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• <br /> Septic Permit 555-20-007669-PRMT Page 2 of 2 <br /> rate Certificate tsst.red 01/24/2024 <br /> Work Description: MIN REPAIR REPL DISTRIBUTION BOX&HEADER PIPE FOR EXIST 2 BDRM RES <br /> Conditions of Approval <br /> -The system must be installed by the property owner or a licensed sewage disposal business (installer). <br /> •Meet all required setbacks <br /> •AII work is to conform to OAR 340, Division 71 and 73. Make no changes in system location or specifications <br /> without approval by the agent. <br /> •For product approval information and manufacturer installation requirements see DEQ website at: <br /> http://www.oregon.gov/deq/Residential/Pages/Onsite.aspx <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 /> Certificate of Satisfactory Completion <br /> System Inspection: No Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: Yes <br /> Comments: N/A A,u. a . ei-wfO/c -B /(� <br /> �- I i�-���� <br /> Kimberlee Aldrich Onsite Wastewater Specialist 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 /> 1/24/24: 1:17:54PM ONS_OnsiteCSC pr <br />