Laserfiche WebLink
Qregoa Department of Environmental Quality <br /> • • <br /> • <br /> • : : 0: The septic tank material is: <br /> E Concrete:: <br /> : • Steel- • ; <br /> ;.- D Plastic <br /> 0 Fiberglass <br /> •i: -; Other(explain) <br /> : • ;'; : r3 Unknown <br /> • Is the septic tank accessible?:Eyes ONo <br /> :: •. : ; • Septic tank volume in gallons <br /> • Tank vohithe determined by Check all that apply,add comments below as needed . . <br /> O Permit RecordS:g Measured 0 Stamped on Tank-IJ Other <br /> #: Septic hank risers are at ground level .DYes No <br /> . • • Tank appears to be free from defects,leaking and signs of deterioration DYes .1§3No <br /> :.: If you answered"No,"please describe the condition of the septic tank beloW.For example, <br /> evidence of gas corrosion,cracks, eaks,etc. : • <br /> ". <br /> • Septic tank lid(s)IS intact gYes ONo <br /> L !-. • Septic tank baffles are intact inlet :5.2 Yes'. ONo Outlet [EYes ONo <br /> • Baffle material-Inlet 4 Plastic flConcrete :DMetal'Outlet Plastic DConcrete 01vietal <br /> Effluent filter is present DYes tglNo <br /> • Effluent filter is free of debris OYes ElNoNot Applicable <br /> • Liquid level in tank relative to invert of outlet;.DAt DAbove <EBelow <br /> If above or below invert outlet,please.explain:./I+ bait:7 <br /> • Scum layer 8; (inches) Sludge layerC--S (inches) <br /> • Scum and Sludge layer more than 35%of the total tank volume DYes ONo <br /> ;• : Indicate where sludge measured from::Obilet• IEMiddle 'DOutlet <br /> : Additional Comments: <br /> • ./ Telekel/12--.104:55 beThfic‘r), <br /> •: : 4. Dosing tank/Pump Basin <br /> Dosing tanks use a pump to send effluent to a treatment unit or a soil absorption field. <br /> • ; • : • The septic system has a dosing tank DYes No <br /> (If"No,"skip the rest of section 4) <br /> • At the time of this evaluation the power was on to test the purnp(s): ['Yes ONo <br /> Page 3 of 8 <br />