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Septic Permit 555-23-008430-PRMT Page 2 of 2 <br /> 33ate Cettlficate,Issuted�lQl1S/24�23 �,, �, � offr �•; <br /> Work C escription+ , �11 IN At. 44 ED RM SED(T"O�LE°EALIZE TANK} �° S g <'t s VO q <br /> ° ..:�" �� W Conti ons of` ►p i''ovaF; �,` <br /> •All work is to conform to OAR 340, Division 71 and 73. Make no changes in system location or <br /> specifications without approval by the agent. <br /> All tanks must be tested for watertightness and have a water-tight riser to the ground surface.Twenty- <br /> inch minimum diameter if less than 36-in deep.Thirty-inch minimum diameter if greater than 36-in deep. <br /> Maintain access to septic tank for pumping and service. <br /> •Meet all required setbacks <br /> •Easement in file for the 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 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 /> �g vie , � ins Gerttfieat 9k'R4" faotor Cample r9n,, N . , ,.F,.� i,.,,a k." gi 3 .. .-2 e�. dig �z,:,r._.� �.s_ ��,.�-�.«.�,� „ .,;- -... ..... . <br /> System Inspection: No Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: Yes <br /> Comments: COSC Issued Ok to use <br /> 5� Q <br /> Inspector Inspection Inspection Date Inspection Result <br /> Kimberlee Aldrich 7100 Septic Tank 10/12/2023 Approved <br /> Ao// <br /> er I r "' Onsite Wastewater Specialist 2 <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 <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 /> ONS <br /> 1 0/1 6/23:1 0:40:20AM _OnsiteCSC_pr <br /> 0 <br />