HomeMy WebLinkAboutBuilding Miscellaneous 1976-2-26
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1
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3174
~QUEST FOR SITE FEASIBILITY STUDY ~
~
5 r # ~lo-'\~\ /
.. .--! UiDO 1/1N"'; n~'t,
Yes V No I
Urbanizina Area I
t
For Office \~L~
Use Only \. \
. Rece'i ved b
\~d:{)Q\.T. Number sDJa~~t Area
THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT.
PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK.
If Subdivision -
PLEASE PRINT
Name: Fa.PmdD~~
.f)-2_ .t/2-;~/)O _IYJCJ.#?-,c,J,_
Section Tax Lot No. Owner of Property
-l
No. of Acres
$
Block #\ ~ "'I
~I
No. of 5 ites
Lot # I"
Yes ./ No -
Owner's Consent
$~oO
17 M
Township Range
i f"A ..,//e-. /hdJ":"S/-U
Name /' J
_ \-3%.-9 fJ./r/(Jee"75
Mail ing Address /'i . ~ t)c!:>
_ F;ltjt21?,t:J (yRec;/JF) Total $ .-\~
h?/a-OI.21 X .J. Ak ~-IMA :lbtJ ~'1
Telephone # . ~~f Appl icfht DJle '&wner I~
/
-l
r-
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Seller
Proposed Use 1- '"
of Property: ./ZAJ??11 ~/
f"o )I /10 ':i. 0A?1//Y1Grl
Property Size - Legal ~~;;;~~~d Name
Appl icant's Interest Buyer
in Property: Other (Specify):
Realtor /
)1/j-n Q~
Existing Structures on Property
,/
fs Prwrty Within One Mile ofiflUi y? I Proposed Watif Supply
Noes _ What City? 0..LA1..O/ I Pub) ic V District:
Spring _ Well Oth~,r' (Specify):
Property Location (Directions): h-tU-L ~ ier ~/~4+
/ ('-.;...), ~
,--' l~" 19- .~-evv~a ~
/
Draw diagram of property showing location of anY/I,andmarkS and relationship of test holes to
these landmarks:
./
J
I
When Will Test Holes
MARK TEST HOLES WITH
Be Ready? '\...D . \. \.
OUR FLAGS (Date)
Location of Test Holes on Property:
MAKE CHECK PAYABLE TO: ENVIRONMENTAL MANAGEMENT
MAIL TO: LANE COUNTY DEPARTMENT OF ENVIRONMENTAL
e55-55
Phcn e: 687-4065
MANAGEMENT. 135 E. 6th Ave.. Eugene. Ore.
i
.
APPROVED )( NOT APPROVED
~ a--.1.~~'~ ~~
~ ~I ~I)t ofrl~. "-1 .di', ~
,:d- ~ ~ ft .~V ~~~
a-~ ~ ~f12~, ~ C\.- ~
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Authorized Sig2fture
,:2-cPt- 7{'
Date
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.
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.......
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r..' "//'.r,,, / '/ / "'". .. '" ".II' J J"" , , })} ;,")}, ,,, , h' "" ,,, ,,,,,,.,, , I / J' J, / -, "1
:: .... 77' 6 "5 "4 "':3 77' 2 fl"'.8~' I 80'
~ ~ 600 ,500 '400 ,300 200 l 100 It
r~ ~-II..-1.t~ t'\~-i\~ t'\~-tl ~ 3 ~ ~ t ~ ~
l. ...., lQ',,,,, ... .. ':=:.0 ' .
,,'" , ... ........ ... .'
.... LI. '.~.... ... 0 ... ....
~.. ,o'i/'t y ~ ~ /~~'
.. (r"f" ~ '1'<.,t'1"{,,!
'd ... 77' 77' .77' 77' 7~' 8~.B~' ( 14.-'''~.4''''''
.Al8~,jj57i'J"~".,Z.1U.2J,.' :i"<...(...,,1,1'~J."(/" '//"LI.//' ,111..L( '~('L"/<' '"/( /'/ ""_ '''/ ~J ,,, ~....
.Nd""04-'1</-d~JO' - t 4t7.d'" ,.......61:7.4' ~", "":'dlU" ~. ..., 'cb.O' """ - -..........~ . ",-.Q. '>-~~
./.w-:"'~ x.4(::~ ~ . (:1.0?.
./azrYn/ p~"e. ~ 6212 6213 6214' 6215 6216' 6217 \,
~ ~ ".'1 ~ ' .. n-
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Fbrcel ~~r~~-rO '19\!~d- 0 310 ~d' II :::~-j ~
A -;;: . PINE D"A L E
~4'
:': 6211
NWI/4 SWI/4 Sec. 22 TI7S. R.3W.WM
LANE COUNTY
1"=100'
Center of
"Section
See Map 17 03 22 I 3
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~ FLAMINGO
....................
....................
....................
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dfll'
6210
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dtto' JtM.
6209 6208
AVE.
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620~" "
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5600
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'5
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';.'./J'. .~JuF;"~--- .~/~:,~ .~-:::~ ',~,..... _c.~ '''~,
"'" -- c.-......-- - .,ttP.d'-
. 5700' 5800 5900
, c::: I~("OND
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~ 700 /~7. 7"-
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6205 , "
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49004800
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r. V # 1 . L E # 2 .S T H 0 L E
./ " T EST
.
PERCHED WATER PROFILE PREDICTED WATER PROFILE
Predie ted in. Inch Predieted in. Inch
Observed in, Observed in.
Date Date
12 - 12 -
SATURATED ZONE S L--. SATURATED ZONE
Predicted in, 24- Predieted in, 24 -
Observed in. Obse rved in, rl
Date Date
36 _ 36 -
Restrietive Layer~in, Restrietive Layer in,
Impervious Layer in 48 - Impervious Layer in 48 -
Mottling ~ ,;z;,Aj;UJ in Mottling in,
60 ? 60 -
SITE DOES lSZl DOES NOT 0 MEET MINIMUM STANDARDS.
ADMINISTRATIVE RULES REOUIRE ~ MINIMUM DEPTH OF:
ON YOUR PROPERTY THE DEPTH
WAS:
0 36 inches to an impermeable layer
0 30 inehe s to a restrictive layer
0 60 inches to a permanent water table
0 24 inches to a temporarily perched water table
OTHER REASONS FOR DENIAL
inches
inches
inches
inches
~ PLAN:
Stream
--
Drainage or
pond
1'............._..
Road
~ % Slope
(JP/
~~
--...-
Test Hole QD
Gut Bank
", ",
Fence
,K-K-;t
.
.
if
, ..l....~
..
gn; EVALUATION WORKSHEET
LOCATION:
TWP.
, 7 RANGE
0'3
SECTION "2
TAX LOT # t(J., I.. &0
ZONING:
PROPOSED USE:
k/~ ~ t/;t~1 ~~
USABLE AREAf' J
SIZE OF PROPERTY:
fOx. II(J
AMOUNT
WATER SUPPLY:
COMMUNITY IgJ
PUBLIC 0
INDIVIDUAL I I
IF SITE MEETS STANDARDS FILL OUT:
Type of structure and approximate sewage flow: Single Family
Multi-family gpd Industrial
Connnercial gpd Institutional
~
gpd
gpd
gpd
MINIMUM DESIGN REQUIREMENTS:
Length of disposal trench required
Distribution Method:
Equal ~
Yes D
/00 ~#
. ~
Serial 0
No D
/150 gal.
Curtain drain required:
Other:
SPECIAL SITE CONSIDERATIONS OR VARIANCE OPTIONS OR OTHER ALTERNATIVES:
NAME:
.d~/
t1
DATE OF EVALUAT10N:-3~-7~
C74-l26
BUl,LOINll' SITE EVALUATION
.
&v
.
() BUILDING PERMIT APPLICATION NO.
~ SITE INSPECTION
PLANNING DIVISION
'10 -71
1.
Not
Applieable
I~~ ~
( )
( )
( )
Zoning Ordinanee Complianee: Zone
2. Subdivision Ordinanee Complianee
3. Required Aceess
4. Building Site (Area, Width, Frontage)
5. Other (see eomments)
j{,/J, /1d~
COI1HENTS:
~ "
~--------_.
T /?A..R t?3 S
SUBD I V~N:
LOT:
APPLI CANT
DATE
No Yes
T) TI 6.
( ) ( )
( ) ( )
( ) ( )
( ) ( )
PLANNING DIVISION AcTflllCP~NDINt:-YES{~~T Nor} APPLICATION#
BUILDING INSPECTION DIVISION
Not
Appl icable
( )
( )
( )
( )
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see eomments)
COMMENTS:
WATER POLUTION CONTROL
Not
Applieable
( )
( )
II. Meets Oepartment of Environmental
Quality Standards.
12. Other (see eomments)
COMMENTS:
No Yes
T)TI
( ) ( )
( ) ( )
( ) ( )
No Yes
T)TW
( ) ( )
:J-2- TAX LOT ~
BLOCK:
CK'D BY: I~.h -::r..d-7L
Setbaeks from ell of road:
Front
Side Exterior
Setbaeks from interior lines:
Side
Rear
CK'O BY:
DATE
CK'D B~J &.,
;2 -,)t - 7L
DATE
TO APPLICANT:
Xou~ Building I Site Inspeetion:
~ ~Can be approved.
~~ () Cannot be approved at this time as indieated on item NO. above.
~/'L/ Questions and further information on items 1 through 6 eontaet the LANE-
:I COUNTY PLANNING DIVISION. Questions and further information on items 7
through 12 eontaet the LANE COUNTY BUILDING AND SANITATION OIVISION.
( ) Will be held in this offiee until you can resolve the problems indicated.
( ) Is being returned.
( ) Your building permit ap'pl ieation fee is being return.!l,d under seoarate cover.
DEPARTMENT OF ENVIRONMENTAL HANAGEMtNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
.'1.
. "
",.1"
Name
and
Addreso
,
1\
," t.
t.larsh
Surname
Receipt No.
7F-7'~,
'~
'.'I];;]dClle
. 03
Twp, Range
10" [ bloc:,1
<:2 42-FCll
Section Tax Lot
Census Tract
eCl3
Code
I Date
2-20-75
I Owner
"arS:l
Owners Consent
Yes X No
fEQUEST FOR SITE FEASIBILITY STUDY
THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE
BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT
ARE AT YOUR OWN RISK:
Lesl ie j.larsh
563 Princess
Eugene. Or.
Telephone No"
686-0129
Property Size
80 X 11 0
Existing Structures
none
Proposed Water Supply
Publ Ie X District
1 $
No, Sites
$
No. Acres
TOTAL $ 75.00
~pplicants Interest in
owner
Legal Access - Road
Flamingo
Property
I Proposed Use of Property
dwell inCl
Sprinq
Name ISpeeial Permit Area
Yes No X
Is Property Within One Mile
What Citv?Springfie1d
Other
Specifv
I Urbanizing
Yes X No
of a City?
Yes X No
Area
Well
Property Location: (Directions)
turn to left off of Pheasant
APPROVED XXX
NOT APPROVED
The area of the test holes can be approved for sewage disposal.
it is important to reserve a replacement area for drainfie1d.
plot pman with building permit.
Lot is small, 50
Submit a detaH2d
BEFORE CONSTRUCTION IS STARTED bring this form to the Department of Environmental
Management and make appl ication for a building permit. If the property is a por-
tion only of a tax lot. a metes and bounds description of the parcel must be fur-
nished. Exact specifications for the sewage disposal system will appear on the
building permit. Two sets of building plans and a plot plan will be required,
LANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT
135 EAST SIXTH AVENUE, EUGENE, OREGON 97401
G. H. Gray
Authorized Signature
3-4-76
j ('
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,.
C55-32
Date