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• <br /> OregaR Department of Environmental <br /> • Locate all drain lines'in.soil'a lion system DYes ONo <br /> Total length of drain lines (ft) <br /> Lengths determined by OPhysically uncovering portions of-system/probing ritten records <br /> DPish tape DElectronic locator D.camera <br /> • .Absorption area appears Ito be free from roads,vehiculartraff c,structures,livestock deep-rooted <br /> 'plants etc. <br /> plies ONo <br /> Ifyouanswered-`-`No pl•ease'describe below: <br /> • Absorption area appears to be fries from surface water runoff and down spouts DYes DNo <br /> • EVidence ofponding in absorption area or distribution unit(s) ( Yes Dt4o <br /> • The soil absorption system replacement area assigned in the permit record appears to be intact: <br /> ]Yes ONo Q°Replacement area not identified in permit record <br /> If you ansvrered°"No,"please explain below: <br /> • Additional.Cornuents ` <br /> 6. :'Sad Filter'System .... .. _.., ... <br /> There are different sand filter system designs used in Oregon.Not`every sand filter system will <br /> contain all ofthe`components mentioned below,a g.pumps.The owner of a:sand filter system <br /> permitted on or after January Z,2014 must maintain an annual service contract with a certified <br /> .Maintenance Provider.Maintenance records should be available from owner,or the:the system <br /> contracted Maintenance Provider,Please attach copies of the previous two years of <br /> maintenance records to this evaluation foram; <br /> • The.septic system has a sand filter j]Yes r o ,.. " <br /> (If"No,"skip the rest of section-6) <br /> 'I;ype'of sand filter <br /> [] Intermittent' <br /> ❑:: Recirculating . <br /> ❑ .Bottomless <br /> • Sand filter container appears free from defects,teaks andsigns.of deterioration:"QYes CINo. <br /> - Page 6:of 8 <br />