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HomeMy WebLinkAboutPermit Septic Tank 1976-6-7 I , < .,..,' i; , l' - \,. . I ..1.,\ r .." '';' . ,'/ " ;, . ~ 'Q LANE COUNTY PERMIT FOR: 0 PERMIT NO. 1175-76 ...! ,. ,. 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 / 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 \;L1~ . f3!iv1,7 (, 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~: . .j.." -.-- ---- -'------- --- --........_.....~.... - .... ~. . ,,~' 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 ,,' i~ . '... . \1'. ,. :t_ . } . . 'l'.' ....' ., , "':;jt~ ~r:. ~. 1!::." ":S ," ~; . .~,;" ~ . ( '~' <" I 0 ,'.: \ ~~I> " , :~" !c-'_ . , :tHf t";-,,~' j:~~: . ':.~r I J~' "'fl:' . I';, ':', .1' "." .~ " .{.~:: 'c ';-J' . ~" h" ". }," , .... ~i, ' ~.~ '",}O 1;;~ : ~:it~,: ';IJ,: '_l{,;., "" _ ~ ;"., .~. '_,.i';. "':;. ..~.~" '.). .". .() .. ~. .. .l.. .- \;....~;. :::.: ~;;;. ~~{{, . '. .' ~) .;" <' U.J- 1..-' ..) 10 __,~,..).fl:C sH-i-IOr;' .'rA;<PI TWr' -.,.,,.., F//...8 tpj GRuVG , , ,', "- ./ ...-10' .\ --}. , '-0 l'- "".{'\.'- , .... -.---- I.r, . - --- 1'-1 FuTUr:<f- I '(,D<' r:z pO /(T J ..5"(0 p.f. r;.f; '. prp.ffr. -. ~Ol'--:-:._, I . ) I . '-'!' t' r ____I, _ "if I () () 0 - -0- G-.p:1-- .' ~ .\ ~",. -.... i , i ../ , . , , '). ( ,'0- ! . ! " 1"1 X . " ~ 'In-I ,Af){), ,. , . <:);} i'(, ._~_....'-: \ ~ .....;..~_ .lJ.....:. .0: r,: /." " ::- '-:~.' -.,..... ': ~ 11./' ,.._.' I / - -0 .\'-- .~ /...... ~. ,-' '-J... - -'I/~:' coDE '\ ,,' - '., .0 .'.\1:' t! };,1'f. 5' ~, ) , . , -, --, .". ."! ~ . '"., \~~';"~~~~ "::'_~~: ,.. ;; ,il I "I' fJ () r 11,.1; "> /. .. RECEIVED By JUNO~ 1976.,~ . . LANE COUNTY . . ENVIRONMENTAL MGMt.' J/7.5/l? . . R @f D. ~i::" . . .,It' -" Hf'R f3 oR.. cU (.I,B ) '/1 . 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-:. / .......... / 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.'.-.~ . / ! Below fo r Off ice Use OnI vxxXXXXXXXXXXXXXXXXXXxxxxxa.DcxxxxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX' ~ .)/J~r'r~S;F~UB~~>~ " I "/ 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