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Septic Site Evaluation 555-23-005470-EVAL Page 2 of 2 <br /> Date issued 08/17/2023 <br /> Application status Site"Evaluation Approved. <br /> Work description" SE 4 BDRM SFD FOR PLA 22 026: <br /> Drainfield sizing: N/A 75 linear ft/150 gal. <br /> Pump to drainfield required: Yes Yes <br /> Other special requirement: operation and maintenance agreement operation and maintenance agreement required <br /> required to issue permit and must be to issue permit and must be carried for the life <br /> carried for the life of the system. Keep live of the system. Keep live stock off of drainfield <br /> stock off of drainfield area, per OAR area, per OAR 340-071-0130(12)See attached <br /> 340-071-0130(12)See attached pressurized distribution requirements that will <br /> pressurized distribution requirements that be need to issue installation permit <br /> will be need to issue installation permit <br /> THIS IS NOT YOUR PERMIT.A Construction/Installation permit is required before you construct your system. Please contact <br /> this office when you are ready to apply for a construction/installation permit.We cannot sign off on any Building Codes forms <br /> until we issue your permit. <br /> This site approval runs with the land and will automatically benefit subsequent owners.This site approval is valid until the <br /> approved system is constructed under a DEQ construction permit or unless the site is altered without approval from this office. <br /> Alterations/excavations/lot line adjustments made to the site,or placement of wells or utilities, etc., may invalidate this approval <br /> If you disagree with the decision of this report,you may apply for a site evaluation report review. The application for a site <br /> evaluation report review must be submitted to DEQ in writing within 60 days after the site evaluation report issue date and must <br /> include the site evaluation review fee in OAR 340-071-0140 Table 9A. A senior DEQ staff person will be assigned the site <br /> evaluation report review application. <br /> You may apply for a variance to the onsite wastewater treatment system rules. The variance application must include a copy of <br /> the site evaluation report, plans and specifications for the proposed system,specify the rule(s)to which a variance is being <br /> requested,demonstrate the variance is warranted,and include the variance fee in OAR 340-071-140 Table 9C. A variance may <br /> only be granted if the variance officer determines that strict compliance with a rule is inappropriate or special physical conditions <br /> render strict compliance unreasonable, burdensome or impractical. A senior DEQ variance officer will be assigned the variance <br /> application. <br /> Wi7W <br /> 611,(keiLL afiDA,07----- UV <br /> /Q if`7 / U <br /> Kimberlee Aldrich Onsite Wastewater Specialist 2 8/17/23 <br /> CALL BEFORE YOU DIG...IT'S THE LAW <br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administration Rules. You may obtain <br /> copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> 8/17/23:3:14:21PM Page 2 of 2 ONS_OnsiteEvaluation_pr <br />