HomeMy WebLinkAboutPermit Septic Tank 1996-1-29
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AUTHORIZATION FORM
"'PERMIT #
3S-7o--96
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I,.~nd Mallag~fIlent Olvlslon 1Z$ E. 8th Ave. Eugene, OR 91401
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li.fADDRESSING
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~REQUEST
FOR
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~ TOfoNsHP "RANGE SECIICN "OSECTION
18 03 07.3.2
REPAIR EXISTING SEPTIC SYSTEM
DAts
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Ll;vr l;:QI;l~
TAX LOT
500
SU80MSK:N I pAArrmN
LOT/PARca BLOCK
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LOCATION ADDRESS
149~ HARBOR DR., SPRINGFIELD, OREGON
STRUCTURES NOW ON PROPERTY
EXISTING MOBILE HCME, GA.RAGE AND SHED
PROPOSED USE SEPTICNSTAUED WAlERlNSTAlLED NO OFSTORIES
RESIDENTIAL USE TNELL
DESCRII'T1CIoIOF~WORK
REPAIR EXISTING SEPTIC SYSTEM
DIRECTIONS TO SITE FROM NEAREST MAIN INTERSECTION
~IN ST., TO SECOND STREET SOUTH,
NO OF EMPLOYEES CONSTRUCTION COSTNALUE
NO OF IlEllRCO.4S
FDLLCW TO HARBOR DR., ON THE EAST S :!:DE Ok' ROAD.
APPUCANT NAME & ADDRESS
KIM BOYD,
PHONE 746-')')~4
PHONE 466-5722
OWNERS NAME & ADDRESS
HARRY SKARKA, SAME AS THE JOB ADDRESS ABOVE
CONTRACTOR/INSTALLER! BUILDER NAME
BRAVAOO CONST.
~~;11kv~Mc!:&~~., P.O. BOX #827, PLEASANT HILL, OREGON
NAME
) I have carefully read BOTH sides of thiS
cca,
#105329
PHONE
97455
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STREET
arv
ZIP
t
KI'Vl BOYD
, PRINT NAME
'hereb~8Ztll information Is true and correct
/.:J/) v - DATE
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~ PLANNING/ZONING
( .RE~~. CAREFULL VI
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Your Authorization Is Based On The Following Conditions
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MINIMUM
WlttLANI;l$ AC;Cl;sS LEGAL ~o"l' SETBACKS FIlONt I-Or UNli P/LSIOE INteRIOR REAR RIPARIAN
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r SANITATION 1111.11.1 rrtlll'/~ ,_' ~~::~~E~I~O~Y:~~ ~~;liO /J.?t7 /f &
I c;.(} t? (--- --- Q 1HE $YSl'EM APPSAR9 1'0 liE WO~N\l 't-
; $.1, * ILl'. f ~ INST R~ lSS'tl TAHj( SIZE UN FT Q F MAX TRN DEPTI! IIlGHi', 11' SV$TEM fAIt-$, \'oU "i)'
fA 'L .,..,.4... t "":7. rv...",."..,/ /7 r7-/"nrl/l)1 J /' ~"("" (: Musr APPLY FOR A RSI'AIR PERMrt
, .{ 1/ v '/ /...~' L.f. ^ ~f J [-?{.J /' r CI f !1l f-.-f.'::':""; 7 0 HOOK TO SXIStlNG SYStEM
I <;:OMMENT:j. " INStALLED PER PERMli' NUMBER
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lt1.ff~P/P(LCe'i{ tAl b'1l(>7?~Rov;ri1!fl? ~A~ tf7( bA~ 1(?r(I'c;
~ BUILDING /' \ \ I 'CI
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FEES DUE
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APPROVED BY
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", "'CALL FOR"' INSPECTIONS" (SEE' BACK OF FORM'FOR"jf.iS'TRUCT/()NS) 687-4065 ' ,." )
SEPTIC permits are good for one year ALL other permits expire after 180 days unless Inspections are current
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LMD 040 Rev 6/92
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VIOLA nONS
SETBACKS AND OTHER CONDmONS OF APPROVAL MUST BB SnuCIL Y OBSERVBD VIOLATION CAN RBSUL TIN RBVOCA nON OF1HIS PBRMIT
CITATIONS MAY DB ISSUED UNDER TIm PROVISIONS OF LANB COUNTY'S INPRAcnON ORDINANCB AND/OR OTHER RBMBDIBS AILOWBD BY LAW
A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS
Have the followmg mformatIon ready when you call 687-4065
Penmt number - Job address - Type of InSpection requIred When It will be ready
Your name and phone number - Any special dIrectlons to the site
PUBLIC OFFICIAL RIGIIT TO TRESPASS ON PRIVATE PROPERTY ORS 215 080
POWER TO ENTBR UPON LAND TIm COMMISSION, AND ANY OF ITS MEMBERS OFFICERS AND EMPLOYES IN TIm PBRFORMANCB OF 1lIEIR. FUNcnONS MAY
""' ''''' UPON ANY LAND AND MAKE EXAMINATIONS AND SURVEYS AND PLACB AND MAINTAIN TIm NECESSARY MONUMENTS AND MARKERS TIlEREON
REQUIRED INSPECTIONS
FOUNDATION INSPECTION To be made after excavatIOns for footmgs are complete and any requIred remforcmg steel IS m place
UNDERGROUND l"il'll-lG INSPECTION To be made after all underground plpmg has been mstalled, pnor to any backfill
CONCRETE SLAB OR UNDER-FLOOR INSPECTION To be made after all m-slab or under-floor buildmg service eqmpment, condmt, plpmg
accessones and other ancillary equipment Items are m place but before any concrete IS placed or floor sheathmg mstalled, mcludmg the subfloor
ROUGH MECHANICAL INSPECTION To be made after all ductmg and gas plpmg has been mstalled and pnor to bemg covered
ROUGH PLUMBING INSPECTION To be made after all plumbmg rough-m IS m place, pnor to bemg covered
FRAMING INSPECTION To be made after the all frammg, fIre blockmg, bracmg and roof are m place and all pipeS, chnnneys and vents are complete
and the rough electncal, plumbmg, and mechamcal mspectlons have been made and ayy.v Jed
INSULATION INSPECTION To be made after all msulatIon and vapor barners are m place, pnor to covenng
LATH AND/OR GYPSUM BOARD INSPECTION To be made after alllathmg and gypsum board, mtenor and extenor, IS m place but before any
plastermg IS apphed or before gypsum board Jomts and fasteners are taped and fIDlShed
ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not lmuted to,
BLOCK WALL To be made after remforcmg IS m place, but before any grout IS poured The mspectJ.on IS requIred for each bond beam pour There
Will be no approval until the plumbmg and electncal mspectlons have been made and approved
FINAL MECHANICAL INSPECTION To be made,Just pnor to the structure or remodeled area bemg OCCUpied and pnor to operatlng any equipment
FINAL PLUMBING INSPECTION To be made Just pnor to the bwldmg, structure or-remodeled area bemg occupied
FINAL BUILDING INSPECTION To be mad( after fl1USh gradmg and the buildmg, structure or remodeled area IS completed and ready for occupancy
MOBILE/MANUFAeTURED HOMES An mspectIOn IS requIred after the mobile home IS connected to an ..yy.vved sewer or septic
system, pnor to covenng sewer or water Imes, for setback requIrements, blockmg, tledowns and plumbmg connections
Footmgs and piers to comply With State fmmdatIon requIrements for mobile homes or as recommended by the manufacturer
Mmunum fIDlShed floor elevatIon shall be cel11fied when requrred by Floodplam Management
Tledowns, If reqUIred, shall be mstalled and ready for InSpectIOn wlthm 30 days after occupancy Tledowns shall be mstalled per enclosure
\ '- ~ " '
APPROVAL REQUIRED
No work shall be done on any part of the bwldmg or structure beyond the pomt mdlcated m each successive mspectlon WithOUt fIrst obtammg the
approval of the buIldmg offiCial Such ..yy.vJal shall be given only after an mspectIon shall have been made of each successive step m the construction
as mdlcated by each of the InspectIOns requIred
'-,
APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS
THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WTI1IIN 180 DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE TIlAN 180 DAYS
SUSPENSION OR REVOCA nON MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMA nON
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
Your signature on the front of tlus form verifies the followmg I HAVE CAREFULLY EXAMINED TIllS COMPLETED APPLICATION, and do
hereby certify that all mformatlon hereon IS true and correct, and that I have a legal mterest m the property as owner of record or authorIZed agent I
further certify that any and all work performed shall be done m accordance With the Ordmances of Lane County and the laws of the State of Oregon per-
tammg to the work described herem I further Certlfy that Ifl am not the owner of the y,vy"'~i, my regIStratIOn With the Builders Board IS m full force
and effect as required by ORS 701 055, and that If exempt the basiS for the exemptIon IS noted hereon, and that only subcontractors and employees who
are In comphance With ORS 701 005 will be used on the Job
SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS.
When subsurface constructIon IS complete, the penrut holder shall notify the County Land Management DIVISion by subnuttIng the mstallatIOn record
form An mspectlon will be made by a qualIfied samtanan If constructIon comphes With all rules a cel11ficate of completlon will be ISsued to the permit
holder If constructIOn does not comply With rules, the penrut holder will be notIfied, and all correctIons shall be made before a certlflcate of completion
Will be ISSUed Failure to meet satIsfactory completion Wlthm the allotted tune constitutes a VIOlation of ORS 454 605 to 454 745 and tlus rule
SUBSURFACE SEW AGE DISPOSAL SETBACKS , SEPTIC TANK
From Intenor property Imes 10'
Edge of road nght-of-way 10'
Building foundatIon 5'
Wells or other water sources 50'
DRAlNFIELD
10'
10'
10'
100'
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Fer 13 1 ~rh"':1 ·
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------
BRAVADO CONSI1{UCTION
ALL STA'l'b CONS'lKUCTION INC.
SANDtlLTER SYS'lbM FOR
HARRY SKURKA
HOLD SLIP# 3575-95
1495 HARBOR DR. SPRINGFiELD
. SPECIFICATION .
GENERAL RtSIDENT AL SAND FILTER SPECIFICATIONS
OREGON DEO "ST ATE STANDARD SYSTEM"
All materials used In the construction of this system must be new, first
qualIty as approved by the DE 0 DIrector or hIS agent
2 Remove all large rocks, roots or other sharp objects that WIll damage the
PVC liner or W 11 ,1 decompose from the area of the sand fIlter
3 Materl a I depths are shown as sett I ed depths or arternatura 1 compact 1 on
has occured The sand bed should be watered compacted to prevent subsequent
settling of the dOZing trenches and piping
4 All vessels, tanks, pIpe connections, tank risers to ground level, valves, and
the lIke whIch are part of thIS system shall be Installed to Insure water
tIghtness
5 The Lane County Building and SanItatIOn Section of the Planning and Com-
munIty Development Department will require screening reports on the DEO
Standard MedIum Sand "MedIum Sand" means a mixture of sand WIth 100%
passing the 3/8 Inch sleve,90% to 100% passing the No 4 SIeve, 62% to 100%
passing the No 10 SIeve, 45% to 82% passing the No 16 SIeve, 25% to 55%
passIng the No 30 sleve,5% to 20% passing the No 50 SIeve, 10% or less
passing the No 60 SIeve, and 4% or less passing the No 100 sIeve
6 The P V C plastic 30 mIl liner (FLEXABLE MEMBRANE LINER) must meet DEO
specIfIcatIOns per sectIOn 340-71-085 of the DEO "ON SITE SEWAGE
DI SPOSAL RULES"
7 The sept 1 c tank sha 11 be a pre-casted pre- engineered 1000 ga 11 on tank ST
204 DOSING SIPHON The tank IS to be certIfIed and provIded water tIght by the
manufacturer/supplIer ProvIde a water proof rIser over the SIphon sectIon
8 Pressure dIstributIOn pIpe IS to be class 160 P V C
9 Lane County sanl tat IOn w J 11 requl re construct Jon perm I ts and phase
Inspect IOn during construct Jon The contractor sha 11 co-ordinate, schedule, and
be responsIble for such permits and Inspections, Three InspectIons are requIred
as follows
No 1 -- At completIOn of excavatIOn
No 2-- At the clear water pump test Just prIor to covering the bed dOZing
pIpe system
No 3-- A final inspectIOn at completIon.
,
10 ThIS deSIgn Is as permItted and specified by the Oregon State Department of
EnVIronmental QualIty Oregon AdminIstrative Rules Chapter 34d' No
warranty IS claImed or speCIfIed as to effluent qualIty or lIfe span The
equIpment IS only warranted as speCIfIed by the manufacturer of same
EXCAVAllON&rmD5QNO 3Sau
CCB NO lOS;JU
LAND & arm DRVEI.OPIomNT
BXCAVA11NG & UolW u... SBllVICBS.
BRAVADO CONSTRUCTON
ALL STATE CONSTRUCTION INC.
WENDElL DILTZ
1',0. BOX 127 · PLBABANI'HIU., OJ. t74SS
746-,"". CELL '''''''OZ
STATIC HEAD COMPUf All0N-SKQ.RKA
ELEVATIONS
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BOTTOM OF SEr IIC TANK
LOW WAIU< SHUTOFF
mGH W Al~ SHUT u....
TOP OF OOZING TANK
TOP OF ORFICE IN OOZING BED
D!t',l4WlliNCE (STATIC HEAD)
FLOW RATE
48 1/8" ORFICE HOLES = @ .42GPM = 18.45 GMP
l'll".r. FRICTION LOSS
60 Ff PUMP LINE @ 1.0 Fe / 100 Ff
LOSSSUl\4MARY
STATIC HEAD
ASSUMFD BED LOSS
FRICTION LOSS 60 FT OF 2" PUC PUMP LINE
TOTAL SYSTEM HEAD
PUMP NEEDS TO PUMP 8.10 FT
PUMP SELECTION ORUMGOFONS BOSS 300
TIlANK YOU ///
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WENDElL nR..TZ /'~
0.00
1.75
2.75
5.25
7.75
2.50
0.60
2.50
5.00
0.60
8.10
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6.25t$.-CHECK VALVE "\
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PRE-CAST. PRE-ENGINEERED. D.E.Q. APPROVED
GUARANTEED WATERTIGHT .
.IMJK CB,OSS SECTION
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PARTIAL PLAN
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PLAN VIEW - SANDFILTER DOSING SYSTEM
SCREW 3/16" = ,'-0"
CAP ~
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CLEANOUT I - I
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PROFILE VIEW
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1 5 Feet Crowned Cap
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2 To 1 5 lope Grade
.1 rrl oat JOn Tree /
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112" sa~,;:~~OCk .'; r Dug Into
xB~ 4f EXlstmg SOlI
1.'O'~, ,'" t. 1/2" SanltarY..Rock " ,
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Pump Tank
l.Q.o Vlew IrrlgatlOn Tree 48 1/8" Holes 2'0" DC.
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SI'ATIC HEAD
(vertl.cal elevatlOIl d1.fference LJ..Ul.U the pump base
to the pressure d1..stribution laterals)
2 . SY~Lt..r1 AI..IrnANCE
(l..l1C1.udes distr1.but1.on plPln1 losses and a 5 foot
resldual head d1.scharge at the distrIbution laterals)
3. FRICITON HEAD
(transport pIpe friction loss as result of flo;.[ rate)
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Dlameter of orlfices
inch
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orUlce d1.scharge rate
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---
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10* feet
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R (see over)
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Frlction loss coefficient
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F (see over)
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4.
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(sum of statlc head, system allCManCe &
friction head)
5. HYDRAULIC SPEw.r.lCATIONS
POMP IXJI'Y:
GIM @
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BRAND:
MJDEL:
I-IOIb1:.t-\.N1ER
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Footnotes
I 314eet
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*
In absence of ,::>p:::L-lflC head loss calaliations, use 10 ft. factor
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. I/-eo. ~Ct..,..J lid/
City
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/VOf'~ /OY2') WS\;kf In I?d, SPeA...c kk\S.',
Owner Address (If not same as above)
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pI'Ovements on the Properly
-House
Bam
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V.Moblle Home
V Shed
SE~CINSTALLED?
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_No
Water District
Request for:
5p+, e- ~~
Directions to site from
nearest main Intersection
MAP, PARCEL NUMBER ZONE
(FoWld on tax mapa In 1Iw Aueeament & TllUtIon Dept)
/g' 03 OZ- 32- SO:?
Townshlp Range Section 1/4 SectIon Tax Lot
Townahlp Range Section 1/4 Sectlon Tax Lot
Townahlp Range Section 1/4 Sectlon Tax Lot
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Staff Evaluation
For Mobile Home
Placement Only
Brand
Year
Size
No of Bednns
license' (No always starts With X)
x-__________
Distance from Mobile
Home to:
Mail Permit To:
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City .. - - Zip
Information Request OnlyD
TRS Verffled Yes :J No D Partition I Subdivision
Allowed Us. Yes :JNo D
Comments I Follow-Up
...
Lot & Bloclr
Water SewerlSepbc
LMD staff can NOT be held
responsible for evaluations or
recommendations based on
false, Inaccurate or Incoma
plete Information.
..
DATE
STAFF INITIALS
LCPW 149
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LANE COIJNTY PilJ\H~
135 Sixth Ave/me I
PHONE 342-1311
IEPARTHENT
-. Eugene, Oregon 971to1
ElIT. 231
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LANE COUNTY'" ..LOING & SANITATICN !) VISION
"5 Sixth Avenue East. Eugene. Oregon 97401
PHONE 342-1111 fXT 411
-----...
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LanE
HOLD SLIP County
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APPLICATION # 3' ~ 7 S - ( S ----0
:2 /' LOCATION fir7S ?/4nifh1 Dr( ~
6f7A<JMO LOVJ::-7 NAME Vl
goY ~2'./ ADDRESS ~
Pf{ (. oe Of 7lfss -, \
ZIP CODE "l
The Lane County BUilding and Sanitation DIvIsion cannot proceed with processing your application because 0\
1 D Incomplete application (Items deficient)
D Address and/or directions to application site
D Proposed number of bedrooms In dwelling
D Approvable plot plan (see attachment)
D Notification of date test holes will be ready
2 D Verification of eXisting system reqUired (see attachment)
3 D Two test holes (2'x4'x5' deep) reqUired for expansion or repair of eXisting sewage disposal
system In the area of the proposed dralnflelds
4 A Other
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OFFICE HOURS
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If no response has been received In regards to thiS matter by
the application will be denied
LANE COUNTY ENVIRONMENTAL HEALTH SERVICES
Courthouse-Public Service Bldg /125 E 8th Ave / Eugene, OR 97401 / 687-4051
-----
LOCATION
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APPLICATION II
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ADDRESS
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The Lane County BUilding and Sanitation DIvIsion cannot proceed with processing your application because
1 D Incomplete application (Items deficient)
D Address and/or directions to application site
D Proposed number of bedrooms In dwelling
D Approvable plot plan (see attachment)
D Notification of date test holes will be ready
2 D Venflcatlon of eXisting system required (see attachment)
3 D Two test holes (2'x4'x5' deep) required for expansion or repaIr of eXisting sewage disposal
system In the area of the proposed dralnflelds
4 ~ Other
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the application will be denied
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LANE COUNTY ENVIRONMENTAL HEALTH SERVICES
Courthouse-Public Service Bldg /125 E 8th Ave / Eugene, OR 97401 / 687-4051
COJ\f"
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