A. Top so IL DEPTH AND TYPE B. SUBSOIL DEPTH ANa TYPE C. MOTTLING DEPTH D. WATER T ABL E DEPTH COMMENT E. FILL FEASIBILITY , COMMENT F. PERMEABIL ITY G. PERCOLATION TEST RESULTS M55-26 2. SURFACE DRAINAGE # CHARACTERtSTICS SWALES DRAIN~AYS (DEPTH) < ; DRAINAGE OBSTRUCTIONS COMMENTS FLOODING 3. WATER SUPPLY EVALUATION - CHEMICAL, BACTERIOLOG(CAL, PHYSICAL, QUANTATIVE A. WATER SOURCE: PUBLIC AGENCY SPRING WELL LAKE RIVER COMMENTS GEN.AREA SPECIFIC SITE B. WELL DEPTH C. JOINT USE OF WELL, .(# OF PEOPLE SERVED) NUMBER OF PERSONS TO BE SERVED FAMILIES 4. ADOITIONAL AREA AVAILABLE FOR USE IN CASE OF SEWAGE DISPOSAL SYSTEM FAILURE: No YES AMOUNT AND GENERAL LOCATION 5. ACTUAL USEABLE UNOISTURBED OR UNALTERED AREA AVAILABLE FOR SEWAGE DISPOSAL - EASEMENTS, ORA 1 NAGEWAY5, TOPOGRAPHY, SHAPE, 5 I ZE, SLOPE A. SLOPE l' /100' C. TOTAL SIZE OF PARCEL B. AMOUNT USEABLE AREA REMARK S : 6. PREVIOUS SITE INSPECTION YES No DATES 7. DISTANCE TO: CREEKS , STREAMS , RIVERS CAN AL S LAKES , PONDS , OTHER, SPECtn: 8. TYPE OF STRUCTURE AND APPROXIMATE SEWAGE FLOW: SINGLE FAMILY GPO MUL T 1- F AM I L Y GPO, INDUSTRIAL GPO, COMME RC I AL GPO INSTITUTIONAL GPO NOTE: SOIL ABSORBTION AREA IN SQ. FT. AREA NECESSARY FOR SEWAGE DtSPOSAL SYSTEMS ------------------------------------------------------------------------------------- DATE REVI EWED BY : ACTION: " " ,--- '. , COUNTY Ii I .., -'~'~!~~;/~;::~~-;;;~i~ -4~','", ,,!i,,'!. .J!f:i",:, ,;,,-~ .-- _.- ~~~l!i!i!f;rJ;'j:'I\"II:l.~I'S.t"!~;'I' Ill.! ",,1";1', ."'15,,;;iiT,;~!'II'ir: \ii~;'\:illl:rjllilli,jW!:iil1;ln~I'}":'1C,~.tE~#ill! IIi! ;jli?II"II\li1il'1 - ";'~'lCI'. ~I ,111", I '!II;~.'~l~'fj;~'Wfi,""'jt~. <;>."1', i "I '%:::: ~lfj,~;:;~ij':ri;Tiil\1Irilll,!illli:'lill ~1~f;~OI,1'1i\r~\"?fma;~i!';IIIII!!I;~!II!ii!,I,tl~;;;&~=.@?'1~':9'.:i1,-,-. - , II . ,.c..' '. lI; "r.' .1",1,' , II I', I, ~ll1 ~ <: '1 tl~~~ I' ~ .em 1:.;;;.1 , .,-;-!::.1.._'" r:. t I....."> ~~~.~~'~HfJ;:;:!I,~I~Uliii; "1{~:il!~!I\ I Um:lm~1([~li~~.W~V~W,!I~l.i!c ~l j::-:t~~n~~J%~l~~;;~l\, __ .....:t~. ,...'" ~...~~~.:J,,:"_..-.;;;= -'" 'iX~_,:-,"d~.::::::_..~~-~,..-~j.~- ~~t;'~ __ ~""... .... ..::--~~:.-.~ :)-~~~rJ;]'''''''''''''~''=::'-:-_--'---~'';'-- _1_ .: ..)~_ _ _ ""----~_ t~..! ~~~;Oo._ - ~ -.:::: LANE COURTHOUSE EUGENE, OREGON 97401 HEALTH AND SANITATION PHONE 341.-1311 July 26,11972 M & M Development 1074 Willamette Eugene, Oregon Re: Preliminary Subdivision - Headlee Twp. 18. Range 2 Sec. 5 The Planning Commission has submitted to this department your major subdivision plat for investigation as to its suitability for the installation of individual subsurface sewage disposal systems. -. The requirements for preparing the site for investigation are - outlined in the enclosed form. In order that we may expedite your proposal, please make application for the site inspection at the Department of Building and Sanitation, Lane County Annex, 135 E. 6th, Eugene, Oregon. JOHN C. STONER, R.S., Director Building and Sanitation Divisi'on ~.rv(?J..e~ ~: Rubini, R.S. SNR:rd cc: Planning Department enc. ~ . .. .. > 5 U B D I V I 5 ION late-#72- Subdivision Name /r(:~;J{t7/-..... Ol~ner of Developer~ wp.-L1LRange Z Section .s-- Tax Lot 2-J...DV Census Tra::t :!--::- 1~____7-A ,creage involved PI Lot SiZ~-=t.5;.tJj70~;t . Soil Type and Depth'/ A~~. &./VV'-..- .SU9s0IL.4.~ ~V\.J-~/2.U....- "A. Proble.ms as~oc~ !'it this type of soil ,~ ~';-J/_~~L....I;,nh~~Wl' _ B. FILL F~AsAOI_ITY r . ...... ! / . Hater table ...--vIAl Depth to r,10ttl ing ~ a. Problem a~sociated with this - . Drainage-1::"? _ ._1-- -7 Il~ -d~_.d.A.A.-~ - a. Flood pl a 1 n AA . . b. Hinter problems' rr ......('\ ~7'-L P'-{~~'" k..v~\.) /1~ 4~ c. Distance to bodies of water- ....~',...:. ~ i_ 0 F- Problems in area ~_ ~--'-^-' a. Previous site inspecHons -~ b. Neighboring dV/ellings '/.., c. Previsou environmental surveys made , - Proposed water source (Public/Private) a. Projected plan for rltIOlfC I-later " b. Problems ~Iith this source, if any ~. ~ ~ " ~ I J},( (?rt <JlAl~ c..u~ ~../.r~.l /*) .~ tVJ,.~ " a l ."\' . Projected plans for publ ic SeVier .---yo ~." ." /1 a. Distaqce to sevlers .: ~~ Topography" 4,1 ~ /)~a~\J'I {} . , a. Slopes" . Y r\ '\.......-z.,.o-L~ b. Problems with'slopes o~ 25% .. Percolation tests (if required) . , , ~Y'1'" I f r Soil scientist's report requested? ./'V'V'tl attached? Geologist reports from subdivision engineer ~.A>.-- In urban service area /YVO . .. \J~ T___. z_ S 5 TAX C~TRACT 3S'-15"2...,lj our d1' LOT z, 2-00 BUILDING SITE EVALUATION () Building Permit Appl ication No. APPLICANT: NAME ~..~ :Vp.//~~#_ ADDRESS /7""'''' a.n//A';"",,#e EM,,,,,"~ PHONE 39'3- r?37 0 DATE -;? - Z-?"_ 7-r----- RQ. Site Inspection /0/7/6 () Pre-Permit Investigation LANE COUNTY PLANNING DEPARTMENT NOT app I i cab 1 e I. Zon i ng Ord i nance Comp I i aJi9l () () (Zoneg:::.,.r ) 2. Subdivision Ordinance Compl'iance () () () ( ) ( ) () () () COMMENTS: }~/~.f u-U'vIJJ1'!.~ ( r-'7~ / 1~3/-72- NO YES NAME DATE 3. Required Access ( ) ( ) ( ) ( ) 4. Building Site (Area, Width, Frontage, Setback) Other (see comments) 5. , Pl""~ I/-M"'~ "; ... - -~_._._..-,. ., ," ..,..~---~ BUILD tNG INSPECTION SECTION NOT NO YES NAME DATE aDDl icable ~/ 6. Plans Subm i tted ( I) ( ) ( ) / 7. Soil Stabil ity (footings) ( ) ( ) ( ) ,r "') ""'-- \ / " 8. Flood Plain ( ~ ( ) ( ) ~I 9. Ot he r (see Comments) ( , ( ) ( ) - \ COMMENTS: SANITATION SECTION NOT NO YES ~~- DATE aDDl icable ~ ~/v/) ~ 10. Sewage D i spos a I ( ) ( ) >-c.--tAA , . 11. Usable Area ( ) ( ) ( ) 12. Water Supply ( ) ( ) ~ 13. Ot he r (see Comments) ( , ( ) ( ) - >>/1.. .-.A? <2.- ~ ~ /'~ COMMENTS: ~ C' .,?_D ,Y' -~ - -\. V TO APPLICANT: Your ( ) ( ) Building Permit I Site Inspection: Can be approved. Cannot be approved at this time as indicated on item NO. above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on i~ 6 through 13 contact the Lane Countv BuildinQ and Sanitation Division. Wil I be held in this office until you can resolve the problems indicated. Is being returned. Your building permit application fee is being returned under separate cover. '. ,.., ( ) ( ) ( ) LANE COUNTY PLANNING DEPARTMENT 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-1311 EXT. 231 LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-1311- EXT. 411 M55-28