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ri. <br /> • <br /> Oregon Department of Envir nmental Quality <br /> • Locate all drain Ii es in soil absorption system �:4Yes ❑No <br /> Total length of dr in lines 31'5 (ft) <br /> Lengths determin d by NPhysically uncovering portions of system/probing Pyritten records <br /> :Wish tape❑EI tronic locator 0 camera <br /> • Absorption area a pears to be free from roads,vehicular traffic,structures,livestock,deep-rooted <br /> plants etc. <br /> [ Yes ❑No <br /> If you answered"No,"please describe below: <br /> • Absorption area ppears to be free from surface water runoff and down spouts olYes ❑No <br /> • Evidence of pond ng in absorption area or distribution unit(s) ❑Yes [ No <br /> • The soil absorpti n system replacement area assigned in the permit record appears to be intact: <br /> ❑Yes ❑No eplacement area not identified in permit record <br /> If you answered` o,"please explain below: <br /> • Additional Com ents: <br /> • <br /> 6. Sand Filter.Syst m <br /> There are differe t sand filter system designs used in Oregon.Not every sand filter system will <br /> contain all of the omponents mentioned below,e.g. pumps.The owner of a sand filter system <br /> permitted on or fter January 2,2014 must maintain an annual service contract with a certified <br /> Maintenance Pro ider.Maintenance records should be available from the system owner,or the <br /> contracted Maint nance Provider.Please attach copies of the previous two years of <br /> maintenance rec rds to this evaluation form. <br /> • The septic syste has a sand filter.❑Yes (/:4 o <br /> (If"No,"skip the rest of section 6) <br /> • Type of sand flute <br /> ❑ Intermittent <br /> ❑ Recirculatin <br /> O Bottomless <br /> • Sand filter contai er appears free from defects,leaks and signs of deterioration: ❑Yes ❑No <br /> Page5of8 <br />