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Oregon Deparanent of Environmental Quality <br /> a • Locate all drain lines in soil absorption system Vi:'es ONo <br /> Total length of drain lines :79 (ft) _SC R . <br /> • Absorption area appears to be free from roads,vehicular traffic,structures,livestock,deep-rooted <br /> plants etc. • <br /> • <br /> $Yes 1]No <br /> If you answered"No,"please describe below: <br /> ® Absorption area appears to be free from surface water runoff and down spouts Yes DNo <br /> a Evidence of ponding in absorption area or distribution unit(s) DYes ZNo <br /> a The absorption replacement area assigned in the"as-built"drawing appears to be intact <br /> • DYes ONo <br /> If you answered"No,"please explain below: <br /> e Additional <br /> Commen�ts: y V <br /> /LI <br /> f4� 30' / 5° ° i ran u►s ln 77' 400,ii, fir' 4 iit-f —rn <br /> • <br /> 6. Sand Filter System . <br /> There are different sand filter system desig.s 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 /> installed on or after January 2,2014 marsi 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 /> • <br /> maintenance records to this inspection form <br /> c . The septic system has a sand filter DYes DNo <br /> • <br /> (If"No,"skip the rest of section b) <br /> a Type of sand filter <br /> Intermittent <br /> j� Re-circulating <br /> 0 Bottomless <br /> u Sand filter container appears to be watertight t and in good condition IIYes DNo • <br /> • $ Sand filter appears to be free from roads,vehicular traffic,structures,livestock,deep-rooted <br /> plants etc. <br /> • <br /> • <br /> Site Address: . <br /> • <br /> Page 5 <br />