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Septic Permit 555-21-003820-PRMT-01 Page 2 of 2 <br /> Daterc itWcate Issued'06/01/ 02 t + i " s <br /> Wori escriptlon FIRE MINt�2EPAIR WIPL[7TIEPL BURNE9 HOE W/NSPD �BpRM aots,F;i;?ozevibar K'v' <br /> �- ' fr :E , o 3 Conditaonm of Approval., g ' '' . . t . .� ,, 'g " <br /> r <br /> •This repair permit is for replacement of the equal distribution box.The property was burnt during the Beachie Creek Fire of <br /> 2020. <br /> •During the authorization notice field inspection on 4/20/2021,the distribution box had already been replaced without a permit, <br /> by A&B Septic.The box was not level,nor was it on a stable base. <br /> •Per OAR 340-071-0220(5)(b)-The equal distribution box must be bedded on a stable, level base. <br /> Installation of this onsite wastewater treatment system has been determined to comply with the applicable requirements in <br /> Oregon Administrative Rules Chapter 340, Divisions 071 and 073 and the Conditions of Approval above. <br /> 1. In accordance with Oregon Revised Statute 454,665,this Certificate of Satisfactory Completion is issued as evidence of <br /> satisfactory completion of an onsite wastewater treatment system at the location identified above. <br /> 2.Issuance of this Certificate does not constitute a warranty or guarantee that this onsite wastewater treatment system will <br /> function indefinitely without failure.Conditions imposed as permit requirements continue for the life of the system. <br /> 3.The area of the initial and the identified replacement area must not be subjected to activity that is likely to adversely <br /> affect the soil or the functioning of the system.Such activities may include,but are not limited to,vehicular traffic, livestock, <br /> covering the area with asphalt or concrete,filling,cutting,or other soil modification activities. <br /> 4.This onsite wastewater treatment system that be connected to the facility referenced herein within 5 years of the <br /> issuance of this Certificate of Satisfactory Completion(CSC)or rules for authorization notices,alteration permits,or <br /> construction-installation permits as outlined in OAR 340-071-0160,340-071-0205,or 340-071-0210 apply, including <br /> payment of an additional fee. <br /> 5.This system must operate in compliance with OAR Chapter 340, Division 071 and must not create a public health hazard <br /> or pollute public waters. <br /> 6.Unless otherwise required by the agent,the system installer must backfill(cover)this system within 10 days after the <br /> issuance of this Certificate of Satisfactory Completion. <br /> a a 7 Certificate of S$VS tory OMP On <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: N/A <br /> d l g Com let:WJ, ec#or s ,I i t s , f „ <br /> Inspector Inspection Inspection Date Inspection Result <br /> Robert Goodwin 7020 Pre-cover 05/12/2021 Approved <br /> Re -rt 4.••d /ins Onsite Wastewater Specialist 2 <br /> -6f .�ti P• CeJ <br /> ///11 <br /> CALL BEFORE YOU DIG...IT'S 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 copies <br /> of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> • <br /> 6/1/21:3:21:26PM Page 2 of 2 ONS_OnsiteCSCjtr <br />