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Last modified
10/8/2024 4:05:01 PM
Creation date
9/21/2024 4:11:06 PM
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Permits
Permit Address
14666 LIBBY LN SE
Permit City
Jefferson
Permit Number
555-24-004269-PRMT-01
Parcel Number
092W32 00800
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Permit 555-24-004269-PRMT-01 Page 3 of 3 <br /> 37a� '[ N , <br /> t41�C1-.7`°��I s 'N rl?F' F[l'FfAT�C.I '" ;� " 74- <br /> ' uie`Yd ``y `gy <br /> „6;,4, <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 /> ,.,s# z=,r., '...,,.> �--«.., „x....vr v. ua..rr, z,��aw•�.aar,* pbs���i��4Q .; _ ,.. ,. .. ,. , <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: A Certificate of Satisfactory Completion was issued on 09/17/2024 and the system is authorized to connect to a <br /> 3BDRM Single Family Dwelling <br /> Inspector Inspection Inspection Date Inspection Result <br /> Danielle Brown 7999 Final Septic 09/17/2024 Approved <br /> Danielle Brown 7999 Final Septic 09/05/2024 Partial <br /> Danielle Brown 7999 Final Septic 08/26/2024 Partial <br /> Issued By: Danielle Brown, Onsite Wastewater Inspector 2 Effective Date: 09/17/2024 <br /> Pavt.2 LL i 6 rrow ' <br /> CALL BEFORE YOU DIG...IT'S 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 /> 9/17/24:12:12:51 PM ONS_OnsiteCSC pr <br />
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