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HomeMy WebLinkAboutBuilding Plans 1981-5-13 ," ... VICINITY MAP ~ 24kJ CN.MO.5> I c.. OG..- . I nstallp , - .Phone License No, Bonding Company - 'R? 'f\~V1- 1%l. !TItle as shown on OEQ license} If Installed By Owner- ~/ ~r.LC:"'[,..,lV1ad:1AftlUtDateY-24-'i?1 ~ie~~~ -:Spf'iWyfrJrl /cY2- . Q74'1'7 ISlQnatureof lJcenseeJ Datp MUST BE IN BLA8K INK form c55-11 Permit No. -..Cn~')-li Twnshp, 1'7 Range "'> Section ?,,2,'!f:1 Tax Lot I tLl StandardSystem]i!(AlternativeSys mD (Specify Typel q?o (YlJ;' , - .00, ~+, Job Location (Street Addressl 5ll {}(J 0 Subdivision/ Partition # . tJfi1lA_ Parcpl Lo'--0 Block....dY DETAIL SYSTEM PLOT PLAN AS CONSTRUCTED 12~eJL -fu catetchfd ..sc~ dJ1OW0 Scale - .. ~ &f- ~ ~. . .J1\ \.."!}1 /~.~ \',' "'-'....~ t: ' ~- ,/ ~/ ~ <'0. ~? :..r~ ~ ~ C- o T~ ~C": r.J> (A - - ~ <:- 4., '" - <a ~,"'" ' G 1< '?o .... ' 'PA ~ " ,n / 'r 'P ,v, /' ..... \ \ /. ,'" . USE BLACK INK ONLY FOR INSTALLE~~~~: Trench Depth. '~3()" Tank Capacity n~ '\ Manufacturer Measured Distance Irom Well to Tank From Drainfielri COMPLETE THE FOllOWING IF A PUMP WAS USED ON THIS INSTALLATION: I (installer's name) , certify that a (Mfr', - and Mercury Float Switch IMfg, and No,) {g_g I, G ravel Depth Below Tilo Total Length of Lines.Qk;l-ISD Y\Q.W - 1c.J3' (Model No,' - Pump have been installed with this sewage installation. SignaturlO' ---- Dato ;g"System Approved o System Disap FOR SANITARIAN' COMMENTS: o Needs Correction System Capacity. yf:[) I] S ysteJl], Cprr!jc)ed qal./day Signature, ;fcCUM f/IJ, iA.flOrv/lAJ/1.{Jj{I Datp Date l'3m~ n INSTALLATION RECORD & CERTIFICATE OF SATISFACTORY COMPLETION When signed by the County Sanitarian. this certificl.J is evidence as per QAS 454.665 of satisfactory completion of a subsurface sewage disposal system at the above location. Keturn tnlS torm to: tlUIIOlng ano ~anltatlon UIV., Uept, ot enVIrOnmental Management, locateo In tne casement ot tne Public Service Building, 125 E, 8th Avenue, Eugene 97401, . ,~ a~-g-I )'1-03- 20, '-J, L(:Ji;.) I Lf 3rd I1dd J1JoIU1,wood ~ )oj-- J q t3Iod< 6 Lj ZtlBD WYW:lS !V()7'b>,' c;o..,;{ IVI. /o&I~ :2 "X"-Ja",dc- U) i!J- 1 g Empffr'1i.dJ J'l-i!i L. ' J r-l('2- 1:;j~ ['1-0 (Tn h,1 . S~SICL- fl, 42 oj- 9.r<ltJ. #T~lu' 6] I"~ ~sJdL. ~.!.. ?11 bo~ 5'" . '. r ~ I " ' .' 't.!." pl"gdesl~ .,lell/N... I , S"~I~ T' ,,~~ o~ s..s~", ,..."tI. b""~ ..... _ _..... :="'_ buT Wh\~C4AIoIL.-~\,jo 1'~ - - - - , ~' ...t.... . ,.- , ~ ! /~~U0 p~/ '0~ , WW\ctS DrIUe..; '2lJ' ., / ~,/J / /"S,oD ___~__._.~J 1./1.' ~ ~',:' / (ft/I~ ~ . I ~ ~i " Hf)~ ~l) l..i.uC$ ~fo.JC1.1 old. ~foc.. ~,rvo\ So Ii b "1 v...k N..,,; A.l4 IN. "" 10 s~$/<." .." 193 L,.. F'i , ~"o ,'9:) '-- -'~.j,<:'D ;; ~ .\~~ ..'~:: -:3 ~ a. \~~\ 'I ,\ SJ l\.,\\)'O ~~ ~ ,- \' ~l" ~\~\', I' 1lI\<:.\1:l .. ~ ---: '. ' .~~,,\\~~~\\~ !. ? . J; ~-..ft'''- /....... , h0'Tr'N-r{:' f5 c3 S? ~ r----.. , , I ~'O-?> Y"- 1/ '16 -