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Onsite Permit 555-21-000220-PRMT-01 Page 3 of 3 1Schedule or track inspections at www.buildingpermits.or ori.g ' - Call or text the word "schedule" to 1-888-299-2821 use IVR Numbe 505I 613� t Schedule using the Oregon ePermitting Inspection App, search"epermitting"in the app store Date issued:1/19/21 Expiration date: 1/19/22 Work description:FIRE MIN REP AUTH-3'BDRM MH TO REPL3 BDRM' This Construction-Installation Permit authorizes the property owner to construct an onsite wastewater system specified above. Rules,Approved Material Listing;and Database of Licensed Installers can be accessed at: http://www.deq.state.or.us/wq/onsite/onsite.htm General Conditions And Requirements For All Permits: Onsite Construction-Installation Permits are valid for one year from the date of issuance.The expiration date is noted on this permit. Renewal of a permit may be granted if an application for permit renewal is received before the permit expiration date. Reinstatement of a permit may be granted-if an application for permit reinstatement Is received within one year after the permit expiration date.Transfer of a permit from the permittee to another person may be granted if an application for permit transfer is received before the permit expiration date and no other changes to the permit are necessary. Installation Requirements:The drainfield must be installed in undisturbed native soil.No alterations of the natural site conditions such as soil removal or filling,or slope/topography alterations within the approval areas for both the initial and replacement systems are allowed, unless otherwise authorized by the Agent. Do not install system when soil moisture, high groundwater,adverse weather, or other conditions that could affect the quality of installation or reliability of the system are present. If such conditions are present and there is a need for sewage disposal at the site,the septic tank can be utilized as a temporary holding tank as outlined in 340-071-0160(9). Inspection Requirements:The system installer and/or the permit holder must notify the permitting Agent when the construction, alteration, or repair of a system for which a permit was issued is completed (except for the backfilling or covering of the installation).The permitting agent has 7 days to perform an inspection of the completed construction after the official notice date,unless the permitting agent elects to waive the inspection and authorizes the system to be backfilled earlier. Receipt and acceptance of a completed Final Inspection Request and Notice form by the permitting agent establishes the official notice date of your request for the final inspection. Faxed copies are acceptable for inspection request purposes only. Originals must be received before a Certificate of Satisfactory Completion can be issued. System Backfill Requirements:The system is to be backfilled or covered as follows:*Only after the permitting agent has approved the construction installation,*or the inspection has been waived*or the Certificate of . Satisfactory Completion (CSC)has been issued by operation of law(where the inspection has not been conducted within 7 days of notification of completed installation). Unless otherwise required, it is the system installer's responsibility to backfill the system within 10 days after inspection and issuance of the CSC. Backfill must be carefully placed to prevent damage to the system.The backfill must be free of large stones,frozen clumps of earth, masonry,stumps,waste construction materials, or other materials that could damage the system. Be sure that the untreated building paper,filter`fabric,or other material approved by the agent is completely covering all drain media where required prior to backfill.The system can be connected to and placed into service once it has been properly backfilled and the CSC has been issued. Initial and Replacement Areas—Protection:The installed subsurface absorption field and designated replacement areas must be protected and kept free of development such as roadways, covering with asphalt or concrete,filling, cutting,or other soil modifications. Robert Go win Onsite Wastewater Specialist 2 1/19/21 vt.t7A( -y-(0)-66,ciio F;/ 1/19/21:12:20:04PM Page 3 of 3 ONS_OnsitePermit_pr