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1 <br /> SECTION 2.TO BE FILLED,OUT BY CITY OR COUNTY PLANNING OFFICIAL <br /> 5.. The,'a ility proposal is located <br /> Inside City limits, CI Inside UGB 0 Outside UGB- <br /> 6.. If insid .the UGi3, the proposed facility. is subject to:: <br /> City jurisdiction O County jurisdiction O Shared city/county jurisdiction <br /> 7, Does the business or facility comply with local land use requirements? ?'YES ONO <br /> Comments: <br /> 8. Is a public notice and hearing required? Cl YES. -NO DATE <br /> SANITARY SEWER AVAILABILITY <br /> DEQ OAR 340-071-0160 requires a permit application,foronsite sewage disposal be'denied ii <br /> .A sewer:cige sy tern wliicfi.can serve the proposed sewage Jim')is both legally and physically available. <br /> * Physical.4voilability:A sewerage system shall be deemed physically available if its nearest connection point <br /> from:the property to be:served is:: <br /> • For a single family dwelling,or other establishment with'.a.maximum projected daily sewage flow <br /> of <br /> not mpre than 450,gallons,within 300:feet; <br /> • For a proposed subdivision or group of two to five.single family dwellings,or equivalent projected <br /> daily sewage flow,not further than 200 feet multiplied by the number of dwellings or dwelling <br /> equivalents; <br /> • For proposed subdivisions or other developments.with:more than five single flintily dwellings,or <br /> equivalents,the county agent shall make a'case-by-case determination of sewerage availability: <br /> EXCEPTION:A sewerage system shall not be:considered:available if topographic or man-made:features make <br /> connection physically impractical.. <br /> • Legal Availability:A sewerage system shall be deemed legally availablelabia if the systemm,is not.under a'DEQ, <br /> connection permit moratorium,and the sewerage system.owner.is Willing or obligated to:provide sexter service:. <br /> 9a. is a sewerage;system physically available and legally available to serve this property? <br /> Physically available: CI YES ; NO • Legallyavailable YES 0 NO <br /> 9b. lf-service is not.available,,please explain'why,and when:service may become available;. <br /> 61FORMS\SEPTIC'Appticaiion Packefs\S 39 LUCS doc MC:.:S-39;rev:8/I0,04/t2 <br />