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' iii ii: •• -• - • ;:. ::• ;: i :: :: :: .. ::; :. . •. .: :: <br /> • • .. - •. . •. <br /> 'Oregon Department of Environmental Quality .. :.! - : :: : ::: , •- - <br /> - • <br /> . . • <br /> ::: :. . - . ::i , : • :: :: : : <br /> • . . . <br /> • - - • - . .• • .•. . <br /> • •• - .. . :- •.• - ..- .• <br /> • ::: : : : . .. • • <br /> .. - . . <br /> .. .. <br /> ••• Locate all:drain lines in'soil absorption system:: ..,Yes ONo. : :; i • •. . <br /> •,, ::: : : :• <br /> - • • - <br /> Total length of drain lines 2..e/c (ft.) ::• .....- <br /> . .. • . <br /> . .:. !: ::7. ::. .. :• . ::: i •. ,. :.' :: :: :i :: :: F ; - " ' <br /> Lengths determined by['Physically uncovering portions of system/probing igWritten records <br /> :.i• ::: i:. :::. ::: OFish tape DEleCtropic locator '7; camera <br /> ..-• : : • e. Absorption area appears to be free from roads,vehicular tale,structdres,livestock,deep-rooted <br /> .1. ..: t: .: •:- ::: :. •. ::: • :• :• : ::i:. <br /> . •.: ... .iii:. .., plants etc <br /> .. . .... . .. <br /> - - • - <br /> &Yes ONo <br /> . . ..If you answered"No,"please:describe below: i; : ': ::!: . .. .. <br /> .. .. <br /> . . . . <br /> • • - - • - • • <br /> . • <br /> . . .. . <br /> . . F. . .• :. .. . . ::. ..: ••• : ., :: :: :, :: •, :::: • • - • <br /> • • •• : . <br /> • <br /> :: .., :; : •: :•,-. i: , •: :•. ::. • . . <br /> -.- .:• : : : ::. ::, :-. .. :. •:• .. • ..: : :: :: ::::: • . : .: : • <br /> . •••• . : r• 41. Absorption area appears to be free from surface water runofrand down spouts:' 1.1 Yes ONo • . : <br /> •• • • ••• • • <br /> : • :* :•• : 4:: Evidence of pondmg in. absorption area ordistribution unit(a)1 [DYes glNo ii • <br /> - • <br /> :. •:. :: !::-: ii• The soil absorption syatem replacement area assigned intheipermit record appears to be intact: <br /> •. : <br /> - - <br /> •• ... :, ;1:: .:' Dyes QNo RReplacement area not identified in permit tOpord, : 1:-: .•'..: .•: •. : . <br /> .. .. . <br /> .. . . . <br /> If you answered"No,"please explain,belOw: .. :: :: L : : • . ..: : • -. • . <br /> •. . <br /> • '• '.: :':• : •:', 5.4i4..o.e• ::: .• •• •• '.; :; . •• i:L: : . ! li i . <br /> . . . . <br /> . : <br /> . . . <br /> -.• i'..: ::i. : .'. ::: •. . <br /> • •• <br /> . .. .. :•.: ::: :: •• : ::: ::: .: • .• .:: .; :1 :• :: ::::: • • • : :. • • <br /> . . • <br /> . . <br /> . . <br /> T:-: Additional COMments::: :' , : <br /> •• • • <br /> :. .: <br /> • - . <br /> . . <br /> • . <br /> • <br /> .. • <br /> .••: ..:: <br /> •: •.:•• -.:. •:: .- :-• ::• .:- : :. - ... :• :: • : :: : . - . <br /> • <br /> . . ... • • <br /> . . <br /> • . .... ... .. <br /> - •• • . . . . <br /> . . .. . .. - ••• . ., <br /> - - • <br /> • <br /> . . .. . - • <br /> . . . . .. ... .. ... . . . <br /> .:: • ::: ::::: ::: 7: .. • ::: . :: :. : - • .: - i::i• : : :• :: • -. • <br /> .. .. .... ... . <br /> .. ..... . .. . . .. .. . .. . <br /> . • <br /> . . : . <br /> .. . . <br /> • . <br /> • ••• • • •• . ••. ... ... ... .. . .. . .. . . ... . .. . .... . . <br /> - - • - •• •• •• • • •. • <br /> . •. • <br /> ."'. .• .• *: : 6. Sand'Filter System •• •:. :: . :. : . • <br /> :-.- •••• :: ; -. ,;1 There aredifferent.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 airrrial service contract with a certified <br /> :. •.: ::: I::: ::: • -• •• <br /> . .:. ;•.; i.;:• c• 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 /> inahitenance:records•io this evaluation form. .. •: :i:i': : <br /> : <br /> - '. •;: .:i : :: The septic system has a sand filter Oyes:'21No j '.: ii i; ! : „. •. <br /> .. . : <br /> . . . <br /> .. . . . . <br /> .. : .. : . <br /> • •. . <br /> • • <br /> •:: . ;;i i . ::: (If"No,",skip•ihe rest of section 6) :. . . . ..... . . <br /> . . <br /> .. . .. ... ... ... ... - • •• •. . ...- : . • <br /> .. . . . <br /> • . <br /> . .• , - •:',• -..• :. :. ..; %. Type:of sand filter .: .. .. : : :: l• :ii : • - •. . <br /> : • <br /> - : <br /> . . .. <br /> ::: . :* :i-• ::• O !Intermittent iii :: "::. . .1: ' : :i • *::: • . . :. : <br /> :.. . : <br /> • <br /> •-• :. ,' "J: ..i. El iil.eCircu!.4ini E, :. • ;,: : : :i ii ii:i: i i ::; 1 : .• <br /> . . .. . • <br /> : :: •.;:: ••• El :Bottomless -: . .• .:. .. - • • . ' i • . . <br /> - • . . <br /> • - <br /> .. .... .. ... . . ... . . . . <br /> •: .• ::: :::: :, ::: .: :. ::: : •. : <br /> .1 Sand filter container appears free from defects;leaks and signs of 4eterioration,.. [(Yes: ONo • • <br /> • •. : <br /> :. •• :.: ::.-. ::: .:: ..• :.: r. *. , - ,:: . : *: ,.::: . <br /> . .. ... .. .. ... ... . . .. .. . <br /> . ... .. .. .. . .. - : • - :::: - . - •. : • - •. .. . . <br /> . .• .... ::: :•,:•• ::: ., .:: :- :: : • - - • • • <br /> . . .. . .:- :- : • Page 5 of 8 . . : • :i : • . <br /> . .. <br /> . .. . . ... . . .. :. <br /> ... . ... . .. . . <br /> .. .... .. .. . .. . . <br /> . ., ..... .... ,. .., ... . . : i::::. : <br /> • - •- • . , , <br /> •. . <br /> •• •••• • - ••• • . . <br /> :. . . . . <br />