Laserfiche WebLink
Oregon Department of Environmental Quality <br /> • The septic tank material is: <br /> E Concrete <br /> ❑ Steel <br /> fl Plastic <br /> Fiberglass <br /> Other(explain) <br /> Unknown <br /> • Is the septic tank accessible? ❑✓Yes ❑No <br /> • Septic tank volume in gallons 1000 <br /> • Tank volume determined by: Check all that apply,add comments below as needed <br /> V/ Permit Records n Measured❑ Stamped on Tank❑ Other <br /> • Septic tank risers are at ground level ©Yes ❑No <br /> • Tank appears to be free from defects, leaking and signs of deterioration ✓❑Yes ❑No <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(s)is intact ©Yes ❑No <br /> • Septic tank baffles are intact: Inlet ['Yes ❑No Outlet Yes ❑No <br /> • Baffle material-Inlet Pi-Plastic OConcrete ❑Metal Outlet gPlastic ❑Concrete ❑Metal <br /> Effluent filter is present ❑Yes ❑✓No <br /> • Effluent filter is free of debris ❑Yes nNo nNot Applicable <br /> • Liquid level in tank relative to invert of outlet ❑✓At ['Above ❑Below <br /> If above or below invert outlet,please explain: <br /> • Scum layer 6 (inches) Sludge layer 8 (inches) <br /> • Scum and Sludge layer more than 35%of the total tank volume ❑Yes ✓❑No <br /> Indicate where sludge measured from: ❑Inlet ['Middle ❑✓ 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 /> • The septic system has a dosing tank ©Yes ❑No <br /> (If"No,"skip the rest of section 4) <br /> • At the time of this evaluation the power was on to test the pump(s): DYes ❑No <br /> Page 3 of 8 <br />