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12293642
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Last modified
8/5/2024 2:30:37 PM
Creation date
7/30/2024 2:34:17 PM
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Permits
Permit Address
5575 FRUITLAND RD NE
Permit City
Salem
Permit Number
555-23-005626-PRMT
Parcel Number
072W21CC03300
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Permit 555-23-005626-PRMT • Page 3 of 3 <br /> q,..�` �fA � � `wa � LaLIØV <br /> ;tit' <br /> . <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 /> k ' �.. . �. . 6 �Ctfccateuc� Srsfa+:^tc►rya nail,on . ... E ,. .<.. <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: COSC Issued, must carry an 0 and M card,. y�fin_ OITtp 8f$E��i.&11. 019,4 ,, .. ,,4' <br /> Inspector Inspection Inspection Date Inspection Result <br /> Kimberlee Aldrich 7450 Drainfield 07/25/2024 Approved <br /> Kimberlee Aldrich 7450 Drainfield 07/05/2024 Partial <br /> Kimberlee Aldrich 7100 Septic Tank 07/05/2024 Approved <br /> Issued By: Kimberlee Aldrich, Onsite Wastewater Specialist 2 Effective Date: 07/25/2024 <br /> Ki,wt 19-e-e .ez ALd rix-14, <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 /> 7/25/24:2:24:06PM ONS_OnsiteCSCpr <br />
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