Contact Information

Please provide your contact information below. The information you provide on this form will be included on the "Existing System Evaluation Inspector List" available on the DEQ's Onsite Wastewater Program website.

 If you leave blanks on this form, blank fields will appear on the list posted on the DEQ website.

In order to be listed as an Inspector on the DEQ website, you must provide your information below and fill-out an end of the year questionnaire on an annual basis.

Questions? Call Randy Trox at 541-687-7338

Question Title

* 1. Please complete the form below. When finished, click on the "Done" tab at the bottom.

Question Title

* 2. If you are a registered Environmental Health Specialist or Wastewater Specialist (in accordance with ORS 700 of the Health Licensing Board), a Professional Engineer (in accordance with ORS 672), a current NAWT inspector, or have a similar license or certification (approved in writing by the DEQ), please enter your qualification and certification number below.

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* 3.

In order for you to participate in Oregon Septic Smart as an Onsite Wastewater Inspector, you must have experience and knowledge inspecting onsite wastewater systems.

I hereby certify that I have knowledge and experience inspecting onsite wastewater systems.