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12269353
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12269353
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Last modified
7/18/2024 10:12:58 AM
Creation date
7/17/2024 4:43:33 PM
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Permits
Permit Address
10225 NORTH FORK LN SE
Permit City
Lyons
Permit Number
555-21-006906-PRMT-01
Parcel Number
093E11AB01000
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Authorization 555-21-006906-AUTH Page 3 of 3 <br /> Fate 14stted",716 Oat E <br /> Expitlttg$7, E6/ 5 • ' � <br /> ark ascription �FP W1 t3 t ? ati pRM-04 �F`ii�fit` Bid M1 N ( � � '' e <br /> roe <br /> Note:This Notice does not guarantee satisfactory or continuous operation of the sewage system.Should the system fail,a repair <br /> permit from DEQ is required. <br /> If you disagree with this report,you have the right to apply for an authorization notice denial review.The application for review must <br /> be submitted in writing within 45 days of the report issuance and be accompanied by the review fee in OAR 340-071-0140(3),Table <br /> 9C and any additional information DEQ needs to complete the review. <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 /> t ka23-6 ? <br /> anielle Brown Onsite Wastewater Inspector 2 7/16/24 <br /> 7/16/24:9:43:34AM Page 3 of 3 ONS_OnsiteAuthorizationpr <br />
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