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Septic Permit 555-21-011989-PRMT Page 3 of 3 <br /> Da1Cert ate.ssluedw iO12012t123 �, s 1,t k m ' ta A C 0k - , y . 1, <br /> Wnrk Ti-1 ii* *1*. t317t:mfst N' ir� q $ E� 0 0 <br /> P hr` p� - sus r F r` 3 -' <br /> a +r anA 't s i7s � �+ . a ®�e <br /> ^y�i�� i�N,�-,.n �K�M;e�'; �»F,,.b,.,, .w:�as_':', �a�z<r,�. u� 3g�^?,.�., ._.,.. �uga vr;;��a�'s..,.d _ . . �, �ao�,�n;� °��._�r ,..1.,�'�s�':u,«, o ,;x,R-, ., <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 /> l t s "'33✓a �` "�' --ri:t .fir %s,� A a�', s' 1s rp °'.s <br /> System Inspection: No Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: N/A <br /> Ft F ' I IU Oiaetea Cirr ttan p <br /> Inspector Inspection Inspection Date Inspection Result- <br /> Danielle Brown 7999 Final Septic 10/20/2023 Approved <br /> Danielle Brown 7999 Final Septic 10/11/2023 Information Only <br /> Robert Goodwin 7150 Septic System 07/22/2022 Approved <br /> Aldan Ba r� g\ 1-ff (0 2 - <br /> Onsite Wastewater Specialist 2 <br /> I 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 /> 10/20/23:9:46:02AM ONS_OnsiteCSC_pr <br />