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Septic Site Evaluation 555-23-008389-EVAL Page 2 of 2 <br /> Date`is"e.`ed7"2/0 1202, = 016 ,, ��'` . <br /> Dot lg, y �,ri'�.,," , r F - i Af ax �,i s`c N V �. �,s <br /> Appltcat[on staus Stte Evalclativn ApprpVed �i; 4 Z ,�i� ��� 2� iA- �`w� �� yd b� � ��� £x�, �': <br /> T e r, s y r ? 4' r fa r 3 a WI 3 �8 'a 's mA V Z"t°§+ <br /> Worts descrtptran SE.. SUTURE 4 BDRM MH(FARM:HOUSE) t,Vi a= a,e�= , q�E r <br /> 9 f r AF_ =m� '=fix t�` v,ik..:; :r , k r ��✓*s" A e v;Y, 4f1 <br /> Drainfield sizing: 100 linear ft/150 gal. 100 linear ft/150 gal. <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 /> 120xixt Q _ off- 1101 � / / <br /> Kimbe16filliee Aldrich Onsite Wastewater Specialist 2 12/7/23 <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 /> 12/7/23:4:10:32PM Page 2 of 2 ONS_OnsiteEvaluation pr <br />