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Last modified
5/23/2019 8:33:39 AM
Creation date
5/22/2019 11:02:53 AM
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Permits
Permit Address
6017 HOLLOW STUMP LN SE
Permit City
SALEM
Permit Number
555-18-006171-PRMT
Parcel Number
082W21B 01800
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Septic Permit 555-18-006171-PRMT Page 3 of 3 <br /> F ` t .Isu!d V.5/22t 1119� t4op4 -ti .� f y W ,t tEt' 3 . T3 <br /> Warlc T?esccipfion ALTIESE ADD D BO S Ct IANC LOOP TO Sb PARCI=L 1 {3 3 E � s. ' : <br /> .,�.', ',a,., ,,,, �. r'v»���_,>., w ate.x.,, .�z�.�p�„' <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 /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: N/A <br /> m feted <br /> Inspector Inspection Inspection Date Inspection Result <br /> Matthew Puntney 7999 Final Septic 05/16/2019 Approved <br /> Matthew Puntney 7150 Septic System 05/16/2019 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 /> 5/22/19:10:10:16AM Page 3 of 3 ONS_OnsiteCSC.pr <br />
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