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• r, V V Oregon Department of Environmental Quality <br /> • Locate all drain lines in soil absorption system Yes ONo <br /> Total length of drain.lines /5P (11) <br /> !!! !! Lengths determined by:0Physically Uncovering portions of:System/probing['Written records <br /> E]Fish tape ZElectronic locator n camera <br /> : ••• • • • • •• <br /> • Absorption area appears to be free from roads,vehicular traffic,structures,livestock,deep-rooted <br /> plants:etc <br /> gYes ONo <br /> 11 11 11 If you answered"NO,"please describe below !! <br /> • Absorption area appears to be free from surface water runoff and down spouts" ! Yes ONo <br /> . . .]]] . . . ::: • <br /> • Evidence of ponding inabsorption area or distribution unit(s) ['Yes No !! !! <br /> • <br /> • The soil absorption syStem replacement area assigned in the permit record appears to be intact: <br /> EYes ONo Replacement area not identified in permit record <br /> If you answered"No,"please explain below: •i <br /> • Additional Comments: <br /> 8a fl' 7". n k <br /> • •• •• •• -• - _ •• -• • •_ • •• • _ <br /> • •• <br /> !! !! !! !! EE <br /> 6, SandFilterSystem <br /> There are different sand filter system designs used in Oregon Not every sand filter system will <br /> contain all of the components mentioned below,e.g pumps The owner of a sand filter system <br /> permitted on after 2,2014 must maintain an annual service contract with a certified <br /> • ::: . . <br /> , ::: • : , • <br /> Maintenance ProviderMaintenance records should be available from the system owneror the <br /> contracted Maintenance Provider;Please attach copies of the previous two years of <br /> maintenance records to this evaluation forn*. <br /> • The septic system has a sand filter 0Yes;NNo <br /> 1 !! <br /> (If"No,"skip the rest of section 6) <br /> • Type of sand filter! H <br /> O "Intennittent <br /> •:; ;; ;; !!Recirculating <br /> • <br /> • Sancta&container appears free from defects leaks and signs of deterioration:.: ['Yes ['No <br /> ••: • • •• • •-• Page 5 of 8 <br /> •• •• •• ••• <br /> --•-• -• • • •• ••••• <br /> . . . <br />