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11853058
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Last modified
9/29/2023 1:59:55 PM
Creation date
9/18/2023 12:13:04 PM
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Permits
Permit Address
13453 MARLATT RD S
Permit City
Jefferson
Permit Number
555-23-007173-PRMT
Parcel Number
093W30A 02700
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Permit 555-23-007173-PRMT Page 2 of 2 <br /> n.1r; �i w �,. ,.. - <br /> PrVittnik A.47411. ,v;7-43/0,431144r0. <br /> • a, <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 /> wr • % :*- , -131k r ;Y'.ap ,Fa: i �,�u' "' ' �r <br /> ..1 - t..�', . ;* ' .,.. n-;x .am,::, ISM1rn'rwvrc'�$ i# � �4101 ' , 'y�ix'..' <br /> System Inspection: No Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: N/A <br /> v..—It a'Ailtenitiffriitalne <br /> Inspector Inspection Inspection Date Inspection Result <br /> Danielle Brown 7100 Septic Tank 09/11/2023 Approved <br /> Danielle Brown 7999 Final Septic 09/11/2023 Approved <br /> Danielle Brown Onsite Wastewater Inspector 2 <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 /> 9/11/23:3:47:43PM ONS_OnsiteCSC.pr <br />
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