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12285559
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Last modified
7/26/2024 10:50:58 AM
Creation date
7/25/2024 5:01:17 PM
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Permits
Permit Address
3958 78TH AVE SE
Permit City
Salem
Permit Number
555-24-005343-PRMT
Parcel Number
082W11B 05500
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Permit 555-24-005343-PRMT Page 2 of 2 <br /> a.w s gyp .:� �,.� & L��.t'�: °�,�'� �� � 4 c n - v�w '� .� �✓..�� � e ', � � '�f' � <br /> t}ate. 6ira. lssrted eiii 2024 }� � T� x <br /> - z"` ip&k +• ..rm ",;;A; *'s 'E a � <br /> Worlc€lescnptfan ALTS MO FY^QI"FOR�} AO IO 7tfrI N OM „ <br /> y . . <br /> t A A, 0,, ,,tma - ' .. as ;Qtifi{aQtT.�a CkAl7(}[OV81, �� <br /> •The system must be installed by the property owner or a licensed sewage disposal business(installer). <br /> •Vehicular traffic and livestock must be restricted from the system area. <br /> -All roof drains must be directed away from the system <br /> .Meet all required setbacks <br /> •All work is to conform to OAR 340,Division 71 and 73.Make no changes in system location or specifications without <br /> approval by the agent. <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 /> .c h y :141 £� > d NKOW�f.� E :'� f w C'.r',l r �`,Sta.;. le,.'"`e* � ,�,fi io'h i"z a,� r .� f*• <br /> •��CerfificaQfSat15{C8C 4r ,COlHpIGtlOtlua�' k,, --a ,p ,. . .; a$, .. •, <br /> System Inspection: No Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: Yes <br /> Comments: COSC Issued <br /> Issued By: Kimberlee Aldrich, Onsite Wastewater Specialist 2 Effective Date: 07/24/2024 <br /> KL b-Y(.ez Aldrit-iAd <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 /> 7/24/24:3:48:49PM ONS_OnsiteCSCjr <br />
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