HomeMy WebLinkAboutPermit Building 1979-09-29a
JOB ADDRESS
TRS, TL
This permit for the referenced property is hereby
result in revocation of this permit, citation under
Applicant/Add ress:
Owner/Address:
Contractor/Address
Contractor's OS +
-lonstruction approved by this permit
POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTI ON PE RIVIIT +
Subdivision:
provisi
/rf,
Setbacks and other conditions of approval must be strictly observed. Violation can
ons of Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Telephone:
Telephone:
Telephone:
Total Construction Value
Water Su
PLANNING DIVISION
+ Bedrooms + Plumbin Fixtures:+ Employees
Zoning: Partitioning +
lVlinimum required structural setbacks, from:
side exterior: ; interior property lines:
Special lnstructions:
Parcel +r
centerline of road, front:
;rear property line:
Parcel Size:
; centerline of road,
For information call 687-4394,llrrc
WATER POLLUTION
CONTROL DIVISION
Site lnspection + lnstallation specif ications:
lineal feet of drainf ield required; max. depth of trenches
Special lnstructions
gal. min. septic tank capacity;
Setbacks
I nteiior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'-
10'
5',
50'
Drainfield--lT-
10'
10'
100'
te
r€
s
A
sy
be
slErn onls dcslgm
r ulll ha
rtall an equrl dlsr| attached plot
)r t trfi, bedroom d
rlbstlon lmFlrd datad 2t
elllng onl.y--
nalntalalng
ilote thit
3c ln the n
Inl
tfiedf{
-t t,
For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PE RM ITS/INSPECTION
DIVISION
Type of Construction:
I nstructions:
Group
ctof?flrc c
I
bul I
lace
Fire Zone:Use Classification:
e 6rstrtlrtl ami
n-
For plans information call
For inspections (see back of this perm
between 8:00 a.m. and 9:00 a.m.,
it) call 687-4065 between 8:00 a.m. and 5:00 p.m.
e bet lo iFlontebellor char lane county
Directions to Site
Date lssued:
c55-1 3
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE. EUGENE, OHEGON 97401
By o
\ ':'
SITE INSPECTION
APPRovEo//DrsappRovEof]Dare
Reuanx s
I rspecron
FOUNDATION INSPECTION
APPRov E o
Reua nx s
FRAMING INSPECTION
APPRov E D
REuanx s
O-?-"?.desx^<
ns"tcroe-)g)a(
Drre /Z --tr lNspecr
AEx144, >
7",fut<
v
LATH OR SHEITROCK INSPECTION
Ap pnov r o
Reurnxs
DrsappRove o F7 D*r/Z-/O- 77 I xspecton
FINAL INSPECTION
Ap pnov r o
Reuanx s
D t slppnovEo Darr 4 *tr..ro
CERTlFICATE OF OCCUPANCY
Reaov ro lssuE
Reuanx s
D Nor Rerov ro lssue D Dore__:I NsPEcroR
ruf Drsrppnove o F7
tl rr sAPPRovEo D oorr-E:f-.JZ
. POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS: CONSTBUCTTON pERMtT *
TRS, TL: j Subdivision:
This permit for the referenced property is hereby Setbacks and other conditions of approval must be strictly observed. Violation canresult in revocation o, this permit, citation under provisions of Lane County's lntraction Ordinance, and/or other remedies allowed by law.
Applicant/Add ress:
Owner/Address:
Contractor/Address:
Contractor's OS #Total Construction Value:
Telephone:
Telephone:
Telephone:
_ Construction approved by this permit:
Water Su
PLANNING DIVISION
+ Bedrooms:*t Plumbi Fixtures *r Employees:
Zoning: Partitioning +r parcel +r
Minimum required structural setbacks, frorn: centerline of road, front:
side exterior: ; interior property lines: ;rear property line:
Special lnstructions:
Parcel Size:
; centerline of road,I$,ffifi. sq. ft.
WATEB POI-LUTION
CONTROL DIVISION
For information call 687-4394,
Site lnspection +r
lineal feet of drainfi
. lnstallation specifications:
eld required; max. depth of trenches:
Special lnstructions:
gal. min. septic tank capacity;
Setbacks
I fnteilor Oroperty lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5',
50'
Drainf ield*-18',--
10'
10'100' For information call between 8:00 - g:00 a m.,Id
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Construction: Group:
lnstructions:
For plans information call
For inspections (see back of this permit)
between 8:00 a.m. and 9:00 a.m.,
Fire Zone: Use Classification:
call 687-4065 between 8:00 a.m. and 5:00 p. rn.
Directions to Site:
Date lssued:
-l
Bv:,
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT ",.
COURTHOUSE I PUBLIC SERVICE BUILDING
hne courty
paoo
€{*B-rL00R
PLUMB ING GROUNI]'ORi{
APPfiovEo m DrsrppRovro
Reuanx s
U oorr_&-J{-??{?/I usrrcron
GAS PIPIt.IG GROI.'NOdORK
AP PRov Eo
ReurRx s
Drseppnovro 0arc I r.rs pc c ron
ROTJC+{ PLUMB ING
AFpRoyEo m Drsep'RovrD U oorr. 1l_JS-Zj
Rrue Rx s
I rusprcron P9
ROIJGI{ GAS P IPIhIG
Ar pnofe o
Re iraRx s
/_ / DrseppRovco f-l D,rte I Nspecron
FINAL PLUMEING
AFPRovEo m
Rr srnx s
D l srpp EO Dare I Hse6616p
4Cle
FINAL GAS PIPING
AP pRov E o
REtleex s
C/ D,sappnoveo fl Drle I Hseecron
CERTI FI CATE OF OCCUPANCY
Reaoy lo lssue
RcuEnx s
n Nol Reroy ro lssue n orre ltspEcroR
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Job Address
Appl ication for
Structures now on the property
Affidavit: I
owner of record;
- .-PARTI1ENT OF ENVIRONI4ENTAL T'IANAGEMENT
PSB, I25 EAST BTH AVENUEv14
-)(I9'tv u'tn
Si gnature/Address
c)RE GON
iffi$i,gdEdii$umr$#$-o
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, i0ffi ,rilnii /-7 ilti $$itn**jil l-r ip,iru*:r+riii'
fin llOlf <- , hereby certify that this information is true and accurate
ontract purchaser;I essee;holder of an exclusive option to purchase;
the owner, who is fnowTEIgeabl e s ppl i cation
EEJ
..t$,irtirii
x
If this application is for an agriCuttuial building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter l0 (zoning) and for no other purpose. I have the following 1ega1 interest in the property:
ori zed
When permit is ready notify
c ?S n z1 ?7
'el ephon e 2Y1 qC,S ?or Da te
l i cant /] Owner /-/ Contractor DY p mai l / phone
Owner
Con trac tor
Contractor's
+\z1
z1
Plumbing by
# of employees _l*iili$f i:!:itinilt*iii:i
7 Phone
Phone '2 y?- g6s?
If Commercial
Residential:
/_t
SI test holes ready
:r::i:r:r:rilri:r:i:ri _
-
i$S-$niii /_/ Existing, BP
/_J Proposed, SI
as
Tota l Va,l uati on
e----a(1 <5
e&
iffi
$
$at
at
each $
each $\O\
Received by
Water Supp
Proposed
Year Instal
PERMIT PROCESSING ne
Minimum setbacks t, front
Existi ng
4% State surcharge
Plans check fee
Change of 0ccupancy
Parcel #
Subtota l
TOTAL
$
b
$
$
$
-=- eo__w
------qFt
hl.gf i-
#t side int
Comme
To be typed on permit
By Da te
CP&I Ty
To be typed on permit
Fire Zone Use Classification
Date
Phone
{.tr-
By
For plans information call (a ins
Directions to site
Pl ans to:Da te/-/ slf1
;4u,llrn,
Z Planning
/-/ Public Works
/7 Elevation
1/eao""r,
/-/ Factlity Permit
/ / Environnental Health
FOR INF0RIIATI0N about progress of your application call
c74-L7L
Hold Slip
to PCC
Da te
Compl eted
CP&I set(s)
L.JPC
-
set(s )
Date to
PCC
/,"
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Permit Control Center 687-HELP (687-4357)
Lc-
SQS
q?-
a POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS: 2640 32nd, Street, Sprlngfield 0R CONSTRUCTION PERMTT + LC 2728-79
TRS, TL: l7-02-19.3.'tl #?o3 Subdivisionr Glendon Acres, Lot ll
This permit forthe relerenced property is hereby approved, Setbacks and other conditions ol approval must be strictly observed. Violation can
result in revocation ol this permit, citation under provisions of Lane County's lnfraction Ordinance, and/or other remedies allowed by la!y.
Applicant/Address: Tim Nolte,962 N. 63rd, Springfield 0R 97477
Owner/Address: Wal ly Wal I smi th
Contractor/Address: Tim Nol te
Contractor's OS + 17824 $66,075
onstruction app roved by this permit
Water Supply Rainbow Water +Bedrooms: 2 *PlumbingFixtures: ll +Employees:na
Telephone: 741-9657
Telephone:
Telephone:
Total Construction Value
SFD, SDS
PLANNING DIVISION Zoning: RA Partitioning + na Parcel + na Parcel Size:
Minimum required structural setbacks, from: centerline of road, front: 45' ; centerline of road,
side exterior: na ; interior property lines:7'PUErear property line: 7'PUE
Special lnstructions:
For information call 687-4394, Donnalee Meigs
10,000 sq. ft.
fr-dott oltttafrIh
WATER POLLUTION
CONTROL DIVISION
..5:--
Site lnspection + 78-918 lnstallation specif ications: .|000 gal. min. septic tank capacit#aat*qf II
150 lineal feet of drainfield required; max. depth of trenches i 24 - 30" v$f fd'
Septic Tank Drainf ield
Special lnstructions: Instal'l an equal distribution loop system, maintaining replacementaffitheapattachedp1otp1andatedz+.se-ptzg.Notethat-thiS
system is designed for a two bedroom dwelling only--no increase in the number of
bedrooms will be allowed. The whole of the backyard must be reserved for drain-
?etbacks
I nterior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
10'
10'
5',
50'
10'
10'
1 00'
field--no swimning pools, sheds, shop buildings, etc.
For information call 687-3960 between 8:00 - 9:00 a.m., Kathi M. Wiederhold
CONSTRUCTION
PE RNN ITS/INSPECTION
DIVISION
Type of Construction: 5N Group
lnstructions: FactO ry built fireplace
factory built fireplace and apply
R3 Fire Zone: 3 Ure Classification: SFD
permit is not included in this permit. Provide information onfor the permit before installation.
For plans information call 687-3767 between 8:00 a.m. and 9:00 a.m., Jim
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5
Lamb
00 p.m
Directions to Site:
Date lssued:
c55-1 3
Out Hayden Bridge Road to 34th to Montebello (Montebello changes into 32nd and/or 33rd.)lane county
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
9/2e/7e By: L. Schrimsher 6l!'.-
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ATTHhTT!M&[APPLICATION
T.R.S.-T.1.
APPLI CANT
ALL REQUiREMENIS FOR iSSUANCE OF THIS PERMIT HAVE BEEN MET EXCEPT FOR THE
FOLLOl^lINO DIVISIONS, AS NOTED.
2b/.1-, TJATER PoLLUTIoN coNTRoL ,K
PLANN I NG r-r REASON :-. ELEVATION ;ADDRESSING T---1
UPON RECEIPT OF YOUR DIVISION, APPROVAL; THIS PERMiT I^IiLL BE ISSUED.
${ffiffiffi-ffi ffimffiw
lane ccunt)'
oorrfu-(-fi
PLANS EXAMiNER
AT"Yffiff\JTI6}[N1 APPLICATiON #
,fr T.R.S.-T.1.
APPI-I CANT
ALL REQUIREMENTS FOR ISSUANCE OF THIS PERMIT HAVE BEEN MET EXCEPT FOR THE
FOLLOI^IING DIVISIONS, AS NOTED. .
tffiffiffiThffi"Hlm ffiffi"IffiP
lane count
REAS0N ! :
sxlE_?44J7
ih5xHi?il, E
UPON RECEIPT OF YOUR DIVISION APPROVAL; THIS PERMiT I,IILL BE ISSI-IED.
+ I,JATER POL
PLANN I NG
LUTION CONTROL ,F'
PLANS EXAI.II NER,€etPtv*,.
/
'l '[8''11
t/
ffi
INFCTtiJA TIOtl nr QU I rlIpttlu f ollowlng lLomc fo tho Bull.dl n g CfflclcI at, Ioa:,t L rreoka prtortofrrs++I++tl-e*.
?A4d'r\tLf-r'
Itoturn thla f orn rlLh t rro coplos of eII roqilied tnf crnatlc
tr
tub Orr4rrrcl{,rl
Wi$oe. ?tJo t gee?cA ruu+ Vaae ru fr uf+€ qdqu dt
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& ?Wtltw
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z?' -e,, Wffi'.ft--ffi= W ?fr' :g:
b,illz,
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.Bu1 1dJ n g Pe rm1 t l'lo.
AppI1 cant
Job Locatlon
T,OL'JLIU9
I
(,Bullding Inspector , \.tm I AfnF *
(rl
LANE COUNTY, OREGON
DEPT. OF ENVIRONMENTAL MANAGEMENT
CGIEIFIEGTIGIN NGITICE
CONSTRUCTION PERMITS
A INSPECTION DIV.
JOB ADDRESS DATE
TO BLDG. PERMIT
NOTE
c55 73 FIE-tNsPEcrloN FtEoulFlEE
Phone EiBT-4OEi5 FoFl APPFIoVAL I NSPECTOR
)
I-ANE COUNTY, OREGON
DEPT. OF ENVIRONMENTAL tV
CONSTBUCTION PERMITS
& INSPECTION DIV.AGEMENT
CctFIFIECTItrtN NGITICEIJOB ADDRESS
TO
T
DATE z-
BLDG. PERTVIT
n
D.
L
L
o/-lV C&E
c55-7 3 FIE-INSiPECTIctN EIEGIIJIFIEE
phone 6lE,7-4o]6,55 FoFl APF'FIoVAL INSPECTOR
[-ANE couNTY, oREGOhr
OCFi . OF ENVIRONMENTAL tv
JOB ADDHESS
TO:
OT
AGEMENT
CG,FTHECTIC,N NC,TICE
CONSTRUCTION PERMITS
& INSPECTION DIV.
%b'/o i/, 3z !/D DATE
BLDG. PERMIT: Z
,
att
4. 5E L F- < t-. D-S / ^/Grca
c6a-73 FIE-INSPECTIC,N ETECTI'IFIEE!
Phone 687-4cl65 FG,FI APPFIG,VAL INSPECTOR
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,I-ANE COUNTY, OREGON \
DEPT. OF ENVIRONMENTAL IV. AGE IVlENT
CGIFIFIEGTIGIIV NOTICE
CONSTRUCTION PERMITS
& INSPECTION DIV.
?
JOB ADDRESS 4 ,{ :S-I*DATE :
TO:BLDG. PERtt/lT: , '
NOTE ?I rJ \':., I [.,E (./F\
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c55-73 FIE-INSPECTIclN FIEOUIFIEEI
ri.fPhone 6,E37-4o6,5 FoFl AFPFIoVAL INSPECTOR
., ,) -. ART*ENr 0F ENVTR,NT4ENTAL T4ANAGEMENT
h", 6 V o @lJftni.!!{l:,il8l:'
\
App .l ication #
Ci ty
atj
Job Address Ass i gned Numbers
Townshi p, Range, Secti on , Tgx Lot
Subdivision
7
a lElt\d c Lot tt J Block
Structures now on the proper{y
Proposed use of property: d
Appl ication for
owner-- -auty
Signature/Add
/)
Resjdential 17 Commercial /7 Industrial /-/ Public
AlollAffi dav i t: I ,
ease nt
If this appl ication is for an agr cul tural bu tdi
Lane County Code Chapter I0 (zoning) and for no o
hereby certify that this information is true and accurate.
ng it will be used for purposes allowed by the State Building Code and
ther purpose. I have the following 1ega1 interest in the property:
p
'i
of record; contract purchaser; lessee; holder of an exclus'ive option to purchase;
aulhorized to act for the owner, who is knowledgeable of this application.
ress ( zi p)
orTe1 ephone
When permit is ready notify Appl i cant
Owner
Con trac to r
Contractor's 0SR#
/_/ Owner /-/ ConLractor by: /://-/ phone
PhoneL+/allr z1
e{ iaf cor,s{Phone
Plumbing by I lat\m,(tr
If Commercial
Residential:
Code
# of stories
# of bedrooms
SI test holes ready
# of employees # of units
SDS: /_/ Exi sti ng, BP #
t Proposed, SI #
27/d
Fee Sq. Ft. or
# of Sites
Unit
Cos t
\t1 $
tr-
$
$
Received by_
Total Val uat'ion: $
Plumbing fixtures at $
Sewer/water conn. at $
4% State surcharge
Plans check fee
Change of 0ccupancy
$
/*/ Cash
each $
each $\t{/ye heck #
$
'*.e<,d )
Su btotal
TOTAL
$Water Supply
Pro pos ed
Year Instal I ed
$Existing
$
PERI"IIT PROCESSING
Minimum setbacks: t, front
Zone Parcel #_ /W; int.L I
rl Size \\
t, side ; rear
Comments
t\Da te =leJ
WATER POLLUTION CONTROL
Instal I ation spec i fications
It
I
ga1. tank; W ft. of d
'l4ww" aa,rd d&c/ z't
; max. depth of trenches
LE
Da te
To be typed on permi
By
recti ons to s i te "l:t
s
S
r\
/-/ srFo Pl ans to CP&I
I^JPC
set
set
Da te
Requ i red
Hold S11p
to PCC
Date to
PCCCompl eted
1_/ CP&I
/_-/ 'iPc
17 Planning
/-/ Public Works
! tlevation /-/ n/a
/l Address
/ / tacl I r ty Permi t
| / Env i ronmental Heal th
%rna frlt/auA 4Astww
y vncerdeE. eanfilttafab
6-r MlrL
J,$Y/4Es,4.r c Permit Control Center 687-HELP $87-4357)
I
7
Description Val uati on Fee
$
Part. #\
To be typed on permit
5I
\RTIIENT OF ENVIRONT4ENTAL I1ANAGEMENT
PSB,'I25 EAST BTH AVENUE,HSH ryl
.s.r .i
\
Job Address
Appl ication for
Structures now on the property
IrSpfisld Uir Of ,proPrrtyl
Affidavit: I,
If this applicati
Lane County Code
owner of
-.o*--:-a,tv
a,tt'
S i gna ture/Addres s
on is for an agr cu tura
record;
,Ats!gntd, ttumbtrr
:Sl,qCk:
l-l i$ffi*tlr,t:., :i:Iffi$I,iii lftil, r:s..sililcii
hereby certify that this information is true and accurate
1 essee;ho lder of an exclusive option to purchase;
Chapter l0 (zon'ing) and for no o
ng
th
it will be used for purposes allowed by the State Building Code ander purpose. I have the following legal interest ln the property:
J
<-
buildi
con trac t purchaser;
t.Io,'. /{)-slAraoe I
ori zed t r the owner, who is lnowlEi!'eab le?S
I ephone 2 V')LS?or
s pp I ication.
.1 zl ?7
I'Jhen permi t i s ready noti fy
O*ner _
Con trac tor
Contractor's
Da te'licant /-/0urner /-/ Contractor 9L, ,n mail
4\z 7
z1
Plumbing by
phone
cPhon
Phone ?
If Conmercial:
Residential:
# of employees
--
,{iilf,j.rur :ir
i$S,$,iti' /]/ Exist'ins, BP
/_7 Proposed, SI
uni.t.gsi!
*---(1 15
tion
ed-
SI test holes ready
\ot
t, rron
Total Valuation: t
4% State surcharge
PIans check fee
Change of 0ccupancy
Parce'l #
=DS
each $
each $_
$
rh#lng fllturc$
Ser{etifurtrr qon{*.
at
at
(
t*t
Received by
llater Supp
Proposed
Year Instal
PERMIT PROCESSING
Minimum setbacks:
Corment
To be typed on permit
Su btota I
TOTAL
$
$
$
$Existi ng N.grr
i
, side ; int
8y Da te
CP& I Group Fire Zone Use Classification
To be typed on pennit
By 0ate
PhoneFor plans information calI (a i nspec
Directions to si
/-/ SIFO Plans to: CP&l __ set(s)'-' ;z - l.lPC _ set (s )
/// cP&\
D/r,,
/l Planning
/-/ Public Works ,/
//Ejevation finta-_ -//tf Address
/_/ Faci l i ty Permi t
/-/ Environnental Heal th
FoR INF0R||ATI0rl'l about proqress of your appl ication cal l
c74-L7L
Hold Sl ip
to PCC
Da te
Comp l eted
Da te
Requ i red
Date to
PCC
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HOLD SLIP
APPLICATION #
Name
Address
p
The Lane County Water Pollution Control Division cannot proceed
wi th process i ng your appl i cat'ion because :
l. Incomplete appl jcation ( items deficient).
nrd.t/ruAddress
and/or directions to appl icat'ion site.
,,W:rl, ProPosed Number of bedrooms in dwelling.
ffW' Approvable plot plan (see attachment).
Notificat'ion of date test holes will be ready.
Verjficat'ion of existing system required (memorandum
expl a i n'i ng th i s procedure attached ) .
Two test holes (2'X4'X5'deep) required for expansion
or repair of existing sewage disposal system in the
area of the ProPosed drainfjelds.
2
J
4 Other: __
M74 - 181
WATER POLLUTION CONTROL DIVISION II25 EAST Bth AVENUE / PUBLIC SERVICE BUILDII\G
ENVIRONI'4ENTAL MANAGET"IENT DEPARIMENT"/ EUGENE, OREGoN 97401 b8/-4ubl
\
bnecountyHOLI' SIIP 6l!'rr-APPLICATION #
Name P7
Address
Zip Code
The Lane County Water Pollution Control Division cannot procee p^i
with processing your app'licat'ion because:
l. Incomplete appl icat'ion ( items deficient).
Address and/or directions to application site.
Proposed Number of bedrooms in dwe'l1ing.
Approvable plot plan (see attachment).
Notjfication of date test holes will be ready.
5,
2.
3.
4.
Verification of existing system required (memorandum
explain'ing th'is procedure attached).
Two test holes (2'X4'X5'deep) required for expans'ion
or repair of existing sewage disposal system in the
area of the proposed drainfjelds.
Other:
\^/
M74 - 181
WATER POLLUTION CONTROL DIVISION / ENVIRONT,4ENTAL PIANAGEMENT DEPARTI,' Bth AVENUE-
-"7 p[sric aERVrcE BUTLDTNG / EUGENE, oREGoN e7401 oszJ[U[r
T
lane county
APPLIcATToN * ZIZ? -11
Name
Address
Zip Code
The Lane County Water Pollution Control Division cannot proceed
procqssing your application because:
)/ Incomplete application ('items deficient).(
Address and/or directions to application site.
HOLIT SLIP
Proposed Number of bedrooms in dwelling.
4';!;;'M;iltWil^;,*ttrNotjficerlon of date test holes will be ready.
u
" "
i r#u4o,M., rW r,f,^ W"ffi ,o. u n a u,
expla'ining this procedure atYached).
Two test holes (2'X4'X5'deep) required for expansion
or repair of existing sewage disposal system in the
area of the proposed drainfields.
0ther:
w'ith
aL
3
4
i'{74 - 18 1
WATER POLLUTION CONTROL DIVISION /I25 EAST 8th AVENUE / PUBLIC SERVICE BUILDING
ENV IRONI4ENTAL MANAGEMENT DEPARTMENT/ EUGENE, oREGoN 97401 687-4061
-
lane county
APPLICATION #
Name
Address
Z'i p Code
The Lane County Water Pollution Control Division cannot proceed
with process'ing your application because:
I . Incompl ete app'l j cati on ( i tems def i cient) .
Address and/or directions to applicat'ion site.
HOLI' SLIP
Proposed Number of bedrooms in dwe11ing.
Approvable plot plan (see attachment).
Notifjcat'ion of date test holes will be ready.
Verification of existing system required (memorandum
explaining this procedure attached).
Two test holes (2'X4'X5'deep) requ'ired for expansion
or repair of ex'isting sewage disposal system in the
area of the proPosed drainfields.
2
3
4 0ther:
7a
M74-181
WATER POLLUTION CONTROL DIVISION /I25 EAST Bth AVENUE / PUBLIC SERVICE BUILDING
ENViRONMENTAL MANAGEIIENT DE/ EUGENE, OREGON 9740I
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