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HomeMy WebLinkAboutPermit Plumbing 1979-12-26 S.I # La-79-934 TR;" TL/1-03-d3..1,~ ~CJO / Job Location ~ b80 I~~ -~~t4:1-~ , _ /J " I/OO4-/c;JOO/ WnttenDirectlonsffi ~ fJ.h80r</'~h q..o-tO (~~~ SIJbdlVISlon ~ ~/?'1 .I ~/ ~~ ;:).~ / - Lot Block SITE FEASIBILITY REPORT FOR SUBSURFACE AND ALTERNAf'~SEWAGE DISPOSAL APPLlCANT'SNAMEANDADDRESS~a ~~ 'O?/g!O #61~...J~~ Phone746-662-0::5' OWNER'S NAME AND ADDRESS \t'"hcR.o, {2~)J pL)~~~cS ~ / Phone_7L/t,-7/J51 /. 'ijl report to ( ) Applicant () Owner ( ) Prefer to pick up. Call. (owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY ~ 1 ~ I ~ .J r ~ , \ -... , .. "c? P ~ , . , , :::::S::p~:~:;?;dKj_ ~~~~T~<Y>~~~ I hereby certify that the above statements are true and accur e, and that I ave the following legal Interest in the property: owner of record; contract purchaser; _ potential 'buyer; realtor or agent. I rther certify that (if not the owner) I am authorized to act for the owner of record, and that said owner IS aware and approves of this action. ' () , /7 A /J /J T;~T HOLES READY J - 9. -I( d gnatureL9' /iJ~ k/JdtiJ6,:J.~_/~te Jdj/)!rJ,/7f- * * * * * * * * * * * * * * * * * * * * * * * * * * * OFFICE USE ONLY BELOW THIS LINE * * * * * * * * * * * * * * * * * * * * * * * * * * * SITE ~~~DA~~~~A~~~~O~lng,., L~?~MPL:ANCE ~:.a <UrL >M h/eJ OJ \j!t&vf/t& 01A t3J!a-~d~g-~- -jij~~ IACre~geor Lot~lze,~L.(~ ~./')./.L7("fOTAL) if 1./1nAJ/A aA1d da!icI ~I R.J;.~q8DJ Y1u. m P tt' #' ( ) Completed .. ~~~ VIu- {:CJW- =/pI btC( ar I lonlng ( ) Pending tIJ ~/ lJ qo {.IVt ~ ~ / Parcel # urr:h d Jr> ' 4ffi..t (j ~fU.-- w ~ 150 I UMt-" dIlL .{f.Jplaaf1-tk.14J- ~ i.xJ~-j.qo V14'1J<e., ClM-O IW-M/.4jPZf#c5,; 1/4 (LUP-'?9~LjI7 ~ VAf_ !~ ' J;I [(; 16 /:;;p}cud rN:T , u~ ~arh~i ~I . Tfi\ ~~OR~ '0 U T~sfu~~ FiJfu~E'BUILDING PERMIT. ANY PLANS OR EXPEND 1- TUR~S;:;~~I ~~~~:;S REPO T, :~CfUR OWN R~~F S E IS APPROVE~IDE_ JOIj,;;J./':?/79 AUTH ZED SIGNATURE ~DATE --AUTHORIZED SIGNATURE DATE DIVIsion of Water Pollution Control Permit Processing Section /' LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 687-4061 C55-32 - .. . OAR Chapter 340, Division 7, Section 72.020(6): ThiS report shall remain In effect until Issuance of a permit to construct, unless in the meantime conditions on thiS or adjacent properties have been altered In any manner which would prohibit issuance of a permit, In which case thiS evaluation report shall be con. sldered null and void. Technical rule changes will not invalidate any evaluation report Issued pursuant to thiS section. Before construction is started bring thiS form to the Department of EnVironmental Management and apply for a building permit. Exact specifications for the sewage disposal system will appear on the permit If the property IS only a portion of a tax lot, a partitioning or subdiVIsion must be approved before the permit will be issued. Only persons havmg a valid license Issued by the Department of Environmental Quality under ORS 454.695 to install subsurface sewage disposal systems or an owner or contract purchaser or hiS regular employees may install subsurface sewage disposal systems. A certificate of satisfactory completion Will not be Issued If persons other than the above perform the installation. - SI# , ~ /q.q~t/ ~~/ r , SITE EVALUATION WORKSHEET ~", LOCATION: TWP.-D ZONING: S-t={) RANGE 6~ SECTION '2'1IL!)'/ TAX LOT # ?t5S' ll!'JD ~/Z6D PROPOSED USE: M_Q,dJ/Jd7afl SIZE OF PROPERTY: 11}) A . AMOUNT USABLE AREA: WATER SUPPLY: COMMUNITY ~~~UBLIC I-J SUBDIVISION/PARTITION LOT INDIVIDUAL I /{ I BLOCK PARCEL IF SITE MEETS STANDARDS FILL OUT: Type of structure and approximate sewage flow: Single Family MUlti-family gpd Industrial Commercial gpd Institutional gpd gpd gpd 100 jZ( =--57J.h;t...dae, ':eIi )~ I UU~'l.~J MINIMUM DESIGN REQUIREMENTS: ~ C.-L - 1'&'01 C _t1 fie W I lli~ ~ or C:dJ.MD.'($& 225 ~ Length of disposal trench required ~IL - \'21=\ 7 50 ga . Distribution Method: Equal l)LJ1lftP/ / Serial W - tf1.tq, Curtain drain required: Yes U No U Cl Other: SPECIAL SITE CONSIDERATIONS OR VARIANCE OPTIONS OR OTHER ALTERNATIVES: -;/YJ11JYJjIM/A /YJ ilJrl JJAU::it/ ,/JIYlI~rf 61) -' /lWu a, r-!;/7iJ. ~ !tJ I' ;xj- ilJ/!'ll/t ~/Af(/.1 - '-~ /1M() 4Jh.tIlA/l/1/JA/Jd /lLtJ/d -kj/JJr!- ~ h,/JAJ.P - fuldVA \.M--WldiMtf 4/;+. 'Juju p"~/7J)-nl)fk:.l (llfJ.iab//Uh/ tA1umh) (~1o-j \.)f}u ~ dA"Ar-(J-, ~ t1/J'~JII.J. bAl/JiA htd-/.. (/ ~-#_ - /jflA) tl/tIa tf.AA;J;;/itc/-m1 MJtl#j---jj:/ - /A{JtJA ~~, J?,~!-~ MJd 11/ hJl\/~/} #1-- 4MJ ~1 " r/)/"b~;; -1M (k,o - J;0;};/JA7 1f//VA:'d - /;) /J/J(/l.l/1/ld Uffi{~d 1M VAo (NI11A jl2Me;f~In. (/Aa1M/).At1/1 O~j1J!J..P ..) ,~~' J))iIbt ~ J ,:~' ,,---.~; IJJPI& /IJIIihJ I1J);V\ IISl) IYJI 6W1JI !;/' /10.42/ I · +~ ~';BIN fJ/&;t< ~ J~ ctMc{doic/ ~tleh/J7) _ / itlJl ) DATE OF EVALUATION: ))J 'IU ?1LJ NAME: C74-l26 # 1 T E S . PERCHED WATER Predl.cted Observed Date / / / SATURATED ZONE Predicted In 'f- ~~~:rved ~t/~j;~4 f>> / . Restrictive Layer Impervious Layer, r R \ Mottll.ng ~l~ . 9P. 1/;6le vrtlj ;lo'r1' H 0 L E PROFILE in. in. Inch SI# /C;-Q8C1. ;-7/) /;;;C / '-rj L i PROFILE # 2 T EST PREDICTED WATER Predicted Observed Date / in. in. Inch I -I in. in. Jf.h.(I:J1' t\p,~ 12 - ~ 1 c'1. \.":' _!~~ .?i\ '~_ \,.7"- 24- SATURATED ZONE, 'I \ Predicted Observed /;11,7>'..(.-4 Date 6(P !,fj, .m , I l in, in. r!tJW I rMCl 12-:1~.k. ,,,,' /,t', 11 Vli V' fC'~ic( Ifl. r I' ,{j...J'\ ,V> , 24 - v (\v<\: ~l ~~ " ~ , f . j&t' 36 _.,-, ' _j, {:'r" - ""''':'\,\ " , ..}.: I~ l. ~ , ,<" \ ' /!., I \'11\) )1.... " 48 - 1\' ?, ,(." C , , 36 - Lin. I in. 48 - Restrictive Layer Impervious Layer Mottling L~!.1"~J~-:' /in.. I' in .~ ~\ in SLOPE !'fJj)/Y / ~ 6~,.~ I " ,/ J! 1/ ^ " , ,-' 'J ~ I . " " VI \ 'A P,/' I" If ;. ~ 'Ir '"' /')-\-J- -,'f..d " ~. {-,) M- 'f-I r ... I\7l D J . 'e. ~ \ \ r) SITE DOES yu DOES NOT MEET MINIMUM STANDARDS. ~ ~, '-" \, -;. ~) S '\..:~,(' . Dd t'~ ADMINISTRATIVE RULES REQUIRE h. MINIMUM DEPTH OF: ON YOUR PROPERTY THE DEPTH WAS: SLOPE E;-K% in. fO -\;~i'\" ,~ lul~ 60 _ 0 36, inches to an impermeable layer ~ 30 inches to a restrictl.ve layer 0 60 ;'nches to a permanent water table ~ 0 24 inches to a temporarily perched water table OTHER ~~SONS FOR DENIAL PLOT PLAN: Stream --- ~ Dral.nage or pond ,,'.~g"''''l'f,. Road 'lIiII,.,",.",,",_~ Test Hole QD ~ % Slope Cut Bank </1' I ",' . Fence ,K .- 'X-X inches inches inches inches .' I " l' '2 3 4 : j.' ".1 " , ""'j.. ",'~ . "_J _ ".i., 1;:"* i;J " ~'. ,'. ;; :r." -', .... , , .,..... ., .", ~",,",'. /~ 6 ,'-. " \ ~ .I," 'o{'_ '. ...:_:~-j: ~;r: q:l" ,,;" .",,:" 10 .r ~: :J~' , " .!.!. ';_,1" t ,,",j ""t" '.j; ,j.'. ,.:. 14 ..'~I.:<O ..~. - ;~.~ .. ",' ",', ,.... "1.. . <:<..... t . "'.':1,.;. ): ',~ "",.-- 16 !. ): f ," c, t, ,I .;~ '''': . ~ ; .~... . 1" :~ ., '. .. . ~. '". l,.. ,'n. U.' nr ,)8', ," n-, :y . .~, ..". :.~"" 20 ,'" " ..... 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',',,".:h' 11,1' f;iri': 'J-H.:\< .U iJ y : :~ ;:~~}~'r{J~:; [.i:~~;i J I 0 i")'){.::C ~ H :;;:i~li: S;" ,(~J ~j);y 8 i. 34 '-, "1"<' ;'" , ? ~ . ~. . 36 - ;~:i~{EI'I. .-: , , .' . " ~ :: l'. . ,', " ". , ~ ' "If 38 :E:P FP ;.: ;-." ...~"_l., "'i , , .' ;'~t ;. :," +.-!:{i::' '> ~;:. . 1:;.. J t..: ." 1 <1"' . NO~ 'f~I;< Ttir::Ef;' : (: ::.~:, ~. '" ~ . d' ~,~ r'l ..;~ ~::;, . 40 , ~~~.(}. .-. -f) () i"~}>~_E:'t:~).' C:'F:;':~ : ., I",! r 'If:' rf I' 1'1 ~T'tE . S' ~;r../ ;;;: :<:; I::~~~ f:i"i~i~!~~lF;: G E ',t. ' Pl.../~ N:-:(:I"IE: Cl< "F (:;~::'::' , .. ~} ~. ~:)}:.;.- E:;{i C)':i .," " ~ 42 't4 .H.LcH " tf:;:L:F~ .....0,. ,:,r~~; c: r< """. ," '::'u '; U~U' 'r ;..' 44 (:) ~;;': ~. :;,. " '.'s.}, , . L~r~, , . , .~:: ::? \~: :3,:':l'., ~; I ". .~.(:~.~,{~) ~. .(j Ii::. .. ,~ 46 . l~' ." .( I ~t~;);,:.' () i) " (} ~ " ,.-', 'f) \' , :' ,48 " .".' ;-, ~ ,. (.); ',: l:JF=(: F'F:, " . 'Et'..!VH' , ~...'. :' .." t <~~ ,0 r .0": . 50 :. ~ ,'.:, 52 , f i" t \ C:!-';l I r {l i~;'i~: ~~; ":,~~;::; ;y-, ': S K F:L.f:':IN' . ':'~?Nit. E \l ".1.... . {:I i:J t!'/:( ::' .'''.(:Or'/i P L. E Ti::: tJ ').:C( . ':',. " t' r,.i)"J~td.::"'~ r:i;: ~:_:~i:::::~i~. ' . .! :.::~:_~-)' ... t~:.(.)~.. c:: K. ~ , ,.... , I. ~~ , .. " " > ': . o u . ~ '. ~ .;...., ,:, ,." ': ,:;:.... , ", . ;~;.. ~,' li:! ,U' . .. ,'~; ~' r:. .~ ,".rod'> ,,~.:. ~~ . . '~l 56 " .;!'- . "r .....' I, ,~. . ", ':;~j2 ~,., ", J1 ,._ ,c:: ~:li ~ . ~ ~ " , , ". : .. ""'~' . ; , !. .,:, ~, ,;.. ~'. -, )0 ., 58 " -_J 1'_" .;.,,-1>' ~ ~~ . ~.~'\j: ~'.' .~' t' ,;"...'1 .:':, ,. f . ~ "" , 8l- _~ '. ~(. 'I ;. ''7 6 ' . ~ .~ 0' i :'. . ~ . . . i .' <~: ;:< . .~>. i'~ ~. . ," ~ 'j" '., ......' '-~. ..~. ," ~'l' '. tI I..... ~ '" r". . 'l- , '~~,.' ,t. . '," .~: ;.. , }' '-, "':;"!~. ,;,: , ') " ", " ;.. PARH1ENT OF ENVIRONi~ENTAL r1ANAGEMENT PSB, 125 EAST 8TH AVENUE EUGENE, OREGON 97401 X . . 'iJ- '-' '~/(-\ tt.7C(7 Job Address ~) b ;f () J-/ IJ r t/-e -:S.--1 ~ City -s: .I ~.lQ 1 ~ T~l'llHtip.. R~n9;. S~ti~o. TIl)( l.ot ~Af' / 7-~ ~ - t9. 3-l./ 'fr ; - -// tft:/ (.,., 0 <l:!" I~l./ '"' $ub4hWI.o1'l _~ . lot tHtlek '-l AppllcatlOn for ~ _ . _ "j _ . _ ~ Structures now on the property . /) ~ - ~-~~ t:! P~pa$ed use of propE1;rty~ I" RE1;S irleotia1 () COIMIer-(;ial CI looJl!{rfal CI flub) k ~ . t'~ cf. Affldavlt: I, l)A\J l ~ \<Cc\{o\.\.<.,(I'UJ ~ Ie .. (ple~se: p-rint) If thlS appllcatlon lS for an agrlcultural bUlldlng lt wlll be used for purposes allowed by the State BUlldlng Code and ~ Lane County Code Chapter 10 (zonlng) and for no other purpose. I have the followlng legal lnterest In the property: ~ owner of record, contract purchaser, lessee, holder of an exclus1ve opt1on to purchase; 7t ~ duly author1zed to act for the owner, Wh.O. 1~ kno~ledgeable_ of th1S A~~lcat1on: ~ Slgnature/Address .~b>? 0 \-\t\\"" ,,~.~~-ir"'A_v ~_,aJIjJ ~O~ (ZlP)q 74-77 ~ Telephone '7LM.- <:+05<' ~ or --;u~/&)f (- -Olte D...ae;).6. 1fjl ~ When perm1t,.ls read~ not1f~ '& Appllcan~ (). Owner CI Cont~ac~or ~/J h: J(! mall CI phone ..L ..J Owner M IkY..- !2~c1t}-~-l",- ~b'%o M/,j)..e1.-H'\A-~ZlP) 07u'1'1 Phone 7Q6<-5f)..OlS ~ Contractor (ZlP) Phone ~ Contractor's OSR# Plumb1ng by 'V . Appl i(:.lltiM # /" / j.C,-7C1-'9 3 "'P AU(g'ned Number!s, , hereby cert1fy that th1S 1nformat1on 1S true and accurate. If Commerc1al: # of $toriei ReS1dent1al' * ~f ~dtcamS SI test holes ready DO NOT WRITE BELOW THIS LINE # of employees f ~f untts SOS; I~I EXlsting, BP # /-01- go CI Proposed, SI # IJnit ~st ValuatlOn Fee $ $ $ $ $ each $ each $ $ $ $ $ $ /;;2.0/ t10 Zone E'EU Part. # Parcel # Parcel SlZe .L/ i) # M1nlmUm setbacks: CL, front ' , (j" slde ; 1nt. ; rea! . /J h-~ ,,-?,, .~~~ -r- .1] :v \~. . / I. ..1 .I-tL~ CommentsOC/.../AU.." - _. .r(./~ . _ {.A/~ I~r- . et-;-r~?-~~ To be typed on per t e-UP 7'1-lfI7 ~ __, 't!6~~t?n~~ ;1 -,. B~ .tT~ Date'l 2-2..6 -7c; - , CP&I Type Group F1re Zone Use ClaSS1f1catlOn To be typed on perm1t rl Cash $ $ $ Subtota 1 Water Supply Proposed Year Installed EX1st1ng 4% State surcharge Plans check fee Change of Occupancy TOTAL PERMIT PROCESSING By Date For plans 1nformat1on call (area 1nspector) D1rect1of}t to slte ~.9-bZO (...Ip,.rv..e...{j{- a ~i4__ ~ '+, fro \~ <5 - I-I SIFO Plans to CP&I set(s) - WPC set(s) (/ ;'P&I Ip! WPC CI Plannlng CI Publ1C Works ~I Elevat10n ~I n/a CI Address CI Facll1ty Perm1t CI Env1ronmental Health Phone ~'V- Cj~ -z;; l3o......J~ c-lL.h.~J~ ~ liAr).) .1/10 I r 1/ · Date RequHed Hold Sllp to PCC Date Completed Da te to PCC FOR INFOR~~TION about progress of your appllcatlon call C74-171 Perm1t Control Center 687-HELP (687-4357) ~~, ,r~ LANE COUNTY HEARINGS OFFICIAL DECISION APPROVING APPLICATION FOR CONDITIONAL USE PERMIT (UNCONTESTED) Applicatlon Summary: Agenda Item #7 , ~ Mike Rodakowski, CUP 79-417: 2680 Harvest Lane, Springfleld, Map 17-03-23-44, Tax Lots 200, 1100, 1200. Request for Con- ditional Use Permit for an accessory dwelling on 40 acres in an Excluslve Farm Use (EFU) Distrlct. Hearing Date: December 6, 1979 Decislon Date: December 16, 1979 Statement of Crlteria and Standards: Lane County Comprehensive Plan Lane Code 10.110 Lane Code 10.320 Facts Relied Upon (Findings): The factual statements set forth in the staff report are incor- porated hereln and adopted. The Hearings OfficJal did not view the site. In addition, the following flndings based upon the testlmony presented at the hearing are adopted. The applicant lndicated that the permit could be llmited to a moblle home. Decision: CONDITIONAL USE PERMIT APPROVED. fureeconditions of approval are imposed: - 1) The permit shall be for a period of 5 years. 2) Only a mobile home, a temporary str~cture or trailer may be placed upon the property under this permlt. _ 3) The permlt may be renewed automatically for an addltional 5 years upon the applicant's written statement to the Lane County Plannlng Division an accessory dwelllng for farm help is stlll necessary and setting forth the specific reasons therefore. Justlflcatlon for Decision (Concluslons): The appllcation conforms to the comprehenslve plan for Lane County. The proposed use will be compatible with and not adversely affect the surroundlng vlcinlty nor wlll it ln turn be adversely affected by surroundlng development. L -;-N) /( ') Larry D. /Thomson Hearlngs Officlal )/!y /' ----c.:-'~-T'~ ~,~_.... ,\..\.h$~111'l'~ ~ .4'~1 ~~~~ ~ . ,~,jQ. " ,r'" -;T.,,'w'''''''''\'M'''',""'''''''''' ""',,", '~'''''"'',1.'',' , _~j_lI~ I'.. ',,"1(.;.:4~~:J.l~~~.:t . . ., , (\> ,.' ~ .~ REQUEST FOR EFU SPECIAL PERMIT EXEMPTION , .~ii' '" h :~iI In conjunction with Building Permit or Site Inspection U I ,X (I) (We), 'Do-u ~1 "l<("~tlA \Z r:;JJ...L"~~" '\- \M', k.Q 1\..c:t~~, , Owner(s) of record of the property desc\1bed as I J -/7-03-;23-C/C/--..:2t3'O.-//tJV_/~.oo , zoned Exclusive Farm U1Jp and Ta,x Lot) \Partitloning, Parcel # if applicable) Use (EFU) and consisting of ~~7 acres more or less, hereby certify that the farm use described below will be undertaken at the earliest opportunity after construction or is now occurring on the subject property. (I) (We) understand that such farm use Constitutes an exemption to the requirement 0 Lane Code 10,100-10(5). which requires approval of a Special Permit to cons' a single-family dwelling not in conjunction with a farm use. We further understand that cessation of the farm use places any tax deferr' beneflt obtained by virtue of the Exclusive Farm Use zoning in jeopardy, that in such an event a payback as determined by Assessment and Taxatio~ ~~j be requ ired. Description of Filrm Use to be o.r: nOI'/ being conducted on this property $;:;~~:;.~:~ ~ ~~( ~ ..'... I ~ -.2 b ---7q Oa t e / IJ.:.D'r~. (Slgn-ature) (51 gnature) Please return this form to: Department of Environmental Management Permit Porcessing Division PubllC Service auilding 125 E. 8th Avenue fugene. Oregon 97401 Phone: 687 -439,1 .., Hearings Official rubli\ -Iearing Lane County ~~i~' ~,~} ,I ~I ~ilMt .. ~':i, ~ TilllC: 7:00 P.H. Date: December 6, 1979 Place: HarrlS Hal], L[l!1e County Courthous(', 125 E. 8th Ave., Eugene, OR 97401 Applicant: Nlke Roddkowski: CUP 79-ltJ 7 '.:....> Location: 2680 H,Hvest Lcme, SpnngflC'ld; 11ap 17-03-23-4/., Proposal: Condition.::!l U',>c Pa~.?fo~~=-0cr:-c:ssory d\lclling ,/ Farm Use (~2:J:m~.{ .,-- " 1 ,) () -----..-'._ , . -.--;::::----- .~-- ... , ) ! ~- --:.------ --- ::::::::=------.......- ~~ ....,.." --,---, Tax Lots 200,1100,1200 on 40 acres in an Exclusive Q 5 L- AGT /"' - - t ''--='>'" . "< : '" R,,/u .... lllE ~ :." MCK~iJ .---,- lj f I 'u ~. k . ":i V' "< " SITE;::::..n ,', ~ I ~ ~. . ... U41/f)~"J !: - _/ .._;- r,r_~.-:._--__.t.~' 0 R.a J :1.:~1 ..~_~'___.'.I .._~__.~_ C/ r'j Or:: ----,; ---~~ / SPI(IN(''''~ [JOC 1200 SITe OF PJi'.OPJSE.D 'ECQUf:. ~ r T ~1) (/' 5t>' J ~~ / 1 \'''0 \ /:\>, {>,\)o <~~t' ./ ~q ,>, 'I. / I \J /11- VL ;<;:Of~i~,t:1J /, Z,;(\'tt0m~':" rBeJ,/] 'IF - ~rf'J1t~.e.~ . ~~ ~/ ()~, D ilqft:- '? ___ . - "~J 12Ji 2:":"~':0.:.~ __ ;\-1'4 . .' 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'/ ZIP CODE ,.~ ~ CrvJj/J/;r~t?1I , r V The Lane County Water Pollution Control Division cannot proceed with processing your application because: 1. r><r Incomplete application (items deficient). iet/Ylttfl 2J::'fJ1~/-' ~ I Address and/or directions to application site. ~r; ~~~ I l Proposed number of bedrooms in dwelling. .g/u M f/f/tU ~ . \ I Pl J. (1 If\. k I I Ij * .":"-.::1 ~RProvabl~ plot pl.an., (see attachment). DJ'MOLl! UCiL,!. !!) 04t go L1 Notifi ca t i on of da te tes t ho 1 es wi 11 be ready. , t.. " , 'Verification of existing system required (memorandum '''-" explaining this procedure attached). , \\ 3. Two test holes (21X41X51 deep) required for expansion or repair of existing sewage disposal system in the ~ 1 area of the proposed drainfields. ~ 4. J Y 1 Other:rJYlIJ1.flIA 1'Jbd 17/111-1 ,\:I7(/1A.) ~U) t'f1#Jlfl!O rlJf;///Al.f&I" /! I} . L /iU r..! \ ! IA. J t) ./J1J \ L), U1/l1J QIVr(If/(} _ f"J(] AA'O I( ;VJ/1/J/l/J/I/A VII 17 / UiP/)1 PAa (}17()r1,/ rcI/ (]/JfJ/Jf;1j()-e~ \~/ (z)(} VI PMlawd ;~t donUt rJ.JJ. /11'::,"5(/Jr&!2P-':}/7blJJU1o/ --JlAiJ lal)l~g/lliAo 'yjAIJJ/I1Jt?Jd }VlI-! oj7, t-(~) (M V4JjLJ c(Jdm&r/ \rI1~I-' JJo~ t~~AJ v~ Jfmt JuJ() ~/(d)(~ fb1tAf '-f;c:R-0J, -h{ he,g- r I . ;' r; /v (.lr/0f1/ld lL:;tl nliiA1/V1/Jf! dAiPAhi};t?lj la/vi t7h:f r!V1 'U1.L \"IA-()fJ~ ~!P14'1 ~ aJ dio-rfbJo 4rlh-' Ui'1V-t, ~lPJ cur/aJJ.Aed ---1> Y4u -\ wprL 225 I 01 ~a-(R.Jtne,ver d/1cr.kt-#/1 f.t'ud(/Y1l/,;, LJh (J/lJCidj ~ {)~ ~~ ~11z66a ~ _/PtJ.I1u iI1? ' ufwdukJ!:f /D )(};fU)iM.lI1b k.'-A~l!J.ff/Yl-liJL SIGNATURE DAT,I) ;' I rji!,aeli1 UO'''1 <;( .~;?iD 1IYl--;:; l~fJ r-?JstoO {1~r~d a~fr.1i" OFFICE HOURS PHONE ~ -a }y; Ii1 / M /.(/In /) f If the necessary corrections are not made within it::' days, the h,)lD~l uA/I appl ication will be denied. .ht.{ 2!; /qw /J, I . I J Ii J.../ -h / /~ j;;e;1/IP ( /~,j { !2<-1! 7 ~ f/CU;.e g WXJ fLfl!Jj aI wd Ii; (fe.Q. I/Ynu 125 EAST ~~~E~V~~~~UTIO~ CONT~~~L~~V~~~~~CE BUILDfNG 7NVIR~~~~~~~LO~~~~~E~j~61DEP~~~~~~~1 \\\~NJ ~ "l'~' ~~I\\~ ... l\I"") ?/' D po. V \ tcl \ <.odtt l'0'\..aJ S f(. \ Job Location (Address) 'd-..b~() (U.~ ct Permit If iQ-1.:3t.f Fo~da_lef!lA_"sh) Permit II For I Permi t If _Oc~" For: i S"'~:f J.. ~ ~ Permit If Permit Ii .Permit Ii TRS, TL n-03-. 23 ,-/, '-I 2Oq; / I o~ /2.CO 'Plat Plan -tA~ 4 For For For Subdivision Block Lot \ \ ~~IT~ APPROVED :~;~~~::j1:JJ / 9 FE B 0 1 1980 E) 11 i Water Pollution ~.control DIVISlond1' Lane County ~ ~ /,...1 \ ./ ~ -" i!' ........- \~~....... 1,' . <-'t <{,;('?'v' ~~ ,/ ~f' / , o'ir'---- ,<r ~~ I~(} l ~, ...-\>).~- \ d- D 0/ \100 -~ I,..~ '\ \"::\.."" '100 ' ~rm\V fiecD_ ' ~ " I (\,' "" " "..\)'1.1 (;,l"~ . .' \J "c.: I L.l-"\..II""'L~ ' J\~\S' ~r'~,)J " r ~W r ~~'~:~!::f::,,:.z'~." -=~,5F~"T ".. -i x.. 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