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Septic Site Evaluation 555-19-003060-EVAL Page 5 of 5 <br /> ,s sue : :, vT `mak,ra. ,x �.� r r .ss d -a,r �.f : y k, a �" z N �S <br /> Rate Issued 051"164* g t # <i -�� �i t wn d tt¢ k - '� <br /> � ��s � r �, i �"" �+�.�*VSs r"F �: ' .�'��e-�' - -. <br /> ._.: ., ; ,,,.` , �fi ,¢a ��� w,�+ y �„�2ba1� ��. fi��- � «:a. � x�� .R� �,'F'a" ,s <br /> Appitc ttton status Sit aluat{on Approved . e r i � .. <br /> "w+a 3 "°���s � -xP x,a,;��.»'” u; ��'�'" "� 7s �i s ra -�-�7�� '"c"w 4 <br /> 1)York°des�cription S U,TUR B[ fttf R � � . x a <br /> a f '3 ,3 3� i""' -s 3=g:t33 .s � h �. -. Itc s. n qi Mkt �z <br /> T t,,qq:A 7 , c's-�- -'- v'r� P u a j xi: s -x r � ,'a x <br /> �° 'y$ ,...�.fi,'..c ,�fK,-�"'.... $'� �,s "�.; .a,��'� 4a. <br /> _xca-.r,.., _ <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 /> Claudia Hill Onsite Inspector 5/16/19 <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 /> 5/16/19:8:37:33AM Page 5 of 5 ONS_OnsiteEvaluation_pr <br />