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Septic Site Evaluation 555-19-003805-EVAL Page 5 of 5 <br /> "s �- 6 (1 ,'.. .r'�sY' ss '�e a �. �-b - '` z s r +s "s asx r « a r <br /> b 1sSuet� /26/2011 V� IA b .^'" r f i a�" 5'f er y d�T', - 'y ,�5,... r <br /> � PAty�y � �� '., r � »�G`ry 7�yr t'� ',�17��`�" � <br /> Nei <br /> Appl l catra tusb�r� �� 5 <br /> 13 .5 3 k fi 'P° ` P�'�1 i" z5r i sm % �r S- �; _ 5r,,,°'�§ 5 � <br /> Work desc on B £t REQ BDR 1I SFD= f 0 0 t t ,* 14,-;!!'40q <br /> r� "f� � --t V - r � �� ��, x ,a 7� .'sf`„ � *,�a+.: �xs,f' 'w a���� ,� N a� �.fiF � s' �,'a� k ,'fr° k+�;.," <br /> � "�dr4 � rave, a '��� '�y, <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 /> • <br /> Matthew Puntney Onsite Inspector 6/26/19 <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 /> 6/26/19:5:10:40PM Page 5 of 5 ONS_OnsiteEvaluation_pr <br />