HomeMy WebLinkAboutPermit Sewer Connection Record 1989-09-15SEWAGE DISPOSAL SITE EVALUAT
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WATER SUPPLY
APPLICANT'S NAME AND 0rc
c 7,L) tl e.-U ?OWNER'S NAMEAND
ETRUCTURES NOW ON THE PROPOS ED USE OF
above stalements ara true and accurate, and that I have the following legal interest in the property:
-owner
of record;
-contract
purchaser;
-potential
buyer;I horeby c-grtify that the
L:{edtu or agent.I further certify that (if not the owner) I am authorized to act for the owner ol record, and that said owner is aware
TEST HOLES Signatu
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of this action.
S]TE MEETS STATE STANDARDS
Standard System
Sand Filter
1 Foot Capping Fill
NO
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YES
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NO
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YES
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Low Pressure Distribution
Holding Tank
Other
LAND USE COMPLIANCE
Zoning Acreage or Lot Size_OOTAL)
Partitioning #-Parcel
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FLOODPLAI N I NFORMATI ON
[1 Approximate All or part of 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
appropriate to assure that the building site will
be reasonably sale from flooding.
tr Detailed Allorpartotthissitemaybeinafloodhazard
Study Area area for which 100 year flood levels have been
established. A building elevation above the 100
year flood level may be required.
n Floodway Allorpartofthissitemaybeinafloodhazard
area in which a floodway has been designatod.
Building may b€ prohibited subioct to
demonstration that the cumulative effec{ of
proposed developmont will not increase th€
100 yoar flood level at any point.
4.
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.
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LANE COUNTY ENVIRONME'(TAL HI
cs$32
EALTH, L25 EAST 8TH AVENUE, EUGENE, oREGoN 9740t (687-4051)
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- :: , sEwAgE DISPOSAL SITE ,EY ALUA I IUN4
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' li''IS NAMEANDAqD
AiiFLtcmtrs NAME AND 7
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OFFICE USE ONLY THIS
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CTURES
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tr Detallsd
StudyArea
tr Floodway
' been eslabllshed. Extra piecautlons may bo
appropriat€ to assure that the bulldlng site w[l
- be reasonablY sate hom floodlng.
All or parl ol thls sll6 may b€ ln a flood hazard
area lor whlch 1 00 year flood levels have been
$teblbhsd. A bulldlng elevatlon above the 100
year llood level maY be requlred.
All or part of thls sits may b€ ln a flood hazard
area ln whlch a floodway has beon deslgnaled.
Bulldlng may be prohlbited subJec{ to
domonstratlon that lho cumulatlve otlect o,
proposed development wlll not lncrease he
i 0O year llood level al anY Polnl.
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\ I.,AllE couNTY ENvI
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AL HEALTH, 125 EAST 8TH AYENUE, EUGENE' OREGON 9740I (687-4051)
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and
STATE
Filter
GaPPing
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USECOMPLIANCE
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REPORT WHICH DOES NOT ENSURETHE ISSUANCE OFAFUTURE
PLANS OR EXPENDITUBES MADE IN RELIANCE UPONTHIS REPORT
owN IFSITE!SAPPROVED, SEE REVERSESIDE.
A
MEMO
TO: APPLICANT
FROM: LANE COUNTY ENVIRONMENTAL HEALTH
SUBJECT: COND]T]ONS OF SITE APPROVAL
lane county
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.
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 benefit 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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DRAINflELD TOPOGRAPT/Y &. S/TE PLAIV
for
EARL McELHANY SEWAGE DISPOSIL
PLOI PLAII IPPROUED
A permit is required
prior to starting oonstruction.
SPR|NGFIELD PARTIT/ON 89 -06 - IO9
TAX LOT /7 02 t9 3 800
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Environmentat
I25 East 8th
Eug:ne, Or.egon 97401
Oil & THOMPS0il, lilC. scALE:
corsur.Tutc EilGlllEEPs & suEuEroEE
ZO7 A STREET
DATE:Aug. 22, /989
DBAWil:LARRY OLSON
R GFIEbD, OREGON
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DATE. JUN. l2.le89COIJSULTIIIG ENGINEEBS & SUP9EYOES
ZO7 Q STREET
t7477
TEbEPHONE :
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RINGFIEbD, OREGON 9
503 / 7ZB-5104
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