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SECTION 2-TO BE FII.I ED OUT BY CITY OR COUNTY PLANNING OFFICIAL <br /> The facility proposal is located: <br /> U:'•lnside City limits Inside UGB J Outside L`GB <br /> 6. If inside the UGB,.the proposed facility is subject to: <br /> i3 City jurisdiction County jurisdiction 0 Shared city/county jurisdiction <br /> 7.. Does the business or facility comply with local land use requirements? ? 0 YES NO <br /> Comments: . <br /> ljd. k .9A3 5 . Atti3L? <br /> 8. is a public notice and hearing required? X YES 9 NO DATE:. <br /> SANITARY SEWER AVAII,ABiL.ITY <br /> DEQ OAR 340-071-0160 requires a permit application for onsite sewage disposal be denied if: <br /> Asewerage system which cevi serve the proposed sewage flaw.is bath legally and p/tl iially Cry tilable: <br /> ' Physical A sewerage system shall be deemed physically available if its nearest connection point <br /> from the property to be served is: <br /> • For a single family dwelling,or other establishment with a maximum projected daily sewage flow <br /> of <br /> not more than 450:gallons,tithin 300 feet: <br /> • For a proposed subdivision or group ottwo to live singgle tardily dk•ellings.:or equivalent projected <br /> daily sewage.tlow,not thriller than 200 feet multiplied by the number of dwwell ngs or dwelling <br /> equivalents: <br /> O 'For proposed subdivisions or other developments with more than live,singlc<taniily dveellings,or <br /> equivalents,the county agent shall make a case:-by-case determination ofsewerag availability. <br /> EXCEPTION:A sewerage system shall not be considered available if topographic or man-made features make <br /> connection physically impractical. <br /> * Legal Availability:..A sestLrage system shall be deemed legally available if the system`.is not under.:a DEQ <br /> connection permit moratorium,and the sewerage tivstem owner is willing or obl:zated to Provide'sewer.service. <br /> 9a. Is a sewerage system physically available and legally available to serve this property? <br /> Physically available: D YES NO Legally available: 'ES ❑'NO <br /> 9b. If•cervice is not available.please explain why,and when service may become mailable: t <br /> PON* `i+�@- P bC N". t.;ipw9 lath t cc.:•�r V't <br /> c FORFIS\SEPTIC:Application Paelwts`S-39.La.CS.aoc MC:S-39 rev:$1U.04/12 <br />