Laserfiche WebLink
r. t <br /> Oregon Department ai Environmental Quality <br /> cievwk. fk ? '"pa 0044#444.,- Cog" <br /> L.44,5 mte. t Sfort- 046Ptanrn- <br /> • The septic tank material is: <br /> rConcrete. <br /> • Steel <br /> fl Plastic <br /> Fiberglass <br /> El Other(explain) <br /> r Unknown <br /> • Is the septic tank accessible? DYes ONo. <br /> Septic tank volume in gallons <br /> • Tank volume determined bv:Check all that apply add comments below as needed <br /> Permit Records 0 Measured D Stamped'oil Tank Other <br /> • Septic tank risers are at ground level DYes DNo <br /> o Tank appears to be free from,defects,leaking and signs of deterioration DYes DNo <br /> If you answered"No,"please describe the condition of the septic tank below,For example, <br /> evidence of gas corrosion,cracks,leaks,etc_ <br /> Septic tank lid(i)is intact []Yes ON° <br /> o Septic tank baffles are intact:Inlet 0-Yes DNa. Outlet [I]Yes DNo <br /> e Baffle material-Inlet°Plastic 0--Concrete F7Metal Outlet Plastic r"-iConcrete 17 Metal <br /> Effluent filter is present DYes [I]No <br /> • Effluent filter is free of debris []Yes ON° DNot Applicable <br /> O Liquid level in tank relative to invert of outlet DAt DAbove iBelow <br /> If above or below invert outlet,please explain: <br /> • Scum layer (inches) Sludge layer (inches) <br /> • Scum and Sludge layer more than 35%of the total tank volume [JYes ONe <br /> Indicate where sludge measured from:Dlnlet DMiddle []Outlet <br /> • Additional.Comments <br /> 4. Dosing tank/Pump Basin <br /> Dosing tanks use a pump to send effluent to a treatment unit or a soil absorption field. <br /> o The septic system has a dosing tank DYes DNo <br /> (If"No,"skip the rest of section 4) <br /> o At the time of this evaluation the power was on to test the pump(s):[]Yes DNo <br /> Page 3 of 8 <br />