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10512767
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Last modified
6/29/2021 9:41:52 AM
Creation date
6/25/2021 2:20:31 PM
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Permits
Permit Address
10043 NORTH FORK LN SE
Permit City
LYONS
Permit Number
555-20-009347-PRMT-01
Parcel Number
093E11AB00100
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Permit 555-20-009347-PRMT-01 -Page 2 of 2 <br /> Wo ✓ Cc,lptt tt�w • 5 ,* a <br /> [IN 0113131 1� 3�8313,1F,b�t Cg h Erail <br /> Per <br /> _-,,_ . - <br /> r <br /> a 's "e MNIE a Z" Ngi aao` " ,-' a - <br /> :::,- a .�_:�. ... ._. �,ma-' -�.�, ;; -, ._,'i, <br /> 431474,4 <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 /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: N/A <br /> Inspector Inspection Inspection Date Inspection Result <br /> Robert Goodwin 7999 Final Septic 06/10/2021 Approved <br /> Robert Goodwin 7270 Tank Water Tightness 06/10/2021 Approved <br /> Robert Goodwin 7350 Pressure or Effluent Line 06/10/2021 Approved - <br /> obert od 'n Onsite Wastewater Specialist 2 <br /> 0i ALO <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 /> 6/18/21:2:56:57PM Page 2 of 2 ONS_OnsiteCSC_pr <br />
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