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HomeMy WebLinkAboutPermit Septic Tank 1996-8-5 (2) " ... ~ ' REQUEST FOR: c:::::; Pi) IJ ("I _ ,- r <r :n EJt1 h4 I ! ~ l'l J Tor.NSHlP RANGE SECT1CN It.SECTDI TAX LOT SUBliMSOltPARTIT1ON /7 _ 0 '3 ~ ~ at::; /'JO~2.. L31~33 ~ V 0 &f/ LAl.JE::. STRUCTU RES NCNI ON PROPERTY , ~/STIIJ~ tft>l/:s~ AJ.)~ 4'AR,Ar4E. PROPOSED ui;c S~IC NSTALUW WATER INSTAllED $n~ n oesc;RlPTlC..l'.... t>R0PC6ClJWORK ( fl'f4 ~ ~ MO~ .ffguSc ~ 1~ u~l! oA.7To"Os,u ~J.I,u~ 33~~ AA,UV lhEUJ) DIRECTION'" IOSrrEFRtlIoANEAA~t~ERSECTION , oJ -r~ tWW ~J N. bN c~e f7'rtI#' ,Ill.),; .!f~r 6LL /.1kLlJy LOb..tJ ~A) 71fE ).eF-r, APPLICANT NAME & ADDRESS SVctvJ p,. r~.tJ , CNlNERS'NAME & ADDRESS , - ------ ~JCTtteT[WBUI~~/Jy 0~ LOTtPARCEL BlOCK 1.1111111111111111111111111111111. NO, OF STORIES NO. OF EMPLOYEES CONSTRUCTDI COSTNALUE NO OF BEOROCMS T:/1 3 ,~, PHONE PHONE CCB, PHONE tMAIL PERMIT TO: A7rAJ:~^J..M~iS ~ ~l= ::;P~.AM(,e/&L./) '?? 5 ~ 71.~r. S:,LlA#JZ~/e4)arv <::JIt' 97477 NAME I" STREET ZIP · I have carefully read BOTH sides of this application and hereby certify that all Information Is true and correct J ~ PRINT NAME SIgnsfUI6 DATE ~ FEES DUE: ~ ~ ~ lMD 040 Rev. 6/92 , curre~t. J BTe , ~.\" ,~~ VIOLA nONS SBTBACKS AND 01lIER CONDmONS OF APPROVAL MUST BB snucn. Y OBSERVED. VIOLATION CAN RBSUL T IN REVOCATION OF TInS PERMIT. CITATIONS MAYBE ISSUED UNDER nIB PROVISIONS OF LANE COUNI'Y'S INPRAcnON ORDINANCE AND/OR 01lIER RBMBDIBS AU.OWBD BY LAW. , ,. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS , , Have the following infonnation ready when you call: 687-4065 Permit number - Job address - Type of inspection required' - When it will be ready Your name and phone nwnber - Any special dir~tioris to .t?~ s}tl? PUBLIC OFFICIAL RIGIITTO TRESPASS ON PRIVATEPiwPER1YORS 21S.0SO' ,'. ..' . POWER TO BN'IllR UPON LAND. nIB COMMISSION. AND ANY OF ITS MEMBERS. OI'FlCBRS AND EMPLOYES, IN nIB PERFORMANCE OF nmIRFUNCTIONS, MAY IlNTBR UPON ANY LAND AND MAKE EXAMINATIONS AND SURVEYS AND PLACE AND MAINTAIN nIB NECESSARY MONUMBNTs AND MARKERS lHBRBC?N:: .~ , """ REQUIRED INSPECTIONS FOUNDATION INSPECfION~ To be made,llfter excavations.for'foo'tirigs are complete and apy'required r~inforcing steel is irt place:. .) , UNDERGROUND .1'il'lNG ~SPEtTION: To be plade after all underground piping has l?een,installed, prior to any backfIll. CONCRETESLAl3 OR ONDER-FLOOR INSPECTION: To.be made aftex: all in-shlbofunder-floor'building service ,equipment, coriduit,piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed, ~ch1.ding '~t; ~ubfloor., ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been installed and prior to beihg covered. ' ROUGH PLUMBING INSPECTION: To be made after all plwnbing rough-in is in place, prior to being covered, : '. FRAMING INSPECTION: To be made after the all framing, fire blocking, bracing and r90f are in place and all pipes, chimneys and vents are complete and the rough electrical, plwnbing, and mechanical inspections have been made and "pp.v ..ed. ' INSULATION INSPECTION: To be made after all insulation and vapor barriers are in place, prior to covering. LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place but before any . plastering is applied or before gypsum board joints and fasteners are t~ and f~hed. . . " ,,~,,' ~,. '. . ,.: . ' ADDITIONAL INSPECTIONS MAY BE REQl)IRED, such as but not.limited to; , BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. The inspection is required for each bond beam pour. There will be no approval until the plwnbing and electrical inspections have been made and ayy.v ..ed. FINAL MECHANICAL INSPECTION: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipment. FINAL PLUMBING INSPECTION: To be made just prior to the building, structure or remodeled area being occupied FINAL BUILDING INSPECTION: To be madfi after fInish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an ..yy.v..ed sewer or septic system, prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plwnbing connections. Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. Minimum fInished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure. APPROVAL REQUIRED No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without first obtaining the approval of the building official. Such ..y.t'.vval shall be given only after an inspection shall have been made of each successive step in the construction as indicated by each of the inspections required. '\ . ~ '~. APPROVED PLANS MUST BE 'ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS. ,~.., .'.. ~ THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE mAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIi WAS ISSUED O1ll'mE BASIS OF' INCOMPLETE 0RERRONEOUS'!NFORMATION. . i'. ~ :-l.,.I.",,' J' A'NvONErpRo-CE~DING.pi~ST'~HE'PooobFltEQtJI~ED'lNsrECTIONS WlLL D6~so A~'THEIR oWN ~S.K~':\ Your sig~';in;re' o~\.the front of this fonn verifies the following: ':~ HAVE CAR.EFULLY EX~D Tills CbMPf,ETED APPLICATION,' ai1~do hereby certify that all information hereon is true and correct, and that I have a legal interest in the property as owner of record or authorized agent. I further certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per- taining to the work described herein. I further certify that if I am not the owner of the property, my registration with the Builders Board is in full force and effect as required by ORS 701.055, and that if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job. '" ~ "t2 .? SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS: ... '.... "If. ...~ When subsurface construction is complete, the permit holder shall notify the County Land Manage~ Division ~ tion record form. An inspection will be made by a qualifIed sanitarian. If construction complies with all rules a certificate of-c1;;;kti;;-;.. be issued to the permit holder. If construction does not comply with rules, the permit holder will be notifIed, and all corrections shall be IJJf~. ~fO e certificate of completion will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.6f). and this rule. . SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK From: Interior property lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAlNFlELD 10' 10' 10' 100' ~ ~ ~ ~ ~ ~ ()~ {~...; 1'::;" '-,;~ ~..:..... ",..,- .....,.". lCJ ~.r r, ~ ~ (3 o ~ ......... ~ B . o l---~----I -:F::, I ~V--~ c ~-. ~ ':::.. 'I CD={' ...... ~. :T. c:. ~> \::'''' I C>.- I L________~ it D\SVOSAL SF.W~A1'f~ VL '11 ~ ^~ 'fE 't'. :n\ SER",CES U"i ONt.AEN1/1.L \-\~ICNUE EtN\R ~ 81\-\ /1.v'" '\25 E/J.S OR 9740'\ L ( EUGENE;.. L I (4 .f.i)~ . 1.1' J..^5~ . r ~J. NOle . ~ ?PO IL"e"" 1 f) ()~ ~cL' ~-tLe\ ~ o " 1_: .' ? :5~o/~cI tJ.;;;~ APPROVED DATE 7/q If~ BY ~~ ~ LAN"'E COU'NTY ENVI~ONMENTAL HEALTH 5ERVlCE5 le:.:..J .:.AST .TH AVENUE EUGeNi:. O~c.GON g7401 :5J -- ?r{;- /l((j OU - ., ~() , ~f/5ft" r ~(io ~/ L'&- ( -.ur t; b CtY j~- ~ - '\ W" ~D 1'- - I ..... ~ t t """ I ~~ I ~- 4-' I ~~.~ I ....-. ~.... l- - - _ _ , -i...~ ~~ I"~ l-- 1~ ~ /} 0- f I / / I . 1 / I 1 I I ( C -oj > _ ":1 ::: Z "';J _'_ ;;:;J m '._ q 't,,!! ~'i1 ~) ) ". .. " r , , t ~: ." , 0 p, S N ...-' -, ~ ',' ::. ,',,' ... ''l ;:. >- 3 -. ;(' ":1 ;,.~ ~:: Z ! ~ ('; --I '.- "_k. :-_ . ~1 ;.'1 ~ .- r,' ,- 21 l!'l :Ro ~~"''' _"' "V- <")Io..~ ~ ~ .:s:- T. <:. ~ " <>-- ~ ~~. G;'~.".~ 9- ~ ~ -. .... o-~ ':s ~ ,.... '->- ~ - 1 _ ..J c ~ o 0 .' ~^'t MINIMUM SETBACKS - INTERIOR LOTS All measurements are from Property Lines .s-22./0' -Front yard to House 10 feet -Front yard to Garage 18 feet -Side yard to House or Garage 5 feet -Rear yard to House or Garage 10 feet P.U.E HAY CHANGE SETBACKS ~ ~ ~ ~ ~ ~ ~ ~~ \\. ~ ~ ~ ''\ ~:\ ~ \\ ~ N '\ ~~ ~ ~. ~ ~ ~ ~ \) ~ ~ - "-~- ~ ~ ~ ~ ~ ~~ ~ f ~. ~ (-\ \l'\ ~ ~ - ~~(\-~~~~ ~ ~ ~-; ~ i,,~ ~ ~ \J ~ '" "! ' "'"' .",^,., ~ ~ ~ ~ ~ ~ '^- ~ --.J \) ~. ~ ~ ~ 2\' ~ ~ ~ ~~ ~~ ~~ . ~ ~ \ ~- ~ ~ ~ ) ~ ~ 'r '\ ~\ \\ ~ ~ ~ ~~ ~ \) .", S\ ~ ~" f\ Y\ ~ ~ ~ "'.~~' ~ ~~~~ ~ ~ ' ~~'\~~~~~ ~ \ t':-. ~ ~ 1\" ~ \~ ~ ~ ~ ~,~~~~ ~ ~ ~~. ~ ~ " ..z;;2~ ' /\ \ .-c. ~~.~~ ~ ":t- 'fr. ~ 't. c::.-- ~ ~ ~ .. .,... ~, ~ ~ r ~ I' 2~/.051 : f \ (! ".-_.~ ! i-) t' #~ (- i' ;;; ". 5fi:-,',.- . 'c, m CJ ,~._y"'or / (,.1 < (, ~! .- ...-" .~,.." _ . -::-- r__ I : i..~ i" i.:-;~ . g'1 ~q ~ ~ ? ~ ~"-l\ ~ CJ\ ~( ~ ~'\ ~ ~ ~ ~\ ~ Y ~ ~. \J\ \\ ~ ~ ~ V~ \ ~ 'N \\ ~ ~ ~ \\ ~ ~ ~-~ ~ ~ ,,\) ~ ~ ~ ~~ \J\J " V,j ~ ~, ~ "" ~;:\ ,~ ~\ ~ ~ ~~ ~~ \)\ ~ ~ ~ . ~ ~ ~ ~ >\) ~~ ~ ". .... -'-~. - " . _ ~,''',.,; LTC_' .. ~~;>,,,..,,.~....,~,,,..~.... """-"';;";':~""-"A~~-''''::.-''~'-''''__",'f. ~'J',"r:tI':i ~ i~ :'N ~"'; , , :, ,. ~ , ':!' , . '- ,)> r' I l1l ,C . t. . Ij '/; '~ )> C J- <:. n I'! ..... z: 0, So ( , . ';1 ~ ~. - -"! OIl::;; ; ~ ,.. . 0 ; _ ! -r i -Jl ~. ,~ r-.', ;;''C :~;:: );,~.~ tin :;: t .q \../ ~.:.oj( :It ,l' r fll . ~ :~) =~ ~ S ; ~ 1 ,: ~ ~. m I ~' ~ ~ ,./ " '1' ' :! ~ I I ...:: ,.. , ~ 1. .:. t..' ; ri: --r- I tit ~ . ~ , ' :-: \.1 ~ ,; '" i ' ~, ;: i, i i b_J - "11:2 )1 \.J-' J I r-:--' }". ~-~ ~ lYe; ,I ; )t ~,~ c' 'J'. ; ::i: ' . 7JK~ r. ~ !'.' v ~ : (~ I . ;~::. . ( \1' ',',' l\,',: '-J'" -) ~-;- - N -' ()',. ;- ., !I ' ~ ~~ 1.:"., 1, '.:':. , . ~ , '., t'. ~. " ,} ~ " o\~~ . '?- '>- '.. --"!-.!" HfJ~ lI\Jl!..' tJ ito ~ r,' I \'..VI o ~J~{l o o 1~2/i!'c~i il.tlt Ii',~' J.', & .1'0 'l~~lt' .' ~ I . :i..;" -----'--------'_._-_.'_---,.-.----_.._-_._--~ ~ W: 2 2 3 LANE COUNTY DEPT ENV MGT RECEIPT * 285996 DATE 08059d APPLICANT SYCAN B. CORP.. ADDR 3333 BALDY VIEW LN.. SPRINGFIELD, or TLO 1703230000602 SUBDIV LOT BLK NEW BLDC TYPE USE R BDRMS 0 UNITS 001 STORIES iBLDGS 001 PHONE 999 9999 OWNER NME SYCAN B. CORP., ADDR 3333 BALDY VIEW LN.. SPRINGFIELD. O~ f."l!'Ii:(il CODE APPL. NO ACTION DESCI~IPTION SQ FT UNIT COSTW1I...UATION FEE DA'~_irl; ".:r~tr~:Ft l,.",~;:: -f.-{P BP BP BP PL HECH SUR PCI< SDS ~DE-i:'t .' /.i Uf'\'~' l.! ~.t..~l 4l:FIX/BATH: :LC 285996 SDSS FEE SDSS CAlC: F'L.N , SEQU: TAKEN BY r~LH r~~) SWR: FT. WTR: MECHANICAL. FEE ST A TE SURCHAF~GE PLAN CHECI< FEE SDS ELE peK ISS "l "" 1 EST. COMPLETION DATE FT. r';:AIN: FT 5% 25% r",:}/~, ti'1J'~ / S I OTF< DEPOSIT .J:<* 0..00 CI< SEWAGE DISPOSAL SITE EVALUATION 1'7-03 - ;z '3 TL. 002. Job Location.f.E ~;"t1't"" 111 l5d/".k ~t'CI/ rI-~L. (5/~ I 5t"d-h/' '5Q&~~ Au rI rt"'/~X't:I ~r/ ~A'/' , - /- - JI.I!l/ jf? /oc6k/ ~-/ oj LJtf//~f' "1'\ WATER SUPPLY ,5f/L~ l? ~00 ,JJi.> E..,?A-5 ?_-~HUatf?r ,,' 3'YOS- i5t?/~1" 1/,~tV'" ?ant:: ~/-I',:/,4~/~tllC 97V'?"7 _Phone" " . a,l/ky (53~'7 ;l-3?SI'~t'1/r1/d-;,cv LPROp'OSEDUSEOFPROPJ:RTY~ SIt" te4-N~vt- /../ prt>/~cl /lanl!J~/'r (7~ 'GYCG- 5, i I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: .l\ _8'l. ..., v. ,,,,,,,,,.Ji '~ontract purchc!ser; _potential buyer; ! ~ _realtor or agent. I further :;.~i~ ~ (i~not ~own~ amyauthorize~ to act for the owner of record, and that said owner is awa~~?V~f this ~on. . / /' yTESTHOLESREADY t:.~ _I_.rl~ ~-S to-C}'-t-'lCp Signature/t'/;~, ~~, Date ~a9/1''' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * OFFICE USE ONLY BELOW THIS LINE '* * * * * * * * * * * * * * * * * * · * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ JTRS, TL Written Directions Subdivision: Lot Block' APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS STRUCTURES NOW ON THE PROPERTY ~ SITE MEETS STATE STANDARDS YES NO Standard System ~ 0 Low Pressure Distribution Sand Filter 0 0 Holding Tank 1 Foot Capping Fill 0 0 Other YES o o o NO o o o Zoning, Partitioning # .I tAli :lQj ( IfF- p/lAttUFCez-O { COMMENTS: S.1. # 9'&-/7"0 /#;~I'r'A//- *' 33f"f' (I' - ~ " &/ttf/ n'tt-w c:~/ rL. r&02 Phone '7% -&9'~yr LAND USE COMPLIANCE Acreage or Lot Sizp (TOTAL) Parcel # ) Completed ) Pending FLOODPLAIN INFORMATION o Approximate Study Area o Detailed Study Area THIS IS A PRELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT. Y L S OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OW R K SIT~ IS APPROVED, SEE REVERSE tl~E/,' , ' 7/f/f~ ~ AUTHORIZED SIGNATURE ' . DATE ' LANE COUNTY ENVIRONMENTAL HEALTH, 125 EAST 8TH-AVENUE, EUGENE, OREGON 97401 (687-4051) C55-32 o Floodway All or part of this site may be in a flood hazard area for which 100 year flood levels have not been established. Extra precautions may be appropriate to assure that the,building site will be reasonably safe from flooding. All or part of this site may be in a flood hazard area for which 100 year flood levels have been established. A building elevation above the 100 year flood level may be required. All or part of this site may be in a flood hazard area in which a f100dway has been designated. Building may be prohibited subject to demonstration that the cumulative effect of proposed development will not increase the 100 year flood level at any point. T~ Rc!'a-ecce SIn: EVALUATICll fTII..o \lORKSHEET ! 7-03- 23-- LPU'~. 'Eva1uaU,l":~/l4rz(//{/ -)rC4Wl ~~: '7!vlr(:, Cj(P- /t/G '~.}yW~ "~: ..l I.ppl1cant Cepth Texture Soil xa~ix Color and MOttling (Notation). \Coar3e Fragments. Roots. Structure. Layer Limiting Effective Soil Cepth. etc. ' I -0 - '-itL .t: If/{}1V\ ~ fhdV flMl3 P1tl31J-72-I ?Pb7' ~_~ =1 I ( P1t2 ~ ~~ r7 Pit 3 1 . Pit l; Lar.d.:sc::ape HOUllS FI ~ Slope ? ~ " bpect --.ttJ ~7 ~ Cl'ou::dwOl~ Other- Site HOUl:! lleplaoe:ect' Ix; o.:,~gn flw (:;{X) ;: ~ 'I Oepth Absorption Facility Cinl ~c; " . ~S7Y vpd ~ Sy:lt.e::!: Initlal, ,:r-rr; fl:fZlft!sr~t~ SU!r.g .:>w.~~ S~c:rrrQncNS /15<) g. ~x. Sy~t~ SUing /15<) g. Max. ~pth Jl.b~orption Facility Cinl' Speo.ia.J. Cor.ditl= . - -- .. ." .~ " ~eJ J\ (;\ . ) . .... ----- ~ t .. SV " ~. ~\J \~ ~\ S , <\D C) ~ .~ N' *' \) \ .J ~llg1J \1(,I~' 'e! 13 .if . \ \. \ '........:. ~\, ',\ \.H 'J ' \ '-.R' ,,\ ""\.:' ",~~- ~ ~.. ' ~\ r'---~ \ : ".......;'~, . '\ \ _~"2. '"' , .~ \ ' ..""-.... ~HH tiHM~ ~ 'II g; 'u .~ i-LJ , L;, r.'- . . , Ml~H '- \J -:, ~~. -------~-------------------------~': f( .~; 1, ' I,.. t,W: 3 L.ANE COUNTY DEPT ENV MGT RECEIPT :3: 960; 40 DATE 062,59-'> t. . APPLICANT SYCAN B COf{F'., I~DDR 3405 BALDY VIEW LN." SF'IRNGFIELD., 01 ~ 'TL. 1703230000602 SUBDIV LOT BLK NEW BLDG TYPE USE X BDRMS 0 UNITS 001 STORIES OBLDGS 001 'PHONE 746 8444 !JIHIU OWNEF: NME SYCAN B COF:P., ?)DDR 3405 BALDY VIEW L.N. , ''SPIRNGFIELD I 0". tjulH'l CODE APPL NO ~lCTION DESCRIPTION S(~ FT UNIT COST VALUATION FEE D(.~~~!~ BP '. BF' BP BF;'.:.;.,,(\. _. (\:R ~ '\ \ .~, \,-,,;.\\,,1 BP .,'" \'\ \~) _ ':- I~,\;,\)'\~'J ", >..~" F'L :D:FIX/BATH: MECH SUF, PC~( r'MU~ISI, L.C_~60,~4.0 sr,,\\, ~UH SDE~) .. _\~ :-- ,\ -FEr~\ '..'st. ,., AD!'t,) _ ~;\\..\ " ,'~.'F~l~( '.~. ~{. TE,-,M"'" FEE' ~ "'',',\ ~,,\ \::.. ( SWf{ : FT. f,AIN: FT FT . WTf~ : MECHANICAL FEE STATE SURCHARGE 5% PLAN CHECK, FEE ., .. , \ '~.S,::,',~'~'C'\ \~"::,,,~,<,~:''''''::,J'l'f'l~.'; 1....'\'\ +.l,~.' \':. 0'\-) \) ~' " .",1',,' "~70 . 0.0,-, : _',\ to. " :1:0. Q~." ~:O[l , "" ' "~ \. . \\. \.1\ \, l "', ~"'.'\",\"\ \~.~" "\,....'4'''. r.tO'\-' · · ~ .,/ " ,\ \ t'~":\", ,'," ;.)'f"\" ,~ ' "'l'\ ' - " ..F 5 . ~)0 CArG: PLN SEQU: TAI<E:N BY V,LH RA 5DS EL.E F'CK ISS / 51 OTR 1 I' ".' . EST. COMPLETION DATE: DEPOSIT ~.* 345. ~)0 CIf I ,,4' \i.' ,0 , . If " ~.: .0 . .;.,. \ ,:;;( .:/1/ ~ ~ ~ ~ ~ ~ ~ c::r ~ ~ "'- ~ ~ " ~ ., ~. . ~\' \Z. \\ ~ ,~ APPROVED DATE ?(~ (~/ c;.~,i:J. ~~";..J~;J;..;J..P' BY '~'_ LANt COUNTY ENVIRONMENTAL HEALTH SERVICES 1.,:<> o,.AST .ITH AVENUE EUGi.i.N;':. O~;;:GON 117401 :5J -- crre- /l{o 1(0'- ,--- -- - --., ~ I ~~ ~ 'IOi:} ~~~ ~ ~ ~. ~. Co ~~ ,,~ I I L-________~ ~() , 55' S'$"' ~ty ~- ~, ~ -<:>~.7; ~ ~~~ ~ " 0::.-- ~ ~ ~ ... .,.. ..... -~. ~ ~ ~ r :5~o/C'd ;;J.;/~ ~ J' :Z'r;./. 05 I 1 I~ ~,- - - - - - ., I ~ I ~ 00:;::) ...,... " _ " .... v- ~!:..~~ (:a-- ...... _. c::. ~Q.-.- t ---__..J ~ -;s;:...~. ~~ C::> ~ ~ ,. ~ -. ,<;:) ~~J. ~ .2:2~ ' t t "'~ I to<. I ~~~4::.- I os. .- f ""'-.(' ~ 4- _ _ _ _ , _.~,. ~lo- Jt'" ~ IJ ~ , 1 / I I , 1 / I . I I - ( ~ C-J C7 <:"-;;. 0'110., If..... 5"..22./0' ~~~~~~ ~ ~~ ~ ~~~ ~ '\~:\ \) ~ \"i ("\ "\' ~ ~. ~ 1"\ . '" "",", 1\' ~ "- ~ ~ "'.\ ~ , ~- ~ '^ ~ ~ ~ ~ ~~ ~ ~ ~. ~ ~ ~ ~ ~ - ~ ~ f\- ~ f',. ~ ~ ~ ~ '\ "\11\ ~ ~ '" ~- \f\ ~ ~ ~ ~ ~ ~ ~ ~ ~~" ~ ~~~ ~ ~ ~ ~ ~ ~ ~- ~ "'\) ~. f\ ~. ~ ~. ~ ~ ~~~~~~~ . ~ ~ ~ ~- ~ ~ ~~\~~~, ~~ ~ ~ ~(\~~ ." ~ ~,\\ ~ ~ Y\ ~ ~ ~ ~ ~ ~' ,~ ~~~~~ ~' ~,~~ ~~ ~ ~~~ ~ ~ ~~'~ \~ ~ ~ ~ ~ ~ ~ ~ ~ ~1'~. ~~. ~ ~~~\J\~~I~ ~:::~~ ~ " 0~' ~.~ ~ ~ ~ ~ ~ ~ \ "l ~~ SS ~ ~ ~~~~""J. ?i ~,"\'" ~ t'. \ \ ~ ~ ~ ~ ~ ~~ ~. ~ ~ ~ ~ ~ . ~ ~ 2 ~ t\) ~~ ~ ~ ~ ~,