HomeMy WebLinkAboutPermit Building 1978-6-23
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TRS, T,L 18-03-02
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Job Location _
I ~;/11
5.1. #
711_71"
114300
Inland Way
C!..._4""...-F'.f....1A
n_....~..._
Written Directions
Subdivision' . Filbert Grove 3rd
, Lot
2
Block
16
SITE FEASIBILITY REPORT FOR SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL
APPLICANT'S NAME AND ADDRESS Stapp's Mobile Homes Inc., John L. Stapp, See-Tress
.. :1
OWNER'S NAME AND ADDRESS Jean-Allell Van'l'yll
Mail report t01 ) Applicant ( ) Owne'; .., (xkPrefer to pick up. Call John Stapp, 689-3457
Phone 689-3457
Phon"
_ (owner, etc.) when ready.
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U!JCTURES NOW ON THE PROPERTY
PROPOSED USE OF PROPERTY' Mobile
None
Home site
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WITHIN ONE MILE OF THE CITY OF . Springfield
(NO)
WATER SUPPLY
Citv of Snrinefield
I hereby certify that the above statements are true and ac~urate, and that I have the following legal interest in the property: owner of record;
contrart purchaser; potential buyer; realtor or agent. I further certify that (if not the ow~er) I am authorized to act for the owner of
record, and. that said owner is aware and approves of ~h~ action. . . . I I /- / / '. I
I' TEST HOLES READY 6/23/78 /Si~re.(/ ,/ .J-7f;t:.~ Datp (, ;Z 3 I? V'
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* * * * * * * * * * * * * * * * * * * * * * * * * * *
I * * * * * * * * * * * * * * * * * * * * * * * * * * * OFF ICE USE ON L Y B,ELOYV'TH IS' LI N E
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SITE:'115J MEETS STATE STANDARDS D DOES NOT MEET STATE STANDARDS.
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4u If / el, ,-I/! I >"- 1"'- <; <-J f /" ___ -/0 .-$" /vr~ .7'r. d.
/1/0,,/1, ,&;/1",-1.,<,< .f,..;.... ,.//~+.
'. ~ )f~D >}j\E yOJV1.PLlANCE
Zoning '1. ///r-;-.
Acreage' or Lot Size LeSR ~h"n 1. "",.... (TOTAL!
( ) Com pleted .
Partitioning # ( ) Pending
Parcel #
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...... ~'fHIS IS' A PRELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDI-
, ,':S-URES'cMADE IN R\ELlANCE UPON THIS REPORT ARE AT YOUR OWN RISK. IF SITE\IS APPROVED, SEE REVERSE SIDE.
/~O:'ZEO SIGNATURE l 1/ f~lr.f/ >, \ ~u:!:?2~'(Lfe
Division of Water Pollution Control \, " Permit Processing Section
125 EAST 8TH AVENUE,EUGENE, OREGON 97401
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~~/j-7Y"
DATE
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
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..~55~32 "..,< .L, ., t
687-4061
dRS,~L \D-("'\3~D~ 1.-(300
Job Location
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written Directions
INFORMATION SHEET /" J ')
) Building Permit ) Site Feasibility Study for Septic Tank. Number of Si~__ .
Acreage or Lot Siz~ LE5S 17IibJ. IJ?J Atll€ Jes\..holel w~1 pe ready ~ - J... 3~.~. 0 ~
Par.titioning # - !'l!!ill C:~mpleted Subdivjsio-;-.J..;:,-\':.'s:)'E'\i +G,VC';l \~_ - L t:::J. B ckDL.... \
) Pending I
APPLICANT'S NAME AND ADDRESS STAf'i'S MoRu.c /fDt'I"-ICS rl-l.C-. JOltt4l, ':;'rMf &<.m-ms Phone - <lS7
OWNER'S NAME AND ADDRESS, if differf'Qt from applicant's _1;::;:AiJ fl!-O;:;-L..L. \/If.IiJ l'Iu_ Phone
. NTRACTOR'S NAME AND ADDRESS .bl"I10r7""~04, Phone
, ",ail permit or resu Its of site feasibi lit'i..,study to ()() Applicant ( ) Owner . ( .) Contractor. ,
(.X'fPrefer to pick up. Call c.,5l""i-..;S'1'~'7 (owner, etc.) when ready. Contractors O. S. #
-. :;;JO I+N S rt'f"P r> _
STRUCTURES NOW ON THE PROPERTY NON. ~
PROPOSED USE (this permit) MDf2,\CE H1>'M-~ cSt Th"
WATER SUPPLY C',I-rY of Sf'r2.trJ<*lEGD
SEWAGE DISPOSAl q:>(2..0posC().(e:pnc.. ~tPrt0K
H =-'r~~. CTw~)
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(existing or proposed well, etc. If public, name of system)
(existing or proposed septic tank, ete.) 5.1.;:
PLUMBING BY Address
-c.((0PROPERTY IS WITHIN ONE MILE OF CITY ( '(!;Pa.(JIJ-na.-n LANE COU~rnf'. $!P!E(BJUPf~Mli AREA
.. -Il--ll' -11-... ** -II- *** ** ** **** *..* *-11-" ** * *-11- ***** *-11-,,-11- ***.. OFF ICE USE ON L Y BE LOW TH.IS Ll N E ***........ ** *"... ...* ** *....."* .** ** -11-" '*
-If ** **........ -II- *.. * *.........
) N~~Neksary ( ) Facility pezmi Necessary ( ) t>peclal Permit Area. Min'mum Elevatio7o:
ZONE '<P\L/ \ \ SETBACKS: Front Side Facing Street L Interior Side Yard _ Rear
~ '\"t IF OM CENTERLINE OF ROAD) -L . IF_ROM PR ERTY L1NjESI
To: PI~nni g/Building Inspector/Sanitarian/Surveyor. I\./ ~ .
This applicant appears .to have a problem with. ~
Your assistance will be appr~ciated. ~./
By. ~ \ _" ^ . Permit Processing Section
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Response'
C55,12
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
. 125 East 8th Avenue
687-4394
f)ivision
'fRS, I') I ~o3 -()"'2-
Plot Plan
Subdivision FIL...&:IL-r &.ou~
Job Location (Address) .:c~~.a L..JP{C(
Permit # For
Permit # For
Permit # For
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C74-150
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# 1 'T E S~ T. 'u 0 L E # 2 J. ,; S T H 0 L E
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! PERCHED WATER PROFILE PREDICTED WATER PROFILE
Predicted in. Inch Predic ted in. Inch
Observed in. Observed in.
Date.,_ _ '- \", . ':0 Date; "
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.12 -,' . 12..
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SATURATED ZONE ~ SATURATED ZONE......., ' ~
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Predicted in, 24 - Predicted' in 24 -
Observed in, Observed in
Date '., , Date
'. 3Z, \.!\ 27
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36 _ ~. "c"" r., \ '\ 36-~
Restrictive Lay,er in, t~ Restrictive Layer in ~
Impervious Lay,{r' in, 48 - Impervious Layer in 48 -
Mottling 11tJXe. in, Mottling )f~ in
SLOPE 0 % 60 . SLOPE P % 60 - . I'
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SITE DOES ID ,pO;:S-.~2r ..D, M~gT MINIMUM STANDARDS.
ADMINISTRATIVE RULES REQUIRE ~ MINIMUM' DEPTH OF:
ON YOUR PROPERTY THE DEPTH
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0 36 inches to an impermeable layer
0 30 inches to a restrictive layer
0 60 inches to a permanent water table
0 24 inches to a temporarily perched water table
OTHER REASONS FOR DENIAL
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inches
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inches
inches
inches
PLOT PLAN: i-ti-LR:H=::-'I;' :-':-'~',_'~:U:+=1-! i i! !-: -~_; 11/11 rrjll L__I_lJi
Stream -t _,J TJ:tt- -t - f =jJ= - - .L 'I I f + J+ +H+=t-., -1-- =1= -"~- =+= ~
- -+' - - =It:: f tilt '_ ~~_ +1 '-. =: t~ ft- :trl I 1-1 1:1 ii' 1+1-- - - I -I L +' _'
,-' - I I -, I "T +11 ~cq-.lc+n- , '-- ," ---tit-I-
::y., - I ++ -::::H- I 1 : t I$n i-t--r1' I I:: 1 ! i ! :-, I: '::
- - - - I' :- -: I 1 ~111 , ' ," 1 h - - - ~ +' , . '--,- - +: I ~i
~~;~~~~G~~~'~; :ttTJ!r::'~=+i !-I~-I it, I -!-!~~'=-! ,_ '-t'
~ J.k'nJr -J8:f - / - - n+ - + +,-,- _I IfFFl- -. -1-+1- - - -l-.
Test Hole (8) ~=i::tl'i:t-i ' 141:~'" -:::: - -,t t II i i -,iT Inl I i 1- -:',:::: =J:t ' -I='~
I" I I I '1',- -+- -t' - - -: I L + I ' 1 : i - -t-' I : ' , I '- - - - I ,
'% Sl I--..L IT - I =t+ I I - - - - - - - - 1 11
~ 0 ope - I --, 1:_ I ' 1- ---i- +4+1--'- ,~- I '---+ I' ,----,-,
Cut Bank 1':' ~=;;~tfl 1--=: t= J i-,::'_I I ::'==~ =:\::1- -LI'T .t=$==ti::
. .~-,'Y -h=H-1-+tt--=t-, -rtt-~=:: : :--- ,=-::::J 'C=""T---'t=1
'0# t" I I ,--'"t'I:/_;~' I - -\ I ---: i I' :-------' +-~
Fence 1=1=' I IILL -:::Jl I I ,--L-~ II -1::- -i-----+ ,!,-t ,
tK-K-X I +--t =Fj=-----+- ! I -++"'1=-i-t- r- I ------ I I I'
~+ J ')+1 ::If = =,~: ~ lJ'=U= = ttr= =~:-i - - -f ::t::~:::: * :"'1'- J = l-f:::: ::'=F
lli:-:::: I I full = Itl- =t-f""1 ,llt {Lli-l T, tt Jmu rf:::: t =:: J:
Drainage or
pond
.........,,,..,,..
Road
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