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1 � Oregon Department of Environmental Quality * Locate all drain lines in soil absorption system x 1 Yes No Total length of drain lines that were able to be located 225 (ft) Lengths determined by [µ Physically uncoveringportions of system/probing Written records g l__X 1 Y Y Y g l -- Lx_1 Fish tape i x } Electronic locator L__1 Camera * Absorption area appears to be free from roads,vehicular traffic,structures,livestock,deep-rooted plants etc. 1 Yes __x_No If you answered "No," please describe below: HORSES ROAM IN AREA OF DRAIN FIELD. * Absorption area appears to be free from surface water runoff and down spouts x Yes El No * Evidence of ponding in absorption area or distribution unit(s) k Yes x_-_ No * The soil absorption system replacement area assigned in the permit record appears to be intact: J Yes No f j Replacement area not identified in permit record If you answered "No," please explain below: NO SEPTIC RECORDS AVAILABLE * Additional Comments: DRAIN FIELD PIPE IS CORRUGATED PIPE. 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 j Yes t_x_i No (If"No,"skip the rest of section 6) * Type of sand filter ► I Intermittent k___1 Re-circulating Bottomless * Sand filter container appears free from defects,leaks and signs of deterioration: ! s Yes I No Page 5 of 8