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. . ; .s. <br /> Oregon Department of Environmental Quality :• : <br /> ;: ;; ;], ;;; ;;; :s :; : s ;; • • <br /> • Locate all drain lines in Soil absorption:system [ 'Yes 0No;: <br /> Total length ofdrain lines ;.7...17, (ft) <br /> Lengths determined by z:IPhysically uncovering portions of system/probing DWrit(en records <br /> . . <br /> • - • ..•• . <br /> 0FiSh tent RElectronic locator ls.1,-; camera <br /> ,; • • Absorption area appears to be free from roads,Vehicular traffic,structures,livestock,deep-rooted <br /> plants etc ;: E;; :; .; •• : ::• <br /> DYes giNo ;. <br /> : -]; :]: :; :], : ]; . .] :]] ; ; • s • ; <br /> If you answered"No,"please describe below :; ]; • <br /> • • • :•. :1 __ <br /> :• .e24 4'4 .g,t4/"If <br /> . <br /> 42.1461,-- fr-g4./1: <br /> . . . <br /> • <br /> Absorption area appears to be free from surface water runoff and down spouts Yes 0No <br /> • Evidence of ponding in absorption area or distribution unit(s) DYes MN° <br /> • The soil absorption system replacement area assigned in:the permit record appears to be 1ntht: <br /> 0Y0:. ONo E Replacement area not identified in permit reCord— <br /> . . . . . . . <br /> If you answered"No,"please explain below .• .• ;; <br /> . . <br /> • • • • • • • <br /> . . <br /> • • .. • <br /> . . . . . . . <br /> . . . : <br /> •• - <br /> •: Additional Cments:::; S, <br /> ]: ;; ;; ;; ;: fi e.eoes• " ; s- .; <br /> •• <br /> • ... <br /> . . <br /> ;, s, ]: •• s, : s •: . ; <br /> 6 Sand Filter System <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.pumpsiThe owner of a sand filter system <br /> permitted on or after January 2,2014 must maintain an annual service contract with a certified <br /> . . <br /> s• s; : • Maintenance Provider Maintenance records should be available from the system owner,or the <br /> . ..„ <br /> :; ;• contracted Maintenance Provider i Please attach copies of the previous two years of <br /> maintenance records]to this evaluation forni. <br /> •• • • The septic system;has a sand:filter DYes!-ENo :• •] <br /> .. • .. • . <br /> "No,"skip:the rest of section 6) s I; <br /> • Type of sand f4teri, <br /> :•• • " 0 ;:Intermittent I : • <br /> ;;Recirculating ji • i] <br /> Bottomless ;: S 1; 's <br /> • Sand filter container appears.free from defects.;leaks and signs of deterioration DYes 0No <br /> •• . . . ; PO.ge 5 of : •; <br /> ...• .. . • • <br /> ::; :::.; ;:: sss . • <br /> ••• •• • • • • •• <br />