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Return to: Marion County Public Works 5155 Silverton Rd. NE ..11,4., (3 3 Z 21 LI Salem, Or. 97305 EASEMENT, COVENANT AND SERVITUDE ivlArilfN COUNTY' _ \iG ;„SPEOIION WHEREAS 19ere,„yht, and Ca /ad "GRANTOR") is the owner of the following two lots (or parcels) of real operty locat d inMARION County, Oregon: Lot I: See, xh16gt ", `' a,,d "3 Lot II: See- 6400,4 �C " WHEREAS GRANTOR has applied to the State of Oregon through the Department of Environmental Quality("State" or "GRANTEE")for a permit to construct an individual onsite wastewater treatment system("permit") on Lot I intended to serve Lot II; and WHEREAS Oregon Administrative Rules (OAR)340-071-0130 requires for each lot or parcel different from but under the same ownership as the lot or parcel served,the owner of the property must execute and record in the county land title records, on a form approved by the department, an easement and a covenant in favor of the State of Oregon as a condition precedent to issuance of a permit authorizing the construction of a system on one lot intended to serve another lot; EASEMENT NOW THEREFORE,in consideration of the issuance of the permit to GRANTOR by the State, GRANTOR hereby conveys to the State,its successors and assigns, a perpetual non- exclusive easement in,upon, and running with Lots I and II allowing the State's officers, agents, employees and representatives to enter and inspect, including by excavation,the onsite wastewater treatment system on Lots I and II. This easement shall be terminated at such time as use of the individual onsite wastewater treatment system has ceased because the structures on Lot II are fully served by an adequate public sanitary sewer system or by another onsite wastewater treatment system located elsewhere. Upon request and a determination that adequate alternative service is available and in use, the State shall execute a recordable document terminating the easement. Page 1 of 3 f