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HomeMy WebLinkAboutMiscellaneous Plans 1979-8-7 ~~ ' TRS, n-Z 70 '71 .i{ 0001100 Plat Plan j ~ .1,.,:le /'I(OM, ~A~G P.a,c,., Rd. No 5C.A/~ &- ~~ <t ~o , ~ eJ ~ ~ Q) ~ """t w -0 ) ~~ -0 <l: C'~!;{ Cl p::: ~ <:: ~ "" '" 2: ---- - 1 Q) 11 E '" z ~ -.... .Si~ <:: B '" a. ~ ~ > 0- <:: co <l: ;: ~ ~ j .~ ~ ). .. .. c: 1 ] ~ \I -J ~\ I J ~ I co i'<- C\j "". Job Location (Street, mile post) Subdivision ~2 -; D""rl"'Aru rP-Ii'Ry Rei Lot Block' FOR SANITARIAN'S USE ON LV: ~ System Approved 0 System Disapproved !; N~fcfl Cbr~:~n COMMENTS:~~f~ ~J~~~ ~~~~~~~_~~l . ( .J~ r'( ~~~~r j~.lttU'v-- () UJ ~ Signature: /(a'J-iu 'WI WI urhAlwtd FOR INSTALLER'S USE: Trench Depth Filler Depth Below Tile 6" Tank Capacity Manufacturp' .~q' Measured distance to well from tank ;; fJ<-- II! ~ '. '" Q ~ !' cr I a"Aj" ",I ()) .-.1 GMtt/I!'" Scale: 1"':,0' Date:J..':>~1 from drainfield_q b . [JG Adm R-N r-~!(R y i?d., ~80" -:.t - , I' 0 0 !! ~,,;~.\ 110 0 ~,. ''If I AWn) :: 0 0 ~: ,) ~ J... ~ 0 \1.)0 't;!!!!!J~ c ~Q ~ bluO ~o~';:' OI~O -. '" ( ~ ,... /," \r..,cq.:tl!\. (lOt-.. t ('c.. f-19~ 0 0 0 6 ~c: /-IOU';!; . >>1~~/:Jr: /'~~~\ll ~5"~{,' ------rvi:;o r .,.,.,q'~ ._~ wM' I o,'jo .~. HOLrl;s,:: 0 ! 0_ 10 ~() o ~o c'4t&l.€1IJ 011'10 J o 0 ---- O~cAARd ,OJ T-L~"", ~~f'~'-'~ .'~. '). ----~.. . \ ~\ _. -f..~ 9- AUG'1 71979 C> ~12 ~ ~~'h' P'fiJ' ~ J~ n)j ;::. ~~~ ':""-1... VJ -\ /...Il 1..)10 lout 1 U,,:Jd 1m I ;::'J;..qJ INSTALLATION RECORD AND CERTI FICATE OF SATISFACTORY COMPLETION When signed by the County Sanitarian, this certificate is evidence as per ORS 454.665 of sat- isfactory completion of a subsurface sewage disposal system at the above location. ~ N Return this forro to: Permit Processing Section, Department of Environmental Management, Public Service Building, 125 East 8th Avenue, Eugene 97401 C55.11 - I) .;'~ 1 " JOB ADDRESS: SZS r: \ TRS, TL: ll.Mj)=M 0 UOD POST THIS PERMIT ON MAIN BUILDING AT SITE c ~ le::.:lo ~""~"o I'I"''-u'-> (tIlstruction approved by this permit: Water Supply: =9.1 ~2~ CONSTRUCTION PERMIT # r.-001192?~~ Subdivision: m ;{, . /' ,; t'.. c. , . y . ' ~ . ," )/'."/f"I"i .1' J.-r' b N...r ,t oJ .'t;t.t~ ..--/'ll""fn ,i, .~I ". ' ,..". '. . , ..1'" .-~, . ,. This permit for the' referenced property IS hereby U;?",~~.'l - (J ~etDacks and otlier conditions .of, approval' must b,e strrctly'observed:"'\'llolatlon can result in revocation of this permit, citation under provisions of Lane County's Infraction Ordinance, and/or other rem.edies allowed by law. ((,.0 !~.'_I .....- ..,!(j Applicant/Address: ~c::J2.D 00 .r~C::lo m 1'1'---o.~oo I?0Zl1'Sl I:k:clo DErw=o G",'-0---'" !)7~!?'! Telephone: 12G=>YMVC:::::00 Owner/Address: r------- Telephone: = Contractor/Address: I Telephone: I Contractor's OS # I Total Construction Value: f , < WATER POLLUTION CONTROL DIVISION : ~_ I ~ _' [':::ylb:o !'-'-'",=ll. dlCl3 W:J D~L.~::=c:J = G::l ,""'-'l/'-"'''-...d ~"Sl c:::>1i: b&/coo coraea oc1 r--"""'"""'''''-, # Bedrooms: 2 # Plumbing Fixtures: # Employees: !"'"\ "''' PLANNING DIVISION Zoning: t:3 Partitioning # Ii;::) Parcel # t::l Minimum required structural setbacks, from: centerline of road, front: CCJ side exterior: = ; interior property lines: m ;rear property line: el Special Instructions: c:l Parcel Size: ; centerline of road, 1191 II m For information call 687-4394, fl:=::= [l..oJlJi..a? Site Inspection # t::l Installation specifications: c:mlo~o gal. min. septic tank capacity; Jl.5;0 lineal feet of drainfield required; max. depth of trenches: CO oll.!?c:::ly CJ"""'~~...'C-'1 Special Instructions: lli:...."Zcl.l a c;::::Jll. ~c::rl1D::J~ 07-3Ci:::l De 0 rl1n~""-'--' De gq, cx;;-'~ ~ :ill= lln li:b oe:::l of! cto to,--~~ Gti.l e!::o b~ U'~ 11m ~ =~ cl eb 1:--"- ~ C::?Zb ol1.\:......4;V c:P"""'U~n"t:::::l bl7 Cl::::l cnil.o~ ~U---"'fz:lG cl,-,"~<:!j'l= c::J~ oil ~ ~ 1"''''~'"''>-><ln !eOo c:l~"?'1 i?l= an~ t7.:llillo ~ ~---..J c::!fu;:>fin(J ~o ,S_etbacks Septic Tank .rior property lines ' 10' . ~e of road right-of.way 10' Building foundation 5' Wells, other water sources 50' CONSTRUCTION PERMITS/INSPECTION DIVISION Drainfield 10' 10' 10' 100' For information call t:J1'i_~!\fibetween 8:00 - 9:00 a.m., 17n"'-~ = CCJ = Group: Fire Zone: n..,~~.Il t:::l Type of Constr~tion: Instructions: Use Classification: c:l c:l For plans information call between 8:00 a.m. and 9:00 a.m., For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. . '. , l1c....--:: c2 Dc1I.,",ll~,.....,:> [;) :l..clZli: 1:0 lrn~Oo li'c:::i'l?] CCJ fez c:J ~ \7ik::1" t..."::) ll.cEeo ~ ~ adcme:EetJlilty Directions to Slte':lD=m.=IV I:b..."'M lP1,...Jln~Y' ~ Date Issued: By: DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING c~., .~ 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 } ~ TRS, TL ,..: i ::"..'<"')1) , , '-' 1'1 Job L,. ,:;t ion Permit Q Permi t Q Permit Q '~ ~1~ Lot BIOCk~. \l)tJIP' crJrY i V 1')1"\ ~nt\IY\~, aj\P~ c, "'" '1 18'~1,'c1 S-t~ ) " viZ~\.J 2-1"' 1t l) Cu'") \ ~ c i--- ./vtot-lv' U ~ ~ \ ( . ~ "ti'cs; .~ -:b 0~ 3 0:3 SJ -:: Q.. :J5 l I f Plot Plan Subdivision . . ~ N' . Vicinity Map .i.. ro.7t..._l c:n (Add res s) For For For ..., -0"'" {, 0' Y . ..- -/' ,/ ,.'... ~ 1 ~ ~ I - '" . '_ , __'. _ . -.J<./ ~ !J./."",,,0-7Uf.''J,<:'J .I /uU./..L. / c::;. ./%r.'../,'(_'--=:. Permit , /J For c:/ Permit Q - For Permit Q For ----'\ ~ ~(i t~ f ( N I"; 100' ~J~ ;s~_ --