HomeMy WebLinkAboutPermit Septic Tank 1970-11-24DEPARTMENT OF HEATTH AND )ANITATION
LANE COUNTY @URTHOUSE
EUGENE, OREGON
l{ovrmbcr 24, l97A HAROLO 0. LYHAll, H.8., Dircctor
it-SD (Revired) tELLS, Donald T.
17 - 0.? - 15 Tax Lot 4f o0
Hr. Lcc ltillor, ScerGt.ry
Lanc County Plannlng Conlrrlon
Courthourc
Eugenc, 0rcgon
f,e: Donold T. Ycl lt Rcvitcd lt lnor $ubd lv ir lon
lnvcrtlgatlon of thc abovr propGrty by thls -dcqrartmcnt lndlcrtc. that the
tcrrngc dlryoral sytta lr rlthln flvr fcct (5t) of thc progond lot llnc.
Thlr ir e ragucrt for th. partr of thr tubturfaca lfrago dirporal tYttm
ncar.tt tha propcrty I lno io bc uncovrrod to dctcnainc tho dlrt-incc frsn
thc I inc.
Th. dirtancc frm thc tGptlc tank to t
fivc fcct (5') ana thc dirtsncc fro t
lr to bc ai lcart tcn fcct (tot).
hc property I lnr lr to br at lcalt
ha drulnl irrr to ttlt propcrty I lnt
fhon thl! is uoconcrcd plcare rotlfy thlr dcpartmcnt for inlpection.
JO)n C. STSIER' R.S., Oircctor
Bullding and Senitatlon 0ivirlon
8y
CPK: rd
S*n i tat lon Scct lon
Donald T. Yel lr
6195 Thurtton Road
Spr lngf lcld' 0rcgon
Strnl:y ?strErck, Senlter lan
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Recr iPT Nc.-u314 Tl./P
TAX
Sen
REQUEST FOR SITE INSPECTION De
BY lltr- Lxr lbllr Mltttxc Aooness 6lg7 fnrmtoo no.a TEr, . No.
SFrIneflold. oregnr
0yuen or Pnopgnrv Srze or Pnop.__-J_-Ital_ Lect AccEss?@
Corserr or Ornen?Yor
Exrsrrtc SrnucruREs or PRopenrv llnur an frai crrt rrf tai
SOTRCE OF WATER SUPPLY: Pueurc Spn r xc l./ell : Dn r uleo ll Dn r ve r_ Due_
DESCR!PTION OF SITE (Drnecrrors, LANDuARKs, HousE oR Box No., tr alv):
8me Frm Rord turn tlg&t on Setdaond Ferry Rord &d proffid & rnllo rlght rldc
rlth brlck typo rldolrry.
PROPOSED USE OF SITE (E.G., NUIIBER oF DUELLTNGs, colrmERcrAL oR trousrRrAL usE, suoDrvtstox):
Ono d*lllng ( ltknr Subdlvlrlsn ) Rsrt. I' tor t55
fl
X
unaarlz ING AREA. (rlrcr s6dlvtrloo to br r<trd.FEEt.,^ -_ tNo. oF Stres r
Spectt Penxtr AREI. No. oF AGRE.-
rOTAL
RESULTS OF INVESTIGATION:
/ryL ,/--T .)fn-/'/2-a--7-<
C, s){ tau.A Wrr"a M /€'a"or,* 7A-lqL
-'\^aJ -tN *I f1ff&
0'*4
BEFORE CONSTRUCTION IS STARTED BRING THIS FORH TO THE BUII.oING AND SINITITIOI DIVISION AND
UAKE appLtcATtoN roR A ButLolNG pERMtr. lr rxe PRoPERTY ts A PoRTtoN oNLY oF A TAx Lor, A
uETEs At{D BouNos oEscRtprtoN oF THE pARcEL }iusr BE FURNIsHED. Exlcr sPEctFlcATlons FoR THE
SEI{AGE OISPOSAL SYSTEI,I 1{ILL APPEAR ON T}IE BUILDING PERMIT. TVO SETS OF THE BUILOING PLANS
AND PLOT PLAN WILL BE REQUIREO.
LANE COUNTY BUILDITG AND SANITATION DIVISION:
?
ILOING NSPECTOR I TAR I AIT
S REPORT IS NOT COMPLETE W]THOUT THE SIGNATURES OF THE BI )II,IG INSPECTOR AND SANITARIAN.
A
ctr -0r6-01
pe
DEPARTMENT OF HEATTH AND SANITATION
LANE @TJNTY @URTHOUSE
EUGENE, OREGON
EcptabGr 16, 1966
IbSD XllgERI, Edlth
I 03 t5 &foo
Hr. frlrk llru:1, EcsrctrryLm Corrrty llrnnlag Gmlrlct
torrtbun
Eugnr, 0rugro
iE: f lt8tif illl$t SltDlIlSl0r
}lAnOL0 0. LWlll' fi1.8.' 0lr.etor
*lshrd A. l(lrby, f,.$.
irrl trrln I I
RAI(lrL
(e)
t[!r
Tho &ow dclcrlhd gropcrty hrr brrn lnwrtlspttd by thlr dqlrErant
nd lr hcrcby glvtn lprovrl for thr lnrtrllrtton of lttdlvldurl ub-
lurfrc ranp dlrporel lyttml.
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tR NOv 1 s '1970
I.ANE COUNTT
PLANNING OFFICE
.DEADH O(, E) FE.F'RY
PRoPotro BELTL'^''I= Exl
NOTE sEE cHEcKLrSr oN REvERsE slDE
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OO I{OT WRIYE tN I HI5 SPAC€
MINOR SUBDIVISION
IAX LOT(S) :l !-,t^ '-)
ASSESSoRS MAP I 1- !,- t
SECTION / 5*
PREPARED ", LL)eUUS
'/o HS
TOWNSHIP/7 RANGE 3,
P- -o- -v*-r- P- - -l: - W-+-+y-l - -
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5 er< r u_6_q-r-e-_ -q p. - e BE,.
Z-*-G:.z?==S.--a-----PH )fu8
OWNER
ADORESS
:CALE I 8't:lOt NUMBER
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