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HomeMy WebLinkAboutBuilding Plans 1995-10-19 :P u V) ~ ,-y~ ~~~ a ~1" t. en' ~ t 'l\ ~~ I:> /IlQo ~\I\~~ '-I,V'c;; ~ '1f\81 ~ " '-.l o '" m :;: CD r is o o. CD ~ ~ ~ '~~ :; ~-N~~ ~~ i ~r ('\ ", t , ~ o . I " en !iI ~ ~ 0;- en !iI m- 0. cr '< o :;; " <D T o '" m , VICINITY MAP .~ f)OWNtr>,vj) N 11.411" $, 5flrL-tJ III ~ ~- ~ --./""'"'-- tJ/)~t?IS DETAIL SYSTEM ~LOT PLAN AS CONSTRUCTED ~ Scale " = ~ N -- :;; [" a Ji ,d 00 ':x: ~ ;..J -, )~ - ~ )z ir.i <:P .J uJ ~ u::;: ",- -- -:? Z ""'" ~ 3~ W ~ :; ex:: z uJ .r ~UST BE IN BLACK INK Permit No. !? 3J=-- 9J. Twnshp. -I-fr Range.6"3> Section {;):J.- Standard System 0 Alternative System rp. (Specify Type) c;'Auo n/...rE'f!,. Job Location (Street Address) 7qI! /JOP..eJS S r <;1'19..0 SupdivisionlPartition # Parcel . Lot \\ \~---- ""'AIC/ld ~ <l;. .:--. Q .... ~ \\.1 3 'Ill ('1'1/'&.,,(15 -,..,1/). ~ o .... ~ ~ -' f, ~ ~ '" 1-~~Ah" ~ ~ L~(, ~-f I "11t-.....~ -i~ ~ ~ ~~ ~.... dllCJ?} "7:::11\tI-;J-f) C\o.J , I 3 .!lm c55-11 Tax Lot _ ~ a" Block USE BLAj;:K INK ONLY I' FOR INSTALLER'S US~: Trench Depth :2 JI- Gravel Depth Below Til" ~ Tank Capacity _/'>Do Manufacturer WILLA l'1e-rrlF 6-JlAYSroM"'" Measured Distance fro ell to Tank /00 I From Drainfield /00 I Total Length of Lines /"-0. COMPLETE THE FOLI-OWING IF A PUMP WAS USED ON THIS INSTALLATION: ' ' I (installer's name) 1/ RLlt)EII' certify that a (Mfg_)~RV""OfOS (Model NO_)~D"" 3C>C'> Pump and Mercury Float)i1witch ~Mfg_ and No.) oRerJ (0 have been installed with this sew;~lst~lation, Signaturp 1/ ~ / Date /93 / FOR SANITARIAN'S US.~9~LY: COMMENTS: /$/-_ /~~f p.a I"~ hI I,~ i I . (' bJ'pystem. ,9rrected Datp System Capacity~i,(~ctJ gal.lday Slgnatur~-_":?~ Date /0 jaj'lr:> INSTALLATION RECORD & CERTIFICATE OF SATISFACTORY COMPLETION When signed by the County Sanitari~n. t~is certificate is evi- dence as per ORS 454.665 of satisfactory completion of a subsurface sewage disposal system at the above location. To request inspection. return all three (3) copies of this form to: Lane County Environmental Health Services. located in the basement of the Public Service Building. 125 E. 8th Avenue. Eugene. OR 97401. ~stem Approved D System Disapproved o Needs Correction ---