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Oregon_Department of'Environmental Quality <br /> • :Locate all drain Iines`in soil absorption system Lx Yes I i No: <br /> Total length of drain tines:that were able to be located 207_ (ft) <br /> Lengths-determined by -s Physically uncouering portions of <br /> Written records <br /> [ 1 Fish tape ( xi, Electronic locator ; camera <br /> * Absorption area appears to be free from roads,vehicular traffic,structures,livestock,deep-rooted <br /> plants etc. j <br /> _I Yes � No <br /> If you answered"No,"please describe below:. • <br /> * Absorption area appears to be free from surface water runoff and.downspouts: ix" Yes i i No <br /> * Evidenceof ponding inabsorption area.or distribution unit(s): '^;'Yes l -x No <br /> * The soil absorption system replacement area assigned in'the permit record appears to be intact: <br /> Yes _^Na ._x,_•C Replacement area not identified in permit record <br /> If you answered "No,"please explain below: <br /> • Additional:Comments: <br /> 6. Sand Filter System <br /> There'are'different sand filtersystem designs used in Oregon;Not every sandfilter 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 yearsof <br /> maintenance records to this-evaluation form. <br /> * The septic systemhas a sand filter Yes x j No <br /> (If"No,"skip therest:of section 6) <br /> * Type of sand;filter <br /> l�-..j Intermittent <br /> Re-circulating <br /> • <br /> ;Bottomless: <br /> * Sand filter container appears free from defects,leaks and signs of deterioration: j,._j Yes j No <br /> Page-s of& <br />