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Septic Site Evaluation 555-19-003863-EVAL Page 5 of 5 <br /> Date i ed` 06/13/2011x1 4g 62 Z ita ktt f �� `a 3 r ,Vr7 <br /> '. � 'g s' 2 ? Via d ,k' `�x.� k 9'� 'it % �'�. t'a`t 3 .s ' <br /> e �'��,� ° � ��t ��� � � '"� x --25 <br /> Application status Sit valuation pproved „ �, <br /> % ,� a a # tisk' x � � 3-'� 3 v � .� „� �� �`� z�r-e, r <br /> s, sit r ° , <br /> Wotk,de,000tionr SE,,-, of 1TURl 4tBDRM(8Fi .lt o <4 � g #01- <br /> �'�b �� h'f' '" 4 V� '�i E �1 3 � M YLa, - -&zSs�C '� �' t 4 ,c�H' 't't <br /> PAW <br /> ail«�.�,2*�y�r.„.,.t._,..u�' '�„_�_.ne,T�i�t%�,.��x h .,,,./1.,, _,,,, ate.; „__,,..�_,,.,�c.. cam �,__,,,� _,,,� .-z .,,�_., .' .,y�..m �..,,..�: . _�,� '�°„�i,ar..:a �',.,,„a- k.w5 <br /> ..................... <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 <br /> of 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 <br /> may only be granted if the variance officer determines that strict compliance with a rule is inappropriate or special physical <br /> conditions render strict compliance unreasonable, burdensome or impractical. A senior DEQ variance officer will be assigned <br /> the variance application. <br /> Matthew Puntney Onsite Inspector 6/13/19 <br /> • <br /> • <br /> • <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 /> 6/13/19:11:06:57AM Page 5 of 5 ONS_OnsiteEvaluation_pr <br />