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Oregon Department of Environmental Quality <br /> e Locate all drain lines in soi.labsorption system As es (]No <br /> Total leha t bs <br /> th of drain lines I9Z(ft) <br /> Lengths.determined by❑Physicatty uncovering portions of System/probing flWritteri records <br /> ;_]Fish tape[QrElectronic.locator i camera <br /> 6 Absorption area appears to be free from roads,vehicular traffic,structures;livestock,deep-rooted <br /> plants etc. <br /> [ Yes UNo <br /> If you answered"No,"please describe below: <br /> /Vpke 6441 br*., Its .rs 1 ::'. i It 4Capf chit <br /> deliMMS Ci i, Covw�. its t, e�0� *. e►,,t A '4-'v I 415 ..r. :Fc br: <br /> 0+4 44v5 4i i Rt p-pE. <br /> Absorption area appears to be free from surface water runoff and down spouts 0 Yes QNoi <br /> e Evidence of pending in absorption area or distribution unit(s) ❑Yes o. <br /> O The soil absorption system relalacement.area.assigned in the permit record appears to be intact: <br /> (]Yes []No R'R.eplacement area net identified in permit record <br /> It you answered"No,"please explain below: <br /> �- rw11 aEPA Gr+c hc.s fsteA i ,•t4- %- rt <br /> • Additional Comments: <br /> —��tf/zw� VieliA ?pc r) a AR, trr�' Gla�,r aa. +5 k,c ,ur <br /> c& /90,84i L at. Sync„ mil triettArt Switi Peft.ir 'e. 4 Ajc cit <br /> 6. Sand Pilfer System <br /> There are different„sand filter system designs i used in Oregon.Not every sand filter system wilt <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 frori.the system owner,or the <br /> contracted..Maintenaraee Provider.Please attach copies of the previous two years of <br /> maintenance records to.this evaluation form. <br /> o The septic system hiis a sand filter[DYes 0 o <br /> (If"No."skip the rest Of section 6) <br /> • Type of sand filter <br /> O Intermittent <br /> LI Recirculating <br /> • Bottomless <br /> e Sand filter container appears free from defects,leaks and Signs of deterioration: ❑Yes ❑No <br /> Page 5of8 <br />