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Septic <br /> _1,uedSite Evaluation 555-19-003957-EVAL Page 6 of 6 <br /> Date ISS07'/02/2Q 1 { ,o § -g v 3 w g roa r. a- �s S <br /> Application=status.Site I=valuatton Approved s 2 <br /> 5�S <br /> .e4�E� 1 <a� t <br /> " `� ""ates . , t ,,„ .' <br /> Wiltse at DEQ for more details before you proceed: <br /> Dan Wiltse, Natural Resource Specialist <br /> DEQ-Western Region • <br /> 165 East 7th Avenue, Suite 100 <br /> Eugene, OR 97401 <br /> 541-687-7436 or WILTSE.Daniel@deq.state.or.us <br /> If you have any questions about this report,please feel free to contact me at 503-365-3165 <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 7/2/19 <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 /> 7/2/19:11:08:13AM Page 6 of 6 ONS_OnsiteEvaluationjtr <br />