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Oregon Department:of Environmental Quality <br /> •: Locate all drain lines in soil absorption system El-Yes ONo <br /> Total length of drain lines 150. (ft) <br /> Lengths determined by OPhysically uncovering portions of system/probing Written records <br /> . OFish tape EtElectronic locator 2 camera <br /> • Absorption area appears to be free from roads,vehicular:traffic,structures,livestock,deep-rooted <br /> plants etc. <br /> Yes ONo <br /> .. If you answered"No,"please describe below: <br /> Absorption area appears to be free from surface water runoff and down spouts:''.Yes ONo <br /> •. Evidence of ponding in absorption area or distribution units) Dyes FONo <br /> • The soil absorption system replacement area assigned in the permit record appears to be intact <br /> cement area not identified in permit record <br /> ela <br /> e o['Yes <br /> ❑N � P <br /> explain you answered `No, please s below: <br /> .: • Additional Comments: <br /> : <br /> 6. Sand F lter System <br /> There are different 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 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 /> maintenance:records.to this evaluation form. <br /> • The septic system has:a sand filter[]Yes eiNo <br /> (If"No,"skip the rest of section 6) <br /> •• Type of sand filter <br /> • <br /> O :Intermittent <br /> Recirculating. <br /> El Bottomless <br /> • Sand filter container appears free from defects,leaks and signs of deterioration: DYes ONo <br /> Page 5 of 8 <br />