HomeMy WebLinkAboutPermit Septic Tank 1980-06-04DEPAF-'qNT OF ENVIRONMENTAL I'IANAGEMENT
.-- ,SB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
Job Address 8lO I THu L\ ?o SPEI IJ6FIEI-Dt1-oz -3G -z oq
lifotii,i :[IliiiitiiK:
tr lilrp$H*rrfffi,' /_/i8ffiffi.]sffii rli*rrs$Bisn#ii: /_/iliiiihllii{i:liri
hereby certify that this information is true and accurate.
Appl ication for
Structures now on the property
Affidavit: I,
If this applica
Lane County Cod
tion is for an agr
e Chapter l0 (zoning) and for no o
ngi
ther pu rp0s
cu ura 'ldi t wilI
owner of record;con trac t pu rc ha ser;
owed by t
legal in
of an exc
0n.---duly autho
Si gnature/Address
rized to a or the
Te l ephone
, who
be used for Pue, I have the
rposes a1 1
following
lessee;I der
ble sa p1 i cat
he State Building Code and
terest in the property:
lusive option to purchase;
z1corDate
Hhen permit is readY notifY:Ap
Owner
Con trac tor 4
Contractor's 0SR#
If Commercial
Residential:
SI test holes ready
!:t#sii
fi&s-Se$sriiliriitt hr!:l
cant l-l Owner /:/Contractor lyr mail
z1
z1
/-/ phone
Ph;, a 47a7 n()
Phone
Plumbing by
# of employees
I,.*....0t..,,.. totl!ie$i
-
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-
:#i#,,, ;rr iii
ii$$tiiiii /_/ Existins, BP #/
/!./4roposed, Sl #
,$uxf,riFt.ii.'iulri m,*#,
:.#,i,i[,f.:.:i$.ittit:.r i :
Val uati on Fee
Total Va.l uati on : $
4% State surcharge
Plans check fee
Change of 0ccupancy
$- each
$- each
Subtota l
TOTAL
$
$
$
:i#liffi iti$iiii:tlXifislfr,,f $il
i|. - {+,1."#.]sil.tEi1:i i sottutlr,,
at
at/_/
Rece i ved
l,Jater Supply
Propos ed
Year Instal led
Exi sti ng
PERM]T PROCESSING
Comments
To be typed on permit
Part. #Parcel #_ Parcel Size.
intMinimum setbacks:, frontt aL, side rea r
By Da te
Group Fire Zone Use Classification
To be typed on permit
By Da te
For plans information
G
(area inspecn tor
Di ions to site
ans to
e
/_t stro
r / CPbY-
ra4r,_/ / Planning
l-/ Public h/orks
/_ / El evati on
/-/ Address
/-/ Facil i ty Permi t
,/l Environmental Health
FOR INF0RI'IATi0N about progress of your application call
c74-L7L
CP& I
hIPC
set
set
Da te
Requ i red
Ho)d Slipto PCC
Da te
Compl eted
Date to
PCC
n/a
permit Control Center 687_HELP gB7_4357)
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$
CP&l Type_
I
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3
4
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6
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20 .,
22
8-
l0
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36
3E __.
40
2{
26 .*.
28
39
t4
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I'tECl{fTNICAI* FEE
STATIi .TURCI.IARGE
PI..AH [HE:{:K F EIi
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TOTAL FEE*X
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48
50. -
52
56..
62.
{::AT6: Af}F'SEQU: I
TAKEN }JY CH
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58
60
64
lrw t lq11
lane county
DATE: /.J /. TT
RE /rt1
ADDRESS
.I^INER
zo f
/?-oz-34.22-*
MAP AND TAX LOT NI]MBER
ACCOTTNT NI]I{BER IF AVAILABLE
**************************************************************
The above pa rcel is zoned /'r< ./ o
The defl-nltion of this zoning is as follows z 73 ,ftE7a o
h(B Z 2-a )? -.rc-2,€
? -,'t - ^-,1:Z*tCzzCal. .zert€ ,e4/A-44A4
u/E a(B
ptof c7Q/
GR/
t AND MANAGEN4FN r DIV/PUB[ l(l WOI]KS DEPT I 125 EASI8rH AVENTJE / EUGENE, OREGON 97401 / (503) 687_4061
Q ,r,a4Z (,/r/o r//, rZEz,z4^/rt/-
lane countyHOI.L STSP ffi!'
-
APPLICATION #
LOCATION F
NAME
ADDRESS
The Lane County Water Pol'lution Control Division cannot proceed withprocessing your appl ication because:
Incomplete application (items deficient).
l-l naaress and/or directions to appl ication site.
f]ProRosed number of bedrooms in dweliing.
Approvable p'lot plan (see attachment).
2
2
4
J-l noUfication of date test holes will be ready.
Verification of existing system required (memorandum
explaining this proceduie attached).
Two test holes (2'X4'X5' deep) required for expansionor repair of existing sewage disposal system in the
area of the proposed drainfields.
Other:
SIGNA DATE
If the necessary corrections are not made within days, the
application will be denied. --
WATER PoLLUTI0N CoNTBoL DIVlstON /
I25 EAST 8th AVENUE I PUBLIC SERVICE I]UILDING
ENViRONI4ENIAL MANAGEMENT DEP
/ EUGENE, OREGON 9740I tElI[U[,
rhlt
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APPLICATiON #
LOCATION
NAME
ADDRESS
/IP COD E
The Lane County Water Pol'lution Control Division cannot proceed withprocessing your appl ication because:
Incomplete application (items deficient).
l-l nAAress and/or directions to appl ication sf te.
[*l Proposed number of bedrooms in dwel'ling.
['I Approvab]e plot plan (see attachment).
lJ ruot'ification of date test holes will be ready.
Verification of existing system required (memorandumexplaining this procedu.e-atiict.Ji. -- \'r'|v"rvr q
]y !es! holes (2,)(4,X5, deep) required for expansionor repair of existing sewage'iispdsat ,yri.*-i[-il,.area of the proposed-drainii.iai.
t.
?.
3.
4.Other:-..---ZlO/
)
Lb
If the nece ssa ry correcti
ied.ons are not made withincation wfl I be den
E
tf
days, the
' r2s EAsr uilEfrE^?filrr,r] ,o*rF8u,,-?d,jidflirr
Burro(Ne f il y r Ro i\ rA4 E NJI.-,
l,fA'd,f
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DT. ^RTIlENT OF ENV I RONI4Ei,iTAL IlANAGEI'1ENT
PSB, 'I 25 EAST BTH AVEI'1UE
EUGENE, OREGON 9740I
Ci ty }Pe-r P6,FI&LD
'i cati on
si gned Numbers
#ff)
Job Address I tO I -frrua Irx\ Rn
Township, Range, Section, Tax Lot t1-oz
Subdiv ision
Application
Structures now on the proPertY
Proposed use of property: /-/ Residential /-/ Commercial
Affidavit: I,
ease pr nt
Lane County
If this app lication is for an agricultural bu
Code Chapter 10 (zoning) and for no
ing i
other pu rpos
td t w'i ll
owner of record;con trac t pu rcha ser;---duly authori zed to act Tor the own , who
S i g na ture/Add res s
Te1 ephone
When permit is ready notifY: l-l A
/_/ Industrial /_/ Publtc
hereby certify that this information is true and accurate.
be used for purposes allowed by the State Building Code and
e. I have the following iegal interest in the property:
lessee; holder of an exclusive option to purchase;
le of-TrrJs app I i cati on
?1
- 1G *z *zo4
for
Lot _ Block
p
(
or Date : "
icant /-/ Owner /-/ Corttractor !y: /-/ nail /_/ pnone
Phone
Phone
0wner
Con trac tor R
Contractor's 0SR#
If Commercial: # of stories
Residential: # of bedrooms
SI test holes ready
Code Descri pti on
# of employees
--
# of units
z1
z1
)P1 umb ing by
SDS: /-/ Existing, BP #
l-Lffioposed, SI #
Fee 5q. Ft. or
# of Sites Valuation Fee
Total Valuation: $
Plumbing fixtures at $
Sewer/water conn. at $
$
each $
each $/_/ Casn
/-/ Chec
Rece i ved
Proposed _
Year Instal I ed
k#Su btota I
4ii State surcharge
Plans check fee
Change of 0ccupancy
TOTAL
PERMIT PR0CESSING Lon
Minimum setbacks G
Part. #Parcel #-=-.---Parcel Si ze
Da te
front ; t, side int rea r
Comments
To be typed on permit
By
I^IATER P0LLUTI0N CONTR0L
Instal lation specifications ga1. tank ft. of drainfield; max.th of trenches:
It . Tobe
Di ct'ions to s
?1
/ / SIFO Pl ans to CP&l set( s )
t^iPC
-
set(s)
Hold Slip
to PCC
Da te
Conpl eted
Da te
Requ i red
Date toDtr
/ / cP&l'
{4 wpc
/7 Planning
/-/ Publjc Works
/ / Llevatron
/_ / Address
n/a
/*/ Faci ) i t1' Permi t
/-/ Enuironmental Heal th
Te1 epho
FOR INFORII,ATI0N about progress of your appiication ca)1 Perm1t Control Center 687-HELP rc87-4357)
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74L J tii( )
/\2,r) Pt /f-l t
Unit
Cos t
--6-
\-+.r'1-
s
liater Supply
Existing i*.'
a
$
$
5
(
$
I
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LA NE CO UNT Y B UI LDI NG -f E R }IIT
POsT IHIS PERMIT t)N MAIN BUILDING AT,sITE
bre courty
JOB ADDRESS:
fRS, TL: ll-02-36.2, ZOs
SUBDIVISi0N: N/n
PERMITTEE: Lance Mi I Ier
DATE ISSUED: July 17, 1980
DIRECTIONS TO SITi::right side.
tllP 28305- 5E-2
BY: Kathi t./eiderhold/Candi Hart
0ne-fourth mile past Thurston Elernentary School on
CONSTRUCTION PIRMIT # LC ]5OI-80
8101 Thurston Road, Springfield, 0negon
i:x|]iY:li3l,^i:HYl',3J0]Xtidilyl]: Renewar or subsurrace sewase disposal
C0NDITI0NS 0F AppR0VAL: Subsu.Lace^lgwqge dispgsat gyslem instailationspecifications: 1'000-garioi"ilnk; zoo iEet'of"arainfiera; *iri*rm depth oftrenches; ?4 inches,- [;il";.;inri.io-u;-i;.;i io reet rro* ai'i"foundations andproperty rines, qnd t00 flei i"* ar.water-iour..r. Keep septic tank atteast five feet from buii;i;s'rounoatr;;;'io"iult frcrn ari p.Siurty rinesand 50 feet from ur;;i;;'rJri..r, 10 i..i-r.r, ed.se of rightbrway.Install d.ainfield and reserve'eplacement area as shown on the attachedpl ot pt an stamn"o apfro;;";il lurua Juiv"16, -igeo,
. use. equir distribution
; ff I l, :r'i:H:,':r,ff. ;'fuikl,I,:$,i$:, .j*::r8x,rilr e ma i nta i n i ;s -
***************** ****
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION
CAN RESULT IN REVOCATION OF THIS PERMIT, CITATION UNDER PNOVTSTOTIS OF LANE COUNTY'S
INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLObIED BY LAI^I.
bIHEN READY FOR INSPECTI0N (see attached) call 687-4065. Have the followins
iniormation ready: permit number, iob address, type_of.inspection, when it w'ir1
be ready, your ni*e unA phone numnei, and any special directions to site'
OTHER QUESTIONS? Cal1 687-4394'
\
t..NVII.IOI'iMIN I AL MANA(;I MENI DEPARTMENI
125 EAST t]tFI AVENUE / EUGENE, OREGON 974Oi
C0i{sTRttCTI$}i ptRl,lIT f LC 1501_80 ,,
JOB As0*ESS: El0r Thurston Rord, sprrngfrard, Oregon
TRS, TL: l7-CI2-36.2. eOS
SUBDIYI5I0H: 14/e
C0FISTRUCII0H APm0ytB BY THIS PTRHIT: Rcnmal of subsurflss scrngs rusBosalinstal lat,lon, pemnlt nu$ber tZSi-lg. ' 'rf,"Ytsr *
c0llDlTIOt{s 0F AppR.cylr: -gubrtrface^seragc drsposal system rnstarlatlonspeclflcations; 1,000 9rilon-iinri aoo iiet-,ii'aiiinii;U #iilwr depth ortrenchesi 24 lnches.--[*gp drolnfielc at-ieaii io r"ut rr&r iii founda6ons andproporty llnes, and 100 feet frm all reater sorr.*s. Keep sep6c tank rtleast flYe feet froa building foundatlo^,-io-i"i,t frsn a1 property linrs.nd 50 fect frara al r uater riurces, r0 fiat frori ccge of rrghtofway.
Install dralnfleld rnd reserve replacwent area as shown on the attrched?lot-plan stamped approvao rnd aatea Juii-fS,-iS60.-'rt| 6uii-of strtbuttonlf all trenches ctn-be lnstalled at the ime-rievailon *iie-*aintotnlng:peclfled trench depth. 0ttrendse use serlal distrlbuilon.
PERI,{lfTtE: Lance ill I Ier
PO$I THIS PERHIT fi;li I'AIfl ItLIILOIiI$ AI SIrE
DATE ISSUED: July 17, 1980 By: Xatht t{ctderhold/Candt }tart
$ISrcTl0Hs T0 SITEr 0nrfourth slle part Thurston El€Bentary School onrlght glde.
h,p u8305-5E-2
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