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12267777
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Last modified
7/18/2024 9:45:29 AM
Creation date
7/16/2024 4:51:07 PM
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Permits
Permit Address
123 SORBIN AVE E
Permit City
Gates
Permit Number
555-20-009195-PRMT
Parcel Number
093E26CC01800
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Permit 555-20-009195-PRMT Page 3 of 3 <br /> WWxifig4 i aefnt su��a"c�IR, <br /> 2M4A.1s24�� BDKxR' -4h `, 1�� �� <br /> NiEaJuIii <br /> 4..gyp <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 /> * . :. e 1 oatsarimCe . .h . .�,_ : .. . <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: N/A <br /> 1:, ?.19 �i,�S 4a a..,il �rtew9n , _., <br /> Inspector Inspection Inspection Date Inspection Result <br /> Danielle Brown 7999 Final Septic 07/12/2024 Approved <br /> Kimberlee Aldrich 7150 Septic System 08/09/2023 Approved <br /> Issued By: Danielle Brown, Onsite Wastewater Inspector 2 Effective Date: 07/12/2024 <br /> Da.m.i LL '6roww <br /> CALL BEFORE YOU DIG...MS 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 /> 7/12/24:2:41:31PM ONS_OnsiteCSC.pr <br />
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