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Home My WebLink AboutPermit Plumbing 1991-6-24 J$ ll- .~ II ,) - ) T~S, TL 18 -63 UGBjSPR- Au~ _ ~/<-~v; -.h?:(d; ) ~~ L v~ l \~ \JrQ~W AvJ:._~_ WATER SUPPLY .$.0 ~ L/:.h'l f~ /)~ - ../ O"Phone 1- V-I- Sf 0.3 '7/J~~.pi 0JJ " c.L 9~'i ~f- {,l: Phone r \{ ":(. -s:rAT . - ?- PROPOSED USE OF PROPERTY A. ~ C;; SEWAGE DISPOSAL SITE EVALUATION -- O? 21 #t2a:J Job Location JlL~~ S$.-S \ t=)Cf1 SubdiVISion' W ,1/ A=rt~ ~ Written Directions Lot Block APPLICANT'S NAME AND ADD~ESS_fr (( K {; - t'tA.Ji~ ~_ OWNER'S NAME AND ADDRESS ILt,\? 8 S''hikJl- STRUCTURES NOW ON THE PROPERTY ~~ S.I # 9/-()09'h e1t. 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, '~ontract purchaser, potential buyer, realtor or agent I further certify that (If not the owner) I am authonzed to act for the owner of record, and that said owner IS aware and approves of this action TEST HOLES READY. .A.L.o ~ ~ Signature . Date * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * OFFICE USE ONLY BELOW THIS LINE * * * *. * * * * * * * * * * *. * *.. * * * * *. * * * * * * * * * * * * * * * * * * * * * *.. SITE MEETS STATE STANDARDS Standard System Sand Filter 1 Foot Capping Fill YES D pi. D NO D D D YES D D D NO D D D Low Pressure Distribution Holding Tank Other ~ ~ -' ~AA'.-;,&rJl~ ~.. -I'~ J ~ _ o ., /J/J ~~A7i"~ b-.:zt/-'1/ ~~/?AfJAL.OjJ P' /fj, - /)~ ~ /J..A_.~ ~-L .I tfZ..t!.-~.Yo...-...) _ /~ '/ ~ /1 ~ au ~:.~ /J. ~ ~ t/ ' ~ ~." k:.7 /~....dY /CIO ~ ~ . r4A!~ ~ '~;,~ ~_- ~~I /JL~ ?U/~.J ~.V7~ ~~... r-r_~ ;::/ / ' / Zoning Partltlomng # LAND USE COMPLIANCE Acreage or Lot Size. (TOTAL) Parcel # ) Completed ) Pending COMMENTS' 1..lb11-. ~~Ao//h~ FLOODPLAIN INFORMATION o ApprOXimate Study Area o Detailed Study Area THIS IS A PRELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK IF SITE IS APPROVED, SEE REVERSE SIDE ~~~- ~ ~ AlJT110RIa:D SIG RE LANE COUNTY ENVIRONM TAL HEALTH, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 (687-4051) C55-32 (p-;L~-9/ DATE o Floodway All or part of this site may be In a flood hazard 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 All or part of thiS site may be In a flood hazard area for which 100 year flood levels have been established A bUIlding elevation above the 100 year flood level may be required All or part of thiS site may be In a flood hazard area In which a floodway has been deSignated BUilding may be prohibited subject to demonstration that the cumulative effect of proposed development Will not Increase the 100 year flood level at any pOint , ',\ ~f MEMO TO: APPLICANT FROM: LANE COUNTY ENVIRONMENTAL HEALTH SUBJECT: CONDITIONS OF SITE APPROVAL lane county ~ 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 adJacem 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 17 / /;1:; 9 ~ I/j!j' / /, /; J \, \ '-.."'/ / 692 ),;/ ,,".~"i'q'1 ''''''''1. G,~ / ,J:j ~..r ~~,~ 7t1-:" .. (.... ~ t\P!.-,! ~ p..: "h\; \._ 6i J~;~&~;~r~ ~;;~ e~~~;~-~ ~ U;t:lutJr" ,l...... ra c_"",,,,, """, ~;!J ,~ ,:v ~?l!~~ ill > <[ ~/ v / 7181 3 <T \ 8 ,/ 1 1 . 7161 I I > 7141 7121 7101 708' 706' r 10' t 6941 704' 69E/ 700/ -G- --"') - (""' -<c'-- .~ ,,-- > (\ \ --~ /0\ \~-j ~ o ('\ SITE EVALUATION FIELD WORKSP.EET S. 1. # c:r(-f7 -,~./' lotH Pare\!!, 81 k H (f,oJ- 2,7-.( i/ TJ1;; I JL"IJ. / t- r- Tax Reference Applicant Depth Texture Date. I 2,ffr~ ft,-11-1/ "";0 1 \1ilior: Subd lV / Part Zon,ng !JSt Paree 1 S lZe: Water Supply Well Commun,ty PubllC So~l ~Atr~ Color and Mottl~ng (Notat~on), 'Coarse Fragments, Pnots, Struct~e, Layer LlID~t~ng Effect~ve So~l Depth, etc. Pit 1 o -J.-~V1 d--~- tf-el\ . " S~CL JwJ(L~ ~~ .. 1yv;"iWJ t.Jt, J ~L- /r...- ~ fl.,/) _ yU) trA1?(;o _ 1w ~ ~ ~ ~ -'v~' -.) I f Pit 2 n .... J..i'l "'- ~~ ~ 4r :~'CL UunI Pit ~ (!) -r-/ It! S}e,L ,r~/t/1 ~. Pit 4 Landscape Notes ~ ~ Ih I I 0 ~I "" Aspect Slope Other Site Notes :ype System: _ If Initial 4~~ (A Replacement Spec~al Con~tions ~ t~ )~/' ~- 1M ~L ~~, k;Vl.) ~ ~~~ ~.V ~ 1..<td-1J ~ -<1f"~1 . I - " V~~ '" _11. ~. ~ ~.~ ~o r - ,- Groundwater SYSTEM SPECIFICATIONS 0ftA/.D F/L-:~R- ---- 4()0 ~d Des~gn Flow System Siz~ SO 1150 g. :lax_ Depth Absorpt~on Fac~l~~y (~n) ;:l Y If System Sizing So 1150 g. Max. Depth Ab~orpt~on Fac~ll~Y (In) ~t/~ pr_af PLAN ON lL1'VERSE SIDE ~ ...-. -,.. - '--j., . . .-(~ 1 /". ... "-.r ........ __, ,.. ~ F ~,. '"-II . .. HOLD SLIP lane ~ APPLICATION # 9/- 9 -;; / I"J-,~~ /Ie4M c// \ ~- .--.. , ' _/ ,,- I -lld 71/.\7 /7 ~~ ~o~ 0". The Lane County BUilding and Sanitation DIvIsion cannot proceed with processing your application because' LOCATION ~p~ ::... NAME ADDRESS ~I 9'7'/77 ZIP CODE D D [Sa o Address and/or directions to application site. Proposed number of bedrooms In dwelling. Approvable plot plan (see attachment) Notification of date test holes will be ready. '):J ~ 'f ~ ~ D Incomplete application (Items deficient). 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 0 Other _ VAL/ aAU/;; :PK;-~~ ~A~- , . - - .. -r - ----- -. . " / k /A ~ #b:.u ~.4di:,,,,,_j ~ _ () a ~~~~~Pd4V:~;~_, ~~~ *~~, ~k.J~ /... rr, ~ 1 ~.LA~: /J.Il.J:iL /J~. .... /.'}I'- I rif t"? 04//1 ,.. O.AA.JJ___.::f2- '~- ( / /: . - (, ~'t' -- f.I , ... 0' /v &1:- -- , t ~ ? / ~L..< -QA, /tJwlJ-....-: p/ I._~ --C._ _. ) ~ /~A-.I ~~ ,-?2i;;h..vr~-' ~ ~~~~~~. 7',~$; ~~A~ - /\ ,.......fA Lh~-fl;;Z;.u_~A!l/~ot ~_ . 7 ~.. "(/;;' I .'/~::b / ~_ -~ ~~~ O~,. - v/ - r" I v' --- ------- '" to 9! 0{) DATE ht/lr :J7S-J from PHONE 7~7(- 71 to ...J ~ ~ 1 In ~ I u.. p<-/ ...t~~_, SfGN-AfURc.;:;j1 OFFICE HOURS 6-/2--rr 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 / 687-4501 ~~ttredge site evaluation directions to pro~er-~~~ From corner of Main and Pioneer Parkway West in Springfield -turn right on south 2nd to south 0 -turn right, go up hill to south 4th, turn right -go up hill to Union ( "T" intersection ), turn right - 1/2 half block to Park Ave which winds up to top of hill - Smith residence on left, Willamalane Park on right - parcel is south of smith parcel * Justin realty for sale sign * 4 post fence with Ilno trespassing" sign Red plastic flags mark way down dirt track to test holes , , . , -........ ./ ~ (\ ~ '-;Z- ~ \'\ 714' II \ 712' 710' 708' 706' 7D4' - r - 10' J 694' ~ 7 0 0 I ------ - ~~ G -1 t --.. T .~ L ~ -- ~l"'L_ \ y ~ \ , , \"1 ~ '11 II l;l ~ e \ : :' ~ , , I I i I 1: I I I 11 "I. I I 1111\ : LANe rOUN1Y DEPl fNV MGI RlLlIPT I 910097 DArb 060391 tlr'F'L 1 C(~Nr Kll rF~FD,("I:, DILL ADDR 14r:>9 B sr., SF'RJNl",;FTELD, OREf.ON TL.:l:- 10030:>:>101::00, SlH.lDTV LUT "HLK Nr:W BLDG TYI.'F USE X BDRMS 0 UNITS 001 SrORJ ES .ll=}{LDGS 001 PHONE 741 ,,}~8H OWN[R NME Kl T1RfDGl, BILL ADDR 145Y ~ ST., srRrN("~l[L.D, ORE(..UN CODF.: tlPr'L NLl ACT rON DL~'CRTF'T1UN SQ rT tJNJ T COST VALUtlTJON l~fE ElF' llF' ElF' BF' ~p Dtll'S I i ~ l ^ \ I \ I ~ I r'L MF.CH SUI, ~'CK SJ SDE(~ :llF ] )r../lltll H SWR fT. WTR Mr:CI-ltlN 1 CAL FEE ,)1 tll E" SUI'::CHAF~(yF PI. AN CHr:CI< FEE-. 1 rT. I,AIN ~ T ~>% U: 910097 SI H:I::. 160.00 160.00 15.00 I I' I I 'L CA H.,' F'L N SI::.QU TAKEN !lY r~LH I':: A SDS EL E I~'CK lSS / Sl 1 ClTl~ lSl. COMI-'!. E. T JON I'>tl fE DF:f"ClST r ~.)( L) S: 1 '/~'). 00 LI< ~ >= ~ " :J ... '.! f; .. HOLD SLIP lanE ~ /1d ~p_ . '-' - cI' L'/r7 i7 ~;J .~~ 0". The Lane County BUilding and Sanitation DIvIsion cannot proceed with processing your application because. 9/- 7' "7 / LOCATION I.J-t~.1 IkuM NAME - /' APPLICATION # ADDRESS 9'7t/77 .ZIP CODE 1 0 Incomplete application (Items deficient) o Address andlor directions to application site. o Proposed number of bedrooms In dwelling. ~ Approvable plot plan (see attachment) o Notification of date test holes will be ready. 2 0 Venflcatlon of eXisting system required (see attachment) 3 0 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 0 Other . !V:L/ oA.e.v t: _~::g;;;~ e~..uLe. ~ r- a' ;;;;k~~:"~A'~ ~~ ~km~ ISO / m d!.~f;(P/ d....q N4 I 1 ,,~<.()~:::f- ~ f/ -'f-?;:'/4~, tl~~ (IMI///un_ A ~ A~~.I .~ n~ r.~ .JMAf!4/ ~? / ~~y~;r~~~An~ ~ Pk. ~. I ;~ 0\ from to ...J ~ ~ I ll\ ll\ E I I o u.. 51G~N OFFICE HOURS to 9! tr() DATE I,?/lr :J7J""J PHONE 6-/2-~r/ If no response has been received In regards to this matter by the application will be denied . 7'-7/- f( LANE COUNTY ENVIRONMENTAL HEALTH SERVICES Courthouse-Public Service Bldg /125 E. 8th Ave. / Eugene, OR 97401 I 687-4501 gR-( /_~ ~ II C:l/2r/ 7/ " .. <i",vdcJJ'4fJ I S P4: L~ oF ~2: I ck A'o/l- :r <;~,~ it r.JL<'& ~"- N.J~ I;~ ta.,'''' - (f:- /d- loft "1e~ I ;}, 1/ t:1ffi- sj ~ .,.....,---- ~A \ ,'':,:1 " ':-< /_1-' Q \ .Y-- - - t..~_.::; ~ II y.p:/ "", . (".'.. v / '-. r.t <1 .;'!f::;c~ " "- t ,/ fU:i>j). ;?~ '"/ 6 fI1llf,~ t!':l1' II ~~ \--;. J.I.hW '4,0/1,;. \ ~ \ i:.r if.. 'l a ( ~ :) ""<!.p \-- .... it. J '-- S ~_ ~., ... '9'9/ I -- ~~~ '" c..?\. ~~ 1-- t. .,.1n,~ ~Y}t" /- - , """IS/jt'J; 'J 0: }; f.{':J,'l1J