Loading...
HomeMy WebLinkAboutPermit Septic Tank 1993-8-24 .._,;~.u &.8 !SPFLO ~,""- . .. ~ ' . PERMIT # 3otfg-93 . REQUEST FOR: C:SQTIC REPAIR! . ".. . ~ {r.k.~p ~~ s~dro" ::04s6~ 18 03 02 .3.3 LOCATIO\lADDR~" LJ..-7'5.1-INLAND WAY, -f;rHl)[.;rUH~N~OPERl'( ././.11/ TAXlOf 600 . SPRINGFIELD / 97477 . I... \. . SUBOMSJallIPARTTTlON . .... .\L LOT I PAAGa BLOCK . l MOBILE HOME PROPOSED USE SEPT!;; NSTALlEO WATER MTAllED I>DOFSTOR/€S NO: OF EMPlOYEES CCNSffiUCTJON COSTIVALUE _RE.s_o YES DESCf\lPT'CNCFPA:::POOEDWOAK NO O'BEDHOCMS REPA~R OF DRAINFIELD DIRECTIONS TQSITE FROU NEAREST MAIN lNTE.ASECTIOO 2ND ST. SOUTH TO HARBOR DR. MOBILE PARK TO INLAND WAY; (AT DORRIS THIRD HOUSE RANCH ENTRANCE); ON LEFT. 97478 RIGHT THROUGH -AP'PlICAIIITNAME & ADDRESS PH0NE H. DEAN HILL, 6837 OWNERS NAME & ADDRESS MAX & JUNE NYGARD, -CCffi"RACTOR IINSTALLE~ BUILDER NAME THE DRAIN DOCTOR ) MAIL PERMIT TO: MAX & JUNE NYGARD, )'.... . I have carefully read H - JlF.!j,N l-lTT,T. ~. PRINT NAME F ST., SPRINGFIELD 1751 ]NLAND WAY, SPRINGFIELD 97477 CCB' 741-0981 PHONE 746-9892 PI-IQNE , . 1751 INLAND WAY, StREET SPRINGFIELD 97477 mY t Is tr..ue !,n~f3: ~-E3 - ,=) ..' .. ., M'. -:.' ., er by certi~/ormatlon ",., I. '.1. I READ I FEES DUE: $ . APPROVED BY: ./7 DATE $_2G -~3 '1.l'" CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065 SEPTIC permits ere good for one yesr. ALL other permits expire sffer 180 dsys unless Inspect/on.s sre t. current. . LMD 040 Rev. 6/92 I d o 02 QJ. <:( 'j"' ~ .r ,"l~ .:< -."~ . C1 vn.Q "e.I \) .. ..-, pra '51/1 n9-, f/'/-< . . 1I~S"\ 1(', , (~ , ( J \, r.j- - .~G~-I , . I (.. I ~ I . ;::::= I -1-ri -r- (V . . ~ L' , I ..c t .. f . I ~ {tV l- ~I\j LA.ND. ?ro~ Drt\~,.A'eJd ' SEW AGE DISPOSAL PLOT PLAN APPROVED A permit is required prier to stfl1j!ng con$fruction. lATE ,r -.2(, - '1.3 ~ .. -. ......- ENVI"ONMENTAL HEALTH SE ICILS- lZ!5 EAST 8TH AVENU EUGENE. OI'tEGON Q7401 IV jJ P Jv 'if- 73 .In" I" i, .. .. 'I , I ~ l . ! ! r.1,if j' ; .,1 : 1 I 1 .. ~ _..- _ _ _ _,L __ } Ii ii II, i~ ' ~. LANE COUNTY: DEPT ENV MGT RECEIPY . 304893 DATE 08j ~: APPLICANT HILL, H. DEAN ADDR 6831 F ST.. SPRINGFIELD TLI 1803023300600 SUBDIV . LOT .' NEW BLDG TYPE .USE RBDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 741 OWNER NME NYGARD, MAX AD DR 1751 INLAND WAY,SPRINGFIELD . CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE Bl' .IW SF' SF' SF' I. L K;l l '.~ . I.j i ' 0""- ; I hW;~ e \ ~ 'ill', ' .' , PL MECH sur, rex .SDS SDEQ. IFIX/BATH: SWR: FT. WTR:. i'iECHAN I CAL FEE STATE SUf,CHAF,GE PLAN CHECI< FTE FT. F,AIN: FT LC 304893 "S'DSI~ FEE SDSR , 00.00 1 0,. (,)() l . " ! j) ~ I i 5% 25% CATG: PLN SEQIJ: TAI<EN BY MLC I:,A. SDS '..1 ES'L EL.E PCI< ISS I SI DT!', CDMPLETIDN DelTE DEPDS IT*" I 10 J)0 CI( i j ~ '\ i r) ....-, ilt\;1, , , LANE COUNTY DEPT ENVMGT ,RECEIPT '~304893 D~\TE 08'29~ I1-UI1AF'PUcMn' HILL;H, DEAN AD DR 6837 F ST.,. SF'FiINGFIELD ," . ~"iI u. I TUI' 180302330%00' .SUBDIV' .. .' .. lOJ:, BlK"i!, NEW.'BLDG TyPE,... USE R BDRMS0 UNITS 00,1. STpRIES !,lBLDGS pOl' PI'lONE 741 0.!;V1" OWNER NME. NYGARD, MAX .. ADDR.....17~)1 . INLAND WAY'. SPRiNGFIELD ,. -8 .. CODE AF'F'l NO ACTION DESCI~IPnON' SO FT liNIT COST VALUATION ... FEE. .. )A~ ;:'.,:!,':?~; ;",J" . ..; . ... /.>' '"J~ ii., y .. . .... ..'. ,. . .~i~n~ ~~~', .<~,..EB~. FF~I,~.~.I.'.:?J...~,.-.;,...t", "J, . ~""'<'i : :"'';1-.:~.:j..,'~~~:,'~: "IF' . ',-, .: ,:;::;:,:".I/f,,'.~~:~C ;';4:~~t ".~. ,1;~t("'f .,,'> . '. .... J:: f . . ,'" :~. .~";",.-:.'~ "..> \ " , ,_,~ . .."*,,,,~,;i, _""",,,,'. '.~~', ~';r~:,;',2':, ~'\;'''~'....t<!'' . '. i;:t\ ,\ .,,<Y' '-">~~;'~~t,~<,. . ~ >it-FIX/tIAnr: SWR: FT'.Wm:. FT.' RAIN':%"( ,."F'i' i'. "~ .., MECHAN1CAt: FEE . . '". "',,; io,',. .~a, StATEJURC~ARGE 5% ~ PLAN CHECK FEE.25%. -I .1 . ' ,~ f0b,00 . 10...00 j . ~ . 'd;~i \~ fi 1 f 0 .00 clq ,. '6~i ~:~:f: ,T., . . '. ':~~;~,' . -. '~-''>:'~''--'~';''''if'~:I'~:i''";<~''''''''''''-:_'; ~. ; ~" f"~ l /L.~,.- .' '..~. :' -~r~4' ~L J.1"ji. .: .-, ,;.' , ~r-~~-:::;~.f '(' "",; ~-"':- "r "...:'~ c-\,..>';"" '_, , .". '..,f. ..p.' . '. "; .. "~' '~'''.'.(r:~. ..~_ ' I " . ., . - I '~"_. , "'I' ,.. ':',:-'~. '(;--"';;;'1,- . r",' .,:\/,\",\...._-/' - :'- >, ii " ;:,tJ. i}.~ . "hf. ,: '.-': . . ~J::' ~ . ..~ "'., '-. ..t.p,,;" ...... . ~') , : ~. ..' ' :~?"f:~>"" " '..1"" .~ l _./ '.' " .,' .. ~ ',' ,. ",' J. I li'1i~ , \'1 '/' . t l;' .:;,-'. .---~ I" _..-,/ ~ . ::.1,< '. ;G,' .. '.' .. '~~: -i~~~_..1;;:~:. . \ if..: ....1'. .. , , '-~ ' ., ,. ~". . .--' '.';,'j. .. . .,;:'. I \ '. . . ~~& ." , ..~ :4-~ 4'~P' . ."..", ..;r .-<'- :~:.~,~' .! ..:..-' 't. ';t' '., , . . ,~':...' " 't l' '; Pl'. lUll/. MECH, Illl; SUF( F'CI( . ".",." SDS . . ;:iGiW!'SDioQ ~~t~;.... d; 304893 SDSR" FEE . SDSR.. .' ". ' .;",1. . ....i}....., ,i;.~'~~.,..~- ;f~~.",." -~~ " f"'.', . , . '/ S1 OTR '" . ,. '-. . .. . EL.E P.CK ISS .. PLN. SDS 1 EST. RA CAT.G: :.SEQU: TAKEN 2 -. , ., COMPLETION D(:iTE DEPOSIT ** .,',~': .:;If' , 'f"~'..., . 1'>"".,,,, l'i'\..~' BY MLC .,-J. :'J '. ~a~ , . " ~. . ...: i~,~l~r'\: , '~: '. ~ . '-:-, :. .,.',::,:.':,~~ii/; ..,,' .\ ~ ii. . t,'-',;.'; '. ~I:fil ./': ~~", i:.: ',. . % ", ^'1Ii!il/J . :",,"'-.. ,~ . . ~ ,. ..~ ,...'i. 'CJf~ 1> .~ , l!: g '," ~, .,~ . "U ~ .J _xt f ~ . '"U ,.;1': ..--..-,..llt ,j '-" '..: ., ". '., . ".: :.:":::: ::::,:: :-:;." ;.>:.~';.:';;:.: ::::':":~::':;.': "..: . ...,...,.,.:",.... V . Please complete all lines insid~ whlt~ boxe~, if' pots~ible. \ ' ~tlng Buildings or \ . . '.'_ ,,' Improvements on ~ Or-.-., '^ 4-l I ( (f-El'/-~' Property '1~~~ {? ~ C?71/lrl ?*- <,q~ g~~~se YO R S ~rzq::.' fHUNi:.. . __ CJ Garage ~ p" (' rl<~J).a L1 ~tfC;:7 % ' . !SS"Mobile. Home CITY - r -. ", liP I' ~ Shed l:JEfJr.At.~i.((~!..&,G~~ ..: -- p' ?:,~l[: ?~9.'Z ~~:TIC INSTALLED j7B! J;pLAND'I.itJl4t.1 ~~m~~kl 9.7~71 Water District OWNERS ADDRESS (il not ..m. .. abo.,.) - \J r ~ liP \ ' ' I ,- -, \ \ t /..{{o. \?n:C\.,^,,,, \~~T77d) , \~..)', . o!I 1h:.;.~llX r~L,[jc." I l.,;u....I""'~;~~,...r~ , Lu;:en... .. V t it ~ n'-;:l~.r;'di~:{~j, ~~1.t~ !.;: '\~/:i 4f; . I\:"\ I # ~DJr8ctlons fo{slte from ?d~J ' . - - ;, --. \. .- :.,.- - -: - ne.l!"e~t main, Intersection ~./;J)~)~'0-~~ ~ ~;;;=-'S-,-;;;~t,- 'AY,+i'z'- '1fc'" ~.,! LA - ,/ "~(.5;-'~~h ~-t('lWel~ "iJr. " Ii.lIU WIn bi-I IOi:::..; Lo.-.ThL.t1A~ f.JJ~ ,~ rei f.h.rue iJV'... I- ~ -: ~~e 9YY1~,f7'/77 j ~~ ~) or Mobile Home / PI ement Only Bra Year / Size "- / No. of BedrmV License # / "- / " , '. tv' MAP, PARCEC.tJUMBER" ,,;, 11\ (Found on to map. In the A.....m.nt " ,...tlon DIPl) /' . \ lIS CX3' a2. 33 .06D/. lownsn,p ~ :SOChon 1/4 :;;.echon, lax Lot / Township R;;;;" Section 114 SecUon /Tu Lot l lown,nlp ~ 8eChon 1/4 ~ec:lIon / IIlJr. LOI , ,/ SITE ADDRESS &J I , lIS! ~Jn. (" ~' ~ l' ~ fyIAIL PERMIT TO: .!U~y..J,,( J r)fVE N f{b/tf2b ....AMi - /I - --' 1'7. -d)! 7"" IV t. cr vV1 Ii Il'-'" 0:.::.::..- - 't"- J I ,...>. .., Jr\,'r""'.'1 /]'" Jrl ~"Y-Ji~. ~C) ~. WC\'j ~or (r1YH2 1-1 II i f..R.) &.t I ~rb --- 97.(l/77 . ZI'P J ": , , it' DIS!allc;.t?rom . ..' H07to: ." /Water n._ Mobile ~ I --:~ .. ......, .. :':;~ <...:..:.;.... '.'TRS.Vedfiea. "llowed.Use.. Land Management Div. stall can not be held responsible for. evaluations or recommendations . based on false, inaccurate or LM0149- 2192 incomplete information' .,. M14-68 02/92