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Septic Permit 555-23-004442-PRMT-01 Page 2 of 2 <br /> a F r #.. r 3 r i <br /> � *. `` �" °'®W `t 4 F'p k v v' �",^� sz„.. <br /> 9�im � 5��v. s mat` Y1 Z - �' 'a, ��' � ';� <br /> WorkDescci tidfn,� R��I 1N Rt :Rt LiB(JRN`E 2F 8D11aFD,Vii ; BOSFD4`�� i, ' X5i 4;' <br /> �A -- a _ s'' + ...5 4 '�" p - V"T V' 4 fA y € i v (g d' r �i L� Sz31. �'` .d' qP'�` <br /> ��..,�,;._ .��� �°0�e.��R�, o.v�6«x._. .,..�,_e,�..<a;Pse,..w.� � ��--�ra�`9�m �:-„�.�',€ P'*k�.�,�'.���,.,. . �ia 1a+r�' ��. ��, _.. ,,�� .�� .P'..-,:� �,a�...;: �R�"'^�5�.«9�z�`?'`�.`. <br /> 3 s *44 7 rg ""k apt demo *r > 'e� ,`'° <br /> _.� . � �Gontl,<ttat��a [}roYB � ' a� ke �.nw .,.. ...� ter ,a- . '�' - b �x �a �iJ,Aaf 'd1. , <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 /> , `.:° ,s.,,��¢:k; vs N c- x " ✓ k - A g: r n ^ <br /> ` ,0 �Ce ca G,SdtiS amity Garnpletic) � � "� <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: COSC Issued ok to use <br /> c11;1,611412- Q _ -W101 0-57- 10/14 �3 <br /> Imberlee Aldrich Ons astewater Specialist 2 f <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 /> 10/16/23:11:12:54AM ONS_OnsiteCSCjr <br />