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<br /> Septic Permit 555-21-002255-PRMT-01 Page 2 of 2
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<br /> This repair permit is for replacement of the first drop box serving the existing system.The septic tank baffles need
<br /> to be replaced as well.
<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.
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<br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No
<br /> Comments: N/A
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<br /> Inspector Inspection Inspection Date Inspection Result
<br /> Robert Goodwin 7020 Pre-cover 04/28/2021 Approved
<br /> Robert Goodwin 7020 Pre-cover 04/27/2021 Not Ready
<br /> Rob Goof' in Onsite Wastewater Specialist 2
<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 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 /> 4/30/21:9:37:59AM Page 2 of 2 ONS_OnsiteCSC pr
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