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8658497
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Last modified
6/14/2019 10:28:02 AM
Creation date
6/13/2019 9:59:30 AM
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Permits
Permit Address
5584 BASIL ST NE
Permit City
SALEM
Permit Number
555-19-000660-PRMT
Parcel Number
072W28BC02600
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Permit 555-19-000660-PRMT Page 3 of 3 <br /> Date C rbfica#e=isscrea.{36/12t*4 q 4 = <br /> ? � h rte. - as 9r < ^"¢. 5�� y'P�� 4gr F ;x +�� as.e� <br /> Work I escr�pfiaxr. �l'I STA L `3 RDR A S D �+ � � � t it <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 indefinitelywithout failure. Conditions imposed aspermit requirements continue for the life of the system. <br /> P q Y <br /> 3.The area of the initial and the identified replacement area must not be subjected to activity that is likely to adversely <br /> affect 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 <br /> issuance 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 <br /> payment 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 /> f ,�, 'fit ' . �a.. ai '" - 5.� P 6 <br /> Y s t ° Ge[ 11CtR(I 3DruQCn7t@Lftl <br /> _u,,_��,�:� ,�...�.,n a .k�a.,,m, ,oF;.. ,�,..a„�,.�'�a. � ��� <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: N/A <br /> -� ,�r.�'v:rt' ,.s a r ii au ''�i r . <br /> "fir" ,441— a: ti,� ;,ie” • rr- E'4„S f ,� ,„W 1-t S.P<. r h w* , c.�.�...,.N.:10.440 w'�'3',k '' ;:l nuc x ' 'ifa ' . 's4 <br /> °` ''�' 3 � ��' '� ��� IT+eted Enw4.' eCNOrISS ,2�'€y',�� I'.. ✓F f z�S A , <br /> Inspector Inspection Inspection Date Inspection Result <br /> Matthew Puntney 7480 Curtain Drain 05/23/2019 Approved with Conditions <br /> Matthew Puntney 7999 Final Septic 05/21/2019 Approved <br /> Matthew Puntney 7100 Septic Tank 05/15/2019 Approved <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 copies <br /> of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> 6/12/19:11:55:10AM Page 3 of 3 ONS_OnsiteCSC_pr <br />
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