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. Oregon Department of Environmental Quality <br /> • <br /> • Locate all drain lines in soil absorption system AYes giNo <br /> Total length of drain lines (It) {apr ): <br /> Lengths determined by NaPhysicaliy uncovering portions of system/probing❑Written records <br /> ❑Fish tape❑Electronic locator❑camera <br /> • Absorption area appears to be free from roads,vehicular traffic,structures,livestock,deep-rooted <br /> plants etc. <br /> If you answered"No,"please describe below: • - • ' • <br /> • <br /> • Absorption area appears to be free frorit surface water runoff"and down spouts Ayes ❑No <br /> • Evidence of ponding in absorption area or distribution unit(s) ['Yes po - <br /> • The soil absorption system replacement area assigned_in the permit record appears to be intact: • <br /> ' Yes ❑No 0-Replacement area not identified in permit record <br /> if u answered"No,"please e 'l below: . <br /> -, in .5 Mc- Q wn r 1a eo . . <br /> • <br /> • Additional Comments: - . • <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.pumps.The owner of a sand-filter system <br /> permitted on or after January 2,2014 must maintain an annual service contract with a certified <br /> - • Maintenance Provider.Maintenance records should be available from the system owner,or the <br /> contracted Maintenance Provider..Please attach copies of the previous two years of . <br /> maintenance-records to this evaluation form. - . <br /> • The septic system has a sand filter 0Yes litiNo . <br /> (If"No,"skip the rest of section 6) - ' • <br /> 4.. Type of sand filter <br /> 0 Intermittent - - <br /> Recirculating . - - • - <br /> 0 Bottomless. • ' <br /> - • Sand filter container appears free from defects.leaks and signs of deterioration: ['yea ❑No • <br /> • - Page5off8 <br />