HomeMy WebLinkAboutPermit Plumbing 1977-12-14
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Job Location
Written Directions
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WAY SIDE. LOOP
EAST ON HARLOIo/ RD TO HAYDEN BRIDGE RD
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Lot
Block
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SITE FEASIBILITY REPORT FOR SUBSURFACE AND ALTERNATIVE SEWAG
BERNARD J SPLONSKOWSKI 1147 BALBOA EUGENE OREr,~N
;EFT ON WAY SIDE LOOP
'Subdivision:
OWNER'S NAME'AND ADDRESS
l\II~i.1 report to (UWApplicant () Owner
GERALD E. CALEF
Phone
627-8532
. APpl;ICJ;\NrS NAME AND ADDRESS
EUGENE OREGON
Phone
( ) Prefer to pick up, Call
(owner, etc.) when ready.
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NONE
::" tWCTURES NOW ON THE PROPERTY
PROPOSED USE OF PROPERTY . PROPOSED' DWELLING SITE
CITY OF SPIUNGFIELD
-'
WATER SUPPLY
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d .. . ,SPRINGFIELD OREGOJJ(NO)
ONE MILE OF THE CITY OF,
I hereby certify that the above statements are true and accurate, 'anti that I have th following legal interest in the property: owner of rE;cord;
contrac.t purchaser; potential buyer; realtor or agent, I furth certify that (if I)ot the owner) I am authorized to act for'the owner of
record, and that said owner is aware and approves of this action, ' c:... " .
TEST HOLES REKbY---......~n . I ) ignature ~ "-..::::St--- ,""- Datp <. ~ e~ l~-(,'-'--
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L Y BELOW T HIS L I N E * ;\ * * * * * * * * * * * * * * * * * * * * * * * * *
SITE: ~.MEETS STATE STANDARD D DOES NOT MEET STAT TANDARDS.
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THIS IS A PRELIMINARY REPO'RT WHICH OESNOT ENSURE THE ISSUANCE OF A FUTURE-BUILDING PERMIT. ANY PLANS OR EXPENDI-
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TURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK. IF SITE IS APPR~~, SEE RCSE SIDE,
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-- 'AUTHORIZE-O SIGNATURE DATE --AOTHORIZED SIGNATURE
, Divisifn of Water Pollution Control Permit Processing Section
LA~D-l:JSE POMPLlANCE
Zoning-"~'~'J~
Acreage or ~ot S,i;,p ,\c-,~ Cl (' '7...0.;) (TOT ALl
Partitioning # _ ---.... " ( ,) Completed
~ cr~... () Pending
Parcel # ~
PARCEL HAS AN EASEMENT PROBLEM: /
MUST BE CORRECTED BEFORE PERMIT TO INSTALL,
TANK CAN BE ISSUED:
~~=,
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DATE-
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
C55-32
.125 EAST 8TH AVENUE,EUGENE, OREGON 97401
687-4061
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OAR Chapter 340, Division 7, Section 72-020(6): This report shall remain in effect until issuance of a
permit to constnict, 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- -
sidered null anil void, Technical rule changes ,will not invalidate any evaluation report issued. pursuant to
this section. ' . . ..
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Before construction is started bring this form to the Department of EnvironmElntal Management and.apply
for a building permit. Exact specifications for.the sew'age disposal system will appear on the permit.
'If the prope~ty is only a portion o~ a tax lot, a partitioning or supdivision must be approved before the
permit will be issued.
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Only persons having a valid license Issued by the Department of' Eiwironmentai Quality under ems 454.695
to install subsurface sewage disposal systems or an owner or contract purchaser or his regular employee~
'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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SITE EVALUATION WORKSHEET
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RANGE
()~ SECTION
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LOCATION:
, TWP.
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TAX LOT # ,. . I (jf)
ZONING:
PROPOSED USE:'
WATER. SUPPLY:
COMMUNITY GZL.
# -- '--,1- /1
AMOUNT USABLE AREA: ~
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PUBLIC I~ INDIVIDUAL. I I
,
SIZE OF PROPERTY:.l C/7 K /~
IF SITE MEETS STANDARDS FILL OUT:
Type of structure and approximate sewage flow: Sin~le Family
Multi-family gpd Industrial
Commercial gpd Institutional
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gpd
gpd
gpd
MINIMUM DESIGN REQUIREMENTS:
Distribution Method:
Equal IKl
Yes D
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0_ "D'
Serial
'No,QZl
/150 gal.
Length of di~posal trench required
Curtain drainrequi~ed:
Other:
SPECIAL SITE CONSIDERATIONS OR VARiANCE OPTIONS OR OTHER ALTERNATIVES:
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NAME:
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DATE OF EVALUATION:
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1;L-)'i--77
'C74-l26
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I 77-1:s3!
H 0 L E I # 2 T E S T H 0 L E
PROFILE I PREDICTED WATER PROFILE
in. Inch I Predicted in. Inch
in, I Observed in.
S/L1 Date SJev
12 __ LoIftuJ 12 - ~
- #1 TES1
PERCHED WATER
Predicted
Observed
Date
SATURATED ZONE
Predicted
Observed
Date
SATURATED ZONE
inl
inl
Predicted
Observed
Date
24-
in 24 -
in
36 -
;V'
in ;;;~L.-
in 48 -
in
60 -
36
:iCe
Restrictive Layer
Impervious Layer
Mottling ~tl
in,
in,
in,
Restrictive Layer
Impervious L?yer
Mottling (2"
48 -
60 _
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O MEET MINiMUM STANDARDS.
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REOUlRE ~ MINIMUM DEPTH OF:
SITE DOES ~ DOES' NOT
ADMINISTRATIVE RULES
0 36 inches to an impermeable layer
0 30 inches to a restrictive layer
0 60 inches to a permanent water table
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0 24 inches table
to a temporar1 y perc e water
OTHER REASONS FOR DENIAL I
PLOT ~:
Stream
Dr ainage or
pond
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Road
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Test Hole 4D
~ % Slope
Cut Bank
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Fence
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ON YOUR PROPERTY THE DEPTH
WAS:
inches
inches
inches
inches
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June 19, 197.4
ME!!OR~!iQ.l:I:!!
TO: Lee.Mi11er
Planning Department
FROM: Stanley E. Petrasek
,~
RE:
Minor Sub-divisiQP
'Rav w;::!~
Twp. 17 Range 03
Tax Lot 100
Section 24-41
lane county
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Parcel two meets minimum standa-rds for the in-
stallation of subsurface sewage dijposal.
Parc~l one meets minimum standards for the in-
stallation of s~bsurface sewage disposal, however,
the approvable area is very limited because of a
drainage-way therefore placement of a future dwel-
. ling win be critical.
SEP /gfg/'%J3
cc:. Ray Warner
Hayden Bridge Road
28th Stree t
Springfield, Oregon
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WATER POLLUTION CONTnOl. D'V. ! HIVII1UNME~ITAL MANAGEMENT DePT. r 135 EAS'T 6TH AVe. ! EUGENE. OR 97401! (5031687-4065
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