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Septic Permit 555-21-000222-PRMT Page 2 of 2 <br /> lfatgde ttfi'cite.=t uetir99991Ag2€12 �- <I <br /> We esen on, 4F1" t f H@RM =LACIti <br /> G4 <br /> ond[fa ns.:c►fApproval <br /> .Dry soil installation only(June 1 —October 1 unless otherwise authorized by the agent). <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 /> .Meet all required setbacks <br /> All work is to conform to OAR 340, Division 71 and 73. Make no changes in system location or <br /> specifications without approval by the agent. <br /> •Header pipe from Distribution or Drop Box must be minimum 4-ft length, level, and bedded. <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 /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: Replacement of header pipe only-Please see notes from contractor regarding drainline verifcation and condition. <br /> Inspector Inspection Inspection Date Inspection Result <br /> Danielle Brown 7999 Final Septic 09/11/2024 Approved <br /> Issued By: Matt Knudsen, Onsite Wastewater Specialist Effective Date: 09/12/2024 <br /> Km-actszv- <br /> CALL 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 /> 9/12/24:4:27:53PM ONS_OnsiteCSQpr <br />