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HomeMy WebLinkAboutBuilding Miscellaneous 1976-2-26 I 1 I, 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- "" 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\.- ~ r* pia- ~)~~ .-4~) ~_ Authorized Sig2fture ,:2-cPt- 7{' Date '. . / \" . J . . ....... \ --~~:':::";':".::':':::":~,::.\:.~:-.:;-;~.:'=:~-:-j . ,IV 8,<(':.;i~,*D)t:t" 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- . . ~ '~'~f ~..,~~ ~' j-\ b-...,Q ~\ ~ 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 . ..:,..... " "~~i ~ ~ FLAMINGO .................... .................... .................... . dfll' 6210 ""''''. <Of- ....". dtto' JtM. 6209 6208 AVE. <k.d- ~07 .. ~-r . .. ~ ~ =-"'- ';-' 620~" " r fl<, r, ~~.. . ~~ ~ ~ . " , ~ E C\J C\J "-0 r<l ..- 0 ..1,.' ~ 0. 0 ;:; ~ , r~. .,,0\ i' 6.~ \~' <?O p;;'- 5600 6~OB Dr r1'8N ./I( ~ .~:. ~ p , '5 4 3 2 ';.'./J'. .~JuF;"~--- .~/~:,~ .~-:::~ ',~,..... _c.~ '''~, "'" -- c.-......-- - .,ttP.d'- . 5700' 5800 5900 , c::: I~("OND _"0 t - ;, .. --.... I,~ "'" . ~" .." . Ii 77..:v., ->- ~ ;:m~~~Jt.~::-: "J ""''''''''''//'''''''/7 ~ 700 /~7. 7"- . '" ' , '0 ~ . . " ~" ~ '.!...(,( '~ ..... ~ €eO I , l< 620< i~ ,1-, ~ }-\ ,,J/:,J , . I$Y ~~~t \(' ~b-)~ _...~31 . J1. ~~.<:;<" " l i- ~ . ~ . ~- . f.....2!t"''-~" ~, . . ,~ ......... ;;-,\"''29 N\ . "'~~ ~ 620<1 6205 , " ~ ,... " " ~ :\. ~ loi" ~ ' "_ ,..._~5.:1"-:"tl~~t......:.5Si>~".......: ~r.s.r - 49004800 ~ ~~ .~ ~~ , ~ !oj " , 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 (' ec '.1~.c ,. C55-32 Date