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ONSITE APPLICATION CHECKLIST <br /> Incomplete applications cannot be accepted per OAR 340-071-0160 <br /> A complete septic application must include the following,please check-off: <br /> ❑ Fees paid <br /> V❑ Application <br /> /Authorization to apply <br /> L� Proof of ownership <br /> ❑ History 0 ❑ System Components are exposed(Not required for Repairs) <br /> E Top of tank,inlet and outlet exposed <br /> ❑ Distribution or drop boxes exposed <br /> ❑ Beginning and end of each drainline exposed VV"" �l'� <br /> ❑ Test holes ready �IU <br /> ❑ DEQ form"Existing System Evaluation Report for Onsite Wastewater Systems" u <br /> ❑ Site Pl <br /> ddress <br /> roperty ID (T R S Tax lot#) <br /> E- Acreage <br /> 2 --Owner name <br /> to <br /> PED,...q5.9yth arrow <br /> roperty dimension <br /> ❑ Are of excavation(cuts, fill) <br /> [ gs and fences <br /> oa , driveways and parking areas <br /> C�]iAll wells and waterlines on property <br /> [ghboring wells and waterlines within 100' of property lines <br /> eptic tanks and drainfields <br /> fcst ptts-wffiTdistance top perty lines <br /> ❑ Direction of slope 9( <br /> jfl+ Surface water: lakes, springs streams, drainages, curtain drains, ditches, detention ponds <br /> ATO Neighboring bodies of water within 100' of property line <br /> � g P P <br /> ❑ Field drainage tiles (french drain, curtain drains) <br /> • AtO 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 /> ❑ -tag (required for all Major and Minor Repairs) <br /> Assessor's map with parcel site identified and highlighted <br /> G:WORMS\SEPTIC\APPLICATION CHECK LIST 2018.DOCX Rev 1/15,1/17,3/18 <br />