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Oregon Department of Environmental Quality <br /> • Sand filter unit appears to be free from roads, vehicular traffic,structures, livestock, deep-rooted <br /> plants etc. <br /> ❑Yes ENo <br /> /you answered "No,"please describe below: <br /> • Sand filter appears to be free from surface water runoff and down spouts ❑Yes ENo <br /> • Evidence of ponding ini on sand filter media surface ❑Yes ENo <br /> • Surface access to manifold and valves EYes ENo <br /> -• Monitoring ports are present ❑Yes ENo <br /> • Lateral lines flushed and equal distribution verified ❑Yes ENo <br /> • The sand filter has a pump ❑Yes ENo <br /> (If"No",skip the rest of section 6) <br /> • Pump vault appears to be watertight and in good condition ❑Yes ENo EN/A <br /> • Pump is functional Dies ENo <br /> • Pump control mechanism is Functional (floats, pressure transducer)Eyes ENo <br /> • High water alarm in pump vault(audible and visual) is working Eyes ENo <br /> • Pump electrical components are sealed and watertight [Wes ENo <br /> • Additional Comments: <br /> 7. Alternative Treatment Technology System <br /> The owner of an ATT system 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 years of <br /> maintenance records to this evaluation form. <br /> Note* Some ATT systems may have a WPCF permit. Please contact the local Health Department <br /> or the DEQ to obtain a copy of the WPCF permit. <br /> • The septic system has an Alternative Treatment Technology (ATT)DYes o <br /> (If"No,"skip the rest of section 7) <br /> • Please provide the product name, system ID number, and manufacturer name below: <br /> Product name <br /> System ID!number <br /> Manufacturer name <br /> Page 6 of 8 <br />