HomeMy WebLinkAboutPermit Plumbing 1974-6-19
'3/74
~
EQUEST ~T~ ~ASIBrLITY STUDY'
S I # 74 -&>D3
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For Off I ce
Use Only
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Received bv
Code
J)-~oo ;~ ' .{..fL.Cl
C.T. Number SO€Clal Permft Area
Yes No ~
Urbanlzlnq Area
.
THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT.
PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK. ~
PLEASE PRINT ~~
If SubdivIsion - Name f::;l h e rT (.;l'flV e. Lot #9 Block#3 I
I'K .3 ~ B6bbvb~loLlI ()jiltffes--- No ;o~
TOWnship Range Section Tax Lot No. Owner of Property Owner's Consent
L 0 LFl 1'1 A- E 0 j 1 E...I?
Name
7tJ'S'o IhlJ"~;lfn Rd. Sf")
Ma 111 ng Address
SPJ.11J8f;~/J..rh q?J.lf)f) Total
( p Cash
7/.J'7..~.l/:J 3 XJ J-Oc 721~ {)jlfAA.~_ UJf= Check
Telephone # Signature of Applicant Date
Proposed Use
of Property
I1fJodl:/-IoME Res
,
J.I iL ~ hI"> r ih ( y f.
Legal Access - Road Name
(., 0 )( /15
Property Size
~s Property Within One Mile of City?
eS X. What City? SP/o" hIe;, e./J
No ,.
Property Locat Ion (0 Irect Ions) Itt)/ t
Ii- C! h i flr^ H n. '" II "I- n J. ; V e)
No. of Sites
/
2<:J. 00
"'~
~
No of Acres
$
$
$
~
r-
""
~
.2s 00
Owner
Seller
~
Realtor
App 1 I cant I s I nte res t Buyer
In Property Other (Specify)
- ~p,
EXisting Structures on Property
rV t'J AI F
Proposed Water Supply I ~
Public District,' V
Spring Well 'R-" Other (Specify)
~
%
~t
fla~b61'
.
ve ((p^
a"T :J..1l.1l
01'
I
When Will Test Holes Be Ready? ~)CJ
MARK TEST HOLES WITH OUR FLAGS (Datej I
Locat Ion of Test Holes on Prope~ty ~-;lA.AA~f. ~Ih)
Draw diagram of property ShOWlng~ff~n of any landmarks and relationship of
these landmarks
lMRao..e ,tJ;e/ ;Je..>
}f-.
~
---
test holes to
)01
t
.-J
t.U, U a 7?1Lltu J€LtJ..RAJ
MAKE CHECK PAYABLE TO
MAIL TO LANE COUNTY
C55-55
ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 135 E
Phcn e 687-4065
6th Ave , Eugene Ore
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I
APPROVED
/
NOT APPROVED
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~-~ \Chrt(:t
~ AuthorIzed SIgnature
\) I / 19
'0) fli) 1'1-Lf.
. Date
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'e Inspection # !PI-GOJ
"""I11III
EVALUATION
FOR DETERMINING SITE SUITABILITY
FOR DEVELOPMENT UTILIZING
SUBSURFACE SEWAGE DISPOSAL METHODS
LOCATION I
Twp. 1'6'
F: I bccl'i
Range 0 J3
GrouJ<.- S-ccb,
Sec. Q 9-...
1 t, Cj
Tax Lot #
13), :3
Are public sewers available or nearby? (Distance) . J40 \ """ :
Are there zoning or environmental considerations? ~~
Size of property I {0 y: //0 Amount useable area ~j ~'2 .\'+ X ;3 ~-\'"'-1
Are other systems in area known to be malfunctioning? ~D
Is there room for future expansion? N D
Surface Feature considerations I (Explain)
Slopel (1'/100') 0 (%)
Flood plainl
Plantsl I
Rocks I I
Low area I I
Drainage_YI \
Streams I Ylh..!{eh "<.fQ. f?/~e,r
Cut bank or slopel
Water Supply and Utilities I
N FJ6el't Gr(;,.o. 1v,,~'r I),..; , (Sketch in Plot Plan)
Community Waterl 0,
Individual Waterl Exist. D Proposed 0
Water Linesl Exist. D Proposed 0
Gas Linesl Exist. 0 Proposed 0
Wells on adjacent Exis t. 0 Proposed 0
properties I
~ ..
I'
#1 T EST H 0 L E
Perched Wat.er 1 PROFILE
Predicted / in. Inch
Observed ~ in.
Dat.e ~
12.,
#2
T EST
H 0 L E
Perchecl Wat.er
Predicted
lIIserved
Ila te
PROFILE
in. Inch
in.
12.
SL
~.lNrat.ed Zone
Predict.ed
Observed
Dat.e
~~
sat.urated/ Zoe
Predicted
Observed
Date -
in.
in.
24-
in.
in.
24-
36-
36.
Restrict.iveTay ____in.
Impervious Lay' r in.
Mot. tl ing ----in.
48-
Rest.rict.ive Layer in.
Impervious Layer ----in.
Mot.t.lina ----in.
48.
60
60-
SITE DOES
/
SITE DOES OOT
Meet. minimum st.andards for individual
wast.e disposal.
IF SITE DOES NOT MEET STAKDARDS SPECIFY BASIS OF DENIAL:
- Administ.rative Rules Require - - Your property found t.o be Deficient -
IF SITE MEETS STANDARDS FILL OUT:
Type of struct.ure and approximat.e sewage flow:
Mult.i-family GPO,
Commercial GPO,
Single Famih
Industrial
Inst.it.ut.ional
~
GPO
GPO
GPO
NOTE: Soil absorbt.ion area in square feet.
Area necessary for sewage disposal systems
h-D/
ARE ALTERNATIVE SITE LOCATION, DESIGN OR MODIFICATION AVAILABLE, DESCRIBE:
NAME ~ lQJ1-
u
DATE OF FIELD EVALUATION: 0017<{
r BUILDIN; SITE-EVALUATION
Js C H-
() BUIldIng Permit ApplIcatIon No
() Site Inspect Ion
() Pre-PermIt Investigation
7L/-b03
T ""7 S (') 2.3iAr-LDT
C~
;=; Ilerr6rot!'C L-q
APPLICANT' OIl
NAME liar-
ADDRESS
(?-s
PHONE
DATE
f,- :?-7j/
NAME
DATE
PLANNING DIVISION
NOT NO
appl.cable
1. ZonIng OrdInance Comp I, ance ( ) ( )
(Zone ~-H)[.f-
2. SubdIvisIon Ordinance Compl.ance () ( )
3 Required Access ( ) ( )
4. BUIldIng SIte (Area, Width, ( ) ( )
Frontage, Setback)
5. Ot her (see comments) ( ) ( )
COMMENTS:
YES
~l
~ }
( ;\
~~
.k::...~ - 7 tL
I
=
- --
BUILDING INSPECTION DIVISION NOT NO YES
aDD I I cab 1 e
6. PI ans Subm I tted (( ( ) ( )
7. Soil Stab,l ity (footIngs) ( ) ( ) ( )
8. Flood PlaIn ) ( ) ( )
9. Other (see Comments) ) ( ) ( )
- )
COMMENTS.
NAME
DATE
(3j~~ (#-/1~71
I
- =-
WATER POLUTION CONTROL NOT NO YES NAME DATE
aDD I I cab 1 e _ It If' r -=I: 'Z.-OV\e_
10. Sewage Disposal ( J ( ) ( ) ~i?~
11 Usable Area ( ) ( ) ( ) ~~ b, 3/71_
12. Water Supply ( ) ( ) ( )
13. Other (see Comments) ( ) ( ) (<)
COMMENTS
TO APPLICANT'
Your BUilding Permit I SIte Inspection
~ Can be approved.
() Cannot be approved at thiS time as Indicated on Item NO above
Questions and further information on Items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further InformatIon on Items 6
through 13 contact the Lane County Bu,ld,nq and SanitatIon DIVISIon
() Will be held In thIS offIce until you can resolve the problems IndIcated.
() I s be I ng retu rned.
() Your bUIlding permit appl 'cation fee IS being returned under separate cover
b-- 1....0 -;J
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
135 S1xth Avenue East Eugene Oregon 97401
PHONE 687-4065
LANE COUNTY PLANNING DIVISION PHONE 687-4186
C55-28
V (I {Ie-; (j, V?'<<
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L>;ll" I"Fe 01.1 ~r
, -,Surname
Q'"
:r:na.\
", 'bert Grove
18 3
Twp. Range
It 9 blk 3
2
Section Tax Lot
,'"
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-7'/- tc-' .5
Code
35-400
Census Tract
,Receipt No.
I Date
6-3-74
I Owner
same
Owners Consent
Yes XX No
REQUEST FOR SITE FEASIBILITY STUDY
THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE
BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT
ARE AT YOUR OWN RISK:
Name ~I" Mae Ollar $ 25.00
and No, Sites
Address/OBO Thu rs ton Rd. Sp $
No, Acres
Springfield, Oregon 97477 TOTAL $ 25.00
Telephone No.
747-,423
Property Size
60 it 1I!J
Existing Structures
none
Proposed Water Supply
Pub] ic District
Sprinq
in Property I Proposed Use of Property
mob lIe home
Name ISpecial Permit Area" I Urbanizing
Yes XX No Yes No
Is Property Within One Mile of a City?
WhatCitv? Springfield Yes XX No
Other
Specifv
Area
XX
Appl icant5 Interest
buyer
Legal Access - Road
Harbor Drive
Well XX
Property Location: (Directions) 1646 Harbor Drive 9 go out 2nd ave end run Into
11 rDor or Ive.
APPROVED
XX
NOT APPROVED
~rea approved for subsurface sewage disposAl Installation.
BEFORE CONSTRUCTION IS STARTED bring this form to the Department of Environmental
Management and make application for a building permit. If the property is a por-
tion only of a tax lot, a metes and bounds description of the parcel must be fur-
nished. Exact specifications for the sewage disposal system will appear on the
building permit. Two sets of building plans and~ Riot plan'will be required,
LANE COUNTY DEPT. OF ENV I RONMENTAL MANAGEMENT f'... ~
135 EAST SIXTH AVENUE, EUGENE, OREGDN 97401 \J Authorized/Signature
b-20-1 T
Date
C55-32
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Range
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Bt~3
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Sh-rname
k"'e.
Recelpt No. ,/ I Date /, /
It") d o/PV // /:::;.- ?;-
~ / /
~ REQUEST FOR SITE INSPECTION
~ IS ~ REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE
BUILDING PERMIT. ANY PLANS OR ~J>l~DITURES MADE IN RELIANCE UPON THIS REPOR
ARE AT YOUR OWN RISK!
Sectlon
Tax Lot
~~~
.~, ""-;-- -/ {)....?o
Census Tract .
ode
I~~-,
\ Owners Consent
Yes Y No
Name
and
Address
~)~' ~-COUNTY SPECIACPERMIT- K
j/ /(nnne.) 00
~lj ..-4 L_~-v,L d I ;?AlPP.t<!ll!"P'j / $ A. c::::-
rv.A h/~~// 4J~ No. ~htes $
~ /J ~ '- ~_ 0cfY , NOT~~~es $ /~ () G
. ;:;:'/~L-??-Z~' ~ 97/f/'/
Telyphone No. Apphcants Interes.t .#property J Pr,<;!P'W~d _Use Ilf]roBl"9'Y
'f57".;1.- 75,-/S' ~ff'i-~ .ffM-~~_,,--L-'
Property Slze Leg~l ~ces~- Road~ftIDe?rSpeclal.P~mlt Area 1 UrbanlZlng A!~
he; y / /.5- ~L~~ I Yes X No Yes No X
EXlstlng Structures I Is Property Wlt)p,n Qrw ltole of a C1.ty? .
What CltV? ~. Yes Y No
Proposed Water Supply tV PUfl.Sthef /
Pubhc D:1stnct Sorl1ll! Well X Soeclfv
Prooertv Location: (Directionsl /16 ..y/~ ~~ ~~
L& ~~~#~ _44.~a~_J
/' (See Below)' -
APPROVED V NOT APPROVED aI'HER REASON FOR NON-APPROVAL
STATUTORY AUTHORITY
ORS. 431.130 and 447.020
!OAR 4l-D20 Par. 1
I Insufflc1.ent lot Slze
Ifor lndJ.V1dual sewage dJ.sposal
and water suoolv.
10AR 4l-D30 Par. 1
Heavy lmperVlous non-
absorot1.ve so1.1.
OAR 4i-D20 Par. 1
Water table above
!llJ.lUmum State Standards.
other
Englneered Slte ModJ.flcatlon Feasiblllty:
Posslble Not Recommended:
LANE COUNTY BUILDING AND SANITATION DIVISION
135 EAST SIXTH AVENUE, EUGENE, ORffiON 97401
BEFORE CONSTRUCTION IS STARTED bnng tills form to the BtnldJ.ng and Samtatlon
D:1Vlslon and make appllcatlon for a bUJ.ldJ.ng permlt. If the property lS a portlon
only of a tax lot, a metes and bounds descrlptlon of the parcel must be furmshed.
Exact speclf1.catlons for the sewage dJ.sposal system WJ.ll appear on the bUJ.ldJ.ng
permlt. Two sets of the bUJ.ldJ.ng plans and plot plan WJ.ll be reqUJ.red.
/ljJ. A-"..__
-Authorlzed S~~~t~;61
f (.. '2.0-72-
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CYj, )
If
C55-32 \
Date