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Home My WebLink AboutPermit Plumbing 1991-10-16 )> = "0 :J "2- 0' (J) Ol ~ ;:1. ro (J)- 0. Z c:r '< ., Ol f 0 ~ 3 ~ :< . (l) , , llo ::> 0 . (l) " ~ ~ T ~. 0. ! ! a; (J) (J) . o Ol CD ,~\~~ \, ~ III r ~ g ~r CD 0. ::> "0 =i" en :::T <0 (l) 0 () z i ~ 0 ~ ~ ~ W,c:.. .3 ("' r- " VI I ! ~~..J!~ ;\C.,Jir- ":'\ -s 'i""i ....9g~ o .~ i ) -.. ~ :J (J) ~ ro ~ o ,-t') Ol CD 0 ;:l 3 r../ ~ .1 VICINITY MAP - N Jf) \9 ~( -'-'0 ( , -+- r'." Q , ,f I ~ UGBISr:,,~ BE IN BLACK INK forme55-" Permit No. /7,pi, - '1..1 ,Twnshp. /9', Range C) L. Section tJ("l.Y Tax Lot z t!trt> Standard System)j Alternative System 0 (SP~Cify~y' e) ,; Job location (Street Address)_/()/'/ ~7:; p/, ~ ~ Supdivision/Partition # 17 Parcel / a:~t DETAIL SYSTEM PLOT PLAN AS CONSTRUCTED r h ..~'" P ~~..u'1 ,~~ f \'d-J T.... lI'1.,'h,.,.. Scale" = ' ~hQ"'''' h~1Uo"'" ... ~1t.,\",~ Y -r"'At" 'If ,.) \\ \."''''$\....~~\J i~ \,,\.l t".....ql,...,.~~ ~,~"'@JII' .::::- _ ~AA~ \~ \\.. o\, o~'1\. 311~ ~ ,II 11 c:::r' J +. - ~ N ~ (\J{ ". ~ '~, ;W>( -', ",,( " -", I 0', ~:-- ~~~ ~~'~ r~ :, Jti[ ~ Block 7"- ~ , ~ ~ r;:- .-J.. 0, I.' +- '-~ei - -, w v, cx1 f'I ..... - ~ - Co , 'J USE BLACK INK ONLY II FOR INSTALLER'S USE: Trench Depth _~.o" Gravj!1 Depth B.f!low Tile I ? Tank Capacity_/nn~ Manufacturer '-,=\ ,'LL",,,,,,I'~' l::-1Z1Q1'~ t-P~~,' _ r Measured Distance from Well to Tan~ From Drainfield 'rotal length of Lines...J-4' . COMPLETE THE FOllOWING IF A PUMP WAS USED ON THIS INSTAllATION: 17'S"J I (installer's name) certify that a (Mfg.) (Model No,) _ Pump and Mercury Float Switch (Mfg, and No,) , have been installed with this sewage installation, Signature Date FOR SANITARIAN'SJJSE PNlY:~t~m Approved ~o Syst Dis~ro e 0 Nee.ds;$orrection CQMMI2;!IS..if ~ -uu:. to '" ~ ~~ ~ " ~A4&{;A~" .A.U11kr~_J -c ~~ ;;:;temJEE~d Da:;"-- System Capacity L,t.t"7\ gaL/day Signature _'C"/ <_ ~ - Date /()~/~/ INSTALLATION RECORD & CERTIFICATE OF SATISFACTORY COMPLETION Whan sign~ tha County Sanitarian, this cartificata is avi, dence as per ORS 454,665 of satisfactory completion of a subsurface sewage disposal system at the above location, To request inspection, return all three (3) copies of this form to: Lane County Environmental Health Services, located in the basement of the Public Service Building, 125 E. 8th Avenue, Eugene. OR 97401. ~ ", ...,- . .:,.,~ ',' ':~:,~.'f?~~~5;~i;;;i<r::::' ~ ..'.;.r'~,.: ~ b'/- -, '. ' . .,' :$.... ,.-. ; ,.~,4,' '~";C '-'c',' .,>' .."" II- r"j' .~':;~,~:L~:::.. .;"s .' '" \,.' ..~ ' "". ~,i ,'~, -,., -, ,~N;:~~~~~:;,if;;:.1~ ~ . , " " , . , ,-;:/fE-~6,SE.D-/AJp;x. - 11 ' , ' !:0~T-}1)D-15-~-7!f:C- ',..._;".,'" .11.!ij~7;';'/I}~',.~-7?f.-?:.~~~oj , d ' -' , ,.., ' " ,.',' " 'il ' .. , , ---i:lo-"f-?E--1J+t-S -MA-f?:E;J _~/.. , ' ~E:A)SE._J-{-I-f=f7!~J~E-NoJlf7l0: .. . ~;, ',-I, C.l"o..",\, ''-i!...~' , :ID#~?lI.O.Y~ .t....".... ' ';.HV fl/" , , ' " 0" ., "~'''','... :('~~N" ""'~;"../;" , "'''''-''~' .t;': .., ",~ '! ',f ','- ' 'l'i.,;~~~~_'.If:.r.,~ ~t;:";;'~~i~S':~..~~:"r'.:.:: ~~;" :m.~':~"':""::l< ~,::._ <'.-;~... ',\~" -::~~., '.1:\\.' '.f '.J _~ q_ ~"''f'~..4~::..'S 1 -,,~.-~~' ~ .-'.. .}'-r..~.".M";"~"'k. ';...t./".\.. '~...' .,,04., ,.'1__";' : .i~_ <il~~; -*~~f~~wi:~;~:~~~~:~~-If~~:':'-':;\ :1;-:;.;. ft~~~i~:~ :'F " ,~~~'~-:;i':o.;; j'3lI~r.",''''',...,_.J... ;,..:"~;..' ,~~:~ . -..~-!.rF.::'t~ 4 <t "_' -,' . . "r .. .+1 ""~_ __ , ,~,:,"-.. ..': ..~,: ,_~. '.,~" 'C; , ;.~r?L r~~~::.~;~j .-"" ,: ,",!>/ ~~. ~_.n- A . / .,~:' ,-. .~~ ::~ / 1 .. ,,"~(~IV&'; ".~ . t ... " .... ..-t .' " " , " " . . ._...~ ~''''.'''''~'.:II'lN''''"'Ai'I:I''<i''I'~,,'' , DEVELOPMENT SERVICES ~ ~r'. ' BUILDING DIVISION I), DONALD MOORE INSPECTOR, BUILDING SAFETY DIVISION OFFICE HOUriS: 8,9 AM and 4,5 PM 225 FIFTH STREET. SPRINGFIELQ OR 97477 (503) 726-3623 . FAX (503) 726,3689 tjz3/rL . ", : ~ ,) , 1, .; _ j ". ',. . ".':1 Sr*~' i ! ' ~/-EEttqc: 7lF 72fX - I' , 11.1 ".J:--NtI,1,[/5& W'.A-5_4t/RClc..J . , 70 - /1~ ---,-,..,t.;= , ycft{_L/I.-J_l;d!..'Y.J^_'_I'''J.,-_ : ,~T 72!rX-Lo-T---L~ ----.:#,2300 (CCJ~Nex. .to T) ., - ,I .~, 'c:l~:~'''' _1 ., ~ :, .~. ^ '. ; ',: ': ,.'- l -" ------ - ------ . ~,' , :.: '~-,: . . ,- ~ .- .- , . .,-;--:'."..,.-.. :'f \- - --, ....... -;,,'. '_,_,1 "-;::.f _ ..,.