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Septic SiteEvaluation/� 555-23-004131-EVAL Page 2 of 2 <br /> Bate issued 69/ 240: <br /> App(ica T status Sit valuatiE>ft a ed s a s a� m <br /> , � 'kw ,� � � <br /> Q Oe*a it1 046.$ � DRN e-0Q� • <br /> « <br /> A a'0�: iiVai`,v �Cy k', a% �° irz.:,µ 7� ti t v .� tiF5 '�``, x e� , ..F Yr �` && ',•, A <br /> �s��� ��:�"si s, � Sri � `"'��€�� z ;�� � � �..�° � s' � � � �� « r�� <br /> dad... 4,� �s <br /> �,r.��:� �.,..,f ;9h, ��,1. <br /> Drainfield type: Standard Standard <br /> Drainfield sizing: 150 linear ft/150 gal. N/A <br /> Pump to drainfield required: Yes Yes <br /> Other special requirement: N/A May require ATT if unable to fit within the <br /> approved area <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 /> 1 {^VU/0/1 90- I a3 <br /> im er a dric On Wastewater Special's 2 9/1 3 <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 /> 9/12/23:11:59:42AM Page 2 of 2 ONS_OnsiteEvaluation_pr <br />