HomeMy WebLinkAboutMiscellaneous Miscellaneous 1976-8-19
r Slc) - s.If-1l,-~\3 ',~
Ga.~ m.v~
,- 3/'4 ~EQUEST FOR SITE FEASIBILITY STUOY.
.~':' . ,- ... ./
For Office ~'(\{\ DbL.\ - ~l.-~ Soec i~ A;~ t Area V
Use Only / Yes No
Rece i ved bv Code C. T. Number Urbanizina Area
THIS IS A PRELIMINARY RE RT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT.
PLANS OR EXPENDITURES MADE RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK,
PLEASE PRINT
....
If Subdivision - Name:
Lot #
Block #
17
Township
W3
Range
22
Sect ion
1200
Tax Lot No.
Joese1?,h Bando
Owner of Property
Yes XXX
Owner I 5
No
Consent
'"
Joseph D. Bando
Name
1868 Hamblin" Drive
Ma i i f ng Address
Snrindield, Ore
No, of Sites
1
$ ~S"'<:>
~I
No, of Acres
18.35
746-4423
Telephone #
X
S i
, ~JJ8116/~6
f Appl icant Date
I
Appl icint1s Inte est
in Property: Other
I
I none
Exist ing S,nuctures on Property
"s c:- <::>
....
r-
'It
Seller
Proposed Use
of Property:
x
Rea I tor
Residence
18. 'l'i acres
Property Size
Game Farm Rosd
Legal Access - Road Name
'Is Proflerty Within One Mile of City?
Yes X What City? Springfield
No
Proposed Water Supply
Pub'l ic X District:
Spring Well
Rainbow
Other (Specify):
Property Locat ion (0 i rect ions) : Sel!ond d~1 "" nn"'i:h ~ n1JJ'oad i:"'SI!ka ou...r1."hi: on
\
Game Farm Road. \
't,
,
When Will Test Holes Be Ready? '8(19[76
MARK TEST HOLES WITH OUR FLAGS ',. """'{"Date)
Location of Test Holes on Property\. Tesi hole a anDear as x'a on.i:he diaaram below.
\
Draw diagram of property showing location'of any landmarks and relationship
these landm"-ks: .;. \
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MAKE CHECK PAYABLE TO: ENVIRONMENTAL MANAGEMENT
MAIL TO: LANE COUNTY OEPARTMENT OF ENVIRONMENTAL
C55-55
Phcn e: 68]-4065
MANAGEMENT, 135 E. 6th Ave,. Eugene, Ore.
APPROVED )(
NOT APPROVED
ppprvd '~r 5(/b~ ~<LJ€ ~.i~(
j~ ""~<<, cf-a.;;C h,Jes fr,:u.~ ~f7e,j"""t{j pr4/J~4
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SITE EVALUATION WORKSHEET
7~-G /3
LOCATION: TWP. )7 RANGE 03> SECTION.2--2 TAX LOT # );J<:JO
ZONING: k.;:r- PROPOSED USE: /'(",C:;J~P
SIZE OF PROPERTY: ,~'-;--tLL~~ AMOUNT USABLE AREA: /J},P.. ~6!-j-
WATER SUPPLY: COMMUNITY D PUBLIC 0 INDIVIDUAL J;:ll
IF SITE MEETS STANDARDS FILL OUT:
Type of structure and approximate sewage flow: Single Family
Multi-family gpd Industrial
Cormnercial gpd Institutional
MINIMUM DESIGN REQUIREMENTS:
Length of disposal trench
Distribution Method:
Curtain
drai~r.e~h
/'~ -
Other:
/26"f
required
Equal .I29- Serial D
2/Sq ~r~11- Ci'Mr~:fZJ f CJn
f?:> ~ ~l..p n/-~/ 1,1L.-~
,
cJ6--o
gpd
gpd
gpd
/150 gal.
bY-
SPECIAL SITE GONSIDERATIONS OR VARIANCE OPTIONS OR OTHER ALTERNATIVES:
,.-
--
NAME:~)~tP~~,
C74-l26
DATE OF EVALUATION:
. j,../'
, "-
9'hJ76
/
# 1 T E S T eL E # 2 TeS T H 0 L E
~
PERCHED WATER PROFILE PREDICTED WATER PROFILE ,
Predicted in. Inch Predic ted in. Inch
Observed in, Observed in.
Date 5/~ JdG.., Date
12 - 12 -
SATURATED ZONE SATURATED ZONE
Predicted in. 24 - Predicted in 24 -
Observed in. Obse rved in
Date Date
36 _ 3~:Z:h7 0
'fd-
Restrictive Layer in. ~1 Restrictive Layer in
ImperViOU~yer in. 48 - JC;s(>..- Impervious Layer in 48 -
Mottling 0 ~ in, Mottling in
2K- ~______ - 60 -
SITE DOES ~ DOES NOT 0 MEET MINIMUM STANDARDS.
ADMINISTRATIVE RULES REOUlRE ~ MINIMUM DEPTH QI:
ON YOUR PROPERTY THE DEPTH
~:
0 36 inches to an impermeable layer
0 30 inches 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
PLOT PLAN:
--
Stream
--
Drainage or
pond
..,...............
Road
----
Test Hole (8)
~ % Slope
Cut Bank
"~,t"~
Fence
11- 11-)(
,.
.
.
Section 22 tl75, R.3WWM.
LANE COUNTY
.
. ':';-i:>o" ';'~;" /-4
17 O~ 22' :.',
8 INDEX
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,/ J 2 r ~ l' , ,,' , 000
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NWIM NEl/4 Sec,22 T./7 S R3 W.WM.
LANE COuNTY
1.'100'
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/7032212
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BUI~~HJt SITE EVALUATION .5U
~ BUILDING PERMIT APPLICATION NO. 16--b/3
I
() SITE INSPECTION
T 1'1* 03 S 22 TAX LOTjz.OO
SUBDIVI_N:
LOT: BLOCK:
APPL I CANT
DATE
Not '
Appl icable No Yes CK'D BY.&J.I~ .A-"-'7~
1. Zoning Ordinance Compl iance: Zone Jl6T l) T) Q;<f 6. Setbac~ of road:
2. Subdivision Ordinance Compl iance () () ~ Front .JJA.
3. Required Access () ( ) ()<:) Side Exterior
4. Bui ldlng Site (Area, Width, Frontage) () () ~ Setbacks from interior b Ines:
5. Other (see comments) () () ( ) Side IJ
I Rear "
COMMENTS:-\. <'RU~""O~ R.At"~ '.F ~I:. 5.\~ I~~, t~ f'lQK..
A ~~ "'Di,j3iif',.~ - IF-<-Q J:>- ~C:l ~~"T"mI!l..J
\a.. 'r_I.=..o~I~\ - M\.L.' ~li(.\~'T1Al'''' ~~.c--
'; - I'
PLANNING DIVISION
PLANNING DIVISION ACTION PENDING: YESl } NDl } APPLICATION#
BUILDING INSPECTION DIVISION
Not
Applicable
l )
( )
( )
( )
No Yes
T)TI
( ) ( )
( ) ( )
( ) ( )
CK'D BY:
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
DATE
COMMENTS:
WATER POLUTION CONTROL
Not
Applicable
l )
( )
No Yes
T)R
( ) ( )
CK'D By/10MuJ!Jl.J~!/it
.? DATE
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
TO APPLI CANT:
Yo~ Building I Site Inspection:
..11> ("') Can be approved.
q...{'S ,/ ( ) Cannot be approved at this time as indicated on item NO. above.
~f- Questions and further information on items 1 through 6 contact the LANE-
COUNTY PLANNING DIVISION. Questions and further information on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
( ) Will be held in this office until you can resolve the problems indicated.
( ) Is being returned.
l ) Your building permit ap'plication fee Is bein~ ~etu~ned under seoarate cover.
vEPARTMENT OF ENVIRONMENTAL MANAbEM~NT
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28