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HomeMy WebLinkAboutPermit Septic Tank 1979-6-29 _ ~ /.., ., /) /3 'lOr) \rTRS, ~, 1'--0:3.- ~ /- J? VICINITY MAP 'JI t--i ~ 1 .,(. '=to \S'w ~.-s::: ~ ( J ..Q ~ \1"- ~~. ~-t) J. ~* . f- . ~ - ~j~ - ~~ ~ v ~~. .... Q) Cll +-' en C M~ l' 1\' , ~ ~. ~ j \', ~: 0\, . ~ en O'l C ] J 0-- ~ ~~~~~~7 c ~ ') \J Cll I .....'. e.> \l " Q. ::jj: Q. 0.. <( en > en . .,... '..,~,,: .~. ;. :..:;~~-"" " Job location (Street, rT)ile post) Subdivision ).J /J- S?79~~, O~.db7/2 ~~ lot Block FOR SANITARIAN'S USE ONLY: ~ System Approved 0 System Disapproved ibfNeeds Correction (;{f.dJ.nffl'/' ~ .; A J ? ~(ft.for ~ COMMENTS: "-'<(J'Z~ ~~ CNU.J., ., ". l~t'l-LI '1'f/<w/,(,v /.JIJ-(Q).AJUL7/n . . -- ~ --ma:1 wof fV)eeA-CWIJ/JUIJ-$rJ;~1f!tre: ~,1iJII.~1l-1. (}J\O&PJ1j~' . Date: n t ~ FOR INSTAllER'S USE: Trench Depth c:2.Lf14. Filler Depth Below Tile"-6' " I J Tank Capacity 7 S"O~ Manufacturer '1)ouf"'ed. ih t::VtIJ~ Measured distance to well from tanl< 5;r::::;1 from d~infiel~ S-c / - ~~ x? .$-l .2..' ~A::' '.~ l;C{ is '. tii'.t-$+ . 3' w~tof~ :-.w~~ -j' tIlo-v-tt~. eJ t ~o-JtL w~ tJ. r ~. ~ IS ~ " ~ 'fII.' PLOT PLAN i >. Q I ~I -;; ~I ~;(".d l.h@.-. ~ ~(l\).<f)J.L~~ ~ ~~~;~ ',' t {/ ~7Y\ \-' ... k ~ ~ ~o el <~~:;( \' ,. ~;(~;;;(;~. \":} \" _ ty'l , ~_ ~\ " ~('_~'f""J l-___ ~3J . " ':.3 '.'c '.~-"(:" <<::(;-;7 ):.;~.1 . ' 'f-' \\#\.-If ~--\ c- '.- -. ~<.J>~' '. ,~:"l 'V.~ "t ~f" ""-" .' 1"''). j v:,~ ~~"'% ~ '.- ~_'.i;; INSTAllATION RECORD AND CERTIFICATE OF SATISFACTORy~,PJ:.FflOJ\i~; When signed by the County Sanitarian, this certificate is evidence as per 0 RS"45~~.665:&f~ isfactory completion of a subsurface sewage disposal system at the above location, I ... H 4{ ."... - -- ~\)~ Scale: ~ N I ~v'ooA' Return this form to: Permit Processing Section, Department of Environmental Management, Public Service Building, 125 East 8th Avenue, Eugene 97401 C55-11 j ./-, --J.___ ---.\~ ;;~ \$, .--, -.- .<::': ..... Jr /7 -~) _\ I -, TRS .:TL , ~ M __ n~t .~plan !I SUbd:i:::n ~'~ ~ l;;'n lock 0\ <J)p ..s- Lot Eo t-, ,^ .; u ..:,., :>!:.; ~ C~ A{ ~ -- 'V<,. _/- ..~ 1/ ~. ~~r ~2' ~ <. ':5 ~3;~~\) 1 ~o~~' ~l ~ '-.J.,,, j --:2.. .d:-, ~ Q c. ~ ~ ~...j ~"-~ --r: -::; V) \ l ~ ~ ~ ~ ~ I :j i ~ g ~ ~ ~" ~ ~ I ~ i I ! ! ~ 1 !--~~. \ i f~ I --' i ! . I \'1 ,,' ~- . \) ': \ "- ') ~-! , . ..... ';J! ~ '''', ~ r'. J/.', _... -'- ! ( ::...!~':::"I_ y.t'( '..r:.i , 0; 1,-, J- . f --', :.__ 1.....: i J._~ _ _ (. -. , '" . 0.-'--1----'-- ~_\..IL~-'-.._ _="'" ~ 11 " . <, '\ I ~I II .\~.J I :--0 '\ ! :::, Vjc~r;jryMap b Loration Jo ." Permit U Permit /1. Permi t /1 -+\/) 1'30 ..9 --(_ -lr "Cf -p !5"- I:::>... i'- _ ~-- .--=2 %- ~ fS \ ------- ~~ - ~ "- ~---: ~ (, ~) -; '0 I.. -........ ""I -' ,. ,........,. ~ '" / - iL.: "'-,K-.- ~ermit {j Permit /1 Permit /1 1 _ ~~;~'4r;J r :>1L"L1 "~ V'~~ -J:W i c.: r>,,"j\, o-fJ", ~ "7 'Q~ S '~~, Q ~ - -"'#~ I -~ = 'U~ ( c... . _, ~ '\ C'(,~ c ~ (Address) For For. For --- < '-- -6 -, ) ~ '~-,_. - <. _.--: ::, . ~f} ',-.- .~ .. , ~ 0'& () ~ ,- o~.~ \ /) - \.\ . , to ';9--.> G l S --5 0-.'."\ /2J~ ~ :;'-'J .... 6': '3.. '. () ~e i ! I ,: /"/ '-----;,/" / ------ ,1 /! r...~~/ / i For For For c . ., JOB ADDRESS: TRS, TL: POST THIS PERMIT ON MAIN BUILDING AT SITE CONSTRUCTION PERMIT # Subdivision: This permit for the referenced property is hereby 0 Setbacks and other conditions of approval must be strictly observed. Violation can result in revocation of this permit, citation under provisions of Lane County's Infraction Ordinance, and/or other remedies allowed by law. Applicant/Address: Owner/ Address: Contractor/ Address: Contractor's OS # Total Construction Value: Telephone: Telephone: Telephone: Construction approved by this permit: Water Supply: PLANNING DIVISION WATER POLLUTION CONTROL DIVISION Setbacks Interior property lines C:dge of road right-of-way .Juilding foundation Wells, other water sources CONSTRUCTION PE RM ITS/I NSPECTION DIVISION Directions to Site: Date Issued: C55-13 # Bedrooms: # Plumbing Fixtures: # Employees: Zoning: Partitioning # Parcel # Minimum required structural setbacks, from: centerline of road, front: side exterior: ; interior property lines: ;rear property line: Special Instructions: Parcel Size: ; centerline of road, For information call 687-4394, Site Inspection # Installation specifications: lineal feet of drainfield required; max. depth of trenches: Special Instructions: gal. min. septic tank capacity; Septic Tank 10' 10' 5' 50' Drainfield 10' 10' 10' 100' For information call between 8:00 - 9:00 a.m., Type of Construction: Instructions: Group: Fire Zone: Use Classification: For plans information call between 8:00 a.m. and 9:00 a.m., For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE I PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE. EUGENE. OREGON 97401 By: bne county -