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Septic Permit 555-21-006223-PRMT-01 Page 2 of 2 's"' [z ,°�,• - Cam, N*::" t ,w+ RategeC4tfirte tsslltQ9125/202`44 � k tAto Ctescilption � -iVlti�f. m ;i zs .•. ,. . :. irA.:. ciRt EPiri �M' im�K y 3s > 4q a ;,.,.. Cittidttzarra i royal •This repair permit is for a replacement control panel for a pressurized distribution system. •Address the location and specifications of the control panel at time of as-built •This permit requires an electrical inspection •The owner of a pressurized distribution system must maintain a contract with a certified maintenance provider to inspect, adjust and maintain the onsite system. The maintenance provider must submit an annual report and annual evaluation fee. •The pump and alarm must be wired on separate circuits in the control panel. •Pump wiring must comply with applicable building, electrical, or other codes. •An electrical permit and inspection from the Department of Consumer and Business Services, Building Codes Division, or the municipality with jurisdiction, is required for pump wiring installation. •All work is to conform to OAR 340, Division 71 and 73. Make no changes in system location or specifications without approval by the agent. •For product approval information and manufacturer installation requirements see DEQ website at: http://www.oregon.gov/deq/Residential/Pages/Onsite.aspx 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. oroliVrorg4rftWeertiffC4W19 Sattga�olo* �etr WM' , �');� <-.. �,sr.�+..w- ..n v-t�t+.d�r,..�,w�, a a...., 4..w�.maw�%ar.:•r.n`w. x. k.aa�°Fa.=s._�*wm/f System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No Comments: A Certificate of Satisfactory Completion was issued on 09/25/24.Please note that final electrical connection to septic must be verified prior to issuance of the C of 0 Inspector Inspection Inspection Date Inspection Result Danielle Brown 7999 Final Septic 09/25/2024 Approved with Conditions Kimberlee Aldrich 7999 Final Septic 05/24/2023 Denied Issued By: Danielle Brown, Onsite Wastewater Inspector 2 Effective Date: 09/25/2024 Daut.izLLe. Brow 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.) 9/25/24:1:43:27PM ONS_OnsiteCSC_pr