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Home My WebLink AboutPermit Septic Tank 1989-02-13//ru__l/r€ SEWAGE DISPOSAL SITE EVALUATION P7 -Cdrys.r TRS, Subdivision U Written Directions Block-WATER SUPPLY . I-ZZ Lot APPLICANT'S NAME AND OWNER'S NAME AND ADD pnon"TZ-4--/% pnon 2/2-&/25 STRUCTURES NOW ON THE PROP .,8H//, Z/az/a*tzs€PROPOSED USE OF PROPERTY .? i : =S I hereby cortify that the above statomonts are true and accurate, and that I have the following legal interest in the property: -owner of record; contracl purchaser;/rxltenthtbuyer; _realtor or agent. I turther cenify that (if not the owneo I am authorized to act for the owner ol record, rESr HoLE seeaov UIZZ C.4<Z- and that said owner is aware and approves of this action. Sign o"t" Rl.a-?7 "'"" " " " oFFlcE usE oNLY BELOW THIS SITE MEETS STATE STANDARDS Standard System Sand Filter 1 Foot CaPPing Fill YES NO ! tr tr YES NO tr n tr LAND USE COMPLIANCE n tr tr ! il Low Distribution or Lot Size----(l'OTAL) ) Completed ) Pending n Approximate Study Area FLOODPLAI N I NFORMATI ON All or part of this site may be in a flood hazard area for which '100 year flood levels have not been 6stablished. Extra precautions may be appropriate to assure that the building site will be reasonably safe trom flooding. All or part of this site may be in a tlood hazard area for which 100 year flood levels have been established. A building elevation above the 100 year llood level may be required. All or part of this site may 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. D Detailed Study Area THIS IS A PRELI REPORTWHICH DOES NOT N HE A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDITURES RELIANCE rE SIDE. IS BEPORT tl Floodway ARE AT YOUR OWN RISK. IF SITE IS APPROVED, SEE AUTHORIZED SIGNATURE DATE LANE C0UNTY ENVIRoNMENTAL HEALTH, !25 EAST 8TH AVENUE, EUGENE, oREGoN 97401 (687-4051) c5$32 Job ( MEMO TO: APPLICANT FROM: LANE COUNTY ENVIRONMENTAL HEALTH SUBJECT: CONDITIONS OF SITE APPROVAL lane county Any alteration of the natural conditions in the area approved for the on-site system or replacement area may void this approval. This approval is given on the basis that the lot or parcel described above will not be further partitioned or subdivided and that conditions on subject or adjacent properties have not been altered in any manner which would prohibit issuance of a permit in accordance with O.R.S. 454.605 through 454.755 and Administrative Rules of the Environmental Quality Commission. Any such subdivision, partitioning or alteration may void this report. WARNING: This document is a technical report for on-site sewage disposal only. lt may be converted to a permit only if , at the time of application, the parcel has been found to be compatible with applicable LCDC-acknowledged local comprehensive land use plans and implementing measures or the Statewide Planning Goals. The Statement of Compatibility may be made on the attached form or its equivalent. Authorized Agent approval is required before a construction permit can be issued. This report is valid until an on-site sewage 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. Subject to the foregoing, this report runs with the land and will automatically benefit subsequent owners. Only persons having a valid license issued by the Department of Environmental Quality under ORS 454.695 to install subsurface sewage disposal systems or an owner or contract purchaser or his regular employees may install subsurface sewage disposal systems. A certificate of satisfactory completion will not be issued if persons other than the above perform the installation. ) ) (L,,*,\.-/. iANaELLATI2N ,; REFUND AUTHORIZATION PERMTT !^{o ff^r^rlaMr{r orvrsrdo.D.!nnr6r.r P!br. srr. & NAME (PLEASE PRI ADDRESS APPLICA REASON FOR CANCELLTNG pERMIT (OR AppLtCATtON) owNER( )NT()coNTRACTOR( ) SIGNATURE FEES PAID FOR WASTE DISPOSAL SYSTEMS (SlrE INSPECTTONS AND/OR APPLICAT|ONS TO TNSTALL THE gEpT|c TANK AND DEA|NF|ELDIARE 'oRDINARILY NoNREFUNDABLE. soME REFUND'MAy BE oN BUILDING, pLANNING, oR pLUMBING ponii-drus niiondrN6r-o rxeAMOUNT OF THE PERMIT/APPLICATION PROCESSED. FEES PAID % REFUND % % % % % % % o % % o/o % o/o % % % Flood Plain Fee Building Permit Fee Mobile Home Fee Plumbing Permit Fee Mechanical Fee Plan Check Fee State Surcharge Fee Septic Disposal Fee Site lnspection Fee DEQ Surcharge Land Use Application Planning Director Recording Fees Partitions Copies & Ordinances Surveyors * $" Minus $25. for Processing Fee $ TOTAL AMOUNT TO BE REFUNDED. $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 'a/? SIGNATURE TO DEPARTMENT OF FINANCE: Building Permit Refund State Surcharge Refund Septic Disposal Refund Site lnspection Refund Land Use Application Planning Director Recording Fees Partitions Copies & Ordinances Surveyors TOTAL AMOUNT REFUNDED $ __24 - 067 4 I Acct.421 20 I P r o 9.020 24 - 067 4 I Acct.421 23l Pro g. 02 0 24 -0427 I Acct.421 33/Prog.24 0 24 - 0 427 I Acct.421 34 I P r o9.240 24 - 067 4 I 4cc1.46202 I P ro g . 0 2 0 24 -067 4l Accl.46202l Prog.0 1 0 2 4-1 87 0l Acct.462 1'l /Prog. 1'l 0 __24 -067 4 I 4cct.46202/ Pros. 0 1 0 2 4-1 87 0l 4cct.44419/Prog. 1 1 0 5-0674/Ac ct.44451/Prog.0 1 0 $ $ $ $ $ $ $ $ $ $ Receipt#_ Receipt#_ Receipt#_ Receipt#_ Receipt#_ Receipt#_ Receipt#_ Receipt#_ Receipt#_ Beceipt#_ PLEASE MAKE CHECK PAYABLE TO: NAME ADDRESS LAND MANAGEMENT DIVISION / Public Works Department I 125 E. 8th Ave., Eugene, OR 97401 (503)687-4061 ( C )rL )L^ )iL l4* /2 /?n ?d ,7 'Z Lane Countg MEMORANDUM District Attorney, lard , H6HS, DePartment of Public SafetY, TO FROM John R' Ferry' Property Management SUBIECT Please be advlsed that Centennial Bank Parking Lot (See Attachment I) WILL NOT be available for State' County or Publ1c Parklng from March L7 ' 1989 through March 24' 1989' A11 vehlcles must be parked 1n Lots 732-L' 733 or 736 at street leve1 wherever there 1s space available' cc: Diamond Parking E 0fficer X4479 DATE FebruarY 15,1989 [:ne ca,rty t @ PARK STREET.. OAK STREET BUTTERFLY UP P ER/ LOI{ER llo. 73q Co urt House Publ ic Service Building Eugene Cl tY Itall Hi I ton l'lotel @ -1 mz.um !1 m C,m (,r'-l rrl Crrl cn -{ rn Cm I HH (J F.' - H Federal 0ffi ce But'ld1ng GAS STATION No. 730 P.S.B. LIPPER flo. 732 Up State 0ffi c B1 dg IWest Annex I No. 7T 4 Lane CounEy Annex DasE Annex No. 736 PEARL 5IREET '---s LANE COUNTY PARKING FACILITY SITES \ y'' Centennial Bank Iot E9_3485t\9 brn*r+ &^t"lo [ogb-gab1 01 frubV 6,*rut rrt 1e(e-qq cl