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SECTION 2-TO BE FILLED OUT BY CITY OR COUNTY PLANNING OFFICIAL <br /> 5. The facility proposal is located: <""" # a <br /> VI Inside City limits ❑Inside UGB ❑Outside UGB L. <br /> 6. If inside the UGB,the proposed facility is subject to: <br /> ❑City jurisdiction 0 County jurisdiction 14Shared city/county jurisdiction <br /> 7. Does the business or facility comply with local land use requirements? ? 4 YES ❑NO <br /> Comments: <br /> 8. Is a public notice and hearing required? 0 YES kl-NO DATE: <br /> SANITARY SEWER AVAILABILITY <br /> DEQ OAR 340-071-0160 requires a permit application for onsite sewage disposal be denied if: <br /> A sewerage system which can serve the proposed sewage flow is both legally and physically available. <br /> * Physical Availability: A sewerage system shall be deemed physically available if its nearest connection point <br /> from the property to be served is: <br /> • For a single family dwelling,or other establishment with a maximum projected daily sewage flow <br /> of <br /> not more than 450 gallons,within 300 feet; <br /> • For a proposed subdivision or group of two to five single family dwellings,or equivalent projected <br /> daily sewage flow,not further than 200 feet multiplied by the number of dwellings or dwelling <br /> equivalents; <br /> • For proposed subdivisions or other developments with more than five single family dwellings,or <br /> equivalents,the county agent shall make a case-by-case determination of sewerage availability. <br /> EXCEPTION:A sewerage system shall not be considered available if topographic or man-made features make <br /> connection physically impractical. <br /> * Legal Availability: A sewerage system shall be deemed legally available if the system is not under a DEQ <br /> connection permit moratorium,and the sewerage system owner is willing or obligated to provide sewer service. <br /> 9a. Is a sewerage system physically available and legally available to serve this property? <br /> Physically available: ❑YES tkl•NO Legally available: ❑YES I NO <br /> 9b. If service is not available,please explain why,and when service may become available: <br /> V•itirG is roe{- ck C cha S& 7e-V 5 5te ram_ • <br /> G:\FORMS\SEPTIC\Application Packets\S-39 LUCS.doc MC:S-39 rev:8/10,04/12 <br />