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Oregon Department of Environmental Quality <br /> • Locate all drain lines in soil absorption system DYes [� o <br /> Total length.of drain lines VI (ft) <br /> Lengths determined by OPhysically uncovering portions of system/probing❑'Written records <br /> 0-Fish tape electronic locator El camera <br /> • Absorption area appears to be free from roads,vehicular tra i+c,structures,livestock,deep-rooted <br /> p . of etc. <br /> es ❑No <br /> If you answered`ado,"please describe below: <br /> • Absorption area appears to be free from surface water runoff and down =uts DYes <br /> • Evidence of pondiug in absorption area or distribution unit(s) []Yes No <br /> • The soil orption system replacement area assigned in the permit record appears to be intact: <br /> []Yes o 0 Replacement arca not identified in permit record <br /> If you answered"No,"please explain below: <br /> ko fCC.°c <br /> • Additional Comments: <br /> 6. Sand Filter 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 2,2914 must maintain an annual service contract with a certified <br /> Ivlainteriance Provider.Maintenance records should be available from the system owner,or the <br /> contracted Maintenance Provider.Please a •- copies of the previous two years of <br /> maintenance records to this evaluation for it. <br /> • The septic system has a sand filter Dies ®No <br /> (If"No,"skip the rest of section 6) <br /> • Type of sand filter <br /> El Intermittent <br /> El Recirculating <br /> Bottomless <br /> • Sand filter container appears free from defects,leaks and signs of deterioration: DYes ONo <br /> Page 5 of 8 <br />