HomeMy WebLinkAboutPermit Demolition 1978-10-02TRS, TL
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Subdivision GLrr:cor.i AcRES
Job Location ]2r.ro. erc ]Jno. Sr.
Written Directions
Block
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SITE FEASIBTLITY REPORT FOR SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL
Lot
OWNER'S NAME AND ADDRESS
APPLICANT'S NAME AND ADDRESS Cnen lEs Grr l LE 52 Crrlrrr.*r r nr Loop, Er-rSeNt 97ll0I p6on" 141-9855
p6on. 631-8oq7Glru Drrur 2792A Gnrsx Clxs De", Ersrn E.
Mail report to ($;Appticant ( ) Owner ( ) Prefer to pick up. Call (owner, etc.) when ready,
STRUCTURES NOW ON THE PROPERTY
PROPOSED USE OF PROPERTY llulrt r rmc
WATER SUPPLY eq rr.rr:rrrnr l'lerrp [)rsr-WITHIN ONE MILE OF THE CITY OF [,4 (No)_
I horeby certify that tho abovo statements aro tuo and acqrratq and that I havs tho lollowing legal intor6t in the property:
-owner
ol rocord;
contract purchaser; potential buyer; .\i)i realtor or
record, and that said owner is aware and approves of this action.
TEST HOLES READY 9-21-i8
certify that (if not the owner) I am authorized to act for the owner of
ps /s./CH4qt rs ntrttr Date 9-21-?8
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* * * oFFlcE usE oNLY BELOW THIS LINE * * *
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NSURE
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SITE: f;
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MEETS STATE STANDARDS N DOES NOT MEET STATE STANDARDS.LAND USE COMPLIANCE
Zoning IlA
loAcreage or Lot Size OCO. So.(TOTAL)
75 4,.;-.{)
partitionins #- [-] !:fr?l?"
THIS IS A PRELIMINAHY REPORT WHICH DOES N
TURES MADE ELIANCE UPON THIS REPORT ARE
AUTHORIZED SIGNATURE
Division of Water Pollution Control
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
c55-32
Parcel #-
ANCE OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDI-
RISK. IF SITE IS APPROVED, SEE REVERSE SIDE
JEAr Crsrnu:t t!a5_tr_
DATE AUTHORIZED SIGNATURE
Permit Processing Section
125 EAST 8TH AVENUE, EUGENE, OREGON 97401 687-4061
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LANE COUNTY NEPARTMENT OF ENVIRONMENTAL MANAGEMENT
125 EA. ETH AVENUE, EUGENE, OREGON g 1
n praNNrNG DrvIsIoN current ,."r", C(-.;{AVERAGE PROCESSINC
tf
t
Partltlonlng I f]nendlns f]completed
Parccl No
1 red
Hl?El POLLUTION CONTROL I ol Sltea_
llGe Slt. fnBpcctlon (e)_
6DS Consrructlon [J New f] nepalr
tlu$ber ol Bedroorner_
Councrclal/Industrlal - I ol E.ployeer_
Other
CONSIRUCTION PERMITS AND INSPECTION FEE(Sea abovc for I of bedrooms,/l o!a)
t] ;.lobtt. Hoto.'
tr Permanent
. n Temporary
t] RenerratStructure
?otal v tion S
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Each S
It Stata S
Planr Chec
Change of
k Fec
Subtota I
TOTAL BUILDING ERHIT TEE
on,
l{lnlmun r tural eetbacke:
Proo cente inc ol atreet: Front
Exterior Slde
Froo lor lot. lines: Side
f! conro'plan
PUBLIC IANDStlPUBLIC TTORXS D Faci I I
E}'vIRON}{ENTAL
Carh Chrcl I
s aheet .o upprr.lif-fi crruE-I-oppttcanr
tr Address t] Hinlmm Elevnrion
Pe rnit
Rear
Roc'd by TOTAI. S
or that the ovner of record iB kn owledgeable of thigfurther agre e ywi all a codea relatlng
AFPTDAVITI -It thls Permlt ls for an agrlcultural buildl.ng, I hereby declare that thiB butldlngulll be used for agricultural purposes as allowed by zoning and/or Lhe state Building Code, an6lor no other purpose. I further certify that the siatemenig and other informatlon submltted onthk aPPl'j'cation are true and accurate, and that I have the followlng legal intercat ln theproperty: ounGr of recordi contract purchaseri Lesseei _holder of an exclutive optlonto Purchase;--duly authorizeif-Eo act for a person-wE6-hes the f6lflowing legal lnterestr brre collnty
lP9 ca
6E!'.-
am no ol/ne r .to th18 pernlt. ,.D*. q 2//7t Applicant'a Signa
rSIS IS YOUR RECEIPT, AND DOES NOT GIVE YOU PERIT.IISSION TO BUILD.
'OR
INFOR!,IATION ABOUT THE PROGRESS OT YOUR APPLICATION, CALL PERIIIIT CoNTRoL, 587-.357 (687-HELP)
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Address
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AInolrrru.0t llxIr
I\PPLICATI (f NAy el.ceLEJ N, 6 u aZ
*-"{?dtu-r___- t,ltoNE
0fftce Usc Only
3/J - 78do'
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A'PL
ADDIESS_-_ __
oylrER (rr DtTFERE{T)
ADDRESS___
CONTRACTOR
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ADI)t(ESS -. -. __(joNrfiA(:lt)li's ()kf. STATI Llct.NsE
}rrll. coHI'l.l.Tut) PTRHIT [R/(ioN'nuctoR ((:lRcLr uHDl -] pRIFER To prcK ul
l. PRESL.}IT USE Ot'PRo|'ERTY (restd|ntlali t ype of fomln6; colwrclol or lndutrlal; vacant; etc.),F,Z dF*p r zpc f 7*p
2, n[sctnrfl STRU(:TUR]:S NOH ON TilE pt{opliRl.y. N()l.E AN\, 51 trtr(:IURES TO 8t DtHor,ll;[t_l). o rOL'apE t/r"rPt/Eb_-To-- &Z E>
IHXLDIATE PIANS FOR THIS PROPERTY )AR t <-/tdl (l,tl -/?4eEs
a. l'uTtrR[ t't.ANs l/
J. PLOT TLAN hSketch (8) al1 roads (b) botndartce of
proposed saage dlsposal areas (a) exls(g) easemnts (h) dratnagevays, str€r&qor ln,luit rl!I, s hou f reestundlng rtBns,
property (c) exlstlnS/proposed bu1
tlnB/proposed uells (f) extstlng/p
. creeks. auy orhcr p"rtJnent featuparklng arear. INDICATE DTHENSIONS
ldlngs (d) exiatlng/
roposed drlveeaya
rca. If cosmrclel
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SIl}: INSI,ECTI()N TT:ST II()LTS RE,ADY (DATF.)_. -
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EI,E(:TRJCITY II]ILiISIIED 8Y
ul t.t.SI'R IN(;sl R|:AH. _- LAK[: _HA 7-7
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BEIORE YouR AtPl'lcal loN crl.l BE PRocEssED You HLlsr FUIrIISH: ..--__8!xtt plor pLANs LEGAL DEscRIprIoN
(D r HEXS ION [:D)
IY 26 1.-of ____ D^, EA-G-_Z!_ /:? z B
LANE COUNTY DEPARTMEN'T OF ENVIRONMENTAL MANAGEMENT
125 EAST BTH AVENUE, EUGENE, OREGON 97401
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ldne ccurty
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SITE EVA.LUATION WORKSHEET
RANGE SECTIONCJ /?TAX LOT #
ZON ING :RA PROPOSED USE:
WATER SUPPLY: COI.OIUNITY PUBLIC
SUBDIvIsI0N/PARTITI0N 6leilon /"."s
IF SITE MEETS STAI.IDARDS FILL OUT:
Type of st,ruct.ure and approximaEe sewage f low:
ltul ti-f ami ly
Conrnerc ia I
SIZE oF PROPERTY: /0 O0O sofr X
8pd
cPd
MINIMUM DESIGN REQUIREMENTS:
Length of disposal r.rench required
Distribution l,lethod: Equal EJ
Curtain drain required:
Oche r :
AI'IOLJNT US$LE AREA: q tl
INDIVIDUAL
Single Family
Indus tria I
Ins titutional
LOT y' atocK__PARCEL_
sPd,/u,
cpd
8pd
tso
k{o il Oc 75 ln"o/ f/,/150 gaI.
Yes
Se ria I
No ^8.
ATISPECIAL SITE CONSIDERATIONS OR VARIANCE OPTIONS OR
NA}IE:DATE OF EVALUATION:t r /",/ 7l
DDC
Conplrl T
c74-L26
StJon 7{
LoCATIoN: TWP. /7
J LII
/I 2 8ST HoLE#r TEST OLE
PERCHED WATER PROFILE
Prediceed
Obse rved
l).r Lc
Inch
1n
t2
v-SATURATED ZONE
Predicced
Obse rve d
Dat.e
1n 24 1o
1n I n
36 E,
Res t.rict,ive Layer
Impervious Layer
d*. inFi"8do
Ilorcling r'rAn o g0 in 48
60SL0PE F/.1 %
PREDICTED WATER
Predic ted
Observcd
Dil Lc
in.
tn.
SATURATED ZONE
Predicted
Obse rve d
Date
1n
n
Restrictive Layer _in,Impervious Layer in,
Mott 1 ing ln,
SLOPE o/
PROFILE
Inch
72-
24-
36-
48-
60-
XSITE DOES DOES NOT }.IEET I"IINIMUM STANDARDS.
ADMINISTRATIVE RULES REQUIRE A MINIMTJI'T DEPTH OF:
36 inches to an impermeable layer
30 i-nches to a restrictive layer
60 inches to a perrnanent. water table
24 inches t.o a E,emporarily perched wat,er Lable
OTHER REASONS FOR DENIAL
ON YOUR PROPERTY THE DEPTH
I^trAS:
inches
inches
inche s
inches
PLOT PLAI.I:
SEream
--hA-.h-Drainage or
pond
a, . . la.aa... .a a | ,
Road
----
Tcst HoIe @
\ % SIoPe
Cut Bank
//, tl-/-
Fence
x-x
S* ?L+ M^p lot /
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73 DTGIENDOIV t?C
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SPRINGFIELED
CITY OF SPRINGFIETD
Office of Community & Economic Development
FBRUART 2, 1988
Planning
I,ANE COT]I\TIY E}NruRON]MENIAL HEALTHAttn: Stan Petrasel<
125 East ilth Ave.
Eugene, OR. 97401
RE: Septic permit application, 2452 lIo. 33rd. Street
Dear Stan:
I have enclosed a sopey of all jnformation found in the forner County filesfor tlre above referenced address. Ttre application indicates ttrat ttre permitis to be rnailed to tlre applicant, hcnrever I r,could like you to rnail it to nre
and r will attach it to ttreir approved construction docrrrerrts.
Thank you for your crcoperation in LrandUng these applications in a tinely
fllallner.
Sincerely,
Lorne W. Pleger, Plans Eb<aminer
FEB 0 3 iggSb
Laie CqJnrv
Enrironmenta tfram
225 Fifth Street a Springfield, OR 97477 a 5031726-37 53
s.l. #
TRS,tt "e,i * QIO
Subdivision
Job Location
Written Directions
Lot- Block
SITE FEASIBILITY REPORT FOR SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL
APPLICANT'S NAME AND ADDRESS
OWNER'S NAME AND ADDRESS
Mail reportto ( )Applicant ( )Owner ( ) Prefer to pick up. Call
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Phone-
Phone-
(owner, etc.) when ready.
STRUCTURES NOW ON THE PROPERTY
PROPOSED USE OF PROPERTY
WATER SUPPLY
record, and that said owner is aware and approves of this action.
TEST HOLES READY
WITHIN ONE M!LE OF THE CITY OF (No)---
agent. I further certify that (if not the owner) I am authorized to act for the owner of
,/
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(r/ Signature Date---
I hereby certify that the above statomonts gre true and accurate, and that I hav€ the tollowing logal intor€at in the property:
-owner
ol rocord;
E DOES NOT NNEET STATE STANDARDS.LAND USE COIVIPLIANCE
Zoning
Acreage or Lot Size
AUTHORIZED SIGNATURE
Permit Processing Section
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Pernding
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pletePartitioning
Parcel #-
THIS IS A PRELIMINARY BEPORT WHICH DOES NOT ENSUBE THE ISSUANCE OF A FUTUBE BUILDING PEBMIT. ANY PLANS OB EXPENDI.
TURES I\i]ADE IN RELIANCE UPON THIS REPOBT ARE AT YOUR OWN RISK, IF SITE IS APPROVED, SEE REVERSE SIDE.
AUTHORIZED SIGNATURE DATE
Division of Water Pollution Control
LANE COUNTY DEPARTIVIENT OF ENVIRONMENTAL MANAGEMENT
c55-32
DATE
125 EAST 8TH AVENUE, EUGENE, OREGON 97401 687-4061
FSI rt I
* * r oFFlcE usE oNLY BELOW THIS LINE * * *
SITE: t] MEETS STATE STANDARDS
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OAR Chapter 340, Division 7, Section 72-O2Q(61: This report shall remain in effect until issuance of a
permit to construct, unless in the meantime conditions on this or adjacent properties have been altered in
any manner which would prohibit issuance of a permit, in which case this evaluation report shall be con-
sidered null and void. Technical rule changes will not invalidate any evaluation report issued pursuant to
this section.
Before construction is started bring this form to the Department of Environmental Management and apply
for a building permit. Exact specifications for the sewage disposal system will appear on the permit.
lf the property is only a portion of a tax lot, a partitioning or subdivision must be approved before the
permit will be issued.
Only persons having a valid license issued by the Department of Environmental Ouality under ORS 454.695
to install subsurface sewage disposal systems or an owneror 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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LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
125 E - ,'8TH AVENUE, EUGENE, OREGON O1
PartItlonlng t--- lrending f]completedParccl No._
Partltlonlnq ulred
he
AVERAGE PROCESSING
HATEN POLLUTION CONTROL
UGU Slt. Inapection(a)
6DS Conltructlon [-J Hew f] nepalr
Nunber of BedroofiBr_--
Councrclal,/IndustrlaI - I o! Employees
Other
I ot Slter lil ,F\(rl'urtr
H4.)r{,)-l
H
CONSTRUCTION PERMITS AND INSPECTION(See above for I of bedrooms,/l of ,employeea)t] !{obrla Holro ;
t] permanent
f, Temporary
StructurE- Sg. pt..j Valuatton
FEE
s
s
, Plurnbing fix
_- Sewer^tater
Froo ln
I con*
PUBLTC raNDs. tr
PUBLIC I,,ORXS i]
E}IVIRONHENIAL H
Carh_ ChecL I
Total v!tion S
sat $
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Each S
[ach 3
Subtotal
t!t st6to su
Plans Check Fee
Change of ncy
TOTAL BUILDING PERHIT TEE
ltlnlmtu! r aL getbacks:
Fron cen ine of atreet: Front
Exterior SIde
lor lot lines; Side_-- Rear_
plans aheet to appllcant f CurU cut to appltcant
t!Fx
Address f] Minlmm Elevlrion
FaciIi Permit
Roc'd by
AFFIDAVIT: If th18 permlt ia for an aqriculwiII be used for agricultural purposes as al
I9T no ot.her purpose. I further certify thathl8 application are true and accurate, and
Plop€rty : _omer - of record; _ con tract puto Purchasei _duly authorized--to act for a
ffiIiE-6wn-eil-i;rto thls perrnlt. ,D.r. g/ 2 /y'7t Appricant,s sisna
TOTAL S
or that the oHner of record is knowledgeable of this
tural buildlng, I hereby declare that this butldlngIowed by zoning and,/or the State Building Code, anit the 6tatements and other information submitted onthat I have the following legal intereat in therchaser; _lessee; _holder of an exclucive opEtonperson wE5-has the E6lf1owing legal lnterest:hra coLrnty
urther agree c ly wi all a codea relating
rHTS IS YOUR RECEIPT, AND DOES T.IOT GIVE YOU PERMISSION TO BUILD.
FOR INTOR}iI,ATION AIOUT lHE PROGRESS OF YOUR APPLICATION, CALL PEru,rIT CONTROL, 687-{357 (687-HELP)
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Address
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APPLICATIc] N Offlce Usc Only
87 el.qaLEJ H. 6 ut </
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ADDITESS
OIJ}IER ( IF DITFERENT)
A!DRESS
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CONTNACTON PHONE,
ADt)l([ss --(:oNll(A|t{)t':i t)RI. STAT!: Ltct_NsU
|r Il- c()Hl'l,l.TH) PDiHlT TO r:R/(:0N'rR Cl0R ((:lRCLt: rttull -]PRT:FT.R TO PICK UI" CAI-L
PRESLXT tlSE Of' I'ROl'ERTY (rcaldtntleli typ€ of f omtnS; corerc1*l or lndut rlsl ; vacant; ctc.)frz 4aPA_-____U-qriZ&nc
t. DEs(:nlilt STI{U(:TIJRl:s Nou ON TllE Pl{oPliltlI. N(rlU AN\ 51 lur(:IURES To Bl Dtr,t()t,ll;l}.t). O ltJL,
T-o-*_?_Z__,r>
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I. IHHIDIATE PLNNS FOR
t_L&PE!_
THIS PROPERIY (-THIS APPLICAT
4, fUTtrRt t't.AN5
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J. PLOT TLAN Sketch (a) alL roods (b) bornda
prc,posed sdate dlsposal areas(g) casemnts (h) dralnagevays,
or ln(lurtrlrl, Ehoe fr.estondtnglrrlltlli-- i ---
li'ri,liiirrl
. , .- ..1-.-. -
rlce of property (c) exlsttng/p(e) exlstlnS/proposed vells (f)
atr€lLe, creeks. !ny oIhat pcrt
rlgns, parklng areat. INDICATE
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sro€
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roposed butldlnts (d) extettag/
existlng/proposed drlrevayr
,nent f".turer. If coorclel
D I XENS IONS.
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BEFORI YouR Al'Pl,lc 1toN (nN BE PRocEssED You Mtrsr ru&\IsH: ..-_*___8!xu pLor pLANs LECAL DEscRIpTIoN
(Dtx[Nst0Nr:D)
L ANE COUNTY DEPARTMEN'T OF ENVIRONMENTAL MANAGEMENT
125 EAST BTH AVENUE, EUGENE, OREGON 97401
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LOCATION: TWP.
SITE EVA.LUATION WORKSHEET
SECTION /7/F RANGE OJ TAX LOT #
RA PROPOSED USE:
SUBDIVISION/PARTITION 6Ieilon /ctos L ot y' ILocK_______PARCEL_
IF SITE I.,IEETS STA}IDARDS FILL OUT:
Type of structure and approxirnate se\"rage f low:
srzE oF PRoPERTY: J0 0 QO u9 fl .r
ZON ING:
WATER SUPPLY:COMMUNITY
ltulti-family
Corrnercial
Curtain drain required:
Oche r :
AMOLJNT US$LE AREA: q tl
PUBLIC
Single FamiIy
Indu s tria I
Institutional
tso
gpd
8Pd
gpa/,4J,oo
gpd
8Pd
MINIMUM DESIGN REQUIREMENTS:
Length of disposal t.rench required k{o ft oc 7s ln.n/ fl /150 gal.
Distribucion Mechod: Equal El fl
^8.Yes
aI
No
Seri
SPECIAL SITE CONSIDERATIONS OR VARIANCE OPTIONS OR OTHER ALTERNATIVES:
DATE OF EVALUATION:tr/",/ 7l
NA]'IE:
doc
A^plolc
c7 4- 126
3lJo, 7{
tr INDIVIDUAL |:J
#t TEST )LE
PERCHED WATER PROFILE
Predicted
Obse rvcd
l)"t tt'
Inch
IN
72 q-
SATURATED ZONE
Predicced
Obse rve d
Dat,e
1n
ln
24 1o
?7
36 E,
RestricEive Layer
Impervious Layer
d*r inlE_i"
8do
l'1otcling llhn o gA in 48
60SL0PE FLI %
i/2 ST HOLE
PREDICTED WATER
Predic ted
Observcd
Da Lc
LN
IN
SATURATED ZONE
Predic te d
Obse rve d
Dat.e
1n
]-n,
Restrictive Layer _in,Impervious Layer in,
I"lottling ]-fl r
SLOPE o/
PROFILE
Inch
72-
24-
36-
48-
60-
X
t
DOES NOT }.IEET MINIMT]M STA].IDARDS.
ADMINISTRATIVE RULES REQUIRE A MINIMUM DEPTH OF:
36 inches to an impermeable layer
30 inclies Lo a restricEive layer
60 inches E.o a perrnanent water table
24 inches to a Eemporarily perched water uable
OTHER REASONS FOR DEN]AL
sl#7 f(- ?//
ON YOUR PROPERTY THE DEPTH
T.IAS:
inches
inches
inches
inches
SlTE DOES
PLOT PI,AIII:
Stream
.-\.lr-
Drainage or
pond
l. r.trta n..art,
Road
'lle s t Hole @
\ % SloPe
tlu t tsank
77717r
Fence
X-X
S* ?L+ M^p {ot /