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Septic Permit 555-18-003294-PRMT Page 3 of 3 <br /> i, r v r3 P v �w i t�" i i a'' ' - 1t lam: "T r 3,�e.rte" °` �, +� P.aw" �`" <br /> DateCertaficate°lSscred �4t .�Q�11�� x ,� � � �3 s � � �- �� r� � �' � <br /> F$ .Yy :.�- � S��rasf .� y -��4 - �� �. <br /> WorkDescrrptlon �N:E�N�INST`ALL. ,,P, IPSFD �i.. -y * * F . A t 4 <br /> av� '�' ✓ Wit. -`4 0, a ,4,1'- 4i ,�.z r'..y .✓ F ti 6 x r r '-* f <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 <br /> affect 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 <br /> issuance 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 <br /> payment 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 /> CeTttficate of Satrsfa19&y omptetran " <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: N/A <br /> � »�. omRCete4Inspectrons I. 1 � <br /> 'z,. .n.,...�„�«., _ ...__ - _m-,a,..a„r-,��.,,.<''£... � _,.._....,.._ ,. ...� Z,NAr. ram a.,.AS;„ __, ,,..., <br /> Inspector Inspection Inspection Date Inspection Result <br /> Matthew Puntney 7100 Septic Tank 03/29/2019 Approved <br /> Matthew Puntney 7999 Final Inspection 03/29/2019 Approved <br /> Matthew Puntney 7155 Septic Connection 03/29/2019 Approved <br /> Matthew Puntney 7450 Drainfield 11/13/2018 Approved <br /> Matthew Puntney Onsite Inspector <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 copies • <br /> of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> 4/2/19:4:52:20PM Page 3 of 3 ONS_OnsiteCSC_pr <br />