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Oregon Department of Environmental Quality <br /> • Locate all drain lines in soil absorption system OYes ONo <br /> Total length of drain lines 280'+ (ft) <br /> Lengths determined by OPhysically uncovering portions of system/probing OWritten records <br /> DEish tape OElectronic locator IZI camera <br /> • Absorption area appears to be free front roads,vehicular traffic,structures,livestock,deep-rooted <br /> Omits etc. <br /> 'DYes ONo <br /> If you answered"No,"please describe below: <br /> The lines are located under portions of structure and patio.Out side line has some roots in line <br /> see map <br /> • Absorption area appears to be free from surface water runoff and down spouts FAYes DNo <br /> • Evidence of ponding in absorption area or distribution treks) DYes )No <br /> • The soil absorption system replacement area assigned in the permit record appears to be intact: <br /> DYes ONo j Replacement area not identified in permit record <br /> If you answered"Na,"please explain below: <br /> • Additional Comments: <br /> The line closest to the house had moderate sludge build up,the middle line had light sludge <br /> build up and the furthest from the house had little to no build up.Based on the historical usage <br /> of the system by the current owners it appears to be functioning normally and be in good, <br /> shape at time of inspection. <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 2,2014 must maintain an annual service contract with a certified <br /> Maintenance Provider.Maintenance records should be available from the system owner,or the <br /> contracted Maintenance Provider.Please attach copies of the previous two years of <br /> maintenance records to this evaluation form. <br /> • The septic system has a sand filter DYes Oro <br /> (If"No,"skip the rest of section 6) <br /> • Type of sand filter <br /> Intermittent <br /> O Recirculating <br /> O Bottomless <br /> • Sand filter container appears free from defects,leaks and signs of deterioration: DYes ONo <br /> Page 5 of 8 <br />