HomeMy WebLinkAboutPermit Building 1976-07-09;:
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PLEASE PRINT
Yes
Arml ea Urban zln Ar
No,tl
Rece i ved
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I\,.THtS IS A PRELIHINA'(Y REPORT WHTCH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUlLDING PERfiIT.
EXPENDITURES HADE IN RELIANCE UPON THIs REPORT ARE AT YOUR OWN RISK.
Lot #
Owner o Property
No. of Sites //7,fro
No. of Acres
Block #
d2
Range
f2.-r,
/?3 le 3-
Sect lon Tax Lot No.
*$
$a{
l,rg
e eP e
Proposed Use .
of Property:
Propef,ty S i ze
5
i gnature o ate
App I i cantl
ert
Tota I
i Cash
.,r C he ck
s,lnterest
y':0ther (Spec
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Buver I Real tor&ifv)zMk/t;. <l-odrfr!Itr,, t'+l,r/u. S.f oPFe/.
Legal Access - Road Name
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x st ng tructures on Property
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rty Locat ion (o i rect ions) :
Will Test Holes 8e Ready?. .},lARK TEST HOLES WI;H OUR FLAGS
? Locatlon of Test Holes on Property:C^rrr'// h
I ion of any landmarks a 'dt"$Joi'
ate .'ri1. r.!'i ..il.r' Jil
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HAKE CHECK PAYABLE TO: ENVIR A HANAGEHENT Phor e: 687-4065
es t( What C ity?
ne le of itsnropertyt Public .V
Spring
ter
0ther
UPP v
ec
ropose District:
llel I
, . I,IAIu TO: LANE COUNTY OEPART NT 0F ENVIRONHENTAT HANAGEHENT, 135 E, 5th Ave., Euqene. 0re,
PLANJ
YesY No
0wnerls \ Consent
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BUILOING PER}IIT APPL ICATION N0"76'5><
()SITE INSPECTION
TAX ,or-?0 I
SUBDIVIS, ,IZ LOT:_ BLOCK:
APPL I CANT
OATE
PLANN I }IG D IV IS I ON
Zoning 0rdinance Connp I iance: Zone
Not
I icable No Yes CKID BY:
Setbacks
f >/.
I
2
3
4
5
Subdlvision 0rdinance Compl iance Front
Side Exterior
Setbacks from interior l ines:
5rOe
Rear
cOt{ilENTS:
Reoui red Accessguitalng Site (Area, }Jidth, Frontage)
0ther (see conments)
rT
(
(
6 rofn
)
)()
()
()(
FIANN tNG O IUISION_TETMTPEND ING: Y
BUILDING INSPECTION DIVISION
Plans Submitted
Soil Stabil lty (footings)
Flood Plain
Other (see connnents)
TTAPPI I CAT I OM
Not
Appl icab!e(I
()
()
()
7
8
9
0I
No Yesr) TT() ()
() ()
() ()CKID BY:
DATE
COHHENTS:
I'ATER POLUT ION CONTROL
COH}IENTS:
I I . l{eets Department of Envi ronmental
Qual ity Standards.
I 2 . 0ther (see cornments )
Not
Aool i cable No Yes
T$f rr
otl ( )()CK!O BY:,/&rfu;
DATEllla)
TO APPLICANT:
Your Bu
(.)
ding / Site lnspection:
e approved.b
k'o
annot be approved at this t ime as indicated on item N0.il
Questions and further informa tion on items I through 5 contact the LANE-
Qu estions and further informa tion on iteilET
N COUNTY BUILDING AND SANITATIO N DIVISION
) Uill be held in this ce unt you can reso ve the p
above.
L
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c55-28
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Your bui ldin
Pnoue1. 597-4065
LANE COUNTY PLANNTNG DIVTSION PHONE: 687-4186
ems nd i cated.
ls being returned.
ermi t I ication f is bei
135 Sixth Avenue East Eugene Oregon !/40r
BUILOISG S'!TE EVALUAT ION
X
s
t contact
# t r-E sa ]LE #2 j ST HOLE
PREDICTED WATER
Predicted
Observed
Date
,IfI o
l-fl o
SATURATED ZONE
redicted
served
ate
strictive Layer _i,ervious Layer in
Etling
MEET M]NIMIIM STANDARDS.
1n
ON YOUR PROPERTY THE DEPTH
tr{AS:
inches
inches
1n
ln
SITE DOES DOES NOT
ADMINISTRATIVE RULES RNQUIRE A MINIMI]M DEPTH OF:
36 inches to an imperrneable layer
30 inches to a restrictive layer
60 inches to a permanent water t,able
24 inches to a t,emporarily perched water table
OTHER REASONS FOR DENIAL
inches
inches
PROFILE
Inch
L2
24
36
48
60
I
Restrictive Layer _i,
Impervious Layer _it
1n
l-n
L2
24
36
60
<^v.
481n
1n
1n
PERCHED WATER
SATURATED ZONE
Mott ling
PROFILE
InchPredicted
Observed
Date
Predicted
Observed
Date
PLOT PI,AN:
Stream
.-..rt-
Drainage or
pond
la r.lt.at r.. rll I I
Road
----
rest Hole @
\ % SloPe
Cut, Bank
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LOCATION:
ZON]NG:
rwl. 17
RT PROPOSED USE:
Single Family
Industrial
i-,
INDIVIDUAL
SITE EVALUATION WORKSHEET'
4/RANGR '- SEGTIONJ_-i-- TAX LOT #Qflt/vJ
SIZE OF PROPERTY: AMOI.JNT US$LE AREA:
WATER SUPPLY:COMMTJNITY PUBLIC
IF SITE MEETS STANDARDS FILL OUT:
Type of structure and approximate sewage flow:
U {,r.fr7&4
/sto
ldilti-family
Cornrnercial
gpd
cpd
8pd
8pdcpd
MINIMUM DESIGN REQUIREMENTS :
Length of disposal trench require
Distribution Method: Equal
Curtain drain required: Yes
Other:
Ins titut ional
d ."- '/150 gal.tl Seri a1
No
SPECIAL SITE GONSIDERATIONS OR VARIANGE OPTIONS OR OTHER ALTERNATIVES:
ur--a
1
Ic74-L26
DATE OF EVALUATION:
/1".-,1^.7
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,a d-Z-rL
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NAME:
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6100 It'il:t\FIRST ADD
M ONT EBEL.ACF{ES
903
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6400
2
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ao
,90 4 )uo-ak6'
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a/.c./ /19/ eet.
w.ao. .frSao
2930
MON AVE.
2933,?
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200
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lane county
March 6, 1978
Glen Dent
655 North A Str
SpringfieLdr Or. 97477
RE: Twp-17R-02sec.-19. 3fffi93
Site Inspection #t76-528
Date of Sit.e Inspect,ion: 8-18-76
Dear Mr. Dent:
Init,ia1 investigations of the subject property found lndicatLons of
a regional high water table at a depth of 50 inches below the ground
surface. This depth was not in conformance w(th the mj.nimum reguirements
of DEQI s subsurface dewage disposal regulations and a permit coul-d not be
issued.
As request,ed, your site inspection has been cont,inued to aLlow lox a
winter water check. Field observations indicate t,hat the regional high
water table is present at a depth greater than 80 inches below the ground
surface. Based on these observat.lons, iE will be possible t,o issue a
building permit for the subject property in accordance w-ith the reguLatlonse
A11 portions of the site are approvable.
A copy of this letter will be at.t,ached to the site inspection for the
subject propertye and will becorne a part of the records regarding t,he pro-
pertyo If you have any quest,ions regarding this"matter, please feel free
to contacE the area santtariane Stan Petrasekl at 687-395I, as lndlcated
below.
ROY L. BURNS, R.S.e DTPJCTOR
I^IATER POLLUTION CONTROL DIVISION
Sincerel
Stan Petra ek R"S,e
Area Sanitarian
RLB:1ak
WATER POLLUTION CONTROL DIVISION /
I25 EAST 8TH AVENUE / PUBLIC SERVICE BUILDING
ENVIRONMENTAL MANAGEMENT DEPARTMENT
EUGENE, OREGON 97401 / (503) 687-4061
Surname @ ffirse $EtTffi Tax IE 6ae ffi
Recei pt No.0wners Consent
Yes No
Name
and
Addres s
REQUEST FOR SITE FEASIBILITY STUDY
THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ]SSUANCE OF A FUTURE
BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE
'N
RELIANCE UPON THIS REPORT
ARE AT YOUR OWN RISK:
$_l{o. S i tes
No. Acres
TOTAL
Te ne No.Proposed Use P rope r ty
Property S ze U n z ng Area
Yes No
Ex st ng Structures I s Property it n One ile aC ty
What Cit Yes No
Proposed Water Supp v 0t r
Publ i c Di stri ct Spri nq Wel I Soec i fy
$
$
cant 5 nterestApp ropertyn
Legal Access - Road Name Special
Yes
Permi t Area
No
Property Locat i on:(D i rect i ons )
APPROVED NOT APPROVED
BEFORE CONSTRUCTION lS STARTED bring this form to the Department of Environmental
Management and make application for a building permit. lf the property is a por-
tion only of a tax lot, a metes and bounds description of the parcel must be fur-
nished. Exact specifications for the sewage disposal system will appear on the
building permit. Two sets of building plans and a plot plan will be required.
LANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT
I35 EAST SIXTH AVENUE, EUGENE, OREGON 97401 Authorized Signature
c55-32 A Da te
Owne rDat e
TRS, TL e
Plot Plan
6€
Job Location (mile post)
Subdivision
FOR SANITARI
COM s
qo7
6 eu.A csrcf
MENTS:
Prudo 5to,le
InM-e\
fl System Disapproved
LajAAPIA<L yu,r.ff ttt4
G
d=
B lock
a
\
FOR INSTALLER'S USE: Trench Depth eV! 3A"
s I
Signature Date
x
764o
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lt
(\o
(\4
a{
\\
Tank Capacity /i2O O Manufactu
lVleasured distance to well from tan pC ; l/ k)a*ertromdrainfie
Filler Depth Be Tile /- /'
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INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION
When signed by the County Sanitarian, this certificate is evidence as per ORS 454.065 of'sat-
isfactory completion of a subsurface sewage disposal system at the above location.
Return this form to: Permit Processing Section, Department of Environmental Management,
Public Service Building, 125 East 8th Avenue, Eugene 974Ol
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JOB ADORESS:
TRS, TL:
]his. perrn;1 for the referenced property is hereby
result in revocation of this permit, citation under p.EUfaf&vf#
S> ortt
I
2S*0 3?nd Strwt, $Prlagfleld SR
l7-s2*19"3, II Subdivision
Setbacks and other conditions of approval
Lane County's lnfraction Ordinance, and/or other
must be strictly observed' Violation can
remedies allowed bY law'
Telephone:
Telephone:
Telephone:
LC e7m-?9
xt"
7{7-S657{pplicanflAddress:
uwner/{66;-sss;
uontractor/Address:
uontractor,s os #
Tls ihlfr, 9$U H. 63rd, Sprlnqf{eld f}k )7477
llrlly Halls$lth
IlHrPr* Totat Construction Value: g66,$Zf
on ap this permit sr8, gffi
Wate rSu ly
PLANNtNc orvtsrorrr Zo ning: F.A
tvti nrmum requ ired stru
side exterior:
Speci al lnstru na'ctlons:
"Bf,
t.rt i n. "r r".o,
t?1t"1' o*u,
f, B; cente rl i nt "?%"tl'tt"
? , pLtE;rear ProPertY llne: 7 ' PU[,
--_7\
+ Bedrooms + Plumbi Fixtures:*E
Partitioning +
ctural setbacks, from:
nterior proPertY lines
19,0fr0 iq' ft
PlTeR pollurroruuuNTRoL DtvlstoN
it'$,trNlnlJPJ.-,o*
lor pro perty lines
road right-of-way
I foundationWeilother water sources
For information call 687'4394,
Type of Const
I nstructions:
frctotY bqll
For plans information call
sf
ln-
:ruction: Sfl Group: n3 Fire Zone: 3 Use Classification: SfD
Frstrrr htlrlt frruplaco^pGrytt rs not tnerr&d rn t[ts pG*rt. pFBvfds rnfefisatloa o*r
ii-fi;hiaci -ana' i[oiy f[,''- tn* p"-tt bofor.e lnstallatlsr-
between 8:00 a.m. and 9:00 a
call 687-4065 between 8:00 a :il:;rHt,but,.For i ons (see back of?frn{"$ini.t lane countY
Directions to site: 0{t l{rydGn Brtdp Road to }*th to lrbfitebGllo (thatcbcllr chr}rgcs tato 32ad rd/or IXr{' }
el?el7e DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
BUILDING
I
lssu ed:
COURTHOUSE /r^cNrE nEEl:arN oTrnl
Bv: L, schnlrhtr 6l!l-
-
POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMTT +
site lnspection +lnstal
lineal feet of d rainfield required;
Septic Tank Drainfield--TO-
of 10'
5',10'
latibnspecifications: lffir'ma[-depth of trenches:' if,*
gal. min. sePtic tank caPacitY;
Soecial lnstructions:lnl rt
plot
r.rl
100'For information call Grl between 8:00 - 9:00 a.
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