HomeMy WebLinkAboutPermit Septic Tank 1979-02-18I N51 ALLER :
pRoposE -;E,AGE D r sposAL r!r(;^3^;!1, rwD
Complete toP part of form to signature and submit both copies with application.
PERHIT NO
L v ng Uni ts rooms Bat s Basement
Yes No
ter UPP v
0ther-L i s tPubl i c
Septic Tank:
Ft. frorn wel I Steel tr Concrete l No. Compartments Gal. Capacity
lns mens ons:
h Width
t e sPosa e
Diameter De h Distrib ion Box: Yes
str t on-
L NotrPe
NAHE
I,IAILING
ADDRESS
Lengt
eet rom
ne
F
S ide
b/
t
Front r
er Be ow
4 ile tn
e ture
CERT I F CATE OF FACTORY COMPL ON
For Sanitarian Use Only; Date: 2'15"t/
ln accordance with 1973 0regon Laws Chapter 835, Section 214 this certificate is issued
as evldence of satisfactory cornpletion of a subsurface sewage disposal system at the above
lo""Fifti'upproved:
system tnstal lation conforms to current standards
I-1 Oisapproved: Does not conform to current standards
Remarks:
L nes-Ft.
6
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LANE COUNTY
STATE OF OREGON OEPARTI'IENT OF ENVIRONT{ENTAL qUALITY
c55-11 re
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LANE COUNTY PERMIT F-::PERI\1IT NO
n Owner
NAIVE ADD R ESS C ITY ZIP CODE PHONE
D Contractor
NAI\,1E ADD R ESS
O.S. Reg. +_
Twp- Range-- Section-Tax Lo
CITY ZIP CODE
Census Tract
P NE
t Code
Subd ivision --- Lot
Access to Property (Road Name)
B lock Acreage Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTUR E ( # BED ROOIVIS)SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC[] SEPTICTANK tl OTHER [ ]
PLUIVIBING INSTALLED BY:
OWNER[] OTHER[] NAIVI F
BUILDING
PLU IVIB ING
3% SURCHARGE
IVIOBILE HOIVIE
PLAN REVIEW
TOTAL
WATER SUPPLY: PROPOSED t ]
EXISTING t ]
PUB LIC
COVIIVIUNITY NAIVIE
PRIVATE WELL
OTHER-SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS IVIIN. DRAINFIELD LIN. FT IVIAX. TR ENCH D EPTH- INCHES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION G ROUP FIRE ZONE USE CLASSIF
SETBACKS FT. FROIVI CTR. OF rA,A/
FRONT SIDE EXT.
FT. FROIVI PROP. LINE:
SIDE INT.
-
REAR ZON E
AUTHOR IZED SIGNATU RES :
is/
ISSUANCE DATE
/ t-Ja-/1,
BLDG. PERMIT - WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PLUI\,4BING - CANARY
BUILDING - GBEEN
SANITATION - GOLDENROD
IIVIPORTANT
Call 687-4065 to schedule all required construction inspections. Call 687-406.1 to schedule all required
septic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy before being occupied.
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE
LANE COUNTY. DEPT. OF ENVIBONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401c55.t 3
CONSTRUCTION [ ] TVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
WASTE DISPOSAL
At4
lane cour$y
HOLID SLIP 6l!'
-
APPL I CAT ION
Name
Addres s
The above application is being held by the Permit Processing Sect'ion for the following
reasons:
C4 {r
Di v'i si on :
Si gnature:
/r/ rz7-
//-3o-7/
lrjl4 o--<-24x--c---r1-
/a-,a-LJ Date *J
D'ivision:
Si gnature:Date
This application will be held until I f the 'in formati on
required above has not been furnishe d by that date your appf icat ion will be cancelled.
Fees paid for waste d'isposal systems (site'inspections and/or applications to install
the septic tank and drajnfield) are nonrefundable. Some refund may be made on thebuilding and plumbing portion of your application 'if cancellation is necessary.
In the event a Planning or some other long-term problem exists over which you have
no control we will hold the permit until the problem is resolved and we receive wordfrom you as to whether to prbceed with permit'issuance or process a cancellation.
c74-139
PERMIT PROCESSING SECTION - 687-4394
;*
A wldo oordr rhclrcn thc cntrcnca to thir
handromc naiclrrtylc homc. thc sroo'buck tnorif of
lhc porch rrilr ir tcpcttcd ot 'lho garegr -door.Bcmrth r ccdrr rhalc rcof, vrrrical bocrd md
bert and horiantal riding erc comblnad for &rign
cffcct, cnd colorful rtonc ir urcd a vsnccr on lhc
chimncy cnd ro form rtrG pLnLr.' Thc rcpcratc dining room .cruttra in rhir prcc'
ticll dqign. Iha lirr.hcn rnd rarvico aroa mrkc
up r wcll orgcnized worl ocntcr. Otlrhcad crtinclr
between thc rink cnd nool oPGn,o bolh ridcr. for
convenicncc ln unloading iuppficl, r rccr door lo
the garcgc ir only a siGp from thc rorvlcg cntr.nc."
Acro$ ,ha cnltanc. fottr frorn thc urcrk aror
ir rhe big living room, wilh a widc dona fircplacc
rt rhc .ad. A widc bcnk of windorvr facce thr
ttr.at lnd doubh glars doon opcn !o thc prrrially
rhclrercd rcor prtio.
A rcccsred rub and pullmn laverory aro fcal-
urcr of *rc family brrh. Thc rtuo+quarrer be$ lr
tcccgiblc frorn rhc marter bcdroom rnd rcrvica.
*l
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tJ
PLAI{ NO. 3724
1344 SQUARE FEET
lti.-criil|
lJ
COMPI"EIT WORKING DRAWINGS ANE AVAII,ABIE rOR ANY Of II{ESE I{OAAE SEIPAG€6I.
f l|.
fhir homc har rhc rtyh tnd lndivldurlity of
homer mcny timGr itr riz:. fhcro ara m.ny fcaturcr
which will appcal to r lcrgc frmlly who lr phn-
ning to build on c limitod br.rdgot.
Thc largc dining cll which ir op.n to rhc living
roo.n, it rcparatcd from ths rnfry hrll tnd clorct
by a particl wtll wilh tumcd poltl oxtanding from
the top of thc wcll ro ihc cciling. Tha hrgc family
b.th fc!turcr r doubla pullmcn l.vltory with ttor-
cAc bclow, a tami?artition.d watar clocot tnd an
cncloscd tub with rhowcr ovrr.
ln thc compro kitchen, tll mrlor buih.in to
pilancar arc within r {rw frt of och orhcr. hpentry offcrr rh.r .ddition l ttorgo whiclr bclwryr wclcomcd in my kirchar B.c.u.. of rh.good looking darigne of todry'r warhco and
dryen, thcy havc not bccn cnclord ln r clorot trwer formarly dona. Evcn th. l.rgcd o{ familicrwill bc tltirfied whh thc cxre hrgo &irchcn noot,which ir prrrillly rcp.r.rd from thr work cntof $c kitchcn by . builrin r.ng..
iti'
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Page 25
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HOTID SLIP 6l\'
-
APPLICATION #
Name
Address
Zip Code
The above application is being held by the Permit Processing Section for the following
reasons:
Di v'i si on :
S'ignature:
Division:
Si gnature :
Date
Date
This application will be held until If the informationrequiredabovehasnotbeenfurnishecat.ionwillbecancelled
Fees paid for waste disposal systems (site inspections and/or applicat'ions to jnstall
the septic tank and drainfield) are nonrefundable. Some refund ma.y be made on thebuilding and plumbing portion of your application 'if cancellation is necessary.
In the event a Plannjng or sonre other long-term problem exists over which you have
no control we will hold the permit until the problem is resolved and we receive wordfrom you as to whether to prbceed with permit'issuance or process a cancellation.
c74-t39
PERMIT PROCESSING SECTION - 687-4394
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