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HomeMy WebLinkAboutPermit Septic Tank 1976-10-18 '.' "/,i ,~p:~~~'..CO~NT;V "~E~~,iFO:.b ~..te:Z:~lt~,.~. .,. ';:"~p'B;I~'~"H6ME:"!(r~ CH:ANGE OF- OCCUPAN~Y [ ], \" iI'1~Q, ~~~!~'E?.,Jt..~~~ <& " ,.~ ,~"""'" .~ ." , , : , , , ': "': DOwner ! ;- " ADDRESS::,;,;'" , CITY , , ZIPC;ODE PHONE O,S: Reg.;#', Twp-/Jllf:Range___8, Section ,'lit#!, , Tax Lot: ~~1."!?tffP Code \' Census Tract Suf;'d ivision Lot, ' ' Block ;~;;s to Property (RO~~~Namel'.,~tp.ff!'r ~..~ E>k'istingStructures; 'onP/Sperty.:"" ' D'ecti~n;}~ pr~p;[t~>CAda'~s;: #'f*' :~"i4~~'~ .,E~~.~/'~' ,~~; .. " ",fA' ,J.., ' ",'fill" , ~,L" ~~" .Q, ...,JI! ,'l ......_...... ",,:,;,t... /iJ;liirI!J'/r,J:; ,.., <<'__~, I!i,,~, ",.I. '~f' . ,:.;:{O(.,.,~::< '~'~; if'::, .!. ,f:'~",-~ "':';";9 '~p-~(t:ig "-7~~()j '. '., ;'.;R:8~;..~iB;~~~ji. .1:-.... f"; .Jtf'i ~;~FT f'.i.I). . .. '.~ VAL'UA TIO ~ ',<,:, :T~Jt'~W" ,,:,'>>;11' ""::,,,:,::, ': """':':: /,<':, '~,.,:~": ',S~'WAGE dISp6s:AL<'ti:,~ ,lit; ,tv ~ \:~,LJBLlC,J'.J..,,:;',SEPTle,TANK~' O:THER [l", ' ':;"\.'"',..:"..;: ; .'". "'~" ,:,~ :. , Acreage '131!-~:1" Width 'S'le) , '" Depth 'IP'~ ',PLUMB'lNG INSTALLED BY: OWI\fER [] OTHER [r 'NAMF, ~ .~ WATERSU,PPLY: PROPOSEb' ['] EXISTING [,] W:~UBLlC' "" ',~ " [,]' COMMUNITY - NAME: l~t,'~' "t , , ~, [] PRIVATE WELL [ ] OTHER. SPECIFY>, , " , :,' lLDING " ~:..:;'.,,~.~,:~:;;i _' ': J . .' '!~%':~~tJs~,'., ~1~H.Gt~,RGE ,;/~~;~_ , i-M.0i3JLE',H6~F , :<<~'::~, , ;;';~~W.;A$TE,D(?posA'L "~,#J,'~"',':" ::~:.~;~:RJ,X IEW:" ,', ," , . " .,.,,' '. .~. ,~\ ...:"i:U'~.:" 'X".I.,',- -, '.: ":'J_ . <,\\ :~ .: ,"'- ~. :' :. '.r, '. ,. >' .,' . CONSTRUCTION PERMITS&~:L~sp,!=CTIONS AND WATER POLLUTION CONTROL SPECIFIC~TIONS . . . - ~ 1 '.- '> _ . ~ ,MIN~"SEPTIC TANK CAPACITY: , . , "';~'AkS, 'l~:tJjl): "'MII~{DRAINFiElD' ;:,::< "'>:'::C',~;<~~; _~}ti~.<t.,.,~,,:,,~ MAX. TRENCH DEPTH ,~, 4;,l'~, t:ifill.'i# , \, .*),i~H ~s:i'..'.' ," " ~1j,' " j:~,i it'; \ TYPE OF CONSTRUCTION GROUP ',' FIRE"ZONE STAY 100' FROM ALL WELLS USE CLASSIF. " , ' , , -;i ~ . . , > SETI3'ACKS - FT, FROM CTR. OF OW:" ~FRO.NT," , ,,~d: SID,E EXT. ,~, ' . -" "~ ',. .~ FT. FROM PROP. LINE:" SIDE INT,-}jr~' REAR' r i"ZONE~~~~, ~ ;:>...,... . " ' .BLDG, PERMlr~'wHITE 'OFFICE COPY "7 WHITE 'COl:JNTY TAX - PINK PLUMBING _ 'CANARY BUILDING' ~,GREEN ,SANITATldN'~GOEDENROD, ' '." . : ~<'. J' .~. - ':~ . '. ~t:7~f; . "tl~Zi~:!:",# I SSUANC~~?/ '.:/~ ' ':,,;f:~,~ 'I' " '. .'.' :,r .' ".,,~' ,,- '. ,'1'5:' . r: ,": :' ,., " Cill'687,4065 to schedule all required;construction inspections, Call 687-4061, to schedule all'required' . IMPORTANT' ,septicsystem.inspections .All construCtion'shall comply, with, the State Buidling Code, D,E,Q,siandards ", ,'. . for,subsurface sewage disposal ,and the State" Plumbing Code, All buildings require a certificate of, :. .."",."~,,,?ccupariCYbef6re being occupted,' " " _' "1'. ,".. " (See Detatls on Reverse'Slde) '(~'O'Si T'H'IS PE~.r~fit' ~'~' MAI~ 'B~Dri. ~T'SITE):: ' , .-,- . . .. '< 't-~~~' ',~ ,. . I. :-.._l C55~13 LANE 80UNTY;-DEPT:OF 'ENVIRONMENTAL Mi'.NAGEMENT. c,c~URTHo'USE ANNEX, 135EAST;6th, EUGENE, OREGON 97401 . "a~" '-. . :'.,'.'. '. .'''''': ~. .~' " ","IF'~_ : . " ,::.:", i- L', , ,'",\' SITE I NSP~CT I ON ~ ApPROVED / I / DISAPPROVED / j DATE INSP~CTOR REMARKS' FOUNDATion INSPECTION ,'. ~l 'ApP~OVED / ( ,DISAPPROVED-l REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED / REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED / REMARKS FINAL 'INSPECTIO,~// . ApPROVED L.iLl 01 SAPPROVED / REMARKS CERTI FI CATE. OF OCCUPANCY / ", OAT E, INSPECTOR, / / DATE INSPECTOR' I DATE INSPECTOR _~_,''''r , t ... - ,- , ',' . '.' " \::\ A /'/ . / - DATE :2 - /-7 '1INSPEcTOR~' h (/ READY TO ISSUE I I NOT READY TO ISSUE / / DATE INSPECTOR , REM"ARKS . . ,~ .f .~'. . I. { ~~ TllS, ,TI / ?-;d~? -'>~O< ,~J? ~;/~~O 0" "c:).'. 'Plot Pls'n , '. " ~ 'Oil .. .' ~~. '.. '1- "~ . . '-'- O~<1d~.;,,,~"&r;,~,' R)~~'~-::\ ,....'tl "'<':::1 I , " ,/ \\~ / '-lJ ./ ,.. I , "\/ /.-;;> , " :;~/ ~ r . / <//.~<.," ~ I ;.~< "~~~>,y:, ,>.;<<"~;i, '>\6, , ,~, ! X:.- , / :-; >- y " '- '-, '~, ,.' '\ f/drlowR'/ VicinitY"Map .. Permit Permit Permit job Location (~dress)', 11:1>>1/2..0.< ~-?~ ;For iI', . ' , For.' H '. For .,., "." . , " , I i '.Q.' !~.,." ~ I.' '.' :~"~':!'" I " ~ i. ~ 1:: \k "'/" 1-iJ -. ' ''S ,~ "!,' " i 'I I' " , 3';;J 0; ,'l ..."".::.... , . "Ir , ; / (70 <;,< ~,. .. I~; ," '.i' '/ 7$0' .:~ ;.: I~i , \<J ,,! . .1 . '. ~ j i , \' ..} ~. .} ':t. , ~. '-." ,.. " /id' \:'\ . i -."\ I" I" j \ "Permit II Permit 1/ Permit II .ip~; -B'-.'/ '.,.For For' For ';:;:-;.'~ "'/7P" ';z.=:.; r ~ .....-. , L , . '.q .,. (1 ',/1 l~ JL fo '/' ~ -'..1 ".- ~~ .' ;1" ,', OJ I. 'j- .. :/ . 0''''.- ,- ... ~, :<;'t' '. , i /0;- /~;' ;, ., Q: / t.I;', I " .I ~ / ~ , 't " ~ i., \'~" l,-!i ':',