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Septic Site Evaluation 555-23-006562-EVAL Page 2 of 2 <br /> 1M521Pub0 z,, y ' <br /> 4 s �� a ' � sit , ,1)44 sd''' ° l[ / V iwa A f t ter• vm 1g d ' n s <br /> 0-04,4 <br /> 5App i;f(ot7 stato.0* vfYat(?r Apr` C g ^ ¢ s0 , a 4 "I � a <br /> S1 �FUTUE4,, ��r Nuka� � i. t. wr� g <f v; 9 „r kj ytea Mm tQ ,. ._ ard6r .2f , � _ ,6. * ., <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 of <br /> 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 may <br /> only be granted if the variance officer determines that strict compliance with a rule is inappropriate or special physical conditions <br /> render strict compliance unreasonable, burdensome or impractical. A senior DEQ variance officer will be assigned the variance <br /> application. <br /> • <br /> Afe.(4S ib2 Zr.?-r <br /> Aidan Bammes Onsite Wastewater Specialist 2 9/12/23 <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 /> 9/12/23:8:45:12AM Page 2 of 2 ONS_OnsiteEvaluationpr <br />