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HomeMy WebLinkAboutPermit Septic Tank 2001-5-30 U' . -l; irl r- ~ :;- ('; = 'j;' "2- CD .. [ ::l "0 ~ Q\...... ~ " ./....::l .. :T m CD 0 ~ ,fa " ~ rt~i Co.... 0 Z CD ~ ~"'lll~ 0 -;;; J .. W t' J ~ ;J.l :5 ' ... . -< . CD . -J ;)" )> . T .. "Ii" ~:r [:)1.-\ ~ ~ ~ l~ Lr~ ?! ~ I \} ! t,. ~~'r- ~..... ..0) i:. 1~ ...J ~ r J:: ~' 0 0 U' .t: a ~ :b CD . !~ " " U\f' \ I ~ ~~ \ !~ ~ ?'i VICINITY MAP SA* - lio I~\t> ) (-& .,'" --- N ~ 5f- MUST BE IN BLACK INK <Y'" "2 ~foo l PermltNo nl-7l5hwnshp;;j:k Range t1?_ Sechon~? .TaxLot ~.f) Standard System 0 Allernatlve~t . pacify ]iqla) _ ~ .,E:i {,z:-t:+f Job Location (Street Address) - /( ,.., :7 A. ~ _ SF"~ SubdlvlslonlParllllon # Parcel. - -1.01 Block <:> .... .... '" '"' .... '" <:> <:> 00 .... DETAIL SYS&~nt PLOT PLAN (AS.BU~~~.:l:'=ML ~ ~ N ii <t. ~ \tV . \ \11> 1"'. ('" en ... .... ~'" 00 '" .... ... en '" ~ CO ~ ~ - n <:> '" ~ (lJ ... ~ -r =c.. ~ \ \~ \,\\~ ~'~~ V' I ";it )> ~ , \~ * ATTACH MATERIALS LIST FOR SANITARIAN'S USE ONLY J(Systam Approved COMMENTS Date -r-f.,,/ Dale ~ II/IlL- iBI <:> <:> '" Disapproved a Needs CorrectIOn System Capaclly 'l~.J galJday Signature -" /. ~ 7. J.c:::."~JAm Corrected u--l .. - . INSTALLATION RECORD & CERTIFICAlC OF SATISFAClDRY COMPLETION Whon Signed by tho CO\Inty Sanltanan This corllflcate I. evidence as per ORS 454 6B5 of sallslaclory complelloll of a subsurface sewage dlSposal syslem at 1he above location To request Inspection raw m all three (3) copies of this rorm to Lana County LaI1d Management Division located In the basement oftne PubUc ServlCS BUIlding, 125 E 8th Avenue, Eugene. OR 97401