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Home My WebLink AboutPermit Plumbing 1984-08-06SP ZhS t3 + s.r. WAIER PROPOSED PROPERTY legal intorest in the property: / o*n",of record; -contract purchaser; -potential buyer; THS, ALffiXL *o Subdivision: Lot APPLICANT'S NAME AND OWNER'S NAME AND AD STRUCTURES NOWON THE I hereby certify that the above statements are true and accurate, Job Locatio 6 Directions I have the _realtor or agent. I further certity that (if not ths owner) I am authorized to act for the owner of record, and that said owner TEST HOLES sig *r*rr*******t*t*rfr****tt**************************oFFlcEUSEONLYBELOWTHISLINEttrttttttt* and approves of this action. L l.tgrt SITE MEETS STATE STANDARDS Standard SYstem Sand Filter 1 Foot CaPPing Fill NO ! ! tr YES X tr ! YES NO Low Pressure Distribution Holding Tank Other n tr tr LAND USE COMPLIANCE ZoningL----------Acroags or Lot Size-[OTAL) *-t7E-E!-_p*".r L ) Completed )Pending Partitioning FLOODPLAIN INFORMATION tr Approximate Study Area fl Detailed Study Area THIS IS A PRELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE BUILDING PER ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT n Floodway ROVED, SEE REVERSE SIDE LANE COUNTY c5s-32 COMMENTS ARE ISK.IF All or part of this site may be in a flood hazard area for which 100 year llood levels have not been established. Extra precautions may be appropriate to assure that the building site will be reasonably safe rrom flooding. All or part of this site may be in a flood hazard area for which 100 year llood 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 demonstration that lhe cumulative effect of proposed development will not increase the '100 year llood level at any point. NT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061 , 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 ( z' trl/ DATE MEUO TO: APPLICANT FROM: LAND MANAGEMENT DIVISION SUBJECT CONDITIONS OF SITE APPROVAL lane county6l!' -Any alteration of the natural conditions in the area approved lor 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 ol 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 thereol by the Department of Environmental Quality to the owners according to Department records or the County tax records. Subject to the loregoing, 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 contracl purchaser or his regular employees may install subsurface sewage disposal systems. A certificate of satisfactory completion will not be issued il persons other than the above perform the installation. Prrcol Si:e T.R.S lf,pl rant , gnT Et,lt.l'li1r0lr ft&t) gOR/sIIFn.r T't'1-a-P-*arutff *n, e6l_6'i:lllll-I p* ,lqr- CT -/37 e - I'rlrl'!(1. rr. Dapth ToxLurr S,A L 3t-c llatrrx Color an(i ltattljng (Not!tron), Stru.tutt, lryrr Llnlttng f!trcti ot, IJ IK !.la tlr Srrppl !,1,'ll Conrrr111i1 I uhl ic tcorrse Frrqmontr, p.ootr v(' S.ol: D?pth, ctc, tl., r !!r; i I Ptr r Rtr Plr Plr 4) l..,ldlcEpr l"nias olbc Sltz ilot s -/{"14 o -33 SY5ITX SPECIFICATIONS TYFe S,yr."co: In1 t!a"t RaDlacraent Dedsn nn /SA on 150 g, ttax. Depth At,sorptton Fac!lrty (tn) 150 8. Max. Depth Absorption Facrl.rty (tn) Sys.-cn l.ii.:*6 sy.qr& Sulr{i /64 2- Speclal Corldltlons P!-SI Filtl Cil RhIEnSE SIDI: I02055 ,&, P.r rr t' LI 2-1/-z (, _{_o " "__a.J t .) r r rr'5r:dr5*arl},$14.54- I A:Yr--{t, lP Ir---.! I.*DRA!F tt) :IF5/oZ- \ \ \ ! \ ..7< r /vsr c',r d!-qz*^ I -\^d C' t*16^ s?kt *1 L') \9 k +t I I , I \ -'Y s.l TRS,Job Location Written Directions{1tri t} Subdivision: Lot- Block-- APPLICANT'S NAME AND OWNER'S NAME AND STRUCTURES NOW ON THE P TEST HOLES WATER SUPPLY 'rfitx)y'tl* wf-Lt Jtr l-rt Phone- t{1t rff tr rr PROPOSED USE OF ro.tbr or agEnt. I ludn.. c6nit ihat (lf not tho omo4 I am adhorizod !o act lor lie o n.r ol l@d. and lhal sald ovvner b aw.ro and apProwr or this acrion. L-.^ [l'ri$ SE ONLY BELOW THIS SITE MEETS STATE STANDARDS Standard System Sand Filter 1 Foot Capping Fill YES NO tr NO ! ! YES tr n tr tr tr tr 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. AUTHORIZED SIGNATURE DATE FLOODPLAI N I NFORMATI c)N tr Approximate All or part ot this site may be in a flood hazard Study Area area for which 100 year flood levels have not been established. Extra precautions may be appropriato to assure that the building sit€ will be reasonably sale from llooding. D Detailed Allorpartofthissitemayboinafloodhazard Study Area area for which 100 year flood levels have beon established. A building elevation above the 100 year llood level may be required. tr Floodway Allorpartolthissite maybeinafloodhazard aroa in which a floodway has been designated. Building may be prohibited subject to dgmonstration that the cumulativ€ effect ot proposed development will not increase the 100 year flood level at any point. LANE COUNTY OEPARTMENT OF PUBLrc VT],oRKS LANO MANAGEMET{T DIVISION, @74061, 125 EAST 8TH A/ENUE, EUGENE, OREGON 97'rc1 ottge LAND USE COMPLIANCE Partitioning #-Parcel fr COMMENTS \l lr ,1 Aa ,ff # Phone- Zoning-______________ creageorLotSize-CfOTAL) I ) Completed ) Pending MEIIO TO: APPLICANT FROM: LAND MANAGEMENT DIVISION SUBJECT CONDITIONS OF SITE APPROVAL hne county Any alteration of the natural conditions in the area approved for the on-site system or replacemenl 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 ol 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 benef it subsequent owners. Only persons having a valid license issued by the Department ol Environmental Quality under ORS 454.695 to install subsurface sewage disposal systems or an owner or contract purchaser or his regular employees may install subsurlace sewage disposal systems. A certificate of satisfactory completion will not be issued if persons other than the above perform the installation. ) )