Alfalfa Farm and Homes

Page 1

Alfalfa Farm 25840 Alfalfa Market Road Bend, OR

Farm & Ranch D I V I SIO N

650 SW Bond St, Ste 100 Bend OR 97702

PAM MAYO-PHILLIPS & BROOK HAVENS PRINCIPAL BROKERS 541.480.1513 | 541.604.0788 pam.mayo-phillips@sothebysrealty.com brook.havens@sothebysrealty.com www.desertvalleygroup.com

All Brokers are licensed in the Sate of Oregon. Each office is independently owned & operated. All information is deemed reliable, but not guaranteed by Cascade Sotheby’s International Realty. Purchaser shall have sole responsibility to inspect the property and inform themselves of the true condition thereof. Purchaser accepts the responsibility before submitting any offer or executing contract. Any grazing permits /leases/water rights are NOT Guaranteed by Seller or Cascade Sotheby’s International Realty, Buyer is responsible for due diligence.


Alfalfa Market Farm Address: 25840, 25850 & 25620 Alfalfa Market Road Bend Oregon 97701 Tax Map: Consolidation of Tax lots and Boundary Lines: Tax Lot 1301/1302 - 39.59 acres with 27.03 acres water rights . Tax lot 1300: 39.45 acres with 37 acres water rights. Original Home on Tax Lot 1301 is not a legal dwelling, can be used as an office. Buyer is responsible for due diligence. Manufactured Home home on Tax lot 1302 is legal dwelling, can be replaced, shares well with Tax Lot 1300/1301. Property: • 79.04 acres • 64.03 acres COID water rights – Irrigated with wheel lines and handlines currently planed in orchard grass. • Deed Restriction for Marijuana operations recorded with Deschutes County Improvements: • 1440 sf Log Home built in 1995 1 bedroom, 1 bathroom with loft • 892 sf original home (bunkhouse/studio) with loft – not a legal dwelling Sold As-IS This structure does have water damage from water heater leak. • Office with bathroom 480 sf (manufactured) near hay barn • 2760 sf Hay Barn • Barn • Shop • Single wide manufactured home (replacement dwelling) on Tax Lot 1302 Irrigation: COID 64.03 acres of water rights 2019 Assessment $1850. Domestic Water: All homes currently on property serviced by well near shop. New well on property at log home is not connected to system. Utilities: Central Electric Coop 12 month averages 25840 Alfalfa Mkt House $147. Irrigation $475. 25620 Alfalfa Mkt House: $123./month $85./month during season Taxes: 2018 Tax Year $3373.98 Property is in farm tax deferral, Buyer is responsible for due diligence and maintaining after the close of escrow. Zoning: EFU Exclusive Farm Use Price:

$995,000.

MLS 201908714

Shown By Appointment Only All information Provided by Cascade Sotheby’s International Realty and Agents is deemed reliable but not guaranteed, Buyer is responsible for any/all due diligence. | 541-923-1376 | www.desertvalleygroup.com









DODDS RD

ALFALFA MARKET RD

01301

Tye Properties tab-h.mxd

This map was derived from data provided by Deschutes County. AmeriTitle has provided this information as a courtesy and assumes no liability for errors, omissions, or positional accuracy in the data, and does not warranty the fitness of this product for any particular purpose.

Disclaimer

Tye Properties Proposed Lot Line Adjustment

Lot line adjustment boundary shown on this map is an approximation, and should be used for general reference only.

EL K LN

ALFALFA MARKET RD

Proposed Lot Line Adjustment

Existing Property Line

01302

[

0

250

Feet

01300

500

MAP DATE: 8/23/2019

www.amerititle.com Copyright Š 2019 by AmeriTitle. All Rights Reserved. Printed in the USA

ALFALFA MARKET RD


171422 SESW 01300 171422 SWSW 01300 171422 SWSW 01301 171422 SWSW 01302

H-15-11

±

0.59 ac 0.39 ac 0.01 ac 0.23 ac

0.04 ac

H-15-8

0.09 ac

0.5 ac

0.17 ac

1.06 ac

H

-15

0.13 ac 0.2 ac 0.02 ac

ABANDON

Legend TAXLOTS PAST 5 CANALS ACRE-TEXT

0

220

440

Feet 880

Image: 2018


171422 SESW 01300 171422 SWSW 01300 171422 SWSW 01301 171422 SWSW 01302

H-15-8

H-15-11

±

H-

15

ABANDON

Legend TAXLOTS CANALS ACRE-TEXT

0

220

440

Feet 880

Image: 2018


DESC 61134

Page I of3

W EL L 1.0. LABEL# L 129277 ST ART CA RD # "°"1_0_3-8 1_0_3- - - - - - - - - - 1

STATE OF OREGO N WATER SU PPLY WELL RE PORT

4/10/2018

(a s required by ORS 537.765 & OAR 690-205-0210)

I

ORIG INA L LOG#

( 1) LAND OWNER

Owner Well 1. D. _ _ _ _ _ _ _ _ _ __, First Name BILL Last Name TYE Company _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

----------

----------

Address 25840 ALF ALFA MARKET RD City BEND State

OR

Sec

Zip 9770 I

(2) TYPE OF WORK

D

[8]New Well D Deepening Convers ion Alterat ion (complete 2a & I 0) Aba ndonment( complete Sa)

0

0

(2a) PRE-ALTERATION Dia + Cas in g : c = J Material Sea l:

From

To

Gauge

From

I

Stl

I

Piste Wld Thrd

I() CJ D D

To

Amt

sacks/lbs

I

I

I

O industri al/Comm ericial 0

Livestock Ooewatering Other

(5) BORE HOLE CONSTRUCTION

Date !Ex isting Well I Pre-Alteration I Well I 3/21 /20 18 Flowing Artesian? 0

0 (Attac h copy)

I

SEAL sacks/ From To Amt lbs 42 .5 41 s 0 Ca lcu lated 24 . 1

I

De

How was seal placed: Method DA DB E Do [gjother BENTON ITE DRY Backfill placed from _ _ _ ft to _ _ _ ft Material _ _ _ _ _ __

Amoun t

(Sa) ABANDONMENT USI NG UN HYDRATED BENTONITE Actual Amount

Proposed Am ount

(6) CASI NG/LINER Stl

Shoe

0

Inside [8)0utside

Temp casinGYes Dia

0

Other

From

Pi ste Wld Thrd

Location of shoe(s) _7_9_5_ _

+O

I

1

To

(7) PERFORATIONS/SCREENS Perforations Method _F_a_ct_o-"ry_C_,_1t_ _ _ _ _ _ _ _ __ Screens Ty p e _ _ _ _ _ _ _ Material _ _ _ _ _ __ #of Tele/ Scrn/slot Slot Perf/ Casing/ Screen slots pipe size Screen Liner Dia From To width leno th Perf Liner 6 755 795 . 125 3 468

795

I

I

I I

I

I

I

Q

Pump Y ield !!al/min 25

Q I I I

Bail er Drawdown

(!)

Air

I I

I

I

I

Drill stem/Pumo death Duration (hr) I 790 I 1.s

I I

I I

Water guality conce rns?

To

I

Dmcip<;oo

I

Amooo

1 1

11

11

SWL(ft)

I

645

I

I I

I

I

Ground Elevation

1 U-VL..I Y L.l.J

HA V '" '

0 9 ?ntQ

-

v

- - ,_

-- ... ---

uvvnu

From 0 II 19 22 32 34 36 78 89 117 133 150 156 172 175 196 198 208 340

To II 19 22 32 34 36 78 89 11 7 133 150 156 172 175 196 198 208 340 373

D ate Sta rted_3_/_l6_ / 2_0_1_8_ _ _ _ _ Co mpl e ted _3_ / 2_1_ /2_0_18_ _ _ __

(unbonded) Water Well Co nstructor Ce rtification I certify that the work I perfo rm ed on the construction, deepen ing, alte ration , or abandonment of this well is in compliance with Oregon water suppl y well construct ion standard s. Materi als used and in formati on reported above are true to the best of my knowledge and be lief.

Signed

Fl owing Artes ian

3/28/2018

NE IL FAGEN (E-filed)

(bond ed) Wat er Well Con structor Ce rtification

I I I

°F Lab anal ysis 0 Yes By _ _ _ _ _ _ _ _ __ 0Yes (describe below) TDS

Temperature 62

I Fmm I

Q

+

25

License Number -'l-'-9-'--70-'-------- Date

(8) WELL TESTS : Minimum testing time is I hour

Ht----6-45--.1

Est Flow SWL(psi)

To

645

Sandv toP so il Broken lava Brown SS Broken lava lava Broken lava lava Brown SS lava Brown SS lava Brown SS lava Brown SS lava Brown SS lava Brown SS lava

I

Dry Hole? O

Mate rial

Filter pack from _ _ _ ft. to _ _ _ ft. Materi al _ _ _ _ _Size _ _ __ Type

From

(11) WELL LOG

Ca lcul ated

D Yes

3/2 1/20 18 1

I

Explosives used :

SWL Date

SWL(psi)

Depth water was first found 645 .00

WATER BEARING ZO ES

Special Standard

ft . De pth of Comp leted We ll 795 .00 BORE HOL E Dia From To Materia l 12 IBentonlle 0 42 .5 42 .5 8 795

- - - - - --

E/WWM Range 14 .00 E Tax Lot _ _ _ __

1/4

(JO) STATIC WATER LEVEL

Oirrigation Ocommunity

0Thermal Oinjection 0

1/4 of the SW

- - - - - ----

D Other------------

0Reverse Rotary

Twp ...!2.QQ___S_ _ N/S

SW

Tax Map Number - - - - - - - - - - - Lot 0 Lat " or 44 .08 127943 --- --- --- - - - - - -- - - - - DMS or DD 0 Long _ _ _ _ _ ' _ _ " or _31_2_ _ _ _ __ DMS or DD (9 Street address of well (' Nearest address

Rotary Mud Ocable 0Auger Ocabl e Mud

(4) PROPOSED USE

22

125620 ALFALFA MARKET RD, BEND OR

(3) DRILL METHOD [8)Rotary Air 0

(9) LOCATION OF WELL (legal description) County DESCHUTES

I "'"

I accept responsibility for the construction, deepen ing, alteration, or aba ndonment work perform ed on this well d uring the construction dates reported above . All work performed during thi s tim e is in compliance with Oregon water suppl y well construction standards. This report is true to the best of my knowledge and belief License Number 1255

--------

Signed 1

Date 4110120 18

WIL LIAM AIK EN (E-fi led)

Contact Info (opti ona l)

ORIG INAL - WATER RESOURCES DEPARTMENT THI S REPORT MUST BE SUBM 11TED TO THE WATER RESOURCES DEPARTMENT WITHIN 30 DAYS OF CO MPL ETIO

OF WORK

Form Version:



Page 3 of 3 WATER SUPPLY WELL REPORT - Map with location identified must be attached and shall include an approximate scale and north arrow

Map of Hole

DESC 61134 DESC 61134 4/10/2018












CDD ARCHIVE COVER SHEET FOR MAS 05/ 15/ 2000 17: 36: 49

1 of 1

EH 001 ARCHIVE

I i H iii i V 1 I i I I i i i H H I H i 0 1 i V Hi I FILE ID

1714220001301EH20000515999001

TAXMAP

1714220001301

SERIAL

131790

DIVISION

EH

SITUS

25620 ALFALFA MARKET RD

HOUSE#

25620

STREET

ALFALFA

CONTENT

ARCHIVE

MARKET


Community Development Department Administration Bldg. / 1130 N.W. Harriman / Bend, Oregon 97701 503) 388-6575 March

29,

1993

Planning Division Building Safety Division Environmental Health Division

WILLIAM TYE

25840 ALFALFA MKT RD BEND, RE:

OR

97701

SITE EVALUATION # F 14382 17- 14- 2200- 1301 25620 ALFALFA MARKET RD,

Bend

This letter is in response to your on- site sewage disposal system

site

evaluation

application.

The site was evaluated on 03/ 17/ 93, install

Standard

a "

Administrative 340,

Division

CONDITIONS

Rules

System",

for

On - Site

and was found suitable to defined

as

Sewage

Oregon

in "

Disposal,

Chapter

71."

OF APPROVAL

The system is sized for a maximum sewage flow of 450 gallons per day.

The disposal trenches shall total

a minimum of 300

linear

feet.

The maximum depth of the disposal trenches is 36 inches. Filter fabric required over drainfield gravel.

The approved site is very specific.

The land surface in the

vicinity of the approved site shall not be altered.

Any

alteration of the approved site or placement of a well within

100 feet of the approved site may invalidate this approval. Technical rule changes shall not invalidate a favorable site evaluation, system.

but

may

require

use

of

a

different

kind

of


March

Page

29,

1993

2

A construction permit must be obtained from Deschutes County Application for a prior to the installation of the system.

construction

permit

must

be

accompanied

by

an

accurately

drawn plan showing the layout and components of the system. The

plan

must

also

show

the

replacement

location of dwelling and other structures, waterlines,

property

line

setbacks

and

proposed area, well, driveways,

other

pertinent

information.

Zoning clearance must be obtained from the planning authority prior to permit issuance. Please

present this

document

If you have any questions, will do our best to help you.

Sincerely ENVIRONMENTAL HEALTH DIVISION Roger W. Everett, Director

eR-

7647,3

Tom

Sloan

Sanitarian

RWE/ TDS/ sys Enclosure

at

time

please

of permit call

this

appropriate

application. office

and

we


1

SITE

APPLICANT

V///

l/4n

EVALUATION

FIELD

rye-.

INSPECTION

SITE

L

EVALUATOR:

SKETCH/ NOT

SUITABLE

p rev e -. p ,

TO

3// x9,. 3 PARCEL

B— T /

7

A717-76= 7

EVALUATION #

DATE SUBDIVISION

FORM

R

71

SIZE /

9„5-09c

S c2d TL / 3o/

UNSUITABLE

SCALE

yu+<

f

v- or ,

ti vt

fryl 1171: , System

type

approved:

Absorption facility:

Initial rA» DARD Replacement . 5779/. 11; 1340 Tank

Size /

Special

Size 3oo r

Min.

Size Soo Sewage

pop 4/94

Conditions:

Min.

6i/,&, f

cflde,G ieE47 » e w

Max. Max.

Flow /

paJC. Q .

Depth Depth s0

3b" 36"

bpp

0,eAn-/2: i6/_ D


SIT EVALUATION APPLICANT

W/4/../ AM

FIELD

INSPECTION

SITE

TYE

FORM

7/ R3 i%/ B

L

SUBDIVISION

Stos/„/

EVALUATOR: / .

T /

Al/ 9r8..)

EVALUATION #

DATE

R/

7

S

t

Notes on mottling,

c? a

roots,

TL

structure,

limiting effective soil depth, % etc.

Texture

Depth

Color

if'O• f'.S

S2/ 15

O- S 3

To

FD"

A.e

G -/{

S

4( 5-

4(` f

0-

g4

S. t

1/

Yl. F.

S_ L.

F

s

tl F, c•

itwtf

2,I

Landscape

notes

Slope

C1/ 9T7

Other

A.F.

I

site

Groundwater ,

LL3/ FIAT Aspect

notes

Comments:

Reason For Unsuitability: (

Include

Rule

Reference)

1//A

layer

loose

rock,


DESCHUTES COUNTY • COMMUNITY DEVELOPMENT DEPARTMENT

LAPPLICATION FOR

EVALUATION NUMBER

ENVIRONMENTAL HEALTH DIVISION

INDIVIDUAL SITE EVALUATION

41312-41312--

1130 NW Harriman, Bend, OR 97701 503) 388-6575

The following information isinquired The quired to complete an application for a site evaluation. Please be as accurate and complete as possible.

7 ;•

NSHIP

1. 30

k / •• •

SUBDIVISION DDR •

A

0

FP

PARCEL SIZE INSQ. FT. OR ACRES

Ind

c/LL//- A'/ /

38- X969 t-,4/- M/a _, l% Y-)'

z

CITYa/ri7/,

SOURCE

a STATE L

ZIP 9 & /

MAILING ADDRESS

PLANNING NOTIFICATION

5e' 5

ar

f, 4, fi:

1

ZIP

STATE

CITY

COMMENTS/ REMARKS

rwa

TELEPHONE

r LG

z,

MAILING ADDRESS',/

3 AUTHORIZED REPRESENTATIVE

TELEPHONE

1 ..

WATER

NUMBER OF ? BEDROOMS

Z.D- A G, - -

NAME OF OWNER

Yc

BLOCK

I OT

!,! n9r

Ali Q54'

//'LC /

4-31- e-/

Arvm-e- of-/ 7ta

CA-X-%-///

i4

3-1-11)

FOR COMMERCIAL USE ONLY TYPE OF USE

DAILY FLOW

FEE

YES

Please answer the following questions: 1. Are there any bodies of water on or adjacent to this property? - ,

ncfr fie.N/.

2. Are there existing wells on the property? 3. Are there any proposed wells on the property?

NO

ur

r 71---

4. Are there existing wells on adjacent property? 5. Will this property be served by a community water system?

0

0

6. Are there any encumbrances which could prevent or effect the installation of a subsurface sewage disposal system? ( Liens, easements)

TEST HOLES ARE: . _

0

CO-'

READY

fn the area below, sketch the parcel showing the location of:

Existing and proposed wells

IAdjoiningroads or streets --

All bodies of water (rivers, canals, ponds)

Property lines and dimensions

Wells on adjacent properties

Location of test pits

Reservoirs and/or cisterns

Escarpments ( cliffs, banks)'

Water -Lines •

N

fes READ

The Applicant agrees that DeslchuteCounty will not be responsible for any problems or denials resulting from Incorrect or Incomplete information supplied by the applicant. BEFORE SIGNING

SIGNATURE OF OWNER/AUTHORIZED REPRESENTATIVE

DATE

17- --- / SITE EVALUATION APPLICATION

z_"

AMOUNT

13 67

4


CONCI' T10NAL USE

IIP

FOR

THE WEST 1/ 2 OF THE SOUTHWEST 1/ 4 OF THE SOUTHWEST 1/ 4 OF SECTION 22, TOWNSHIP 17 SOUTH RANGE 14 EAST, TAX LOT 1301 TL 1400 v

v

00 0

S

89' 59' 30"

W

00660.26

0 000 0 0an000n0

ALTERNATE HOUSE

Irrigatable >

SITE

Oland/ O tp

00000• - • 00

scale: oXISPAfe!

00

1" =

200' no

date:

INvwv

6/ 10/ 92 DRY POND Pffir-

04

1ri

CROSS

FENCE

HAY STACK

YARD

v) • • • • • • — • • • -

JO TL 920

LIGHTNING

TREE

acres'' -

under

irrigation

CORRAL

S

POWER SPLICE BOX IRRIGATION

s

PUMP

POND

IRRIGATION

DITCH

ALTERNATE

HOUSE SITE

PROPOSED HOUSE SITE TL 1302

OLD GARBAGE SITE

ra

P. O. D. EXISTING CULVERT

62. 4o.

2 +\

EXISTING

Old

TL

TL

100

0 0

0

1100

Pit

dirt

ALFALFA ROAD


i

Y

PERMIT NO.

WCOMMUNITY DEVELOPMENT DEPARTMErW

1 5--.3 th !

ENVIRONMENTAL HEALTH DIVISION

ADMINISTRATION BUILDING -

C//

DATE CALLED IN

BEND, OREGON 97701

G%

15031388- 6575

CERTIFICATE OF SATISFACTORY COMPLETION JOB

LOCATION -

ADDRESS/ /`=

CITYAde

J

ir

C_-`/-/¢NAME OF 0 -/

E/E

0, LICENSE NO.

A

INSTALL

'/

SEPTIC TANK MATERIAL

EQUAL

TOTAL LIQUID CAPACITY

LOOP

SERIAL

PRES

FILTER SAND OTHER

q` /J

I WIDTH OF TRENCH

TOTAL LENGTH /)

NEAREST

SIDE

FRONT`

LOT LINE

2 INCHES I FEET FROMR

ll`'

TOWNSHIP

SECTION------!

I:- rT" TAX LOT #_ SO) 6.ca.

0 /

NEAREST BODY OF WATER FEET FROMS

LD,

IGre

FEET FROM/

PTIC TANK /

R4 INFIELD

I -

l7

RANGE

INCHES REAR

y /o

r/ / / !

WELL SETBACKS

FEET FROM SEPTICTANK ,.-

7

FEET

FEET

TOTAL ROCK DEPTH

F TRENCH

DEP

11k,

u-/_I

Hiiiiii\

I

ice_

yz.

MUMES

MINIM

444gMU r tal

11111111111

1

I

As -Built II awing Location-

with Referr

in

1

tiall

in

Installer_ _—_ _.__.___. .___

Final Insp. D. tIssued b

li' I

O.

1111

ration of Law

er in . ection waived

purs ant to

I

th .41 es

in

EMMIEIN

4

s R 340- 71- 17012)

r

F

Ell

II

II

Ii.

SI Pre -c.

r fig... l1

Ar

NI

NIIIIIIIM r111111111111111111• 1

1

111111111111111• 111111111

IMMESIIIIIIMINIIIIII Et

111111111

II II

1

11. 1. 111111111• 1 CORRECTIONS MADE DAA

CORRECTION NOTICE POSTED DATE -

In accordance with Oregon Revised Statute 454.665 this Certificate is/ issued as evidence of satisfactory tiiffiieed above. I syste at th ovation completion of an on- si s wage disp

C

AUTHORIZED SIGNATURE /' N CONST RUC

ION' ^

pink

5177 ! -

6,

J

DATE //`/ /

J/

J. I r

1

test

nstaller copy

4!

yellow—. r.licant

d: di copy

gold— fi

copy


110

STATE OF OREGON

DEPARTMENT OF ENVIRONMENTAL QUALITY

CERTIFICATE OF SATISFACTORY COMPLETION SUBSURFACE OR ALTERNATIVE SEWAGE SYSTEM %

1, 761"

Permit Number '-'

6' 7

rt__________

11/

Name of owner R/ 7/ 4/17 Mailing address

2

6 >

Installer' s name

Alit/

i

i

-

Sewage -Cesspool license No.

r , -

u

s

r /

r ' -

ddress

a

Exact location of proposed sewage disposal system 25-11167 Bedrooms .-

Total number: Living Units Water. supply: Public system

Community sy tem -

Baths Well

Spring 0

Cistern/ jy

r. 40.AC

Septic tank: Material

Total liquid capacity !/.

p.al

ft

Distance from: Well, springs, or cisternnft. Building foundation Sub -surface tile or perforated pipe disposal field

V

Other

ORTH

Distribution box: Yes 0

N0

Length each line: //

ft

Total length: "'

Se)

ft

f0

ft.

Width of trench: Total square footage:

Distance between lines1® ft

l,[ ffp

in.

Filler material: !TyperSize Distance of sub -surfaces or other type of system from:

Water line Well

ft.

ft

Cistern

ft.

Spring

ft.

Nearest: Riverft

Stream

ft.

Lake

ft.

Nearest lot line:

Front

Side -

Nearest foundation

Rear:

ft.

ft

In accordance with Oregon Revised Statute 454. 665 this certificate is issued as evidence of satisfactory completion of a subsurface or alternative sewage disposal system at the above location.

Date of preliminary site approve J D {/ Date of final inspection

NOT approve

Ki

7

Soil conditions observe Approved /

7

REMARKS

SANITARIAN

White copy— Health Department

Pink Copy— Property Owner - .

DESCHUTES COUNTY

382-4000 ext. 60

Yello • copy— Installer


PERMIT APPLICATION

DESCHUTES COUNTY' BEND, OR 97701 382- 4000

DATE KENNETH E. GLANTZ, BUILDING ADMINISTRATOR, EXT. 252 BILL MONROE, PLANNING DIRECTOR, EXT. 207

BUILDING PERMIT NO

JOHN K. GLOVER, COUNTY SANITARIAN, EXT. 237

11 70 - 7

SANITATION PERMIT NO

0

JOB LOCATION (',{%/ `

z

ADDRESS PERMIT TYPE

0w

0

OzZ_ w

i

4' 1—

CC

RESIDENTIAL

COMMERCIAL

SEPTIC

MOBILE HOME

ACCESSORY

OTHER

ZONE

CLASS OF WORK NEW

REMODEL

e

MOVED

a

USE OF BUILDING

OCCUPANCY

S

STRUCTURE TYPE.

CONSTRUCTION TYPE METAL '

z_

FRAME

OWNER' S NAME& ADDRESS

ili

BUILDER' S NAME & ADDRESS ^

1`

tli7ilt '

N w

LOG

v

S_

JJ

0.

BLOCK

OTHER

1 /

2ILn 1P -

U --•''

r-

PHONE

d X22

PHONE '+%

ARCHITECT/ ENGINEER

PHONE

i NOTES

t1 c r-1 Or Z'

LEGAL 32 TOWNSHIP

DESC

RANGE

SECTION

PLANNING DEPT EX 207

PLAT NO.

TAXCOT NO. X1413

7y' - I>

15

1e

LOT

SUBDIVISION NAME

BLOCK

OR SITE PLAN NUMBER

PRESENT USE OF PROPERTY

13 ACREAGE

ZONE

USE OF BUILDING ( DESCRIBE IN DETAIL) SETBACKS

FRONT:

0

SIDE:

0

NOTES:

14

REAR:

PERMIT NUMBER

7'

OO

SIZESIZE OFOF SEPTICSEPTIC TANKTANK `: `:

1.

2.c...., .. Vii. / r" 1i1i,. ,._ _,•_,•_.._.._

1i -,..-:;<•'

td *..,

SANITATION DEPT EX. 236''

17

GALGAL

NUMBER OF BEDROOMS NOTES' -,.-

2'

7 " / ,/ ?— - %

SQUARESQUARE FEETFEET OFOF SIDEWALLSIDEWALL

3

7• 1 /

D WATER SOURCE (

G a6 -

r','%

7 7

r,r, A.A. c.c. 22;' ;' L., 0_ 1 n4 laic,I =."-

e`..:. e`..:.

i/'i/'- •"%)./ •"%)./

S0

4.

J - n1,,,

c•.>_..

c, i

I CERTIFY THAT ALL LABOR IN CONNECTION WITH THE CONSTRUCTION OF THE SEWAGE DISPOSAL SYSTEM WILL BE PERFORMED EITHER BY A PERSON LICENCED UNDER ORS 454. 695 OR THE OWNER.

SIGNATURE OF OWNER/ INSTALLER X

7/% rj_ A'

S:-....._ ,-

17 -?

7.e VALUATION

PLANNING DEPT APPROVED/ DENIED BY

I

AGREE

TO

BUILD

DATE

BUILDING CODE

ACCORDING

TO

ABOVE

DESCRIPTION, PLANS & SPECIFICATIONS AND THE

OF

DESCHUTES

PERMIT BECOMES NULL &

VOID

COUNTY.

BUILDING SURCHARGE

20

22

22

THIS

IF WORK OR

PLUMBING

24

CONSTRUCTION AUTHORIZED IS NOT COMMENCED

SANITATION DEPT

WITHIN 120 DAYS, OR IF WORK OR CONSTRUCTION IS SUSPENDED OR ABANDONDED FOR A PERIOD OF

APPROVED/. DENIED

120

DAYS

AT

ANY

TIME

AFTER

WORK

COMMENCED.

DATE

H.

c `' W

BUILDER CERTIFICATION

NO.

PLANS CHECKED &

APPROVED

OWNER OR AUTHORIZED AGENT

IS

SURCHARGE

25

NOTIFICATION

2e

SEPTIC

27

OTHER

28

PLANS CHECK FEE

2e

MOBILE HOME

30

TOTAL FEES DUE

11

BY DATE

X

RECEIPT NUMBER

32


T. L.

LOCATION:

S

1_ 1_ 2,

SLBDIVISION:

2

LOT:

WNER' S

TEST

BLOCK:

to

NAME:

400Ce-

x4er

HOLES EXAMINED

92 = MIL

Tca ,e

uz 30+

sciwri

WATER TABLE:

631--a,- 1 13 cjMd IoQB(.

WATER TABLE:

MOTTLES

CHROMA

MOTTLES

CBROMA

RESTRICTIVE LAYER:

RESTRICTIVE

TERRACE

TERRACE LEVEL:

LEVEL:

LAYER:

SUFFICIENT AREA ON LOT FOR INSTALLATION OF SEPTIC TANK AND DRAINFIELD?

RECOMMEND:

APPROVAL

INSPECTED BY:

REMARKS:

X.

a

5 ctIANnrrcL

YES )(

NO

DENIAL.

L---

DATE:

t

ev,

dpr( col 61-

1 0 -/-

9


r

N Oo° 06'.. 7" W

kl

n

000

0000 00*

c o es> m

t

co

00

En

cnCzz to =

0 CD

z C

cn m

rn n 0 m 0

m0

cn

z< m rn m 0

1

c rn

D m

zO rr JR

m

H m

C N

C

0

C

m A.

0

zm x

0 111

a

XI

m


See

zi

MOP

N4

0

fl-rn

7:

0 ug 0

r

0 0

4;

cP


DATE

BLDG PERMIT #

SEPTIC TANK PEERM.*

COMMUNITY DEVELOPMENT DEPARTMENT •

7 L8/J

HEALTH DIVISION

ENVIRONMENTAL

W

1," i °

i

DESCHUTES COUNTY

RE

COURTHOUSE ANNEX - BEND, OREGON 97701

EI

O

0

I Vi

NO.

2) '75a

503) 388-6561

SEPTIC TANK PERMIT APPLICATION LOCA

ADDRESS TION

Z.->'

CI TV /

C/

AT/ As-i--J--2.2.4^ ,

S/a/" V/.. d

DESCRIPTION

7

TOWNSHIP /

RANGE /

Z

SECTION .

1

SUBDIVISION NAME /

OWNEADDRESS !

Z '

7ro

PHONE gg- z&g3 j

flr

7iJ-rT i% A t v- f'cir-7

EXCAVAT NAME

BLOCK

LOT

LL/ A 14

G///

ACREAGE lib

13O Z

TAX LOT NO.

S

vZIP

STATEO.2

CITY./ r/a

z [i(

9770/

S

K

PHONE

LICENSE NO.

ADDRESS

NIUMBE9 EVALUA ON _

J.- /

9( b - 79

NUMBER

o'

p/

SYSTEM USAGE

Z

BEDROOMS

c7R.G< rl

2N

ZIP

STATE

CITY EXISTING PERMIT £

STE

u0-. L`LG--

WATER SOURCE

NOTES:

I CERTIFYCERTIFY THATTHAT THETHE ABOVE ABOVE INFORMATIONINFORMATION ISIS CORRECT.CORRECT.

I CERTIFYCERTIFY THATTHAT ALLALL LABORLABOR ININ CONNECTION CONNECTION WITHWITH THETHE CONSTRUCTION CONSTRUCTION OFOF THETHE SEWAGESEWAGE DISPOSALDISPOSAL SYSTEMSYSTEM WILLWILL BEBE PERFORMEDPERFORMED EITHEREITHER BYA.BYA. PERSONPERSON LICENSEDLICENSED UNDUND

RR ORSORS 454.454. 695695 OROR THETHE OWNER.OWNER.

XSXS

SIGNATURESIGNATURE OFOF OWNEROWNER

1 CERTIFYCERTIFY THATTHAT I AMAM CURRENTLY CURRENTLY LICENSED LICENSED UNDERUNDER THETHE DEPARTMENTDEPARTMENT OFOF ENVIRONMENTALENVIRONMENTAL QUALITYQUALITY RULES.RULES. XX

SIGNATURESIGNATURE OFOF INSTALLERINSTALLER

SEPTIC FEES

PLANNINGPLANNING DEPARTMENTDEPARTMENT STANDARD SYSTEM

f 6( 4b

ZONE ',

120. 00

EVALUATION OVER 180 DAYS

A)/ W -

FRONT

60. 00

EVALUATION WITHIN 180 DAYS

STRUCTURAL SETBACKS

ALTERNATE SYSTEMS

SIDE /

REAR

CAPPING FILL

240. 00

SAND FILTER

280. 00

TILE DEWATERING

120. 00

SEPTIC TANK AND DRAINFIELD APPROVAL ONLY-

DOES NOT CONSTITUTE BUILDING

RENEWAL

10. 00

ALTERATION

95. 00

AUTHORIZATION NOTICE

25. 00

OR USE APPROVAL.

SIGNATURE INDICATES COMPLIANCE WITH APPROVED_

1

PLAN. p+,,,,

PLAN SIG. %

COMMERCIAL GPD j"

2 "

3J

DATE '

9

OTHER

CJ COMPATIBLE WITH CURRENT ZONING

5. 00

DEO STATE SURCHARGE

OTHER .

V

REPAIR

35.00

EVALUATION OF EXISTING SYSTEM

60. 00

PLANNING

10.00

TOTAL

X31

OFFICE USE ONLY DENIED

PERMIT

EQUAL

MIN. TANK

FLOW DESIGN

CAP. ( GAL.)

APPROVED

LOOP

SERIAL

PRESSURE

GPD

TRENCH LENGTH

LINEAR

1 FABRIC 0

DEPTH

SPECIAL INSTRUCTIONS:

THISP

DATE

SANITARIA./

s_v= 'Y

7

G

RMIT

FIRES

R —. 2

AUTHORIZATION NOTICE

THIS SYSTEM IS SUITABLE FOR

2/ 6-0 GALLONS / DAY AND 15 CURRENTLY OPERATING PROPERLY. FILE COPY

FEET

TRENCH

OTHER

SAND FILTER, FILTER

INCHES


alr

APPLICATION

DEPARTMENT

OF

TO

ENVIRONMENTAL

QUALITY

FOR

EVALUATION PEPORT. OF SUITABILITY OF FROPOSED SEWAGE DISPOSAL

DESCRIPTION OF PARCEL Suction _

2

L: ttach a Plat .: r Mq' Snaa' w All Sita. as F,:hbCt A)

17S

i '.x.rnrhip

Ranya

toy' County of

U2• 1Claltlbll MP

larrnti.va Oeecriptioa: 20 acre parcel (:.'

PROPOSED USE OF PARCEL (

Residence

ib:3IDEITrAL -

on

20

A- 1

lot

parcel

ZONING, AND NAME OE DESIGNATING AGENCY

by Deschutes County Commissioners

PROPOSED METHOD OF SEWAGE DISPOSAL ( 1

Tax

OT/ E7? IsererrvI)

acre

PRESENTLY DESIGNATED LAUD USE,

Or.+Jon;

79- 152

Check one and Provide Requested Information)

EXISTING SEWERAGE SYSTEM ( Fee:

2)

55 for one lot, 510 for two or more lots)

Parcel is located Ld thin the bovndztee of and can ba provided sewerage service by the following entity which

owno

and operates

a

seOerage

system:.

Nana of Entity Spites.

Identification

Address of Entity

City, 2)

zip Coda

HEY PUNCHED

Present status of eewere or sewer extensions to carve parcel:'

3)

a)

Plane for reward (

v)

Piano for sewers ()

c)

Swore ( )

I

have () have (

Pure not been prepared.

OOT V'ir I 2 2 197(]

1 Fwd not been approved t+y DEQ.

have no

have ( )

bran installed.

17

STATEMEX7 OF CERTIFICATION BY SSW! tRAGE SYSTEM C9.'irR ( Separate statement may be attached if available). As representative of the owner o: the sewerage system named in ( 1) above, I hereby Certify that sewerage service will be provided for the above described parcel.

that said sewerage system hes capacity to serve the parcel and that

the above information relative to the status of such sewerage service Is correct to the best of my knowledge.

Signature of Reprasantativa Title Data

I

F

TSFJ 7:_

d E.

i

SR: C,c SY= TD ( Fee: +

Thr :

ne

h.:

5:: .

or

coed :' a : rcp:sed ejetem rrer:c: ely in '

tae -'

r

too

or• more 1

ting? (

lots)

No (

e := I iss-ue_' a :' seta L: schr; a Perm' o. J}ir ( the proposed system? ( si:'.ArE

DISPOSAL $ .:

Thep (

Ye.:

SJO

per

J

Teo,

on (

dace)

1 Noyes. Permit no.

ler)

Srov lomtian of prposad eubeurfaee syetun or systems on the prat plan for each site which is attached as Exaibit A.

1.

For a subdivision of roar or more sites, attach. as Exhibit b:

A topnraocical rap

do: a

Special

2.

Rates of slope data

s: a'fa_e eni e:: baw,'_re)

7. _.

5. .

3.

Soils data

a er

4.

Water table data

ply SJCPCe and diatribntion system

i'_y sabers arca LOWC.1e disposal eye; e a : ocation

Its-- = ion:

OEc a: d/ err its

ntract agent most complete a site investigation before a report can be glean.

To

facilitate s_ c.: inveatigatloa, prepare two 121 backhoe test -holes at least 1cft. deep and

aper -.: mately 75 ft. Apart ( at the saw.- approximate gronrA surface elevation) at the site of each proposed

Test

system.

hoar ( )

have been prepared )..

3 will be prepare? i — 27/4G "'

I EINE ATTACHED THE RIC, CHSU H{ HIJ: TS ANU FES SPECIFIED I:: Ti*: RE, UEST FP SEWAGE

T.. T- CEPA CtC;J:

DISPOSAL ? DR

Cr

Tb. JOVE

ENVIRCBMEntA1. QUA:. I ( DESCRIBED

C,

rlel(ial_ ''

A R1_PCRT OF ScITAa: LITY 4P TTF!* Hoe E r :'

CRI

MET ,

Og

PARCEL.

Pare of 4- p icrt P ytnr : ` Kori _ sea- ann of ni2n2. 25800 Al Pal fa Mkt city, State,

ti %_

I:: S.':111CTt( 1: 15 AND ON TI15 A:• BECAT! 1 AND HERETY

Sivrctury of Applicar

Road q // //

97701

Of

P: ovy

t _. 4_ 712_ Dete

Connects a: d reroraendattons based on Subsurface Site I - ars tigation by DEG or Contract Ayant:

This parcel has been evaluated by a member of this department.

Studies including but not limited

to soil conditions, water table circumstances and topographical variations

were

conducted.

It

is

the opinion of athis department that parcel. it is feasible to install a septic tank and subsurface drain field to serve residence on this This evaluation report shall remain in effect until

issuance of a permit to construct, unless in the meantime conditions on subject or adjacent properties have been altered in any manner which would prohibit issuance of a permit in which case the evaluation report shall be considered null and void. i DESCHOrn num Darr. Or HEALTH Jay E LangleY_ a R 10i2jj9 OeSche'sLbuRty lAA;r!hrrea % Raney t

1

ATenr/ ns,--

BEND, OREGCrba1bync of Cir.: or Agent 2e. z:_ ite to Atc' e : pplicatitm x

The

described

I 1'

The

Jeocribei r:.. w

model

of ..-.-

m,, dispersal

coasqe . ..

a-

anrcrted

is nbt epnrceelfur

the follow:

reams.,

Or.e building site approved subject to the following conditions: 1.

The solid in the proposed area of the drainfield and the replacement area cannot be. altered except as a condition of the permit. A permit is required and must be obtained to constructing the system.

from the Deschutes County Health Department prior

DESCHUTES COUNTY DEPT. Or HEALTH Deschutes County Courthouse Annex BEND, OREGON . 97 701 =.: F' res.... _

t.- -`+

t ""

gee :, r. _ Jai E• _ Langley,. -R - S.--- -DEQ, Agent Representative

10/ 2179 ___


r

3

gasmsrs

000a 00

0

0

4 z

z1

3

70

0

C

O

a

z Z

n

z

n rn

i --c m

tri

oo a m CA

01

r CO

mY

0

moi am

C

C

0

0 -<

m

3 0

mxi o

CD

m r

to -

a C

m4

A

CO0

g g m

m

4m

m

a4 c

N

x Z

r

D

m

g

CO

0

wm

0

z

D

co

0

m

fl >

m a

2

xs-C

OT

r

s H0 2z m v

Z

O

m 740

v

0 m

0

z

xto

m

4m

0

2om

D 'v

aco

0

Z C

r0 0 mm

8

2

N—

S m

MI

I m—

ii

iii

4

O Z


as

T. L.

Pnrre)

MP 19 - sa

SUBDIVISION:.

BLOCK:

LOT:

OWNER' S NAME:

s

R w .,

7

T

LOCATION:

Ba

1

oorP,

TEST HOLES EXAMINED

lit 314-

TaadS

112 30'x`

eChnel

SC, (

CHROMA

MOTTLES

CHROMA

MOTTLES

RESTRICTIVE LAYER:

RESTRICTIVE LAYER:

TERRACE LEVEL:

TERRACE LEVEL:

SUFFICIENT AREA ON LOT FOR INSTALLATION OF SEPTIC TANK AND DRAINFIELD?

INSPECTED

APPROVAL

BY:

X

tlac(

YES

Ir NO

DENIAL

DATE: (

L--,

f REMARKS:

IOa

WATER TABLE:

WATER TABLE:

RECOMMEND:

Sann-

cl- ciel

I

0 - 1- 77











Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.