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ONSITE APPLICATION CHECKLIST <br /> Incomplete applications cannot be accepted per OAR 340-071-0160 <br /> A complete septic application mu t include t e following,please check-off: <br /> ❑ Fees paid — el/it?Gu Z a/?6ZZ_-- <br /> Application <br /> 0� Authorization to apply <br /> ©- Proof of o ership <br /> ❑ History 0 System Components are exposed(Not required for Repairs) <br /> Top of tank, inlet and outlet exposed <br /> ❑ Distribution or drop boxes exposed <br /> ❑ Beginning and end of each drainline exposed <br /> ❑ Test holes ready <br /> ❑ DEQ form"Existing System Evaluation Report for Onsite Wastewater Systems" <br /> ❑ Site Plan <br /> El---Address <br /> El Property ID (T R S Tax lot#) <br /> C-Acreage <br /> 0--Owner name <br /> ❑Date <br /> ❑North arrow <br /> CIProperty dimension <br /> ❑ Areas of excavation(cuts, fill) <br /> ❑ Buildings and fences �f <br /> 7-/F <br /> ❑ Roads, driveways and parking areas U <br /> ❑ All wells and waterlines on property <br /> ❑ Neighboring wells and waterlines within 100' of property lines <br /> ❑ Septic a .ks and drainfields <br /> est pits with distance to property lines <br /> ❑ Direction of slope <br /> ❑ Surface water: lakes, springs streams, drainages, curtain drains, ditches, detention ponds <br /> ❑ Neighboring bodies'of water within 100' of property line <br /> ❑ Field drainage tiles (french drain, curtain drains) <br /> ❑ Easements, deed restrictions <br /> ❑ System Layout Detail(close up drawing of the septic area, stake out) <br /> ❑ - Material List <br /> ❑ All related site plans for proposed development(Property Line Adj., Partitions, Subdivisions) <br /> ❑ System construction plans (required for Sand Filters,ATTs,RGFs, Holding Tanks) <br /> ❑ Service Contract—signed by applicant and maintenance provider <br /> ❑ O&M Manual <br /> ❑ Pressurized Distribution requires a service contract <br /> ❑ Holding Tanks requires a pumping contract <br /> ❑ Red tag (required for all Major and Minor Repairs) <br /> p/ Assessor's map with parcel site identified and highlighted <br /> G:\FORMS\SEPTIC\APPLICATION CHECK LIST 2018.DOCX Rev 1/15,1/17,3/18 <br />