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Septic Permit 555-24-005158-PRMT Page 2 of 3 DateGe rcate lssu4e087DB12t}Z4 b � , . .k x �u 4,�s w,A ,"°. tl> ruas' s° �'$ gy » r Work Description& t 4•REP 5`13DMA°SFD(TANIVONLX �,i � s ,� .>:.._ ` 6rESICI{,,t41r1S4C1 A�?pCf1�L'd 3 3. "� a4 � ,_, '$ -;_ �o. .,., _ «.i , �ig /t ,,4, •This repair permit is for a tank replacement. •Properly decommission the old septic tank and submit appropriate documentation. •A failing system must be repaired as soon as possible.Should the repair of this system be delayed,the property owner must notify the agent and provide the reasons for delay,and propose a different completion date.Delays may be cause for formal enforcement action,which may result in civil penalty assessments. •The system must be installed by the property owner or a licensed sewage disposal business(installer). •Vehicular traffic and livestock must be restricted from the system area. •All roof drains must be directed away from the system •All tanks must be tested for watertightness and have a water-tight riser to the ground surface.Twenty-inch minimum diameter if less than 36-in deep.Thirty-inch minimum diameter if greater than 36-in deep. Maintain access to septic tank for pumping and service. •Meet all required setbacks •The system must be installed in the area approved during the site evaluation and in accordance with the construction plan approved by the agent,including any changes made by the agent. •All work is to conform to OAR 340, Division 71 and 73.Make no changes in system location or specifications without approval by the agent. •For product approval information and manufacturer installation requirements see DEQ website at: http://www.oregon.gov/deq/Residential/Pages/Onsite.aspx •An anti-buoyancy device is required for the septic tank(s)and must be installed as per the manufacturer installation guidelines. •First distribution box must be exposed at time of tank inspection. Installation of this onsite wastewater treatment system has been determined to comply with the applicable requirements in Oregon Administrative Rules Chapter 340, Divisions 071 and 073 and the Conditions of Approval above. 1. In accordance with Oregon Revised Statute 454,665,this Certificate of Satisfactory Completion is issued as evidence of satisfactory completion of an onsite wastewater treatment system at the location identified above. 2. Issuance of this Certificate does not constitute a warranty or guarantee that this onsite wastewater treatment system will function indefinitely without failure.Conditions imposed as permit requirements continue for the life of the system. 3.The area of the initial and the identified replacement area must not be subjected to activity that is likely to adversely affect the soil or the functioning of the system.Such activities may include, but are not limited to,vehicular traffic, livestock, covering the area with asphalt or concrete,filling,cutting,or other soil modification activities. 4.This onsite wastewater treatment system that be connected to the facility referenced herein within 5 years of the issuance of this Certificate of Satisfactory Completion(CSC)or rules for authorization notices,alteration permits,or construction-installation permits as outlined in OAR 340-071-0160,340-071-0205,or 340-071-0210 apply,including payment of an additional fee. 5.This system must operate in compliance with OAR Chapter 340, Division 071 and must not create a public health hazard or pollute public waters. 6.Unless otherwise required by the agent,the system installer must backfill(cover)this system within 10 days after the issuance of this Certificate of Satisfactory Completion. t rt a: � Salxsfacto F Comple f t ,a ae .�, .�."*. _ ,.. ..,�4Y e. L, °_, System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No Comments: COSC Issued ok to cover and use . � . £< ,... Coitlpletetle Cans, .E Inspector Inspection Inspection Date Inspection Result Kimberlee Aldrich 7100 Septic Tank 08/08/2024 Approved Kimberlee Aldrich 7100 Septic Tank 07/30/2024 • Partial 8/8/24:8:07:35AM ONS_OnsiteCSC_pr