Loading...
HomeMy WebLinkAboutPermit Septic Tank 1996-06-27 (2) /.7-.If 2-36,3 ;"'/':?t/tJ , v SEWAGE DISPOSAL SITE EVALUATION -+ . j"OO Job Location S. 7'1 '" S+ 'C 'S ",",,~h A st. '1/rittenDirections .Mt..K..,^~\< ~..." 40 S, i"11-"'\. S+, - \".JE'\'\- .\<>..S-T ~"c.~\ ( 0 "" ~~,:,,,,t - ,,\1.. -t~~ -4", Lot Block WATER SUPPLY 0.... oOo>e.~ ~c. \ \ APPUCANT'SNAMEANDADDRCC>C> Lo...vv,", \)'.I..\,,,~10... \\,0 50""'''...... +;2',,~ <~ <.....lll O\rC:c,,,~ Phon" 7~1.-9ols>4 OWNE-R'SNAMEANDADDRES~l..o..vv~"\\~\.\.,,:>\""'- \\)0 <.,,,.....~4-:t""~..,:,-l <)~I;, 01r"5""': Phonp7~(,,-'ioiD4- STRUCTURES NOW ON THE PRQPERr!- "'!'Iv-.. ~ .' PROPOSED USE OF PROPERTYS". ~.l\' \<'-:\'t ~<S a'~~l I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: "'-- nwner of record; --contract purchaser; "otential buyer; ----1"ealtor or agent I further certify that (if not the owner) I am authorized to act for the owner of record. and~at said o~ aware and approves of this action. .STHOLESREADY 't:~S . Signature d~ \\.I'\:~"Dat. sjS".e+J9T * .. * * * * * * * * * * * * * * * * * * .. * * * * * * . . * * * * OFFICE USE ONLY BELOW THISLINE * * .- * * * * * * * * * * * * * . * * * * * * * * * * * .' " '-:It- TRS, TL J 7021 fD1 0 Subdivision' S.I.# 9S-=2?"7 , "..... C;,)"--{l.,,, A 5i. 1"""LJ. c+- S.,_..Jh }1" .- 7" -f THIS REPORT IS NOT A PER~/7.;~ SEWAGE SYSTEM INSTALLATION The area descwpe9 onthe attached plot j:jlan dated ,~~.~ is .4fI"IZOUr';O for a ~ r.::::t./ -C'&:-Y\.... "ystem, ADDITIONAL ~OMMENTS: -uf O;Z/~ 'Df2>1-twFte-uo .;) .~ ~ S ~ ..) ~ * -- - NOTE: _ this report approves use of a sand filter or pressurized distribution system, detailed construction design plans ~ill be required with the installation permit application, ;r r- \ * * * * * * * * * * * * ... * * * * * * * * * * * * * * * * * * * * * * * * . * * * WARNING: * * * * This Site Evaluation is a technical report to determine if a on-site * * system, will function properly. It does not approve.the proposed use of * * the parcel. This Site Evaluation may be converted to a construction * : permit only if the parcel and use meet land use regulations in effect at : * the time of application. YOU ARE URGED TO CONTACT YOUR LOCAL * * PLANNING OFFICE FOR LAND USE REVIEW. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * THIS IS A PRELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT, ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN R'SK." S;?tfJPVED. SEE REVERS:(,:7/!h , ~Ed?~RIZEd AGENT DAT~ LANE COUNTY ENVIRONMENTAL HEALTH, 125 EAST 8TH AVENUE, EUGENE, OREGON 974D1 (687-4051) C55-32 .-~ '.--':....~ ......: --.... --- (..~ ~l, '. "~" ~ .-.r-.-__..............~~~~~.-~-~........r~~-Y"........~......:..=---:-::,---:-_~. -.-...:...-..~ " "- / .' -I \ MEMO TO: APPLICANT "~. FROM: LANE COUNTY ENVIRONMENTAL HEALTH SUBJECT: CONDITIONS OF SITE APPROVAL Lane ii 1. .Any alteration of the natural conditions in the area approved for the on-site system or the placement of a well within 100 feet of the approved area may void this approval. " " , , .... , \' 2, This approval is given on the ,basis ,that the lot or par~el>described"above .will not be further partitioned or subdivided and that condition~ on' subject or adjacent properties have not' be';'; . aiter';d in any manner which would prohibit . issuance of a permit in accordance with O.R.S, 454.605 through 454.755 and Administrative Rules of the Environmental . ';' Quality Commission, Any such subdivision, partitioning or. alteration may void this report.. _~~\..:: '. _ . \ L.. ~ " '. .. . 3. This report is valid until an on-site sewage system is installed pursuant to a construction permit obtained from Lane County, or until earlier cancellation, pursuant to Commission rules, with written notice thereof by the Department of Enviromental Quality to the owners according to Department records or the County tax records, Subject to the foregoing, this report runs with the land and will automatically benefit subsequent owners. 4. 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 person other than the above perform the installation. '. > \ , ., .' . '. . . 11-02 -}(;,. 3 -/3 D(j Applicant to It.- f?!~'t:-/c. Date r /; z:./tJ) Tax Reference Zonina O.peh Pit 1 /J- Z f/ -ZC(- ~f:; ).-) -tOo SITE EVALUATION FIELD WORKSHEf.'I' . 5.1.115"'- 2.""'1 evaluator SUbdiv.j Part. /tf'l.4rn 1'i U Parcell Loti m.1 Use Parcel Size Water SUpply: Well COllllUllity Public Soil Ma~ix Color and Mottling (NOtation). 'Coarse rraqment5, Roots. Texture Structure, Layer Llpitill.q Et~eceive Soil Depth, etc. 5 C/ I ~ (/'1M ru 0 vJ rz ot:JT'7 t' PtJY1 P ~ u./ /l/lII6776~ a);vc/I 5~ /"dwt rn Q0 ~ k-w t7oa?'"S r . {5 -g _< r ,L-. ........, :::1.,~ Pit 2 2(0 - ~ / /yt.4tQ. :?2=-f: g ~ j PitJ I5-Zo/ zq~ ..J7 n ?0,-~ , /)-ZJ.? Pit t ZE-"if :?f/-fio 5cL-- cvW 5c...L- ~J.J;1; " , 9(" I 1"--:, c ~ / ~(;b 5C-l- { t..aodoca,," Hote. (A'),01?~ Slo,," 17.. 'Z, "'poet N?rl7!l GrouIldwater ~te~ (' kW 1/f<(6'2f. rkr I'? --- /' A # t/ftIe;tr 52/" ~ 0'6 (I G7iJ $3.x. Depth Absorpt.ion Facility (in) ~{"/J" SI:Sml mCIFIClTIOl/S De3ign n"" ~L/CZ/..",. Typo Sy.tal: I.o1Ual 4kJM7 'fi vt?f\'Sy.tal Sizing Replaa=ent Special CorxU t.10a0 57J '150 g. Sy.tal Sizing '150 g. Max. Oepth Absorption Facility (inl Pf rrr P'l'.jN rN R'F.VF.JfSP. SmE c- . . (0 tJfL 14- f11e-H ~tV' cr4~ b#J e>4}7 C l tk e;-u / '7L oPe o~ of; . - . g ou7f/ + --::--.. ~'.- , S ,"?;.,' 7,<...1 7 . . HOLD SLIP NAME ADDRESS lanE County .. - ~ ~ ~ '-" ~ ... IA-rl!?C( OrL-6 FCk: II ~ <;t'1u7t! L/2 hP <?'A7-J3, d7.. Q7c/77 , . ZIP CODE APPLICATION /I qc;- Z79 ~. 79'fL-- cP ~(/I f ' LOCATION The Lane County Building and Sanitation Division cannot proceed with processing your application because: 1. /[j Incomplete application (items deficient). " o Address and/or directions to application site. o Proposed number of bedrooms in dwelling. )~)' Approvable plot plan (see attachment). o Notification of date test holes will be ready. 2. 0 Verification of existing system required (see attachment). 3. 0 Two test holes (2'x4'x5' deep) required for expansion or repair of existing sewage disposal system in the area of the proposed drainfields. 4. 0 Other: d SIGNATORE /' c;; ~ .9j to CY q;(z:/~( DATi: ~g). ~7S7from PHONE to ~ Il1 I "' III I ... OFFICE HOURS IZhv/Yc:; I { If no response has been received in regards to this matter by the application will be denied. LANE COUNTY ENVIRONMENTAL HEALTH SERVICES Courthouse-Public Service Bldg. /125 E. 8th Ave. / Eugene, OR 97401 / 687-4051 . . . . . .' i t' ,',1" ~ . .~ Ii . .q: . '" ~I . .~ . f : ~ 'I ~ ' I . .] i l! if . ., . .1 g . .~ . . I"L . MECH SUR .~: r F'CI( .n SDEQ ADM .TECI-I CATG: . SEQU : TAKEN 'fl'f" I X/BA TH : SI,II:< : 950279 DATE 090695 SPRINGFIEl..D. CmEGO'. LOT BLI< o UNITS 001 STORIES IBLDGS 001 PHONE 726 906~' ADDF( I I cl0 S. 42ND ST., SPFnNGFIELD, OF<EGO. SQ FT UNIT COST VALUATION FEE DAYS A .~ . ~ !.~ ,~ .g FT. F<{-)IN: FT W: 3 LANE COUNTY DEPT ENV MGT RECEIPT I . AF'PLICANT DILBECK. LARRY AD DR I I:W S. 42ND ST., TL. 1702363001300 SUBDIV :II~EW BLDG TYPE USE X BDRMS . OWNER NME DILBECI<, LAF(F(Y CODE APPL NO ACTION DESCRIPTION Ell" .IW BF' BP .EF' l..C 950279 SI FEE FEE FEE FT. WTF<: MECHANICAL FEE STATE SUF!CHAI~GE PLAN CHECI< FEE I ~j% n0.00 270..00 30.00 40.50 5.00 ili I ". '"' .~ ~ . ~ I'." C'I' ~ ,\ i .~ I) ~ .i .", SI PLN RA SDS ELE PCI< 1SS / S1 I (lTR BY Rl..H EST. COMPLETION DATE DEPOSIT .H 345. ~,0 . ~ ~ I .' . . . >- 3 I .., ~ J ~ 1"-. I ' r- , . ~ :> ~ ~ S ~~:.. .....'--- " ,. . '1" ~.__ .) 'l'- V \.) " N <' .. \ -- t' I \)~ -.-..--.- ./ \ "2 ').73 \ ) \ / '\.. --._~-~~~-~-------- T of",,\. ~~'c. ~.~t..~<,,_ ~,,\- ~ J..",,\ ~ .z (,) \ C _._._~-'t - - -, ~~--,~ I \ ~ ;1 I ! . '! \ \, ,\C\ '.... ~,"'~ ,,j ,', \_.., ~ t ._. i"'< , , , , Q _I [ 1 " ()'l ,0' ;-' (Jyof~~"'~ 1.. \)\ C_ \,), i I ._..,.~J...._...__ "._. , _._..~_........._--_._'--,..._.-.._'_..__.._~"..~,- 4 3 '1-, 1J) 7 vi 11471,/(Q I \ ~ I :2 I.. $3 \'3, ;l"';' r ci.v \~(.'w"l '3) 4SC {t \ }J.:lU \~ I ~- ~D ,'--- /l ~.-=--,. \......- '\:, / '.f ... ... '",' " ()C'i ''\ ' ..., \ , \ \ ~ ! I , -,I "1/;)> ~ / r ------------------------ A . ....,.... ,,~- ---- --.....--.. -,..,..-.... , -......., -".... --....... ...... - ..... """" .... ......... --,.......:) -,.__.._-'-_..,~'-~ I z: .... ........1-,,, ""'-" ..." .. -'''' ...' I~ \ ..,,, ".. \3,2?3 "0 'J'I ~'V- It ----- \ .. .....\ (i' -..~-,:::J . .) 0., i , .. , ~ : ~/ ~ ' ';/ :=-~_.:'\ (7. (o~'~~d.L(/t ~ 'J , , I 7't .).\ .......'.'..r I I , 'H' -' ..-........''''.......-".. ,.....) , /~ .;;~e 4" ~ "{ '. p.~'<!. J.. 0+ 1-.' VJ <.(: -.r j- f <;) II) ----------- I' \ -D if:> \ \\ ' 'V -~ ~-- I ~\2\(> t-\ ""1 "J-'<- , ~....... /\\c\' ---- . ,_..~ .------ 'l..r \. ...--.-_ \"\~(..\""~- '1 <:. c,":.-- ~ --; ------- ~:----- _--Io:>..\tI -~./ I I ! , ~.. ! i , t..- \ -'" ..,... '"" ~. I , , " 'f'- : . ,~ R f"'U ......,~ \- I ~\,<\~'L , V ,1-.__ 7~' " I \ I J<;1"" :"" '''J I~' \ 'fl ~:'~ C 6.1.')0! , ~ L_ \_--' 'J s,~. c -<_ L 1,1---- -.~ /"~ .,:/. -, "-, - " , '\ , , i ~.\.- ..' ~~ .~ I < 'I -- " 10..______ 10"'~ c 75' ---; '0 '10 I '-7 ,'f I ~ -,- , '0 ~ / ~ o ;)5" "(~ ~....~fO ~) \ t" 1t"""> ").. \- L I' ~lL e>''>, ~\, .;W~ ~ . f ,-, '30 ..... fi . ~ '::> lJ.;-')' . , I ... "PI So'^-" '" .--. <Y -.. i. I t J, , , i 10 ~ iF ~f '< \ '\ \ \ I I I I I , I \ -a v- . 5" , I _I .....-.-{'""-~ J I 'W .' cJo;:. :;> ~. -- /,/ --~~- --------. ------ -------------- L \)", \\,nc\{....... &,,""'1 4.:L"~ S~ \\; 0 ,-=>,,_-\...... ,.. :) ~'-1L1 It s<?.\- \ ~ / i)" e 5" '" . " , 7d(,,-1o~4- ~ '1S- YY; A{'{>L...\,,,..... . 7<j~" ~ ~o(o,:\,."' SI -- -- ---- ~ --- ------- A,..,!....... ; .,- 3n . - I - PPROVED 1\. _ re. 'Z B'< OA.1E -- .-- .- S li( 11 H \ 1\ <: -\. So"\,-\ '" f1 ;) . .