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SE\lAGE DISPOSAL SYSF" RECORD "Z:. - /0--1&_ ).. /,)
to signature and sub ,both copies wlth(.~p'llcatl:- .
PERMIT NO. Tn # I
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INSTALLER'S NAME
PROPERTY ADDRE55
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MA-l"-,(,n~ 0 P.I ,fr-
Basement. \later Supply
Yes No Pub 11 c t/ Other-L1 s t
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Septic Tank:
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O\lNER
NAME
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APR 1 6 1976
S I de I 0 LANlkaa8U NTY
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CERTIFICATE OF SATISFACTORY COMPLETION /.
For SanItarian U.se Only: Date: 11-/(,-7-
In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is Issued
as .evldence of satisfactory completion qf a subsurface sewage disposal system at the above.
location.
~ Approved: System Installation conforms to current standards
c==J Disapproved: Does not conform to current standards
Remarks:
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San I tar ran' Y)i I gnature
LANE COUNTvU
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
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FLOOD
P L A I [j
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ELEVATIONS
OR
F L 0 0 DW A Y S
PROVIDED)
e Permi ts Requi ,red
- All buildings
- ~lob i 1 e home p 1 acemen t
- Other deve 1 opm?nt
e Review permits to determine whether proposed sites will be reasonably safe
from flooding.
o Proposed building site in flood-prone area must be:
~red (including specific standards for mobile homes)
- Use materials and utility equipment resistant to flood damage
~nstruction methods and practices that minimize flood damage'.
(Elevated above IOO-year flood level) -
(') Review subdivision proposals to assure that:
Consistent with need to minimize flood damage
- Utilities and facilities designed to minimize 0)' eliminate flood damage
- Provide adequate drainage.
0Water systems designed to minimize Or eliminate infiltration of flood waters.
eSewer systems designed to minimize or eliminate discharges or infiltration.
Septic tanks, etc. 'located to avoid impai,'ment or contamination during flooding.
0Elevations required for subdivisions, etc. greater than 50 lots or 5 acres.
0'1ust use other authoritative data on elevations if ava'ilable as criteria for
floodproofing or elevating.
~t obtain and record lowest habitable floor elevations for new construction,
substantial improvements.
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LANE COUNTY PLANNING
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CONST8UCTION PERMITS & INSPECTION
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OTHER
FROM:
SURVEYORS OFFICE - FLOOO PLAIN MANAGEMENT
DEPARTMENT OF PUBLIC LANDS
PHONE: 687-4195
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SUBJECT:
PARTITION NUMBER
SUBDIVISION
BUILDING PERMIT NUMBER 61f,-'lA .
OTHE R .
RECOMMENDATION:
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THE ABOVE SUBJECT IS IN A SPECIAL PERMIT AREA.
THE ABOVE SUBJECT IS INCLUDED IN T'HE H.U.D.W}lNUHBEREDl'.'<A!:V:ZONES~
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to signature and sub, both copies with (.fRllcatl _--)'"
PERMIT NO. ~ H I
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INSTALLER:
PROPOSED
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l No. living Units Bedrooms Baths
PROPERTY AOORE~~
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Basement I/ater Supply ,
Yes No Public v" Other-List
INSTALLER'S NAME
Septic Tank:
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Tile Disposal Field: ' '
Distribution Box: Yes V N~ IE' r I!: 0 U ~ !
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ADDRESS <SPf!.A 116 FII::dvJ)dJ1, 9?Y17
Length of Lines-Ft. [TrenCh I. Total Sqi:)
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Foundation
APR 1 6197G
, Side / 0 LANI1l~eUNTY
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For Sanitarian U~e ~nly:
In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate
as evidence of satisfactory completion of a subsurface sewage disposal system
location.
~ Approved: System Installation conforms to current standards
c==J Disapproved: Does not conform to current standards
Remarks:
______ ,_ H'_______)_,
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S I 9nature,,:-1./c1',,'(((~/7 ~rl,v{~t;.",-""
OF SAT I SFACTORY COMPLET I ON / '/' 7.
Date' J. -;(- :
is I~sued"
at the above
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San j tar ;'an I 01 gnature
LANE COUNT"u
STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY
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CONSTRUCTION PER~lITS & INSPECTION
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DEPARTMENT OF PUBLIC LANDS
PHONE: 687-4195
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PARTITION NUMBER
SUBDIVISION
BUILDING PERMIT NUMBER 61f,-'lA
OTHER
RECOMHENDATION:
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