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11190192
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Last modified
10/10/2022 3:04:25 PM
Creation date
8/11/2022 4:44:52 PM
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Permits
Permit Address
360 CENTRAL AVE E
Permit City
Gates
Permit Number
555-20-009082-PRMT
Parcel Number
093E26C 01000
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Permit 555-20-009082-PRMT Page 5 of 5 <br /> DateSCertrficatelssued 06/13/2022 to f 3 <br /> Work Desczrpban Rt=RES MAC REPAIR RPPL 3 BDRM E8 I1-ItOC TION <br /> .�'��� <br /> ...v..�,�:,.., . .. .,...a. :u_,,.. .. _ ,.ti,,.;, ..•.. .i": 41?m._ <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 affect <br /> 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 issuance <br /> 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 payment <br /> 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 Satisf OP'F,Cc�mplletion �� y � <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: COSC Issued • <br /> x i t$} - _.. Completed Inspections ;,f _ t . f... .;'rF:g.4F . . ..11 <br /> Inspector Inspection Inspection Date Inspection Result <br /> Aidan Bammes 7999 Final Sep' 03/22/2021 Approved <br /> lKlm"6� eh Onslte Wastewater Specialist 2 T /e.V- <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 <br /> copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> 6/13/22:7:16:12AM ONS_OnsiteCSC_pr <br />
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