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Septic Site Evaluation 555-23-004180-EVAL Page 2 of 2 Da#e Issued;'08C1512023 � 3 a ,, , � .?. ��r ,n � r9 F .� ,� �� `.; �. � � Appllca 1Cin Status `ffe :Vatt[at[On Apprca€etl 1 'F a 3; ,-. a "u 9. F' 5� 4 �'*43 p�,yg,n } '�°° a 3 �` ity�r 1a�' at$ . Work ciescnptifln SE FOR ADDITIONAL HOME F Groundwater type: Temporary Not Applicable Drainfield type: Standard Standard Drainfield sizing: 35 linear ft/150 gal. 35 linear ft/150 gal. Pump to drainfield required: Yes No Other special requirement: The minimum total septic tank volume The minimum total septic tank volume must be must be twice the projected daily sewage twice the projected daily sewage flow. Please flow. Please note:the system design note:the system design must follow Large must follow Large System Design System Design Requirements in OAR Requirements in OAR 340-071-0520 and 340-071-0520 and this includes a written this includes a written assessment of the assessment of the impact of the proposed impact of the proposed system on the system on the quality of public waters and quality of public waters and public health, public health, prepared by a registered prepared by a registered geologist,or a geologist,or a certified engineering geologist certified engineering geologist qualified as qualified as a hydrogeologist.The assessment a hydrogeologist.The assessment should should be submitted prior to making be submitted prior to making application application so that DEQ can review the impact so that DEQ can review the impact assessment and make any needed assessment and make any needed recommendations on whether additional recommendations on whether additional treatment is needed other than indicated in treatment is needed other than indicated this site evaluation report. in this site evaluation report. THIS IS NOT YOUR PERMIT.A Construction/Installation permit is required before you construct your system. Please contact this office when you are ready to apply for a construction/installation permit.We cannot sign off on any Building Codes forms until we issue your permit. This site approval runs with the land and will automatically benefit subsequent owners:This site approval is valid until the approved system is constructed under a DEQ construction permit or unless the site is altered without approval from this office. Alterations/excavations/lot line adjustments made to the site,or placement of wells or utilities,etc., may invalidate this approval If you disagree with the decision of this report,you may apply for a site evaluation report review. The application for a site evaluation report review must be submitted to DEQ in writing within 60 days after the site evaluation report issue date and must include the site evaluation review fee in OAR 340-071-0140 Table 9A. A senior DEQ staff person will be assigned the site evaluation report review application. You may apply for a variance to the onsite wastewater treatment system rules. The variance application must include a copy of the site evaluation report, plans and specifications for the proposed system,specify the rule(s)to which a variance is being requested,demonstrate the variance is warranted, and include the variance fee in OAR 340-071-140 Table 9C. A variance may only be granted if the variance officer determines that strict compliance with a rule is inappropriate or special physical conditions render strict compliance unreasonable, burdensome or impractical. A senior DEQ variance officer will be assigned the variance application. V—W IDIy} ), imberlee Al ldrich °42/1-\-- Onsite Wastewater Specialist 2 8/15i23 CALL BEFORE YOU DIG...ITS THE LAW 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 copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) 8/15/23:7:28:47AM Page 2 of 2 ONS_OnsiteEvaluationpr