HomeMy WebLinkAboutMiscellaneous Miscellaneous 1975-1-20
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.QUEST FOR SlljE FEASIBILITY STUOY.
~\'"M (L(}\
3-/0<( ~
C,T, Number Soecial Permit Area
Yes X No
UrbanizinQ Area
S.I,# 7S--/ c;l
'3/74
L) '1 c) Go..vvu..
~
'-1-0 C;
Code'
For Off i ce
Use Only
..!l:ece i ved by
THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING
PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK,
PLEASE PRINT
If ;;diV!Si;n - N;~ ~/~:O ~Qb?':'~
Township Range Section Tax Lot No, Owner of Property
Ge()(2Qe. SilVIO 1\1 5' No, of Sites I
N~e I '")
'\ +t- I i) i:::> I, X J. LI- ':?
'1 ing Address
f?p .
X~A' /-7-.' 1:?,//:d.,.v'
Signature of Apyficant Date
PERMIT.
Lot #
Block #
YesX
Owner's
No
Consent /
$ ,!3S"7 tJ 0
No, of Acres It,. :s.:;-
$
$ ';?0-: 00
Total
~k
v
Seller
Owner
Proposed Use. 7 . a.' 0 Appl icant's Interest Buyer
of Property: \7drv,I"/">.c_.-'lI7~"'- in Property: Other (Specify):
() .
_ /I".,3~ JJ4-Mr- ~rrlNI & n...:rrd
Property Size Legal Access - Road Name Existing Structures on Property
Realtor
P'oposed Water Supply
PJbl ic District:
S,ring Well
\
((';/JiJJuAA'\;: 'nub ;j~A,~:ib.
to \'-' " v
f\~ Q# '-1-1././ JO~~'
U ~ ,
!! '. ,p
f. / /I......~-'- ~~" ,)'-' \'4-
When Wi 11 Test Holes Be Ready? WAIf J 11 ff f'I/;</Pn ~ "&;~: ' . , '---
MARK TEST HOLES WITH OUR FLAGS (Datel:/
(I '. --rr-- , J n /,A(t,
Location of Test Holes on Property: ~lJ~ ~ /'i/J
if
Draw diagram of property showing location of any landmarks and relationship of test holes to
these landmarks:
Is Property Within o~e ile of City?
Ves V What City" l/l,~b,jJ//
No ___ vi
Other (Specify):
I
;0/ e..:,-t 4"1""
Ii
Property Location (Oirections):
p &..ti>....c..;.. .d..a.a ~,,()
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MAKE CHECK PAYABLE TO: ENVIRONMENTAL MANAGEME~
MAIL TO: LANE COUNTY DEPARTMENT OF ENVIRONMENTAL
CSS-S5
Phm e: 687-4065
MANAGEMENT, 135 E, 6th Ave., Eugene, Ore.
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APPROVED
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NOT APPROVED
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( Date
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SEE CH,CK:.,ST ON REVERSE SIDE
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RECEnfrr1'
~y
JArJO 81975
LANE COUNTY
ENVIRONMENTAL MGMT.
75~-- 10
]WN~R.'. G.e.qr:g~,~].!I19.1!~.,....;.__.....1
\DD~~S~'?~?_~ }9!: ,~~ _ ?~?.. ~'_____...
. ,,' &.1.c.e.'!"! L 9!"_8,g'?!l. ?X4Q~.. _,..,
Hf'\RLn..... ~
W'il TE IN 1 HIS SPACE
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. AlNnO~ iiNVl
SL6l13 0 tJlir
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MI~IOR
PREP'REO BY D. A. Larkins
West Coast Realty
279 Coburg Road
E',,!en~. Or,,!,:,," 071.01.
.~ ~ ( ,~.
SUBDIVISION
I -----..----------- ,.....,----.
T A X it) ]('.) ;';{.11cL...___:....-. ~
IASSESSOflS MAP n _ .~: .:<.,;..'
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,SU.pec:tiOll II 7fj-/(")
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.. ", :'.'~;'TEVALUATIC.F .'-,:>:, ." .
FOR DITEIlMlNlNC. 'SITE SUITABILITY
.. -FCIlI!~~OPHENtUTILIZlNc
SUBSURFACE . SEWAGE DISPOSAL METHODS
LOCATION I
TWp.
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-Range
0'3
Sec.
Q2
Tax Lot II Ow-i 0 f> /fj,OO
Are pu~lic aewera' available or nearby? (Distance)
. Are there. coning or environmental considerations? N "
She df . property lit. , 1. r::- A ' Amllunt u seab le area
1f1
I-}.. ,
J y:; PI
Are other systems in area known to be
malfunctioning?
"Y Z--J
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, Ia there room' for 'future expansion?
Slope I (iiliooi)
,'. t ~ " .
, Flood plainl
()--
').
(Explain)
'('1)
Surface' Feature considerations I
"
~
Plants,
Rocks.1
Low area I
fxa. Y- ~~ ~{ J'
Drainage_YI
Strealll8 I
Cut bank or slopel
Water Supply and Utilities,
(Sketch in' Plot Plan)
..
:, COlIIIIJni."ty 'Water i .
,lndi;'idualwater',
No
Exist.D
. ,
Proposed 129 .
,W~ter Lines'.', :.." ~. ~~~t., J::J~~~~o~ed D . .
Gas Lines,
Exist.
Propo'se,d 0
Wells on adjacent
properties I
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Eiti.st.
. pt:oposedD
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Heet minimum standards for individual
'~st~ ~1spoaal~' ,<
'\J\,""\1' --.i.J..>:"
IF SITE DOES ~ HlET STAKDARDS SPECIFY BAS~S OF DENIALI
- Administrative Rules Require - - Your property found to be Deficient -
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H O. L E
T EST
Perched Water
Predicted
1Il.ervad
Date
PROFILE
in. Inch
in.
L
~2
s,'
I..)~ ~\ t 0 tJ';~
Saturated Zone
Predicted
Observed
Date
,
in. .
, in!
\.'
.
r "
24.
%:1'L.
} .VI 36.
f; "
Restrictive Layer (1~~
Impervioui Layer -tn. I
Mottling n.~"- '~in.
6 ,-
48.
1..,')
60.,
SITE DOES
./
/
SITE DOES I<<)T
1
IF SITE HlETS STANDARDS FILL OUTI
Type of structure and approximate
"'lti-family
COlllllercial
sewage flowl
GPO, '
GPD,,,\
NOTE I Soil absorbtion area in square feet
Area necessary for sewage disposal systems
..;. '. -- ~
. "
III
.
T EST
HOLE
.',.1
Perc:bed Water
Predicted
lIlsarved
Date
PROFILE
i Inch
n.
in.
;~
~\
12.
,.....rated ZoRe
Predicted
lIls.rved
Date
in.
in.
24.
A "1 f <:\\
36.
Restrictive Layer in.
Impervious Layer -in.
Hottlina -in.
48-
60-
Single Familv
Industrial
Institutional
//
GPO
GPO
GPO
6D t;,~(-tf/6J.
ARE ALTERNATIVE SITE LOCATION, DESIGN OR MODIFICATION AVAILABLE, DESCRIBE I
NAME ~ ~
(J-
DATE OF FIELD EVALUATION I
/ /ZtY /7~
lb wqc. 1- ~- 7.5 . [IL
BUILD.'N.G.SHE EVALUATION . 2J~ /Gn.
() BUILDING PERMIT APPLICATION NO. 7~-/o
(~ SITE INSPECTION
PLANNING DIVISION
Not
Appl icable
AbT ()
( )
( )
( )
( )
1. Zoning Ordinance Compliance: Zone
2. Subdivision Ordinance Compliance
3. Required Access
4. Building Site (Area, Width, Frontage)
5. Other (see comments)
COMMENTS:
T I~R 03 S 2.&.. TAX LOT /200
SUBDIVIMN:
LOT: BLOCK:
APPLI CANT Si "'^-~"?
DATE 1_ ~--:.,;;.,
No Yes
() "'[t:}--6.
(Ik( )
( ) (vr--
( ) (..}--
( ) ( )
PLANNING DIVISION ACTION PENDING: YESl } NOl } APPLICATIONH
BUILDING INSPECTION DIVISION
Not
Appl icable
( )
( )
( )
( )
J
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
Aool icable
( )
( )
II. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No Yes
() TT
( ) ( )
( ) ( )
( ) ( )
No Ye
() (')
( ) ( )
CK'D ~tJl;T //ahc:-
Setbacks from cf4 ~fr~ad;
~~ont_. . . .~
~,~_ _..<0,',0.
Setbacks from interior lines:
Side IS'
Rear ::iI~'
CK'D Byf??J~ -;"".76
. ~DATE
o krr e... e~-e.s
OK" BY'J~ /~l;r
TO APPLI CANT:
1(.: Your Building I Site Inspection:
II... '} ><r Can be approved.
Atf ( ) Cannot be approved at this time as Indicated on item NO, above.
\R'cf,# 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.
( ) Your building permit appl ication fee is _bein.g..~~tu~,n.!l.d undJ!' seo"".te cove._
"EPARTMENT OF tHV I RONMENl AL AANl\liEM~1'l1
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28