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Septic Site Evaluation 555-23-007545-EVAL b Page 2 of 2 <br /> ''c ;ate's^,g "" d M:e a i t ,A r" °,. <br /> 1a#e i ;td 9tYl /�23� 3a�, <br /> 40 ttok otitw ,ro tUc�1 tort i)j�1lle;d s f <br /> ? t° 5 ' a ,a•' & mfi� ��*A` <br /> Wort �e crtptlion'" SE` OREFIRE AFTION <br /> a e iP a ''« c ` <br /> v y r" ,, paa:,•sr ,�, .°'K `Sr"3 ± � � Mx+ d o- 3aka �iv 's' <br /> �';... <br /> Other special requirement: O+M Contract required O+M Contract required <br /> may require capping fill depending on may require capping fill depending on drainfield <br /> drainfield materials materials <br /> electrical permit required electrical permit required <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 /> %5c 102.331'1$ <br /> Danielle rown Onsite Wastewater Inspector 2 10/16/23 <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 /> 10/16/23:2:43:16PM Page 2 of 2 ONS_OnsiteEvaluation_pr <br />