HomeMy WebLinkAboutPermit Plumbing 1988-8-2
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Written Directions
Hayden Bridge Road, Springfield
Marcola Road to Hauden Bridoe. across tracks. pass boat ramp on
right, property begins at west corner of cyclone fence
77-n?-7Q,,a
SubdiVISion:
Lot
Block
WATER SUPPLY Prn!Jo,c:;eil We] 7
Phone 746-7613
APPLICANT'S NAME AND ADDRESS John Bd!?C!9f!. 1830 Market Street. Sprinofield, Oreoon 97477
OWNER'S NAME AND ADDRESS. Same as above
STRUCTURES NOW ON THE PROPERTY No exist:i ng st:rllr.t:llres
Phone Same
PROPOSED USE OF PROPERTY Residence
I hereby certify that the above statements are true and accurate, and that I have the following legal Interest In the property ~ .owner of record, I~ontract purchaser,
realtor or agent I further ce~lfy that (If not the owner) I am authonzed to act for the owner of record, and that sald~W er I~aware a~~~f thl~ action \
TEST HOLES READY =........il..iJ7 ('rl~) . Signature V 6 ,/ ,.;-~
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potential buyer,
Datp CJ d G /frj7
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.. * * *.. * * *....... *.... *.............. * *. * *...... * * *.. * *.. *.. *. * * * * * * *.. * OFFICE USE ONLY BELOW THIS LINE * * * * * * * * * * * * * *,* *.,~ *~* * * *.... *
* * * * * * * * * * * * * * * * * * * * * * * * *,
SITE MEETS STATE STANDARDS YES NO YES NO
Standard System 0 Low Pressure Distribution LAND USE COMPLIANCE
0 0 ,0 Zonln{lE= - '/0/ /l-CP Acreage or Lot Size
Sand Filter R 0 Holding Tank. 0 0 (TOTAL)
1 Foot Capping Fill 0 0 Other 0 '0 Partitioning # Parcel # ) Completed
) Pending
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COMMENTS
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FLOODPLAIN INFORMATION
o ApprOXimate All or part of thiS site may be In a flood hazard
Study Area area for which 100 year flood levels have not
been established Extra precautions may be
appropnate to assure that the bUilding site will
be reasonably safe from flooding
~etalled All or part of thiS site may be In a flood hazard
Study Area area for which 100 year flood levels have been
THIS IS A PRELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE established A bUilding elevation above the 100
year flood level may be reqUired
BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT llI'Floodway All or part of thiS site may be In a flood hazard
ARE AT YOUR OWN RISK. IF SITE IS APPROVED, SEE REVERSE SIDE r\... area In which a floodway hc:s been deSignated
~ p ~ BUilding may be prohibited subject to
~ . ~~. {l .-.2 -/f/ demonstrallon that the cumulatIve effect of
. - ''-....J(lJTHOI!I~S1GN~J - DATe' proposed development will not Increase the
1 00 year flood level at any pOint
LANE COUNTY DEPARTMEN F PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,125 EAST 8TH AVENUE, EUGENE, OREGON 97401
C55-32
MEMO
TO: APPLICANT
FROM: LAND MANAGEMENT DIVISION
SUBJECT: CONDITIONS OF SITE APPROVAL
~ane
~ ~ounty
Any alteration of the natural conditions In the area approved for the on-site system or replacement area may vOid this approval
This approval IS given on the basIs that the lot or parcel described above will not be further partitioned or subdivided and that conditions
on subject or adjacent properties have not been altered In any manner which would prohibit Issuance of a permit In accordance with
o R S 454 605 through 454 755 and Administrative Rules of the Environmental Quality Commission Any such subdivIsion,
partitioning or alteration may vOid this report
WARNING: This document IS a technical report for on-site sewage disposal only It may be converted to a permit only If, at the time of
application, the parcel has been found to be compatible with applicable LCDC-acknowledged local comprehensive land
use plans and Implementing measures or the Statewide Planning Goals The Statement of Compatibility may be made on
the attached form or ItS equivalent Authorized Agent approval IS reqUired before a construction permit can be Issued
This report IS valid until an on-site sewage system IS Installed pursuant to a construction permit obtained from Lane County, or until
earlier cancellation, pursuant to Commission rules, with written notice thereof by the Department of Environmental Quality to the
owners according to Department records or the County tax records Subject to the foregoing, this report runs with the land and will
automatically benefit subsequent owners
Only persons having 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
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Tax Reference
SITE EVALUATION FIELD WORKSHEET
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5011 Matr1X Color and Mottling (Notat1on), 'Coarse Fragments, Roots,
Structure, Layer L~iting Effect1ve S011 Depth, etc.
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Type~"-
IlI1tial ~ System Sizing
Other Site Notes
Replacement ~
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Groundwater
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~.t.lo! SPECIFICATIONS
Design Flow
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S<J ~ 1150 g.
~ ~ 1150 g.
Max. Depth AbsOrpt1on Fac1l1ty (1n)
21/ I{
d.- VII
_ System Suing
S~OUl Conditions
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Max. Depth Absorpt1on Facl11ty (1n)
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ACTIVITY INFORMA TION SHEET
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LAND MANArF"N1rl'fT nIV'....I()1<f
lh>p .........."'..1 f ..flllr Vt/,...
Plens~ complete all Items above dotted line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
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*DATE d2. /:27' / Y?
* ~:T~GN r2 / L/ (7' ~~b~~ijTY
REQUEST ~ ~ ~~ OWNER
ADDRESS / /530 //f~..#. ADDRESS
CIT~d STATE OIC Z,P97'177 CITY
TELEPH~E (BUS) ~.L/";: ~ 7 &./..5(HOME~ ~~ TELEPHONE (BUS)
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* PROPERTY ADDRESS
OR
MAP & PARCEL NUMBER (Found on tax maps In the Assessment ~ Taxation Dept)
STAFF WILL DETERMINE
Taxf.flJ 'E'f'~ned pif Flood Plain f/~
S'/-/:25"-8 ?
STATE
ZIP
(HOME)
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Section
Township
Range
Township
Range
Section
Tax Lot
Zoned'
Flood Plain
Township
Range
Section
Tax Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: --3 ACRES ~
*REQUEST(deseribe what you want to do) ~h~ ~rh~
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Directions ,to ,site 7~ If'c/. ? ~~~&J4t'/
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Comments:
Land Management Division, Public WoS!tf Department 125 E. 8th Ave., Eugene, OR ~7401 phone 687-4061
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The Lane County Building and Sanitation Division cannot proceed with processing
your application because:
1. [lJ~comPlete application (items deficient).
IIOLD SLIP ~~~~y
APPLICATION # d - OJ-j __
LOCATION ~ ~CJ, d_
NAM~ . t' ;/ , --
ADDRESS
97'177
ZIP CODE
_ Address and/or directions to application site.
Proposed number of bedrooms in dwelling.
- Approvable R.;l:o.~plan.s(see at-tachmen:1;)~
~ Notification of date test holes will be ready.
2.
3.
c=J Verification of existing system required (see attachment).
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Two test holes (21x41x51 deep) required for expansion or repair
of existing sewage disposal system in the area of the proposed
drainfields. .
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SIGNkTURf" '-" (7
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OFFICE HOURS
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to 7'.'00;'/fA
DATE
/i7-..J7rJ
PHONE
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to
If no response has been received in regards to this matter by ~-~S-~~~
the applic~tion will be denied. '
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LANE COUNTY ENVIRONMENTAL HEALTH SERVICES
Courthouse-Publ ic Service Bldg. I 125 E. 8th Ave., / Eugene, OR 97401 / 687-4051
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L.ANE. COUNTY DEPT ENV MC, r I~ECE 1 F' r ::. 8800~'l~> DA rE 0:'298f
np~LICANT BRtSCO~, JOHN AD DR 1030 MARKEl ST" SF'RJNG~J~LD, OR[~ON
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~EW BLDG lYPE. US[ X BDRMS 0 UNITS 001 SrOkJES 1BL.DGS 001 PHONE 746 761J
OWNLF~ Nt'lE.. BRISCOE 1 JOliN ADDI=< 1830 t'IM<KE: l' ST. 1 SF'r<JNG~' TCL.D 1 OI=<EGON
CODE-_ (WF"I NO ()CTJON Df'SCk[PTION S(J F-r UNJT COST VfilUnlJON FEE DAY:;'...."
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