Bend Custom Home on Acreage ~ 60336 Arnold Market Road by Desert Valley Group Cascade Hasson Sotheby's International Realty

Cascade Mountain Views from SW Style Home on Acreage 60336 Arnold Market Road Bend, OR

Farm & Ranch D I V I SIO N

650 SW Bond St, Ste 100 Bend OR 97702

PAM MAYO-PHILLIPS & BROOK HAVENS PRINCIPAL BROKERS 541.480.1513 | 541.604.0788 pam.mayo-phillips@sothebysrealty.com brook.havens@sothebysrealty.com www.desertvalleygroup.com

All Brokers are licensed in the Sate of Oregon. Each office is independently owned & operated. All information is deemed reliable, but not guaranteed by Cascade Sothebyâ&#x20AC;&#x2122;s International Realty. Purchaser shall have sole responsibility to inspect the property and inform themselves of the true condition thereof. Purchaser accepts the responsibility before submitting any offer or executing contract. Any grazing permits /leases/water rights are NOT Guaranteed by Seller or Cascade Sothebyâ&#x20AC;&#x2122;s International Realty, Buyer is responsible for due diligence.

Oasis in Central Oregon Address: 60336 Arnold Market Road Bend, OR 97702 Map and Taxlot: 1813190000104 Property: • 59.49 acres • 4.12 Acres of water rights • Property is fenced, gated, paved driveway • Garden, Sprinkler System, Water Feature, Pond, Landscaped • Cascade Mountain Views, Close to Public Land for trail Access Improvements: • High quality custom home is SW style: 4040 sq ft 3 bedrooms, 3.5 bathrooms, open floor plan with possibilities for different lifestyles, built in 2003 • Gourmet kitchen with SS appliances, solid countertops, breakfast nook, formal dining area • Living room with wood burning fireplace • Master suite on main level, title shower, tub, walkin closet (master bath is plumbed for 2nd sink) • Guest bedroom suite on main level • Office/3rd bedroom (needs closet where bookshelves are) • Family/bonus/additional bedroom with full bathroom room above garage • Heat/Cooling: AC-Central, Propane, Forced Air, Wood, Heat Pump, Zoned Heating • Utility room, 3 car attached garage extra length, sink and dog wash • Security System • Covered deck and wonderful outdoor living spaces • Barn 2250 sq ft with Stalls, Tack Room, Runs, Paddocks for livestock. • Shop is 3152 sq ft with studio/office-not permitted as a dwelling, sold as-is, Buyer responsible for due diligence, covered parking, full bathroom. Irrigation: Arnold Irrigation District delivers 4.12 acres of water rights-2020 Assessment $1,265.35 Domestic Water: Avion – 12 Month Average: High $195. Low $83 Utilities: Central Electric Coop – CEC 12 month average: $631.07/month Propane – Leased Tank Ed Staab Taxes: 2019 Tax Year $16,135.80 Zoning: EFU Exclusive Farm Use Price: $2,500,000. Shown By Appointment Only

MLS 2020022878 www.60336arnoldmarket-bendoregon.com

All information Provided by Cascade Sotheby’s International Realty and Agents is deemed reliable but not guaranteed, Buyer is responsible for any/all due diligence. | 541-923-1376 | www.desertvalleygroup.com

Deschutes County Property Information - Dial Overview Map

Source: Esri, DigitalG lobe, GeoEye, Earthstar Geographics, CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS User Community, Deschutes County GIS

Map and Taxlot: 1813190000104

1800050

9701 0

180 001 9

IE B ESS

181 523 0

UT T

1815600

0 18

8 00

0 520 181

0 18142

181000

SWAMP WELLS

181 437 0

18157

YO CO O LO

3 18100

180

001

Arnold Mkt Rd Vicinity- tab-h.mxd

6 00

SW AM P W EL LS

0 18

19 0

00 3

6 1815

97 0

18 0

D OL

54 0

N AR E IC

18 1

60336 ARNOLD MARKET RD

VE N CA LETO E K S

0 18190

181 927 0

4 56

0.25

Miles 0.5

[

State Agency

0.75

MAP DATE: 4/13/2020

Bureau of Land Management

U.S. Forest Service

Forest Road

Designated Trail

www.amerititle.com

positional accuracy in the data, and does not warranty the fitness of this product for any particular purpose.

This map was derived from data provided by Deschutes County and other sources. AmeriTitle has provided this information as a courtesy and assumes no liability for errors, omissions, or

! ! !

Disclaimer

!!!

Parcel of Interest

Public Land Near 60336 Arnold Market Rd

1 18

VE CA

B O CA YD VE

19604 Buck Canyon Rd., Bend, OR 97702 Phone (541) 382 7664 Fax (541) 382 0833 ASSESSMENT NOTICE Voting Zone(s)

Acctnbr: Due Date:

Delivery Address

Factor

Desc

Rate

Charge

Total Assessed Previous Balance Total Due

If Paying by Mail Please Return Stub with Payment To cut down on mailing costs, please provide us with your e mail address so that we may email you newsletters and notices.

E mail Address ______________________________________________ Return to Arnold Irrigation District 19604 Buck Canyon Rd., Bend, OR 97702 Acctnbr

Name Due Date: 3/31/2020

Prevs Bal Current Assessment Other Chg Interest Amount Paid Balance Due

19604 Buck Canyon Rd., Bend, OR 97702 Phone (541) 382 7664 Fax (541) 382 0833 Annual charges shall be due and payable on March 31, 2020 and shall be deemed delinquent if not paid by March 31, 2020. The District shall withhold delivery of water from any tract of land until the charges for the current year and any prior year(s), including interest, lien and collection costs and fees, are paid in full. Any charge not paid in full when due shall accrue interest at the statutory rate of 1 1/3 percent per month until paid beginning April 1, 2020. Water will not be delivered until payment is received in full. Payment is due whether or not water is used or received. ASSESSMENT EXTENSION PAYMENT PLANS WILL NOT BE AVAILABLE THIS YEAR. The Secretary of the District shall cause a late payment notice to be mailed to each parcel for which delinquent charges are owed. Said notice shall be provided and mailed to landowner on or after June 1, 2020 advising the landowner that an administrative fee of $150 will be added to the unpaid balance if not paid by June 30, 2020. For each account remaining delinquent and unpaid as of August 31, 2020 a second notice will be mailed to each parcel for which delinquent charges are owed. Said notice shall be provided on or after September 1, 2020. The land owner will be advised that the unpaid charges are accruing interest and that a Notice of Claim of Lien for any unpaid and accrued charges will be prepared and recorded if all charges are not paid by September 30, 2020. For each account remaining delinquent and unpaid as of October 1, 2020, the Secretary shall refer to the District’s legal counsel to prepare and record in the County Clerk’s office, a Notice of Claim of Lien for the amount of the unpaid charges, the delinquent charge, the administrative fee, cost of preparing, recording and releasing said Lien and any legal fees. On October 1, 2020 for each account remaining delinquent and unpaid from September 30, 2019, the Secretary of the District shall refer to the District’s legal counsel for collection, including foreclosure as provided by law, each lien that remains unpaid. If you have questions or concerns about your assessment, you may present them to the Board of Directors for changes or relief at the Board of Equalization on January 14, 2020, at 3:00 pm at 19604 Buck Canyon Road in Bend. For further information contact (541) 382 7664. We now have various payment options:

Visit our website at www.arnoldirrigationdistrict.com to make your payment online. Please Note: Customer is responsible for additional fees for making payment with a debit or credit card or e check. See fees below. E check payment $2.95 flat fee Debit or Credit card $3.00 per every $100

If Paying by Mail Please Return Stub with Payment To cut down on mailing costs, please provide us with your e mail address so that we may email you newsletters and notices.

E mail Address ______________________________________________ Return to Arnold Irrigation District 19604 Buck Canyon Rd., Bend, OR 97702 Acctnbr

Name Due Date: 3/31/2020

Prevs Bal Current Assessment Other Chg Interest Amount Paid Balance Due

PW COVER SHEET FOR SKO 10/ 06/ 2011 08: 13: 14

OT 4 PAGES

1i1 1 i

1 11

FILE ID

18131900001040T20111006081314

TAXMAP

1813190000104

SERIAL

190603

DIVISION

SITUS

60336

HOUSE#

60336

STREET

ARNOLD MARKET

CONTENT

SW4504

RECORD ID

SW4504

Cover

Sheet

AHJKMTWX

ARNOLD

A9577

Identifier

MARKET

Opp TES 4

Department of

Public Works

503) 388-65E'

Bend, OR 97702 / (

61150 S. E. 27th St. /

FAX( 503) 388-271.

PERMIT FOR DRIVEWAY ACCESS

SCO (/

02- X19® 603

PERMIT

5614

NO.

9y' 3 6 LAND

USE

FILE

co'

vv-

lS"'

k 50. 00 NON- REFUNDABLE APPLICATION FEE ROAD

oUrkPsr r!^

NAME:

PROPERTY

ADDRESS PROPERTY

CLOSEST

OWNER' S

NAME,

7T ,

DIRECTION TO Circle

1< r R

C'/

RANGE 13

I (moi e61_ 14--

INTERSECTION:

NUMBER:

DIFFERENT:

TOWNSHIP /

DESCRIPTION:

ACCESS (

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G ez8 34

PROPERTY:

DISTANCE AND TYPETYPE

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NAME: '

APPLICANT' S

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TAX

LOT /

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COMMERCIAL

RESIDENTIAL )

One): °

SECTION /

Applicant hereby applies to the Department of Public Works for access rights and permission to construct driveways and curb cuts at the locations shown in this

No.

permit.

All work shall be in conformance with Deschutes County Ordinance

203- 6.

Permittee agrees and understands that this permit does not constitute a land use

with

permit.

all

Any development of property connected with this permit must comp_:

applicable

land use

regulations.

Include a sketch showing the location and type of each access, whether a curb cut

is desired.

the lot boundaries, the include a north arrow.

APPLICANT' S

SIGNATURE:

MAILING ADDRESS:

AMOUNT

RECEIVED $

C d?

Also

include the distance

and

to the

indicate

driveways

driveway widths and the curb cut widths.

f:_-

Please

Space for drawing the map is on the back of this form.

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DATE:

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SIDE TWO SPECIAL

PERMIT APPLICATION)

CONDITIONS:

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DATE:

BY:

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I WILLIAM 7. wALTON TR. Cosi4' i DILLADEAv 977OZ BtrNp, OR PH:

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GEORGE HART MAN

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T FOR SLR CDD COVER SHEFT

04/ 10/ 2001 08: 02: 12

PL 3 PAGES

uU1 1 1 11 1

11 MV 1 1 1 1

FILE ID

181319000010LPL20010410080212

TAXMAP

181319000010L

SERIAL

190603

DIVISION

SITUS

60336

HOUSE#

60336

STREET

ARNOLD MARKET

CONTENT

LOT

RECORD ID

L L 012 6

ARNOLD

LINE

MARKET

LTR- LL0126

R. D

DESCHUTES COUNTY PLANNING DIVISION 117 NW Lafayette Avenue, Bend, OR 97701 541) 388- 6575 FAX 385- 1764

CERTIFICATE OF NOTICE BY MAIL FILE NUMBER: LL -01- 26 DOCUMENT MAILED: Tentative Approval Letter LOOKUP AREA ( circle one):

2001,

day of

I certify that on

n/ a

the attached notice/ report, dated

2001, was mailed by first class mail, postage prepaid, to the person( s) and address( es) set forth on the attached list. DATED this

day of ,

2001.

COMMUNITY DEVELOPMENT DEPARTMENT

By: William J Walton, Jr 60336 Arnold Market Rd Bend, OR 97702

Dennis Maloney 60344 Arnold Market Rd Bend, OR 97702

Quality Services Performed with Pride

Community Development Department Planning Division • Building Safety Division • Environmental Health Division

117 NW Lafayette Avenue •

Bend, Oregon •

97701- 1925

541) 388-6575 • FAX ( 541) 385-1764

http:// newberry.deschutes.org

April 2, 2001

William J Walton, Jr 60336 Arnold Market Road Bend, Oregon 97702

icv i N 0,

wy‘ %tTsa .." MAILED

r .

DEcCHU:

COU " -,

4.4

Lot line adjustment, LL -01- 26

RE:

Dear Mr. Walton:

The Deschutes County Planning Division has reviewed your application for a lot line adjustment. A lot line adjustment as defined by Section 17. 08. 540 of Title 17 of the Deschutes County Code, Subdivision and Partition Ordinance is:

An adjustment of a property line by the relocation of a common boundary where an additional unit of land is not created and where the existing unit of land reduced in size by the adjustment complies with any applicable zoning ordinance."

The zoning for these lots is EFUTRB ( Exclusive Farm Use- Tumalo/ Redmond/ Bend Subzone). All restrictions for this zone still apply to the subject properties. The current size of parcel 1 ( 18- 13- 19 104) is +/- 320. 00 acres, parcel 2 ( 18- 13- 19 102 900) is

20. 00 acres, and parcel 3 ( 18- 13- 19 104) is +/- 20. 00 acres. After the adjustment, parcel 1 will be +/- 240. 00 acres, parcel 2 will be +/- 60. 00 acres, and parcel 3 will be +/- 60. 00 acres. The proposed adjustments in size are within the allowable limits and the adjusted parcels will

meet or exceed the lot size requirements for the respective zone district. This application meets

the requirements as established and has been tentatively approved by the Deschutes County Planning Division. This tentative approval only confirms that the proposed adjustment meets the current zoning criteria necessary for lot line adjustments. In order to complete this application: 1.

The adjusted property lines shall be surveyed and monumented by a registered professional land surveyor and a survey complying with ORS 209. 250 shall be filed with

the County Surveyor. A copy of the recorded survey shall be submitted to the Planning Division.

LL -01- 26

Quality Services Performed with Pride

Written accurate legal descriptions of the adjusted parcels shall be submitted to the

Planning Division. 3.

New deeds, reflecting the new adjusted parcels individually, shall be recorded with the Deschutes County Clerk, and a copy of the recorded deeds shall be submitted to the Planning Division.

All conditions of this approval shall be completed within two years from the date this approval becomes final or this tentative approval shall be void. All taxes on all parcels involved must be current prior to final approval.

A lot line adjustment may have an affect on any completed septic feasibilities for the parcels involved. You may wish to check with the Environmental Health Division regarding this matter. A lot line adjustment may also affect any water rights appurtenant If you have a water right, you should contact your irrigation district before the lot line adjustment is surveyed.

to your property.

This decision becomes final twelve ( 12) days after the date mailed, unless appealed by a party of interest. In order to appeal it is necessary to submit a Notice of Intent to Appeal, on a form provided by the County, a $ 250.00 appeal fee and a statement describing the reason( s) for the appeal.

If you have any questions, please feel free to call me at ( 541) 617- 4739. Sincerely,

thewMa

n, A

MJM: slr

Cc: Dennis Maloney

LL -01- 26

istant Planner

CDD ARCHIVE COVER SHEET FOR LRL 06/ 01/ 2000 17: 46: 35

1 of 1

EH 001 ARCHIVE

lIllItllIllIIIIlIIIIlII

1 FILE ID

1813190000104EH20000601999001

TAXMAP

1813190000104

SERIAL

190603

DIVISION

SITUS

60336

HOUSE#

60336

STREET

ARNOLD

CONTENT

ARCHIVE

ARNOLD

MARKET

Community Development Department Administration Bldg., 1 130 N. W. Harriman, Bend, Oregon 97701 541) 388-6575 April

FAX 385- 1764

r997

14,

Planning Division Building Safety Division William

Walton,

60494

Billadeau

Bend,

Oregon

Re:

Septic

Road

97702

Permit # S

60336

Arnold

18- 13-

19- 104

Dear

Mr.

Environmental Health Division

Jr.

40167

Market

Rd,

Bend

Walton

You

recently

the

above

completed

septic

That

address.

permit

application

application is

for

incomplete

property

cannot

at be

processed for the following reasons:

each

Elevations need to be shown end and in the middle.

Clarify how many drainlines are proposed

300

linear

Show the

line 4.

ft.

the

three

points

drainline,

for initial and reserve,

required minimum.

distribution

following:

box,

utilities

location,

water

location.

Only a DEQ licensed installer or property owner may install the

sewage

Please

system.

sanitarian

for

respond

If you have

you

are

installation at

your application

your

going

earliest

convenience.

will be processed as

any questions,

install,

make

ENVIRONMENTAL Roger

HEALTH

Everett,

sure

contact

specifications.

please

call

soon this

When

this

possible.

office.

Sincerely,

Eric

each

DIVISION

Director

Mone

Sanitarian

RWE/ EAM/ lel

Quality Services Performed with Pride

corrected,

â&#x20AC;˘

Community Development Department mmutsin.

Administration Bldg., 1130 N.W. Harriman, Bend, Oregon 97701 503) 388-6575 September

13,

1995

Planning Division Building Safety Division Environmental Health Division

WILLIAM

WALTON

60494

BILLADEAU RD

BEND,

97702

SITE

RE:

EVALUATION # F

X69330

ARNOLD

16548

MARKET

RD,

PL y

18- 13- 190 Bend

letter system

The

site

install

in response

site

evaluation

was

evaluated Rules

Administrative

340,

Division

your on- site

disposal

sewage

09/ 12/ 95,

System",

for

and

On - Site

was

found

Sewage

suitable

in "

Oregon

Disposal,

Chapter

defined

71."

CONDITIONS

APPROVAL

The

sized for

disposal

trenches

system

Standard

a "

application.

a maximum sewage

flow of

450

gallons

per day. The

shall

total

minimum

300

linear

feet.

The maximum depth of the

disposal

trenches

minimum trench depth is 24 guidelines for permit application must be shown on application.

The

The approved site is very specific. vicinity

the

approved

site

alteration of the approved site 100 feet of the approved site Technical evaluation,

rule but

changes

shall

may

require

inches.

requirements.

The

land

enclosed

Test

surface

pits

the

shall not be altered. Any or placement of a well within

may invalidate this approval.

not

invalidate

use

favorable site kind of

different

system.

Quality Services Performed with Pride

September

Page

13,

1995

construction

prior

the

must

obtained

installation

permit

the

from

Deschutes

system.

County

Application

for

accompanied by an accurately system. the drawn plan showing the layout and components of construction

The

plan

permit

must

also

show

the

replacement

proposed

area,

driveways,

location of dwelling and other structures, setbacks and property line

waterlines,

other

well,

pertinent

information. clearance must obtained from be Zoning planning authority prior to permit issuance.

Please

present

Pursuant

you

Oregon

conclude

this

request may Department of written

this

document

Administrative

report

The

review.

Environmental

request

that

citing

report,

and

the a $

255

Quality.

the

site

determine

HEALTH DIVISION

Everett,

Director

MICHAEL M OBEREIGNER Sanitarian RWE/ MMO/ sys Enclosure

these

Rules,

you

through

the

information reason

fee.

the

you

report

conflict The

340),

application

The

that

compliance with

Sincerely ENVIRONMENTAL

the

OAR' s

application.

have

with

Department

in the of

review the county report and visit

If you have any questions, will do our best to help you.

Roger

all

appropriate

OAR Chap. of

review

report

application

Environmental Quality will

permit

error

includes

specific

Rules (

received from Deschutes County, error,

time

the

please

the

call

appropriate this

office

rules. and

loge --__.-_--_----_-COMMUNITY DEVELOPMENT DEPARTMENT

PERMIT NO. 1 d

ENVIRONMENTAL HEALTH DIVISION

ADMINISTRATION BUILDING -

BEND, OREGON 97701

DATE CALLED

5031 388-6575

CERTIFICATE OF SATISFACTORY COMPLETION JOB LOCATION -

ADDRESS

I E

NAME OF OWNER

I I

1`. `

4' l/ LwYY (

INSTALLER' S NAME

Qjr C/

2n1r

1U c'

t/ Y

CITY

1L. LICENSE NO.

OLOP\ Mr a_

SEPTIC TANK '.

ri: c_+. T.. _;_

MATERIAL

TOTAL LIQUID CAPACITY

1 vov

GOhw

EQUAL ` LOOP

WIDTH OF TRENCH

TOTAL LENGTH

TH '/

FEET FOM R SE

WEt

SIDE

INCHES

REAR

NEAREST BODY OFWATER

SETBACKS F

FEET

INCHES

TIC TANK

R OTHER

FRONT

NEAREST LOT LINE ,*.

j10y p k,_-

PRES

DEPTH OF TRENCH

COA/ V FEET j TOTAL ROC

SERIAL

F E,ET FROM DRAINFIELD tµ

FEET FROM SEPTIC TANK .

T FROM DFRAINFIELD

Ay IP

TOWNSHIP RANGE

171

SECTION /

TAX LOT* /

111.

SEM 111111111

lial

I,III As-

Bwith iltRe

Drawing

with. Reference Locations

Installer

I All

aims I Ia

el 1 r J II

Insp. Date

Issued by Operation of Law

0 Pre -cover inspection waived pursuant to OAR 340-71- 170( 2)

1111111MT

MillM MI Ell T

I•_ CORRECTION NOTICE POSTED DATE

CORRECTIONS MADE DATE

In accordancewith Oregon Revised -, • -

completion of anon -sit: =

age ....

454:665 this Certificate is issued as evidence of satisfactory ii stem at the location identified above.

ij, !/ ' -

AUTHORIZED SIGNATURE : X

DATE ' `

SPECIAL NOTES ON CONSTRUCTION

white -original

pink -installer copy

yellow -applicant copy

gold -file copy

TIC INSPECTION RF. ST AND NOTICE

Date receive

tequire ents within ORS 454.665. OAR 340- 71- 175. the system installer -+.d/ o . ermittee must

notify the Deschutes County Environmental Health Division when the construction. alters ' on. or repair of the system is completed (except for backfilling or covering ). The Division has 7 days to inspect the completed construction after the official notice date. unless the Division elects to waive the inspection and authnri7ec the system to be backfilled. Receipt and acceptance of this completed form by the Division establishes the official notice date of your request for a pre -cover inspection. Complete this form with:

A) detailed and accurate as -built drawing of system, including all pertinent setbacks, wells and surface waters. B) complete the back of this form listing ALL materials and amount used in construction ofthe system, C) signature certifying that the construction followed all permit and D.E. Q. construction rules.

Forms that are determined to be incomplete will be returned. Use the space below for as -built drawing.

SEPTIC PERMIT # S t 6'/ 7 ADDRESS G 033 (.. ,},

r v, vI

I IY! chHONE 3 ' j 7 y

Sye fit 14' lGaI e, c LtS c_ j,f--c1'

To COV-'

c((

al-

erÂ° ox; w se (

2,e) &

Ly re t3

a-)

La_ck5

X_Property

owner (Permittee) ts C ruction was performed by: Licensed D.E. Q. installer. BUSINESS

DEQ LICENSE #

Print full business name)

I certify the information provided in this notice is correct, and that the construction of this system was in accordance

with the permit and rules regulating the construction of on-site sewage disposal systems ( OAR Chapter 340, Divisions 71 and 73). I certify that the septic tank has been water tested on site and found to meet watertightness requirements as described in OAR 340- 71- 025. INSTALLERS SIGNATURE

rev. 10195

1 SEPTIC PERMIT it .5' ` 7(71 ( 7

On -Site System Components List Please list all materials used in constructing this system on the spaces provided below. Component

Quanity/ Length

Size - Supplier - Manufacturer - Model Number

Septic Tank

0 C9 e itI

jn e '

cZ`/

Effluent Tank Perfor ted Pie

4 c4 ,. / Drain Media

gc f :c ck

V.s ' ti r. I'. o 6 j5 e/.,' -- __,e,f-r^;

Oe)

oke.

In.,

Header Pipe

Drop Box

Vecr — 3ov— a;v y; :fi

pe_

e r----_-

7-4,4c 4c % o {

l ..130Ds r

Sand Filter Media

c«

J-7— IIrojt j

r• r•ems;r • - s_

“-'

torn,

per•:

Y2x-i h ' eio50 _ Jrj 5e-tierFp, '

Sand Filter

Underdrain Media

Other: (specify)

Sheet

of _

Sheet(s)

SITE

8,141744

OALUATION

FIELD INSPECTIOIORM

W /42 i' i4

F / (Ct

Site Evaluation #

L—

Date: 9 !?/ Q!S Subdivision: 44/ 4ES O

T Sketch/ Not

Ip,

B—

1q° 0 TL 10 1 Paee

Unsuitable

to Scale

Parcel Size Zn D

MnE'

7S IS

35I

kppRovd AleA

100

No1.4)

Alt Y. /

az .

System type approved:

Absorption facility:

Initial r.S744 /0' ha

Min. Size - 3"

Replacement

Tank Size /

Min. Size S °

CTA+.D&+ O oao

Special Conditions:

Sewage Flow *

XC,/ tio r„)

e-ei, ti/ 2CMcol tSST'

tVCm! c()

0/ 1s

4vs- t

Max. Depth 3G

Min. Depth 2' 1

Max. Depth 36

Min. DepthzI

ATV/ iazdAi,es , 4e

fl' Z

SM0w..% -

A-PPLIG47ori tAt£' 7 or) , 4-Ppuc4-7;.0ni.

SITE EVALUATION FIELD INSPECTION FORM Applicant:

COI CU 4- 7141

w wlo^)

EC' 9

Evaluator:

Site Evaluation # Date:

91 /Z/ P -5

F' )106- 112 Parcel Size:

T 18 R 13 S Yr TL

ubdivisio

TEXTURE

DEPTH

COLOR

L—

13 —

Notes on mottling, roots. structure,

layer limiting effective soil depth, loose rock, etc.

0 - 5L

9Yt3/ 3

3 C

Landscape

Slope

notes

SztT

S ricAt ._ :

Other site notes Comments:

Reason for Unsuitability: ( Include Rule Reference) MJZ-8/ 95)

Groundwater /

3/4 -

DSSCflUTES COUNTY COMMUNITY DEVELOPMENT DEPARTMENT

APPLICATION FOR

EVALUATION NUMBER

ENVIRONMENTAL HEALTH DIVISION

INDIVIDUAL SITE EVALUATION

65/

1130 NW Harriman, Bend, OR 97701 503) 3884575

The following information is required to complete an application for a site evaluation. Please be as accurate and complete as possible. TOWNSHIP * /

RANGF /

SECTION )

KMP 95/- 30

SUBDIVISION

PARCEL SIZE

go c, c_

NAME OF OWNER

TELEPHONE

to// 7/ aen

BEDROOMS

CITY

WATER

SOURCE

i/ i b n TEL PHONE

7 MAILING ADDRESS

3: !( ac9 ea k

8 e, kt

OR 9770

AUTHORIZED REPRESENTATIVE

MAILING ADDRESS

Co'/ /

BLOCK

FIEND

NUMBER OF

IN SQ. FT. OR ACRES

LEGAL LOT

IOT

60336 Agwoc) neWARKaT

ADDRESS OF PARCEL

b /..

TAXOT (

moo(

STATE Q I`p

ZIP

STATE

CITY

ZIP R7 70

COMMENTS/ REMARKS

PLANNING NOTIFICATION

FOR COMMERCIAL USE ONLY TYPE OF USE

DAILY FLOW

FEE

1. 2. 3. 4. 5.

YES

Please answer the following questions:

Are there any bodies of water on or adjacent to this property? Are there existing wells on the property? Are there any proposed wells on the property? Are there existing wells on adjacent property? ' Will this property be served by a community water system?

A 4

ji[j iki

6. Are there any encumbrances which could prevent or effect the installation of 12(

a subsurface sewage disposal system? ( Dens, easements) TEST HOLES ARE:

READY

In the area below, sketch the parcel showing the location of:

Existing and proposed wells

Adjoining roads or streets Property lines and dimensions

Wells on adjacent properties

All bodies of water ( rivers, canals, ponds)

Location of to t pits

Reservoirs and/or cisterns

Escarpments cliffs, banks)

Water Lines

P_ .

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TheThe ApplicantApplicant agreesagrees thatthat Deschutes Deschutes CountyCounty willwill notnot bebe responsibleresponsible forfor anyany problemsproblems oror denialsdenials resultingresulting fromfrom IncorrectIncorrect oror Incomplete Incomplete InformationInformation supplied supplied byby thethe applicant.applicant.

READREAD BEFOREBEFORE SIGNINGSIGNING

SIGNATURESIGNATURE OFOF OWNER/OWNER/ AUTHORIZEDAUTHORIZED REPRESENTATIVE REPRESENTATIVE

DATEDATE

y9,-y9,-SITESITE EVALUATIONEVALUATION APPLICATIAPPLICATI Q37Q37 -± -±

AMOUNTAMOUNT.

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DocuSign Envelope ID: 84E973C1-EB08-4560-957A-04E094EA1378