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Septic Permit 555-21-008419-PRMT-01 Page 2 of 2 6-4& #el at Issued 07116/2024 �h: ti �� WorkDescriptiion FIRI M.INiR ry B RM TO R4Fl�t-3 OR'Iut r y � � h 2 0 ,4 r .max '� a ;,-14 &4 H �Ek z� _,sS F sw a c .�# ,..��,...,,tea a +k ' a,r.krP W rifi rAM ,,,Vs .,r' r a rJ€ rw ri IrV s .��¢ 'x y ` $ s,r7s`r r '" w:i�.. �. G acf�tk�txs` p17*(4 gyp ...q ��!i F !� r „i/ .•,.L�.,� ,aµ,m Y �"n n _- -- �_�-... . •This repair permit is for replacement of the septic tank and installation of a distribution box.This property was burnt in the Beachie Creek Fire of 2020. •Properly decommission the old septic tank and submit appropriate documentation. •The system must be installed by the property owner or a licensed sewage disposal business(installer). •All tanks must be tested for watertightness and have a water-tight riser to the ground surface.Twenty-inch minimum diameter if less than 36-in deep.Thirty-inch minimum diameter if greater than 36-in deep. Maintain access to septic tank for pumping and service. •A minimum 18-gauge,green-jacketed tracer wire or green color-coded metallic tape must be placed on top of the effluent sewer or pressure transport pipe from tank to drainfield. •Equal distribution,all trench bottoms must be at the same elevation.Use Distribution box(es). Installation of this onsite wastewater treatment system has been determined to comply with the applicable requirements in Oregon Administrative Rules Chapter 340, Divisions 071 and 073 and the Conditions of Approval above. • 1. In accordance with Oregon Revised Statute 454,665,this Certificate of Satisfactory Completion is issued as evidence of satisfactory completion of an onsite wastewater treatment system at the location identified above. 2. Issuance of this Certificate does not constitute a warranty or guarantee that this onsite wastewater treatment system will function indefinitely without failure.Conditions imposed as permit requirements continue for the life of the system. 3.The area of the initial and the identified replacement area must not be subjected to activity that is likely to adversely affect the soil or the functioning of the system.Such activities may include, but are not limited to,vehicular traffic, livestock, covering the area with asphalt or concrete,filling,cutting,or other soil modification activities. 4.This onsite wastewater treatment system that be connected to the facility referenced herein within 5 years of the issuance of this Certificate of Satisfactory Completion(CSC)or rules for authorization notices, alteration permits,or construction-installation permits as outlined in OAR 340-071-0160,340-071-0205,or 340-071-0210 apply, including payment of an additional fee. 5.This system must operate in compliance with OAR Chapter 340, Division 071 and must not create a public health hazard or pollute public waters. 6. Unless otherwise required by the agent,the system installer must backfill(cover)this system within 10 days after the issuance of this Certificate of Satisfactory Completion. �' Gertlt'icatEl of Satsfacta Comptettd s ; System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No - Comments: COSC Issued ok for connection of no greater than 3 bedroom home, no home currently on site no pump receipt or tank abandonment form,may have been done during fire cleanup fe [>Ix cflor�s � � t Inspector Inspection Inspection Date Inspection Result Kimberlee Aldrich 7999 Final Septic 04/29/2024 Approved Robert Goodwin 7999 Final Septic 06/29/2022 Partial Issued By: Kimberlee Aldrich, Onsite Wastewater Specialist 2 Effective Date: 07/16/2024 Ki vttilye rite,A Larx4, CALL BEFORE YOU DIG...ITS THE LAW 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 of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) 7/17/24:9:35:17AM ONS_OnsiteCSC_pr