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• <br /> • Or Department al Environmantal Qu* <br /> • Sand filter unit appears to be free from roads,vehicular traffic,stmctures,linstock,deep-rooted <br /> plants etc. <br /> Dyes E3Ne <br /> If you answered"No,"please describe below: <br /> Sand filter apperusio be t'ree from surface water mnoff and down spouts DYes DNo <br /> • Evidence of parading in/on sand filter media surface DYes DNo <br /> * Surface access to'manifold and valves DYes DNo <br /> Monitoring ports are present Dyes ONO • <br /> • Lateral• lines flushed,and equal distribution verified DYes ONo <br /> , <br /> • The sand filter has a pump [Iles DNa' <br /> (If“No'!,skip the rest of section 6) <br /> • Pump vault appears to be watertight and in good condition OYes, ONo ON/A <br /> • Pump is functional DYes ONo- <br /> • Pimp control mechanism is functional(floats,pressure transducer)DYes DNo <br /> ro High water alarm in pump vault(audible and visual)is working DYes DNS <br /> • Pump electrical components are sealed and watertight DYes DNo <br /> • <br /> Additional Commentsi <br /> 7. Alternative,Treatment Technology.System <br /> The ommer of an ATT system musl 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 AlTsysteMS may have a WPCF permit.Please conteet the local Health Department <br /> tar the DEQ to obtain dcopy of the-WPCFPerinit. ".• <br /> • The septic system has an Mternatwe Treatment Technology(API)DYes nro <br /> (if"No,"skip the test of section 7), <br /> • Please provide the Product name,system It) and manufacturer name belt*: <br /> " Product name - , <br /> System ID number <br /> Manufacturer name <br /> pOgq 6 of 13 <br /> - _ <br />