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Septic Site Evaluation 555-26-003766-EVAL Page 2 of 2 <br /> iliS �:,r a :_ : k,� $ &.,� ti a� 1"� � tidy����° ��� d f�+ r n°rt �'°:�5 9 U FF' <br /> i*,e;f 6/may 12Q2 � � b r y f � dv a e t k E fir`6; <br /> 5 rF r a a x`"F C ��F« F..:� � <br /> '� . °°�a ;� �E ���-�,�✓x�fs�F y, T �.ur +,R b" <br /> Apphcatt n,status Site Evaluation Apprbved� O F r� " i r M a f:CiR <br /> Wgrik-A ,40-0tt� � ROW FRIPROP TO OQNV»I *�l 40.44 ADU} �� <br /> � to <br /> Pump to drainfield required: Yes Yes <br /> Other special requirement: Hydrosplitter specs and calcs required Operation and Maintenance required to issue <br /> along with pump curve and septic dosing permit and must be carried for the life of the <br /> tank information required to issue system. <br /> installation permit <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 /> Ct9tQA 07-W I LW- X-i* <br /> Kimberlee Aldrich Onsite Wastewater Specialist 2 /25/ <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 /> 7/6/26:8:38:28AM Page 2 of 2 ONS_OnsiteEvaluation_pr <br />