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Septic Permit 555-23-003199-PRMT Page 2 of 2
<br /> IOate Certificate ISSUed 3 / t {'a z« fit`' r
<br /> � �F._a4 ha
<br /> a�d F y Colllltt and PprgvaL F d r��{a
<br /> -This repair permit is for replacing drop boxes.
<br /> •The system must be installed by the property owner or a licensed sewage disposal business(installer).
<br /> •Vehicular traffic and livestock must be restricted from the system area.
<br /> •All roof drains must be directed away from the system
<br /> •Serial distribution,each trench bottom to be level and on contour. Use Drop box(es).
<br /> •AII work is to conform to OAR 340, Division 71 and 73.Make no changes in system location or specifications without approval
<br /> by the agent.
<br /> •For product approval information and manufacturer installation requirements see DEQ website at:
<br /> http://www.oregon.govideq/Residential/Pages/Onsite.aspx
<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.
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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: COSC ISSUED
<br /> ' a'rs.rk,�§i.�,.d➢,r` '� � y��� Carnplefed Igapectlons a r f'�� a ��'
<br /> s b' di
<br /> Inspector Inspection Inspection Date Inspection Result
<br /> Kimberlee Aldrich , 7020 Pre-cover 06/14/2023 Approved
<br /> 101q7.-FAD- (0/(4/4
<br /> Kimberlee Aldrich re. %nsite Wastew eci list 2 •
<br /> P
<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 /> 6/14/23:9:21:56AM ONS_OnsiteCSC_pr
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