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Septic Permit 555-18-002104-PRMT Page 3 of 3 <br /> t):*L't cafe,fRu:? 10:0:4Q� - *� `''a .. '� x s kyr ice' .,,," n _ x L a 3 <br /> �� N� "#Kik?. � - �y lir "' ^v'� , �-� '� � - � ,,ar � ` ��"'� ;�'�' ', '� � ���' .� <br /> � �� - b 44, % <br /> WorCre sCrl ptrorl� i1=U5l tNST 11R � <br /> 0-,411M44:4 ,;i f AF'i fit.+,Nten , '" a s r jl , + . . a. WAPF,, h f �9 e i $v` ,W..: <br /> N. 3 � ...... ,r�..t� .y+�<. s, �� ,,uw `b�_,-�. <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 /> ' _ ,Certificate of Satrstat:tary Carllplettort€ : . :....... .. _ j <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: N/A <br /> 6 - tili s•440€ #1Rl it@k!]IIS4.4 1S iis^ '^ *7 r $ 11 0 <br /> Inspector Inspection Inspection Date Inspection Result <br /> Matthew Puntney 7999 Final Septic 05/06/2019 Approved <br /> Claudia Hill 7020 Pre-cover 06/29/2018 Partial <br /> Claudia Hill 7100 Septic Tank 06/29/2018 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 /> 5/8/19:9:47:15AM Page 3 of 3 ONS_OnsiteCSCpr <br />