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HomeMy WebLinkAboutPermit Building 1978-5-11 ~ " .... ./, .? '",..:- . ... .?~ oms; TL~ ;,,,0 ~\""", Subdiyi5ion: '/ ..... '.... /.!- / , -18.,.<(2-06.4.2 / TL #700 Job Location Written Directions 3200 ST ro JASPER lG'lEI.L RD 31.DJ' S,I.#~B- ~,-.:-;, GARDEN OA.VENUE , i ~;; r SITE FEASIBILITY REPORT FOR SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL b NANCY flv,^""" . . 1125 SAVII.J:E /' /' NANCY ~ 7-2112 / / ' .. WATER SUPPLY , , WIiT'HIN ONE MILE OF THE CITY OF (NO) ,.. ,I. her~bY certify that the above statements ~~ true~c:iac~urate, and that'l h;vt;he following legal interest in the property: owner of record; contract purchaser; potential buyer~ X.x.... realtor or ag7nt, I further certify that (if not the owner) I am authorized to act for the owner of "record; and,that said owner!s aware and appro'Ves orttiiS'action, , , J ~, TEST HOLES~c;,...-... \ /Signaturp ct av. c.... d,/l. 9--- Date '--~\ \ \ \ i \h \ .} , r ~ , '" \ . . J Y * * * * * * * * * * * * * * * * * * * * * * * * \ * *OFFICE U~E ONLY BELOW THIS LINE'* * * * * * * * * * * * * * * * * * * * * * * * * * * \ / ' SITE: IRI,MEETS STAT.E STANDARDS 0 DOES NOT MEET STATE STANDARDS, ~~'f~AEr' 4-A _.-'~ l.;/~'~ 1 ~ J. I t~~WfV[CF- ,'!V ~ ~~,A ~ r ~t ~~ r. ~~~(tJO'r~~f~,~, (7L, /'t-~c.f'''~ r~ k-~e:6\ THIS IS A PRELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE-BUILDING-PERMIT. ANY PLANS OR EXPENDI. , . ..... ' ~ ~ TURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK. IF SITE IS AP~OVED, SEE REVERSE'SIDE. ~~"'- )~ '-- AUTHORIZED SIGNATURE Permit Processing Sestion" 125 EAST 8TH AVENUE,EUGENE, OREGON 97401 ~, f, , " f ~ NA Lot .. Block EtJGI'NE VN:A>U' APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS LEROY TAYIOR 8619S \ Mail report to ( ) Applicant () Owner (X) Prefer to pick up, Call, NClilE .UCTURES NOW ON THE PROPERTY r,lOBILE HrnE SITE PROPOSED USE OF PROPERTY r'~ WELL v:J -?/~~ AUTHORIZED SIG'NATURE l,.-' Division of Water Pollution Control 6-.s:: 7 f' DATE LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT C55-32 . '~__"''-'_~~''''--J_ ._~~, _'._ . r___''_.,____.:._n _~__.__'___~~__">~__L_c__ ___. SOOTH ro END OF IAUREL 688-1099 , Phone , Phone (owner, etc,) when ready, .' NA ,.-t:"Af'J D-V~COMP LI ANCE Zoning \.. ~ J.( ~ \ "\ " Acreage or Lot Size"-="v:.,, "JL~ (TOTAL) Partitioning ifF~~ ( ) Completed ~- C ^ ( ) Pendmg:, Parcel #=-- ' \ )'-.) S\\\ DATE 687-4061 II OAR Chapter 340, Division 7, Section 72.020(6): 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 sew.age disposal system will appear on the permit. If 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 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, " , , ~ '~ ,"~ ~, . . D_ , ',-; . " .. _._,....-~.- &,.. " .' , ~'... -,'-...'j...'!;;,~~~.",,,,-"'.~.8':.''''IF~.,;:;:''Ji..1oW:",,,,,,,,,,,'~.i.Al~...~W;:.L''a.o~~I'.~''A;i:o.L'l";., . ,.;rl.,,,,;.."~:J~..~........:.:.;:~'~ ',,,, "_..,.;.IOJ...:t:S~~~~.J";_t:o:'~l~"' '''.,-,~,,-~,. .- ---..,..... ,. N.W.I/4 SE,II4SK06 "t18 S, R.2Wl1lM. - LANE COOtlTY 18 02 06 . f ) IS. - eOl.I. :=; THIRO ADD, TO MEADOW 't': 'ooo....._,j.~ GREEN ESTATES FOURTH ADD ~ ~ - ~ _ TOMEAPOW I ~ 1 . s.: , OOICE GREEN ~ ~ lOt . . ~_,._ ~~"""~.~ STR ESTATES ..~. ~~, . ,.~~. ~ : >000 1~ ... ''"'''' 1 :- t15' En~. ,... .~ "~7 ~ l'w<-,oil''':-~ ........~ u "'0 ~ i 1700 Ti"" . l G?.o- ''\..~ 'ut l l noo z " 3..... '-:E1 IQ',:'; I' I' ~ .. '~, - "i~~'"";'''' ~ ) ,'8 "'" , ). -"---. 'It -':>:UJ" '7" ,. ~..: '" ~ MOl ~'_' '400 :'i \_1:0 1~:}9 to-- _ -~ ----- 1:..~':~\)'" ~4t s -~. i :. in<>' - '_ ". 1-1 ~il i'rQ-"7"-i"'~.I1,t:~-;-.-:~~-" '1 ~ ='r Q: ~fii"'" '.. om . ~ '00 . ~ ~A;,.' . at'\ """""';~..... ... .... '-''') '/ -' ~ [' ..:::.- '-' ~.,. 'l;" '~.' ,~-- -- / - ,'- ___ l)i, ,,.. liS " ,.. .,~.. .. . -- c .-~- ., '-J ';J: /1 i 'I - _ ARDE" : I' ... ~ ..... _ .~oII3 ~ ~~J"":'~ ~-.:. ,~:: - - 1t::'~'-~~flD"'-:S:~ADr..;r~: I) ;i I' : - ~~ J-~ ' . '"'' ':,ii".' l,l I - -;:-2DJ ,"2 ~r~ ~, - r _' _0" - "p..h\E.: II I . . I \ "'Ie -~;;" '~ I ~ 8 I;'~ . . 11~~..: ~ 8 1"1' I. ~ sr - ': . . ~ - . !~ -I~l-- ; (.100- ~ ..0 - " I .- " ... . . i, \oJ 019..28 <I) 20 'l;" i! ~' , l (!) I "- ~I ,- / .. t'X ~ A , \ . I~ ~ It - , , .~: ~ :t t- ... ~ a:: ::lo____ ~- I- --= --- ~ 1 I. , j Ill> ::> ,j I 'i , ~--:-w>-,' , ...,. I' h I..... I ------',.....- i I ~1'~ " - .' I' ; , :~-: , , ~ .. ~----~~~.J I~o- ........... I I ~'-'~-~-2 ~u..l - - . - - -- Plat Plan Job Location (Address) n.f.I dJ-/~ .)'Pr;J -h;;..,'/ Qr Permit II'\'O~~ FOG~ r"J~,V Permit 'II For' Permit II For Permit IJ For Permit II For Permit II For T'f..s " T!-.-I-f -020 ro (/2 -#=-- '7&0 Subdivision Lot Block . I' "" " "" '" J.1.t._4...t'I--Lo, , - .. 4 3 ~~ - N \ficinity Map C74-150 SIt # 1 T EST H 0 L E # 2 T E S T H 0 L E PERCHED WATER PROFILE PREDICTED WATER PROFILE Predicted in. Inch Predic ted in. Inch Observed in. Observed in. Date Date 12 - ~a/kM.,/ 12 - i.& ~'(/ SATURATED ZONE SATURATED ZONE Predicted in, 24- Predicted in 24 - Observed in, Observed in Date Date Restrictive Layer ~' Impervious Layer /Y in, Mottling '>Ifrw.... in, SLOPE #f % SITE DOES ~ DOES NOT ADMINISTRATIVE RULES REOUIRE A MINIMUM DEPTH OF: - - 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 fb.Q1 PLAN: Stream - ...........- Drainage or pond .. t........"...,. Road --.-- Test Hole QD ~ % Slope " Cut Bank ';~;i~' Fence . .K-K-X . 36 _ 36 - "6 ~~; Restrictive Layer ..u.rt 48 _ / .. ---, - fupervious Layer A. XV - in Mottling ~. in " 48 ~~ 60~_ SLOPE ~ % ti 60 , o MEET MINIMUM STANDARDS. ON YOUR PROPERTY THE DEPTH ~: inches inches inches inches r~~~-~.. ,......,....~' , r.,.!. t. -t...t ! : . . . r" ~ I . . l,' ';:;;:1':1 '1<:--:': ,:;,1<1:; ,:,:J;':!;~' , i I . j, , : , .': t I, : ': '" ': j 'J44t:" . 'ft " I ...... +-~ t,......l r ~;;;L i " ~ ~ ... , ~ ;, . " ., ~ ... ,. ." t '. I . , . , 1-. ~,t... i t (}-4- ,.... . 1 . . r I . I . -,.'; r;~~-;-t-l' . ' 'M1 ; ! It~, +--;~, l;-;-:-7-:- ,I ,-~:-:-- 1-- ~, . '-1 , . ... I',' -1-' -I ~ . .' '. -, . . : 4' . . -r . . I... . -; I +, , ..., .. " 'i -, -; t',l 1 1'- ... .t t. ; I. t.... ;C~t ~";-+::~r ~+l ,.t~.i , ,j 't. j. 1 1 ' '1 " " -' 1;- ; 1-' . -... t .' '" +, -, ~ ~ t. j- ,~. t . t. t' 1 1-. .~. .--t+ '~.Il::,t ....t,.I~.r+ .,........ ~ ~~--T- ---~'~.I-. - .. , . : ~ . -t I: :. I . " j: . - ) I , 1 ' 1'-"--'" l.', L.___ I t"'," , 1 ./ "1 ~ , ' , ' , ,- :--:-,-T+-:-' '-'.; i" "I . - t-... ~ " . J . . ~ . ,- '" t . ... ' . ; " j 'r'- I t ->. t-t' t ;--t: t t . It.. I ~' '....1'" + + . , ~ ~ ,I, +..- ! f ; + .;. ,. . ~ .. .. I l- -+ + -, t ' t ' .~ .. i 'i ~ ~ j .,...,~.... j..... Ii.. ....... 1 . t, - I : : ~ 1 l ~ +. t' . i .j t ~ . ~ t.. If J... . ~ , , T t... t .' + . -... 't . ....- l- t. 1-" . I J ,-... 1"+ to. . 'r 1 t -.-... ... . . '; I" . j:,/,!' t' \,:,+'1',', ,ij'[ ",1- , ",' j t' 1 l, ,Ii " , - .. + . , ' .. ~ . , + ! : l' 1 + . --t l + .f. ~ 1 ~ : ' ---;.--1--...- tit . . I ,,' ~ -~, _ ! ~ .. t ~ . - + II .. ~ ~ --+ : i; - : ! i j .: ->. . L r-t ~ t . - - I .. t . '- r ' t.- + 1 .... + + j ,; ..i~, ;'II;l:l r:~,,1.. tl::1L~t:..;J ""'1::,.'1' .' ".1.,,1,,: ...1 [',ll1-:'"'t'l '." .,1"1"" . l ~ . + ... t t" t-, . ..l... 1. + I- t - + ..' -->-.!...' I . J , ,- . - '- I -. I . . .1,:. .j.... t. 1 ... -> ..., 1 ,I .... . i j . . t + .. I'" t . .1- ~ . ..- + ~. I '- '- l' , I _ ~~_: ~~:J,.._t_~C_L~11J ~~~~l___~_ '_Lll . ~.~ " ' .1.- t. , t \ I! , i I I"! ., , , , L _ '_0< ., SI# Tf-[;,<if.2. SITE EVALUATION WORKSHEET LOCATION: TWP. If' RANGE ()2... SECTION bJ(2- TAX LOT # 7c'-O ZONING: PROPOSED USE: S-r=J) SIZE OF PROPERTY: - AMOUNT USABLE AREA: WATER SUPPLY: COMMUNITY D PUBLIC 0 INDIVIDUAL IJ?J. SUBDIVISION/PARTITION LOT BLOCK PARCEL IF SITE MEETS STANDARDS FILL OUT: Multi-family Commercial gpd gpd Single Family Industrial :;J<ro gpd gpd gpd Type of structure and approximate sewage flow: Ins ti tutional MINIMUM DESIGN REQUIREMENTS: Length of disposal trench required Distribution Method: Equal 12SL.. Curtain drain required: Yes 0 Othe r: /.5-0 ~ P (/ Serial D No CZL /150 gal. SPECIAL SITE CONSIDERATIONS OR VARIANCE OPTIONS OR OTHER ALTERNATIVES: NAME: Vi ~ DATE OF EVALUATION: 6if:7F t/ . C74-l26 , . . .... .:~ If' (")2 ofo If.2 -=tI'.?CD ~ ;l ~" sf..- L-. ~e.Y C6~ Job Location I'J-Ff ,!J.J~ k/ _c;/r'j Jja-/~ Or. ,jill'.R'" ,L,~ /kif .5,., u .u J... ~.df t!Y -:Jt?~ ~ - ) ef~O ~ dhJak INFORMATION SHEET I ~Q{'i ..f'- SJ /"/"-J- Oe> IlL<... 4ra.., a.... ~ite Feasibility Study for Septic Tank. Number of sites_/ TRS, TI Written Directions ) Building Permit Acreage or Lot Size ") tL-rA ~ Test holes will be ready Partitioning #_rYl- 3/.<, 77 ( ) Completed Subdivision ""j?4J'ending _ APPLICANT'S NAME AND ADDRESS II;) ~ . \d ,J: i4 ~~! ~ OWNER'S NAME AND ADDRESS, if different from a licant's .i/~\J 7;/0"', S'ro/?,p..,,'1~ v. ./' I CNTRACTOR'S NAME AND ADDRESc; , ~' permit or results of site f~ibility s}>,~ toj?4-.ApPlica~ ( ) Owner ( ) Contractor. -refer to pick up, Call -4n...ri ~...r lowner,etc,) when ready, Contractors 0, S. # (,f,,/-:J.II:2..., STRUCTURES NOWONTHE PROPERTY -y'!r>h P_ PROPOSED USE (this permit) 1fl/J h: Ip ~ WATER SUPPLY P""'IlOrP.-I) (,1.),.../1 I Lot Bloc~ Phone~ -:-d) 91 Phone ~4't:. - 3 ';'0 Phonp .s,. If" l'~ ,~ (existing or proposed well, etc, If public, name of system! SEWAGE DISPOSAl (pxisting or proposed septic tank, etc,) S.1. '" PLUMBING BY ..,AA.l Address ) PROPERTY IS WITHIN ONE MILE OF CITY L S/' r I"V) :/; e.../'/ ) *******************************************OFFICE USE ONLY BELOW THIS LINE ************.*********************iI-*****,***,* .) New Address Necessary ) Facility Permit Necessary ZON'" SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAO) ) Special Permit Area, Minimum Elevation: I nterior Side Yard Rear (FROM PROPERTY LINES) To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section ResponsP' CSS,12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 r'livision \ \ \