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Septic Site Evaluation 555-19-003415-EVAL Page 5 of 5 <br /> Date Issued 05/ 4/201 F �. . E <br /> g�r �fx R` '"ia-"�, -��' s � t ' i$''3�^� � .� s4 i ax <br /> a'. i-�e'� i.: " .,y `�.,: .,; �� �, ,ear • ,� F s-sr 4r «s` <br /> Applicatio€t status kSit Evaluation Approv ▪,' m F <� < � <br /> � ',� <br /> 1Nork descr�ptroR�SE;,�FCJTRURE;3 <br /> vF 1 „e ,t' 2- <br /> .._....: �...,, " �.,,� �' xfi;m.,.�,. ".�a�!:�._..= r---_...�..t<'_ ...,-��,.�_ ,-......zw+� �,� , ;.,, s,.,,::2!,...�c- .z�;^.ff_. <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 /> Matthew Puntney Onsite Inspector 5/24/19 <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 /> 5/24/19:1:08:52PM Page 5 of 5 ONS_OnsiteEvaluation_pr <br />