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Oregon Department of Environmental Quality • Locate all drain lines in soil absorption system ®Yes ❑No Total length of drain lines 260' (ft) Lengths determined by 7Physically uncovering portions of system/probing lWritten records ❑Fish tape EElectronic locator m camera • Absorption area appears to be free from roads,vehicular traffic,structures,livestock,deep-rooted plants etc. Yes mNo If you answered"No,"please describe below: Leach lines are located in pasture area with livestock • Absorption area appears to be free from surface water runoff and down spouts ®Yes No • Evidence of ponding in absorption area or distribution unit(s) ❑Yes ®No • The soil absorption system replacement area assigned in the permit record appears to be intact: ❑Yes ❑No®Replacement area not identified in permit record If you answered"No,"please explain below: • Additional Comments: System appears to be handling current flow good. Lines one and 2 have some sludge but appeE to be handling flow,line 3 was open, not seeing much use,which is good The asbuilt shows one more line than we were able to locate, maybe a repair at some point? 6. Sand Filter System There are different sand filter system designs used in Oregon.Not every sand filter system will contain all of the components mentioned below,e.g.pumps.The owner of a sand filter system permitted on or after January 2,2014 must maintain an annual service contract with a certified Maintenance Provider.Maintenance records should be available from the system owner,or the contracted Maintenance Provider.Please attach copies of the previous two years of maintenance records to this evaluation form. • The septic system has a sand filter❑Yes ®No (If"No,"skip the rest of section 6) • Type of sand filter ❑ Intermittent ❑ Recirculating ❑ Bottomless • Sand filter container appears free from defects,leaks and signs of deterioration: ❑Yes ❑No Page 5 of 8