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Septic Site Evaluation 555-21-009085-EVAL Page 5 of 5 <br /> tl=tl D'ateastie0/07/2D2'f` .�z e <br /> 3 S R <br /> lication stafus Sitw` uafton A roved <br /> - s"'�. - -r*.a.t-Y x•'?��`� "' ' <br /> litarlrctescnptiam..SE E:1110R1�4 Bt]F,21911S,§,D�( � �R 21 22)�5 �� �,� � :F� <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 /> Robert Goodwin Onsite Wastewater Specialist 2 10/7/21 <br /> CALL BEFORE YOU DIG...ITS 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 far the Oregon Utility Notification Center is 1-800332-2344.) <br /> 10/7/21:9:16:37AM Page 5 of 5 ONS_OrrsiteEvaluatlonpr <br />