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STATE OF OR~TI ~ <br /> <br /> DEPARTMENT OF ENVIRONMENTAL QUALITY <br /> <br />CERTIFICATE OF SATISFACTORY COMPLETION <br /> SUBSURFACE OR ALTERNATIVE SEWAGE SYSTEM <br /> <br /> ,- ~ PERMIT NO. · .... <br />OWNER ~: ,.,.:, ...................... <br /> <br />LOCATION , .......... ~ · :~ ...... <br /> <br />In accordance with Oregon Revised Statute 454.665 this certificate is issued as evidence of satis- <br />factory completion of a subsur{ace or alternative sewage dispgsal system at the above location, <br /> <br />County <br /> <br /> <br />