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• <br /> Oregon Department of Environmental Quality <br /> a LOtate 11114tliialities tbilabsorptiot.systitn fres ON° • <br /> TotallangoveArgionei, 75 (1) <br /> Lengths determine—d byp40 Ihysically uncrWeriegportions of Istemlprobing bWrkten records <br /> E3Pish tape DEleettnnic locator 0 camera <br /> Mico Bret: 's to be free from roads,vehicular bifffc,structures,livestocic deep-rooted <br /> plants etc. <br /> Yes EINo <br /> Ifyouenswered"No,"please&seat below: <br /> • Absorption Bream:pears to be free from surface water runoff and down spouts WiYes EiNo <br /> a- Evidence of ponding in ac area or distnitition=110.) DYes <br /> * The soil absorption system replacenuMi Brea swiped in the permit record appears to be intact <br /> Dyes IDNo RI Replacement areanot Identified in permit record <br /> If you answered.9No,"please explain below: <br /> jy <br /> 0 .4à 4m I <br /> AdditiOnal Cercaneinat <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 comportentementiconed below,e.g.pumps.The owner of a sand niter system <br /> pentdtted on or after January 1,2014.?mai maintain, on Bra*service contract with a teceed- <br /> Wntimenespttaviaor.OinfAnsucg.rocctitrs should be avallable*In the sot=as-glier;**e• <br /> amikaclid 114intenaneeProvides:Please attach copies of the previous two years of <br /> maintenance records to this evelaa40010113 <br /> ...„16 <br /> * The septic system bas a sand filter Otis .41No <br /> (If'No,"skip the rest of section 6) <br /> • Type of sand filter <br /> El 'Um:014=f <br /> 0- Acchigattng <br /> El j3.06m4ss <br /> * Sand filter Container appears free from defects,leaks and signs of deterioration: DYes ONO <br /> • Page 5 of 8 <br />