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Septic Permit 555-21-010181-PRMT-01 Page 2 of 2 <br /> Date Ce c3te ISSUed {.I�6 t�2i� x y i „NO'4 e e, <br /> Work DescnptIon , FIRE MIN REP for PLASTIC COVER/ELEC a J ¢ <br /> .This repair permit is for replacement of one seepage bed sweep,which burned during the Beachie Creek Fire of 2020.The <br /> system otherwise appears to not have been damaged during the fire or cleanup. <br /> •The owner of an ATT system must maintain a contract with a maintenance provider certified by the manufacturer to inspect, <br /> adjust and maintain the onsite system.The maintenance provider must submit an annual report and annual evaluation fee. <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 /> • <br /> jA1 W; sg ft ,.;.a .._ ...Y CMPR#a df SattsfactQty Complefio A.,„ kikala�/ ..= r-Sit.. . <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: N/A <br /> '. _ y.... ...: Comple ed inspections <br /> Inspector Inspection Inspection Date Inspection Result <br /> Danielle Brown 7180 Other Septic 08/10/2023 Approved <br /> Aidan Bammes 7180 Other Septic 11/04/2021 Partial <br /> 0,1414,1TALL ( ..W,i , - g/k21 <br /> Kimberlee Aldrich Onsite Wastewater Specialist 2 <br /> CALL BEFORE YOU DIG...IT'S 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 /> 9/6/23:8:50:00AM ONS_OnsiteCSC.pr <br />