HomeMy WebLinkAboutPermit Building 1988-06-23,{
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TRS,T Job
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Written Dlrecllons
ST sTR ET AND
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WATER SUPPLY
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OLAND S I NGF ELD OR GON
A AP x 00r oN EFTHE
N E G N TREES
Subdivlslon:
Lot-- Block-riz/
APPLIoANT's NAME AND
Phone 726-7777
Phone 748-1111owNER's Nlue lno
t'l FXIS ING S TR IICTT'Fq PROPOSED USE OF PROPERTY RES I DENCE
trueand acrurato, and thal I have the lollowlng legal
not ths ownor)I am authorized to act lor lho owner ol
lntorestlnthoprop€rty: -XX-ownerolrecord; ,contractpurchas"i;' pot"ntial buyer;
record, and that said ownet is aware and approves ol this action
*TEST
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SITE MEETS STATE sTANDARDS
Standard System
Sand Fiher
1 Foot Capping Fiil
.. OFFICE USE ONLY BELOWTHIS LINE
Low Pressure Dlstrlbution
Holdlng Tank
Other
NOT ENSURE THE
RES MADE IN RELIANCE UPON
, SEE REVERSE SIDE
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LAND USE COMPLIANCENO
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YES
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NO
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E
YES
F
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tr Partlllonlng l---P arcel
or Lot Size---.(IOTAL)
) ComPleted
) Pending
B SPRTNG FIELDCOMM
FLOODPLA T N T NFORMAT I ON
TH
BU
AR
All or oart ol this slte may be ln a llood hazard
lib" r-oit r'i.t 100 year ilood levels havo not
[L"n "tt"ori.ned.
Extra precautions may bo...
;;;ffii;6b;ssure that tho buildins site will
b'e'reasonably sale trom llooding'
All or oart ol this site may ba in a llood hazard
"i"" f'ot "tti"n
100 year ilood levels have. been-
lr:tiriiitiiii. ri u"itdins etevation above the 100
year llood lovel may bo required'
All or oart of thls site may be in a llood hazard .
lil"" r[,i,'rtid i iirooo*a1i t' as oeo n d esi s n ated'
Auilding may be prohibited subj€ctto,--^ ^.
demonitratibn that th€ cumulative enecr oI
it"oii"o a"r"lopment will not increaso the
10d Year llood l€vel at any Point'
tr ApProxlmate
Study Area
tr Dotallod
StudY Area
tr FloodwaY
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I ANE COUNTY OF pUBLtC WORKS LAND MANAGEMENT OlVlSlON, 687'4061, 125 EAST
'TH
AVENUE' EUGENE' OREGON 97401 *
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Written Directions
I AND YOLANDA SPR I T.IGF I
NORTH ON
'1ST
AVE FROM YOLANDA A'
ITE
Lot Bloclu WATER SUPPLY PtJBI I Cn#21
TRS,
Subdivision
APPLICANT'S NAME AND
STRUCTURES NOWON THE PROPERTY
, TEST HOLES
Phone
OWNER'S NAME AND ADDRESS 7 LtA-
IO EXISTIN(rRU(PROPOSED USE OF P
-ls.Ior
or rg6oi. I tunhor c.rdy ln.r ([ nc{ ho orrnoo I am authodzod b 8r io. lho o{nor ol r€cod, and that said o{nor k armro and apProws ol lhb aclion
Signature Date-
"""''1'' OFFICE USE ONLY BELOW THIS
SITE MEETS STATE STANDARDS
Standard System
Sand Filter
1 Foot Capping Fill
YES
,K
n
n
NO YES
tr
tr
tr
NO
!
tr
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Low Pressure Distribution
Holding Tank
Other
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 OWN RISK. IF SITE IS APPROVED, SEE REVERSE SIDE.
;,,..
FLOODPLAI N I NFORMATI ON
tr Approximate All or part of this site may be in a llood hazard
Study Area area for which 100 year flood levels have not
been established. Extra precautions may be
appropriate to assure that the building site will
be reasonably safe from flooding.
tr Detailed Allorpartofthissitemaybeinatloodhazard
Study Area 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 may be in a flood hazard
area in which a floodway has been designated.
Building may be prohibited subject to
demonstralion that the cumulative effect of
proposed developmenl will not increase the
1 00 year flood level at any point.
tr Floodway
SIGNATURE DATE
LANE COUNTY DEPARTMENTOF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401
c5r3e
LAND USE COMPLIANCE
Zoning-------Jcreage or Lot Size-----(TOTAL)
Partitioning ) Completed
) Pending
coM ,GB SPR, T I.IGI
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001 ON T
Iq ,qOI FPOM POAD IN CI EARI NG RFTlal EEN I RE ES
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TO: APPLICANT
FROM: LAND MANAGEMENT DIVISION
SUBJECT CONDITIONS OF SITE APPROVAL
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.
YI/ARNING: 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 benef it 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.
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