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Septic Site Evaluation 555-19-002211-EVAL Page 4 of 4 <br /> tate issued 04 09/220 p,�- N; a ia9 c' �k t 3 ;oito m of g ar- g p wr w+fl 4`yor <br /> Application status Sit Evaluation Approved <br /> F ',� .5 40: 1R n <br /> Work description:S EO,R FUTURE BERM REPL HOME NEW LOCATION <br /> a t s q '* <br /> ._. ..._ 7 ,... _, ti_ <br /> 6.Placement of a well within 100 feet of the approved areas may invalidate this approval. <br /> If you believe that an error was made in the evaluation of your property,you may apply for a Site Evaluation Report Review. <br /> If you would like to apply for a Variance from one or more of the Onsite Wastewater Treatment and Disposal rules,you may <br /> apply for a Variance. Each review will require a fee. If you are interested in either of these actions, please contact Dan <br /> Wiltse at DEQ for more details before you proceed: <br /> Dan Wiltse, Natural Resource Specialist <br /> DEQ-Western Region <br /> 165 East 7thAvenue, Suite 100 <br /> Eugene, OR 97401 <br /> 541-687-7436 or WILTSE.Daniel@deq.state.or.us <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 <br /> of 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 <br /> may only be granted if the variance officer determines that strict compliance with a rule is inappropriate or special physical <br /> conditions render strict compliance unreasonable, burdensome or impractical. A senior DEQ variance officer will be assigned <br /> the variance application. <br /> 4/9/19 <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 /> 4/9(19:10:29:16AM Page 4 of 4 ONS_OnsiteEvaluation_pr <br />