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Septic Site Evaluation 555-23-004625-EVAL Page 3 of 3
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<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 impract' . senior DEQ variance officer will be assigned the variance
<br /> application.
<br /> ci&I/‘‘AbeilAil, a . . /.4"—V\i 10 I(-I 6)10— : 7
<br /> f?-P 3
<br /> Kimberlee Aldrich Onsite Wastewater Specialist 2 /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 /> 8/17/23:8:27:26AM Page 3 of 3 ONS_OnsiteEvaluationpr
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