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Septic Site Evaluation 555-24-004569-EVAL Page 2 of 2 <br /> Late.ESSuied t ricr ki t ,,w ?*; psi Ar„a� ' �` r w Q '„� 'd, +' a •'z a - +m"F <br /> Apply +O tuts It-EvaftuatiOn •a ayes s y �� .� <br /> toy s ! ?' s�gy k a -.3e e Y ka' �bT- a p °-;.ff <br /> Watkd sc ption£ m' a0 AN13REPLAGEMENT s � k 4e - F ` <br /> 14 <br /> qua �_ �"y , w ,,.ram <br /> • <br /> r x <br /> Specia!Rlqulrenrgnt Initial System Replacement Area <br /> Stakeout required: No Yes <br /> Groundwater type: N/A Temporary <br /> Groundwater depth: N/A 23 in. <br /> Drainfield type: N/A Capping Fill <br /> Drainfield sizing: N/A 125 linear ft/150 gal. <br /> Other special requirement: N/A Site Evalutation was to establish a repair area <br /> only. <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 /> Danielle Brown Onsite Wastewater Inspector 2 7/3/24 <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 for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> 7/3/24:2:20:07PM Page 2 of 2 ONS_OnsiteEvaluation_pr <br />