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HomeMy WebLinkAboutPermit Septic Tank 1991-5-31 SEWAGE DISPO~~LB i.~;:V~LUATION n~~~C'_$/Z ~ . p- // /J ,.- S.I.# TRS,TI /cr-03-c;:7Z,33 4/7'tP',-:;/ Job Location //"fl/f?6c:J-e L//?..-7/t"'E:: --.J//?~h/-:'h~ , Written Directions G~k? :r::;,,-) !77.?f li~dr--/..r:c..;?, rz?, ~ IW ~~ Subdivision: P!'~/-;#-~d77""?~rr 7?:7 ~t?LV",e., ~.dA?/~ Lot Block WATER SUPP"LY. ~ . . APPLICANT'S NAME AND ADDRESS-o/A'Af.4.cE ~a/M.!'..2'.s-Z? Ev'~P7?e: /:J"""'.k?,..o.A'./ 974/CJ~ Phone~,.r,5~.s-as- OWNER'S NAME AND ADDRESS 4--4 y ~//?~/?/ .. Phone~...?..=- ~/?~ STRUCTURES NOW ON TH~ PROPEFlTY ~ -~K.Z ,/ /Cd'//-:: -C..?~.,-:!""?Z7...ec;:s- PROPOSED USE OF PROPERTY ~r / /.L~("'? ~ . . .'.,:- contract pu~chase(; ~potential buyer; o~ this action. I'-"'! n..' ~ I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: _realtor or agent. I further ce'rtify that (if not'the owner) I am 8!-1thorized to act for the owner of record,'and that said own EST HOLESREADYP./.d./ ~-C- Signa: ': Dat:'";; 1&/90' l- ----- .... * *.. ** 11 * '" * * * * *.. * * *.. * * '" .'. "'.. *.. "'** ** **~ * * * * *..;, * * * * *** OFFICE,USE ONLY BELOW THIS LINE...... .'.;;.. ..'.... ;.. .'i...... ......-.................... SITE MEETS STATE STANDARDS Standard System Sand Filter 1 Foot Capping Fill YES '~.'.' , . . "'. '" ,,'.0.. NO o ." ;.: r YES o o :0' ':: -r.!, NO ...0 ,G. Low Pressure Qistribution .~, , ",",Holding.Tank- o - Othe'i"~- , .: '[J'f', ....'..... '..1. o j, " :!~ ':... J '. /., .' "-, .---, ~ ~t! 'i-:/i~/ .~ / f~r-?~. " ..,... . "t,' .. .1 ::-r,: ,. ',"", -, ~ :.,' ':"t. !"~ . ".':": t),. . I, .' . '. ,- , .J e",~'t-....,.. ..~'.; "r.' .~"" r :: -,"' ... j " .",-~' - - . I .. .'f', ..' ,. ~.," "'\ 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 OW SITE IS APPROVED. SEE REVE~~...... '.. . LANE COUNTY ENVIRONMENTAL HEALTH, 125 EAST ~~E~'~:::E~~ OREGON 97401 C55-32 . ......,!. j ,'.i- ",. Zoninl} . . ~. }'. . '. e"., LAND USE COMPLIANCE (TOTAL) Acr'eage or Lot Size M 'j;' - '''11 .. ' Partitioning:#P ;r..,. .. Parcel # { ) Completed ~ ~".. #'1 ;0". _ \. ..I. ),1 ,: ' () Pending COMMENTS: Or:: /5'-("jp/2o%'./2.c;z.?J ,. .. - ~ '-, . .. L' ,:,. . ' . ~ . .... /... l~::.!~ . :' I , ..' _'~' ,.., "". ..;J;'~I} ,-J,- :.~';,.' '. ,: ~'-" .. .....-:. ~ : ',', ~":I. ..' .. '....'.1'.".' ~," :-;j; o Approximate Study Area o Detailed Study Area o Floodway (687-4051) '. .,-..... FLO~DP'I::f.1 N .., " " I-NFORMAT ION . .~, v 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 maybe . appropriate to assure that the building site will be reasonably safe from flooding. All or part of this site may be ina 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 m.ay 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. . ~, ;:-.. ~":""...- " " ~.,...... .',.'\.. ':'~:4!r. J' ~. .:';" '-Jt' .~.). . . .,.... Ii. .~, -"~ne '~9uriy.r:': ,. "".,' ','<of"''''d,', _. .... " ~~.; " ;':;''.1 '.. ') ';!.' ". ~ ',!'" ~. .",- .)~.. ""-.' '" .~ ~ ,f \~. ~.'" - ~;I.:.~ " ~ ~ y.'.' \l~G' ~.,.(-"'t' ;'oit .r"'" '''::l I : )'-<t',..-, <, ...; .\ .-. '.',.:;:'l ". - ~:.. \ '-- '\, ~ .---' - ..' , ~, .' ". (- ~ "Jl;,--:r. r'1.... ti~ ...._~) r; .f ~ i " .. t-.. ,"' .. ";l .', J _. u_::::'- '. '~_'.:!. .... :C.'~' ,'". :.; V. ~ , " -. '-'_." .;.).,,~-- -- .~. . \, .! ~-. IJ,fl', I '. .. - ...~ " . .'_~ .:0.... __ ""- .- .- ~--- .~ .l -. -~. ") . :'~l " 7 -, .. 1'7" I; ..,_,,-.. '- _. 1-'''' t.-i ,';..,:1 ...:- ,'t:", .. . ,-'. ,"".' , ".;-- OJ:: . "~-"_ ,'. -, . . .. -. - , ~"''''':i.':! -..::-- .....: .... MEM.O,' -/' ;, " . :....- '-~~ ~ .,. .:. .- - ~ - , ;:-: '-.- J'", . " TO.: APPLlc:,~~T,.. .,.C <.'.,\' I", ,':,' " .>. \ FROM: LANE. COUNWENVI RONMENIJl.L HEALTH ,'"' '\ "~, \ ,\\ '.,i' __ " ----.... :.~. .<t:"1. :.~\..,.~_ -.'...;';: .."" t....-" .~?:... ._ -" 'SUBJECT:',:CONDITIONSOF'siTEAPPROVAL' .,'- . . .. . ' . -. '" _ '.... '. . ~ ...., .'_'- ,J;" ""'. ~.'-' \' ',... .:... ,~. . \' . '..- , . I, - ~ . " Any alteration of the natural conditions in the area approved for the on.site system or replacement area may void this' approv~1. - " . .... . . , i...... , " - ~ ~".. f' '._ . '. . J This approval is given on the basis that the lot or parcel described above'will not be further partilioned or subdivided'and that conditions 'on subjeCt or aajacent properties have n'ot been altered in any manner which would prohibit issuance of a'permit in accordance with _O.R-S. 454:605throughA5;t 755 and"'dminisirati~", Rules of the Environmental Quality COrr1m.is~ion. Any such subdivision, partitioning or alteration may void this report. j . . . WA'RNING:' Thisdocu';ent:is',i'tebf1'iiTca'i1repdrt for on'site'sewagedisposal only."1t may be converted to "permit only' if; at the time of application, ttie parcel has been found to be compatible with applicable LCDC.-acknowledgedlocal,comprehensive land . use plans 'ana impleme'nting mea~uresor the Statewide' Planning Goais. The Statement of Compatibility may be made on . _the attached form or its equival,mt. Authorized Agent approval is required befor,; a consiructibn'permit can'be'issued.... ..-' . . J .... . ",. 'This report is valid. until an oll'site s!'wage. 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. 'Suoiect to th'e 'foregoing, this report runs with ttie land and will , ' I automatically benefit subsequent owners. .,. . _ .. _ _ ,"-, .. ... . . . . p - -. '- . - - _. , . Only persons having a vaiidlicense issued by the DepaD.me,nt of Environl1)e.ntal,QltalilY under QRS354.695Jo install,subsurface , sewage'disposal systems.or anowneror contract purchaser or his regular employees may install subsurface sewage disposal systems. , , - A certificate of salisfaciory'completion will not be issued if persons other than the above performthe'insfallation:' . , ,",;, ". ~r' , <-.-....;" ,'~.' ~ " ," ..'f ("i\ ,;' . i 1 ":" ' ", ..fuf ':..l . !:.fi.J~, [.~~:" . ,'.' ,_ 5 :~'l"L, _ .' .'!-.... L>'" '. '." ." . ~I "I ."' . ~ ., "I" ""1: ~ .! .ot :'.f.: '.3'., ,1 ".b.' \C.'. ;:.",' ;.1'. : ,,' " -J 'f :,,"...:"',' ':'tf,"t," ...;i,,',. .. ..l.... J. .!I',....I"''- ~ '.', \ '. ~._' ..' , , " .l I.~ ( ;::.i:-' u;:., f ! , ,~ - l'." .., '::: ' - - ~ ,.--. . '1-,'" ....., "" "\ ~'~, "." . '-:l . i.-....., 'j. r t' ," "'-' -'I' . ..,... - .~ . ~ ,-I -'; ;:~ ~". .~ "",\.': r't" : (' ..;. . -. , . , "f' .' Il~ l 1 '. " , 'Vi .' "... , ~ .,'~, " ", " ,.t ,'\ ~. ..~. .' l.~ - r"""; ", ~- - ~'.-: I'" .';1. ("1-i'~ ) :t.}.:" ~ ,',.' ," J'::,I' ,- ,;," , . ,. , :~""h' J" ),j .' ..; ~'. -i '~~, ~',:,,,;: J;' , ': ~: -' ~: \, ';~ .:;,' ',," ..r...~~:;...<: ..: ."~ ,',.-' ':~ '.:., ,-,- j-. ... , '~' .. "' . ~I:' . .,;. ..: .. I.:."" "'~''l . ., l. . " ,,'"', ..,,~. '~. ~., 'd. , l"'~ , . !'~.- ~~ ; ',' . ~ .:. } . .\, .;: '-i'. . ~,'1. ~~ ~ -1);:= Pt. 'r' .:.1 ~l>_ ;3.t .. ~'Iii,. Xt .,,'"':.... Tu: ReferenCG 'Ir-O (. 27.7 ~. ,~ v (/ . SITE EV ALUATICIJ F1TI.D \lQnKSHE.....~ .' ...L.4 . . "'';?~~ 1.2 ":"/0- '1/1 ,E\rollua",.: --:'"" ~ /~ f(? r-:lle Appl1=t P1t 1 ()- fad'/ SMo'JL17k. I I I I I I Soil xaer1x'Color and HOCCllnq (NocaCion),\Coarse rra~ncs, Roocs~ ~ Structur.. Lay.r L.Un1ting E!teetiv. S~ll Depth. ~ ./rrftJn:~~) 7A f.J :Jf '- Oepth Texture ,'i ()-/..,() , , ,~~ /I)(.J . ./ ' II ---r I " /. d Ic /Ju-r~ . / ~~/ {; J ,~ 'W~-{ c7 I P1t2 ~, P1t' : I j I , .P1t ~ / , I I t.u.d.3c:apo Hotes ;0.. . H;. rI- ~ 01 Other Site .Notes C'A~ 17" / .u~ct I (J1J' -j....X..A..,..(~J Croticdw. tel' Typo $y,,,,,:. J I.oJ.tloll ~",l ReplaC:e:lent ~~I i,J 'r Dc.:LtgD Flow t./.J---:'6 .,-1 Sl:lml sn:crnancns ' Sy.,,,,, S1.z.!.cg Sy.;"" S1z.!.cg ~f7! ' ?"V ( '150 g. ~x. Copth Absorption FaCility (in) 2..- V 1/ '::LI.{'-J '150 g. Max. Depth Ab~orpCion Facilicy (In) . ' Speo.i41 Corod..1t1oa.,; /z ,~:Pu ~ ...-<..' InCJ- a",,~ r . - ) . tuu~,~ G6Q:;y./-s f ,11:~ anE, ~'~ounty . --- , REQUEShdEOR,AS$/ST ANCE Land .Managem.~nt ~'D~Y::;/125 ,~~.' '8th Ave: E,ugenc', OR 97401 , Please cOl1lpl/{'te all lines inside white boxes, "-7&M ,lbatf0 YOTJTrT<^~y 0, ~. d~. :.)'7' YUUH AUUIH:~::; _ EUQe'1e- ' CITY l u !JC/ ;SU r /o'YL OWNER OF PAOPERTY r ~ot_ .....me u .boY") ~ ,$';DW1;' ~/L a-&~ OWNERS ADDRESS (il not ....me 11$ ..nove) if possible, ~;fiJ 4t5-4505 1'11UNt: C; 740L 20P .-HUNt: lIP L,,;:ens.. , MAP, PARCEL NUMBER (Found on tax maps In the Auell'lment& TU:lItion o.ipt.'), A f!J ,q,,~ ,,:tzo -4.'1/2.0 Town.ohip. Range Se<;\ion . 114 Section Tul'lI lown..htp ~:;cellon 1I4~cl'on -lllxL'l1 , SITE ADDRESS 1ILJu.-1 . '~~-': ,. ?:' < . - ". '-.:-~~:'~>:-:~* ". lAND MAtU,C.o.IOH OIVlSlON ~ '. -~I ExIsting BuildIngs or Improvements 011' . ,Property /. c:::::J Houso . [=.l Barn . c::J Garage c=J Ivlobile. Home_ = Shed SEPTIC INSTALLED ,=Yes . ~NO . Water District , Directions to site from Courthouse ;;dA1 j/., Iv ~n),J,{i. // -I ~'A "A" Y/f/J, ,/ c;V] J cd .-: .,6 , /-//}/"J"y';"/Jy/v<:: r9 ~/ l' YV7<{ ~ .; 27 tfk~/ 3 ;i 3'':/ g'/ /.; HIIN/6~,~' i.c! , MAtL PERMIT TO: /~ ,--:PDa ",,;' ,.; / NAMI:: AUUHt:::;:;. (;11Y lIP " ....,. ,/S TAFF).;:EVA't" U Afi 0 N~//' ~~f~:f.,?nr..~~.(~~:~;:;!:;.5.?'q' u e\;~t:' 0 '~lY:;;:.; ,> ~~~1~~ri~:~':~';f'6~,:: . :},:;"".,,:,< I " ..' ;~j,~i::' , ., Land Management Div. staff 'cari;~i. ..,. not be held responsible 'for ovaluatIons or recommendations based on falso, inaccurato',or' I neo m pI cto,1 n form atlo n -. .\." , " z,p .I For Mobile Home Placement Only Brand Year Size f'lo. of Tip-outs No. of Bedrmc:- License # . , ,'lo! & Block U~le I ) ~1~;llflJ;'.' ..._ _,. __ _L_' _ _"_ _._!.__._ _\_ I -.----/:-..;;;;;;;;;;;;; = -- __.-:7; I _"'l... . 7~- _.....~ -'-- ..-~.. .--- ,- ~.....~. .-- ---... ..~~ ~~;;~ ~, ~~ .~ t =:: = ~_- ~~: ~==_ ~~~ ~- -: .-. .~ '---- ~.:.= ==_n. 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' _.__ __,,__~ .____ _~_ ~ -.:.... I 1803023304900 TAXLOT _ _ _ PARTITN - - - ZONING HISTORY DATE CASE # * 121885 TT-OOOP INITIAL UPDATE DEL OLDMAP: - - - PLOT NO. ZONE IFP 9100 RA ADD DATE 040776 031081 111984 111984 121885 110690 ADLIB NEWMAP: PARCEL CASE# 00-0000 FP-6000 PA-3188 I PA:"3187 I TT-OOOO 'SI=-0'312,I P , TAX INFO CEZONE MORE INFO UGB: SPR HISTORY - - - - * HISTORY CODE GR=W/IN GREENWY FW=REG FLOODWAY PA: GREENWAY . PA: SPEC USE FW=REG FLOODWAY , ScITE INSPECTION -0 0 J , " (jJ - I" - \j:) , () (JJ , o N , tAl (.u , ..c.. -C o o "- ,~ \ - . rj~. . , " '. . -.0" :;.- ". 'It : .:.. -'\ . ".,' ~-.~ 1'1 .. . " > . . ~ , ,,';. ..t', . - t -~ --,~ j~ ~'" ,~ '~ .1. ., ,~ ~ P--, 1-- -I~ r 11,,_ ~_ ,:~ ,( ...)1 ~~'t1 J-:_-_:Jj~ \ .~ . . . ~ '. ;.t. \.,.) ';;, '.!~ , , .' .;. . ,,; ..v! ~_, "" , . I.....,. t.. . !. .,' ';;. " ,. '. ~:-; '1"". It. ,/~. /~ 1'i1 D 15 '"il ; \,\. :.1"' '.' ., ,P;t_. ~ f.j VL ---- ,," . ,. . '.~. . f ," '.J" . '.' " - ...;.'. c. . 1.. ~ 1 . " '.. o o ....0 ...' "v 1 ----=""" , ,-} , . (Yl i V1 .~, 1...;- I ()1 C) I . Cb -- [,-, ....-.-. ('f) j o .....;-.., ...,/ .1:- '.... " ',; . dOLO SLIP NAME Lane ii +~~ ~~ p 071-4~ P '1\ ~ II ..) -f.').. 7 ADDRESS (U/;LtAl-j , (0/1'.,' . 7TI(1L (J ZIP CODE . The Lane County Building and Sanitation Division cannot proceed with your application ~use: , . 1, ~ Incomplete application (items deficient), ' APPLICATION # c;b - '(/2..- ~1k. LOCATION ) processing I: 2, '0 3. D _ Address and/or directions to application si~e, Proposed number' of bedrooms indwell i ng, ~ Approvable plot plan (see attachment), Notificati?n of.date .test holes will be ready. Verification of existing system required {s~e attachment). Two test.holes (2'x4'x5' deep) required for expansion or. repair of existing sewage disposal system in the area of the proposed drainfields, . ~. / . 4, 0 Other: ~ 1-1~ ak-CUU cd /TJu'~ A~ ~~::' ,-;~ IT ~/. ~ :tru(Jj/ d.id/:~-j'~ _ ) ~-/...;;tj;;,,). ~ Q.- ';()L.,tl/tl~ (1(~~L k}-t~ l:&rj!~-LJl.d~ {/JILN1 --e'fr"U/d, />t1~~ /~rr;A_ '_' .,4f~~/.' .Jb'~/; 1t~ f). ~ ' ;-:C .J/..AY' Am-e( /J..M......I!.-V. ~L.v./kv~ . fY,~ . j "f' I ~ I '/ 1/ I r I I tJ .!{dAJw./Li:4.. ~. / j Z-', . //-1.. (::::_0>l--:7..r~ (l . y<'J ~ SItmATtffiE ,--'. r.7 '. 1,;z-1()~7() DATE " to from to OFFICE HOURS PHONE If no response has been received in regards to this matter by I-'.J 1-. <7/ the application will be denied, ~ , LANE. JNTY ENVIRONMENTAL HEALTH SERVl , Courthouse-Public Servic~ Bldg, / 125 E. 8th Ave. j Eugene, OR 97401 / 687-4051 ~.. l1li"'" ,. "f- - .. . < .; ,~". I ":<.~'i: l:~" ... ~.- . HO.LD~ .'- ~ ~'.' ~"'i . '.'" SLIP Lane ,ii ./ A..4/ /f' " \.. ~ \ '(~/ ;J~-L' /J a / r..!) ~..2,)27 / [1~ ('), / NAME ADDRESS f c; 7VeJ7_ zr P CODE The Lane County Building and Sanitation Division cannot proceed with processing your application beqause: 1. ~"""Incompl ete appl ication (items deficient) '. . . . ~ Address and/or directions to applicatton site~ .' Proposed number' of bedroom's in dwell i ng" Approvable plot plan (see'attachment), . x: Notification of date test holes will be ready, . . 2, 0 .Verification of existing s~stem required (see attachment), 3. o Two test holes (2'x4'x5' deep) required for expansion or repair of existing sewage disposal system ih .the area of the proposed drainfields, 4, o Other: \ , . .', -.-. ..., \ . , , H ~t.&.-..:r-- SIGNATURE ,. CI r;cro OFFICE HOURS II~/?-?" to Cl,' 7. .00 Ik-_ DATE (Plfl~JC;0J PHONE from to If no response has been received in regards to this mat'ter by the application will be denied, 4,:3/ /'110 / Courthouse-Public .-" LANE( ~TY ENVIRONMENTAL HEALTH Ser,vi cc._ll dg, / 125 E, .8th Ave, / I 'r) SERVl Eugen'e, .OR ~.- . . "';:0'- 97401 / 687-4051 II, ~ I ) 'Il ':1" fir ~ ,) I! ~ l ," '. '- ~ , L . : 1'111' 'Ik APPLICANT BURTON. RUBY LANE COUNTY'D~GlRE~M g6~ 1~~~~~TEU!E~~?3baEGB~TE ,1106~e TL~ 1803023304900 SUBDIV. LOT' BLK NEW BLDG TYPE USE X BDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 485 4505 OWNER NME BURTON. RUBY ADDR PO BOX 12527, EUGENE; OREGON l'" iCODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VAl.UATION" FEE ~~. " ' ilP BP BP 3P DAY~."'{I" "f['l'" ~ PL IFIX/BATH: ,1ECH SUR PCK 3I LC 900312 SI \ I ,spEQ .. FEE 'l) .~ I SWR: FT. WTR: MECHANICAL FEE STATE SURCHARGE PLAN CHECI< FEE 1 FT. RAIN: FT :.'> s:r. 160.00 160.00 15.00 IHj CATG': PLN -,EQU: TAKEN BY Rl.H I~A SDS ELE PCK ISS '/ SI .1 OTR EST. COMPLETION DATE DEPOSIT ** 15 175.00 CK '. / I :/'.\ . , ,f \. ~ .... w,! ~ lIl' I t, bUll, .:'! . - . , .I If'rt ' 'IT UUI 11 ~U 1 / -, ... " I .' -- - HU~ 'mi , , , ,------ ----------- - -------------- -----------:--- ~ APPLICANT BURTON. RUBY LANE COUNTY DiGlRE~M g&} g~~~~~TEU!E~@?J~~EGB~tE 1~0690.. .JLO 1803023304900 SUBOIV lOT ~LK .NEW.BLDG TYPE USE X BDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 485 4505 .O\"'fiER NtiE BUFn-ON, I,LiBY ADDR PO BOX '~2')2,7, EUGENE, OF<EGON UHg'ISODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE ])AY[~n U 'Ib ,;' .,31'" HI" BP ,W I:'L ~'FI)(/Br.,TH: iECH SLiF< SWR: FT. WTR: ~!ECHANIUli_. FEE STiHE SUf<CHAF<GE PLAN CHECK FI::E FT. F<,)IN: FT :>% F'Ci< )J. 1/ U~'I!EGL ~ II .~ . LC 900312 SI , .FEE I 160.0,' 160.00 15..''()0 '- ~MiJ ~ . L1 ~ I CATG: PLN ;'EQU: ,t'TAI<EN BY F<LH F:A SOS EL.E PCI< ISS I SI j OTI": "" I,.' EST~ com:'L.ET HlN Of" TE DEF'OSIT ',\-if 17~).O,' CK .'; .. (...... '---..-) ,.........." . ~-/) .. .--" .' ~ / ,.' , .