HomeMy WebLinkAboutPermit Septic Tank 1976-6-7
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~ 'Q LANE COUNTY PERMIT FOR: 0
PERMIT NO.
1175-76
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CONSTRUCTION [XJ MOBILE HOME [J PLAN REVIEW [ J CHANGE OF OCCUPANCY [ ]
DOwner
Kenneth KitB
NAME
T Sootelean
NAME
5335 Main S.treet
ADDRESS
91590 Prairi e Rd.
ADDRESS {
Springfield Oregon
CITY ZIP CODE PHONE.'
Junction City Oregon 688-9750':
CITY ZIP CODE PHONE
D Contractor
O.S. Reg. # NA
J~n 18 Range
I FilbBrt Grove
Subdivision
,
Abcess.to Property (Road Name):
) , :;i
'Existing Structures on 'p,oper~y:
03 Section02/3/3
4t~o~dd 34
Tax Lot
6200
~~
Codp
Census Tract 76-382
'r
Block
Acreage
Width
Depth
None
e....
Directions to Property.. Address:
1994 Harbor Drtve .r--
Sprini!field Oregon 974.77'
I
"7
1-
STRUCTURE (# BEDROOMSI. . . . ,SQ. FT.
Permit' to install SBWaQe DIsposal' !vstem. Future .MH
VALUATION
SEWAGE DISPOSAL:
PU'BLlC [] SEPTIC TANK [
OTHER [ ]
PLUMBING INSTALLED BY:
76-332 OWNER [] OTHER [J NAM"
WATER SUPPLY: PROPOSED [~
EXISTING l]
[ ] PUBLIC
[ ] COMMUNITY, NAME:
[ ] PRIVATE WELL
[ ] OTHER, SPECIFY:
. ,
BUILD IN"
,PLUMBING
3% SURCHARG"
. MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
?t; nn
TOTAL
,<; no
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. 900 MIN. DRAINFIELD .150 L1N. FT. MAX. TRENCH DEPTH
Install drainfield 10 feet from orooertv lines and structure.
reserved for reolacement of drainTield:
36" INCHES
Keeo an area
TYPE OF CONSTRUCTION
GROUP
FIRE ZONE
STA Y 100' FROM ALL WELLS
USE CLASSIF.
SETBACKS. FT. FROM CTR. OF r!W:
FRONT 45' SIDE EXT.
FT. FROM PROP. LINE: 150 Greenway
SIDE INT. 5 REAR 15 PUE ZON"
1111
MH
AUTHORIZED SIGNATURES: ,<...
/s/
Gre~ Gray/sanitarian
ISSUANCE DATE:
'6/7/76' dlm
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BLDG. PERMIT - WHITE
OFFICE COp,Y,L.WHITE
COUNTY T AXJ-_PINK
PLUMBING - CANARY
BUllDING- GREEN
SANIT A liON - GOLDENROD
Call 687-4065 10 schedule.all required construction inspections. Call 687-4061 to schedule all required
IMP-ORT ANT' septic system Inspections All construction shall comply,wlth the Slate BUldllng-"C?de, !? J:.Q jstandards.
.:) ....:...---for..subsurface sewage disposal and the State '=Lumblng Code All bu_i1dLngs'reqUlr~,a/cerliflcate of~
occupancy before bemg occupied . .,
(See Dol''', oc R"e"e S,de) (!/IfJ1{ I
(PO~T THIS PERMIT ON MAIN BLDG. AT SITE) "._r~l ~"l,
LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX 135 EAST 6th EUGENE. OREGON 97401
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C55-13 ~
BU I LD INGI; ITE EVALUATION
&V
T IB .r+, 0,3 SOZ'~'~AX LOT_~2.00
SUBDIVIS ..
..,
(~BUILDING FERMIT APPLICATION NO. Inf,-7b
() SITE INSPECTION
LOT:
BLOCK:
APPL I CANT
DATE
Not ~
Appl icable No ];1/ CK'D ~ .. ~Z-7l,.
I. Zoning Ordinance Compl iance: ZoneRA-MHl ) T) 6. Setba~~ cll of road:
2. Subdivision Ordinance Compliance () ()).-! Front 4-51
3. Required Access () ()J.1: 3j.J", :A''''';U'
4. Building Site (Area, Width, Frontage) () () Y1: Setbacks from interior Jines:
5. Other (see comments) ( () () ].I( S I de F; I
Rear J..5n'
COMMENTS: LoT I ~ ~LntlAj 1AJ1I,.,..LA..y\ e:rre o.~ea.JW~ ,- ~E.I:t.JWiW',
~ !:.eTp..,~ ]~ I~l Ff<dM ....O'fJ W~ ,\-INE:
-~tTI'" III1en.~TI'\-I~~ A, ~~ tU~ . CO~"t:->I"TIl>JJkL..-
IASJr ~ w\ ,-r- 1c:.... 2.a-G~h,~~. ' , .. _:- -. --,
PLANNING DIVIS.ION
- -- - . -- - .. -. - ~,- -. --- - ----- --..- .
PLANNING DIVISION ACTION PENDING: YESt ) NOt )APP~-',~A..!..lQ~/L ......',_, _. ,_
BUILDING INSPECTION DIVISION'
Not
App.1 I cab Ie
.. ( )
( )
( )
( )
No .Yes,
'TlD
( ) ( )
() ( )"
( ) ( )
CK '0 'BY: .
7. Plans Submitted .
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
DATE
COMMENTS:
~. ..-....-..- ....-..... ---. -
WATER POLUTioN CONTROL
Not
Appl i cab J.e:
( )
( )
No Yes
T)'TRr
( ) ( )
CK'D B~~~ ~~-~/Z:
;/ DATE
11. Meets Department of Env i ronmenta 1
Quality Standards.
12.. Other (see comments)
COMMENTS~:
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-.-- ---- -'-------
--- --........_.....~.... - .... ~.
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TO' APPL I CANT: .
. ~ B~.I !?:I ~g'.!..~'i't\e' I'nsp'eC"ti'6W:
I ~ (;an be approve'd.
'1)00 ( ) Canriof i5'e app-roved' i{ th'i's ti'.;,,, a's indicated c.n Item NO.. above..
~T O;,~ Q'!.~:iifon5' ~iid' further Jntorfiia\i:i.~' on i terns I throug.h 6 contact t.he LANE-
10 \.... COUNTY PLANNING DIVISION. Questions and further informatJon on items 7
ttirough 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION..
( ). Will be herd Iii this office until you can resolve the problems indicated.
( l. Is being returned.
( r Your build I ng perm I t apel!..<:!!.!.'!?."_.fe~.-'-uei n,q ~~t.!!:!l~.\Lunder sel?j!Dlte cover.
.' uEPARTMENl OF ENVIRONMENTAL HANA~~MENT
13~ Sl~t~,Avenue East .Eugene 'Orego~ 97401
PHONE: . 687-4065 . .,.. .
LANE COUNTY PL:ANN I NG DIVI S I ON PHONE':' 681'-4186
C55-28
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.. RECEIVED
By
JUNO~ 1976.,~
. . LANE COUNTY . .
ENVIRONMENTAL MGMt.'
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. NOTE:.. .NO PERMIT W... . BE ISSUED UNTIL THIS APPLICAT:..
PERMIT It //?,F- ),6
HAS BEEN APPROVED
-}' ,
CONSTRUCTION~
APPLICATION FOR:
.,...
. t=J
OWNER
i< f{ NrJ P-II!
Name
/</ Tf..
MOBILE HOME ~ PLAN REVIEW t=J CHANGE OF OCCUPANCY C=:J
. ,
.5PAcfJ I;l.{ . . }Iii e~
,j-1J5' /VI/+/N IT; .ffJAII"{yPIUj) Q'1'f'77
Address City ,-rL Zip
91'190 PP.Arf90./f IJ../J Jc/H("V,~ 17t(L{J?
Address ZitY Zip-
3, _ '3 Tax Lot;; ;< 0 0 odej...-3'1 ,13-3 Census Tract 76-3;1..2
Block :r
/
'7 'I7-.s-;?'7F
Phone
~
CONTRACTOR T~U JOP r~Li{t>iy
Name
6 ,f J> '17..5'"0
Phone
O.S. cREG. II
IWp. / ll' Range 0 J Section 02.,
PIt..l]i5-A..T (;.~UVe:
Subdivision if!"H A lJJ:). Lot
~-; Lf
Property Acreage
,
I
,
Widthj(,QDepth ::z I J-
ACCESS TO PROPERTY (Road Name)
Existing Structures on Property:
. N () 1'1 V-:.
/
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Property Location - Address/Directions:.,f'u "Tf!- :J.NI .rl. Tv Hf\f{{]V~ ,'J}fI,,\ye /t<fJPt?IIII6-/CLI/
f+Ap.J?0 R () A/vI'; 19 -F/ ~ J).z.'.-.~
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Below fo r Off ice Use OnI vxxXXXXXXXXXXXXXXXXXXxxxxxa.DcxxxxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX'
~ .)/J~r'r~S;F~UB~~>~
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Spring
Exiting Sewage Disposal System
Public C=:J
Other Community \~
I
iL~ta~~~~ by Owner C=:J
PING FEES:
If of Fixtures
t=J
I
.or New System Required <.P<::l
SEWAGE DISPOSAL: "'7/, ~.... "'I !
Site Inspection iJ /ft,? -~ ~
WATER SUPPLY:
Well
_ Name of Community or Public system~~
FEES:
Other C=:J Name_
Bldg.
Plumbing
3% Surcharge
Waste Disp.
Plan Review
::J{\; 19 0
Sewage,
Connection
Water
Connection
Mobile Home
P~S FURNISHED
t"?6T
C2J' ~=: . c=J NO C=:J YES ,~NO
Signature of Applicant: 1/ A~~i.trr/~
. ~ , -
Fee Recei~ed B~~' , Date:. ~ -.2 -?L
eptic Tank Capacity q rrf) Drainfield Required - Lineal Feet /.s-tJ Maximum Depth - ?-4
.~ j+~f..;/.t'--, /1/ tu? r6 /.....Rj--' "J /7:r:;L'.v.Lu~../ ~-
"y:' a,~ AA/.t'./ ,.h'lrl./LU./!f cfL /lr.l..d~"'" "/ d.(...,<,~/fl. <f
FACILITY PERMIT
TOTAL
.9,<0 l> 0
CHECK
ASH
Type of Construction
Group
Fire Zone
Use Classification
~D
1'.'i'l'MM'E1J\
/~t~
Rear/5fv L- Zone ,e4 -MI-I
',-'
Bldg Setbacks - from Center of Road Right of Way:
A,-' ,
Front.~ Side Into_ ~. ~~._:,_ ~__~__.. ,,,_
P'1'~~
CI-F'7-~
DATE:
SANITATION: DATE: BUILDING:
~.// ~.. ~--s/.-7'?
CO;TY ~EPARTME~t:;; ENVIRONMENTAL MANAGEMENT
DATE:
C55-12
LANE