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Septic Site Evaluation 555-19-008734-EVAL Page 5 of 5 <br /> 4%, <br /> 1 a a -gr' - r ' <br /> Conditions of approval: <br /> 165 East 7th Avenue, Suite 100 <br /> Eugene,OR 97401 <br /> 541-687-7436 or WILTSE.Daniel@deq.state.or.us <br /> If you have any questions,please feel free to contact me at 503-366-3165. <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 DEC)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 DEC)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 12/26/19 <br /> CALL BEFORE YOU GIG...IPS THE LAW <br /> ATTENTION.Oregon law requires you to follow foes adopted by the Oregon Utility NotlLtation Center. Those rules re set forth by Oregon Administration Rules You may obtain <br /> copies of the mos by calling the canter(Note)The telephone number for the Oregon Utility Notification Center is 14300-332-2Nd,) <br /> 12126118'.6:41 26AM Page 5 of 5 ONS_OnsiteEvaluationyr <br />