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Oregon Department of Environmental Quality <br /> • Locate all drain lines in soil absorption system Mies ❑No <br /> Total length of drain lines /3 fl (ft) <br /> Lengths determined by 1ZPhysically uncovering portions of system/probing[Written records <br /> ❑Fish tape['Electronic locator❑camera <br /> • Absorption area appears to be free from roads,vehicular traffic,structures,livestock,deep-rooted <br /> Apel rats etc. <br /> &Yes ❑No <br /> If you answered"No,"please describe below: <br /> • Absorption area appears to be free from surface water runoff and down spouts Wes ❑No <br /> • Evidence of ponding in absorption area or distribution unit(s) Oyes CifiNo. <br /> • The soil absorption system replacement area assigned in the permit record appears to be intact: <br /> ❑Yes :,No❑Replacement area not identified in permit record <br /> If you answered"No,"please explain below: <br /> Ctn./ rcCOYYli <br /> • Additional Comments: <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 o or afte Jan ary 2014 must maintain an annual service contract with a certified <br /> Maintenance ovide .M 4 ten ce records should be available from the system owner,or the <br /> contracted M nan e P vide - ease attach copies of the previous two years of <br /> maintenance ec o t is ev 'on form. - <br /> • The septic sys m d fil r es ❑No <br /> (If"No,"skip e rest of s do 6) <br /> • Type of sand filer <br /> ❑ Intermittent <br /> ❑t Recirculating <br /> ❑ Bottomless <br /> • Sand filter container appears free from defects,le k and signs of deterioration: ❑Yes [No <br /> Page 5 of 8 <br />