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i Septic Permit 555-20-008467-PRMT-01 Page 2 of 2 <br /> Date,Certificate Issued 04/28/2021 <br /> ork Description: FIRE-MIN REP REPL2 BDRNI,SFD WITH 2.BDRM'SFD(VACATION;HOME);, <br /> �.v <br /> Conditions of Approval <br /> •This repair permit is for replacement of the existing septic tank. <br /> -All tanks must be tested for watertightness and have a water-tight riser to the ground surface.Twenty- inch <br /> minimum diameter if less than 36-in deep. Thirty-inch minimum diameter if greater than 36-in deep. Maintain <br /> access to septic tank for pumping and service. <br /> •An anti-buoyancy device is required for the septic tank(s)and must be installed as per the manufacturer <br /> installation guidelines. <br /> •A minimum 18-gauge, green-jacketed tracer wire or green color-coded metallic tape must be placed on top of <br /> the effluent sewer or pressure transport pipe from tank to drainfield. <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 /> 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 /> Completed Inspections <br /> Inspector Inspection Inspection Date Inspection Result <br /> Aidan Bammes 7100 Septic Tank 04/27/2021 Approved <br /> -ST lot((r(c '(l ti/Z ) <br /> Aidan Bammes Onsite Wastewater Specialist 1 <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 /> 4/28/21:8:53:09AM Page 2 of 2 ONS_OnsiteCSC pr <br />