SECTION 2 (To be filled in by a City Planning or Public Works official) <br />5. The development is located: Inside the <br />Inside the <br />6. Distance from the property to the nearest sewerage connection point = <br />7. Will connection to the public piped wastewater system be required? <br />If no, please explain why not: <br />city limits <br />UGB <br />(See * below) <br />❑ Yes ❑ No <br />8. Is the City referring the applicant to the County to obtain a private onsite septic system permit? ❑Yes ❑ No <br />9. Has the applicant submitted for a building permit for the proposed development? ❑Yes ❑ No <br />10. Does the proposed activity or use comply with applicable City land use requirements? ❑Yes ❑No <br />❑ A development permit will be required to ensure compliance with City land use development requirements. <br />Additional comments: <br />NOTE: Per Oregon Administrative Rules (OAR) Chapter 340, Division 18, Lane County may not issue a septic <br />permit if the proposed facility does not comply with all applicable local land use requirements. The applicant is <br />responsible for working with the local planning, public works, and building offices to comply with land use and <br />building requirements. <br />10. City Official's Signature <br />Printed Name <br />Title <br />Email <br />City <br />Date <br />Telephone <br />This form may be emailed by City staff to Lane County Sanitation at riley.robinson(o)-lanecountVor.g►ov or it may be given to <br />the applicant to submit to the County. Please be sure to give the applicant a copy of the City -approved site plan, if <br />there is one. If you have any questions, please contact County Sanitation staff at 541-682-4466. <br />* Per Oregon Onsite Wastewater Treatment System Rules, OAR 340-071-0160(4)(f): <br />A sewerage system that can serve the proposed sewage flow is both legally and physically available, as described in paragraphs (A) <br />and (B) of this subsection. <br />(A) Physical availability. A sewerage system is considered available if topographic or man-made features do not make connection <br />physically impractical and one of the following applies: <br />(i) For a single family dwelling or other establishment with a maximum projected daily sewage flow not exceeding 899 gallons, the <br />nearest sewerage connection point from the property to be served is within 300 feet. <br />(ii) For a proposed subdivision or group of two to five single family dwellings or other establishment with the equivalent projected daily <br />sewage flow, the nearest sewerage connection point from the property to be served is not further than 200 feet multiplied by the <br />number of dwellings or dwelling equivalents. <br />(iii) For proposed subdivisions or other developments with more than five single family dwellings or equivalent flows, the agent will <br />determine sewerage availability. <br />(B) Legal availability. A sewerage system is deemed legally available if the system is not under a DEQ connection permit moratorium <br />and the sewerage system owner is willing or obligated to provide sewer service. <br />8-10-2022 1LJ <br />