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\ J <br /> Oregon Department of Environmental Quality <br /> DYes DNo <br /> If you answered"No,"please describe below: <br /> • Sand filter appears to be free from surface water runoff and down spouts DYes DNo <br /> • Evidence of ponding in/on sand filter media surface DYes DNo <br /> e Lateral lines flushed and equal distribution verified DYes DNo <br /> o Monitoring ports are present DYes ONo <br /> e Surface access to manifold and valves DYes DNo <br /> • The sand filter has a pump DYes ONo <br /> (If"No",skip the rest of section 6) <br /> • Pump vault appears-to be watertight and in good condition DYes DNo DNA <br /> • Pump is functional DYes DNo <br /> o Pump control mechanism is functional(floats,pressure transducer) DYes DNo <br /> • High water alarm in pump vault(audible and visual)is working DYes DNo <br /> • Pump electrical components are sealed and watertight DYes DNo <br /> • Additional Comments: <br /> 7. Alternative Treatment Technology System <br /> The owner of an ATTsystem mot,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 inspecton 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 /> e The septic system is an Alternative Teas ent Technology(ATT)CiYes DNo <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 /> Site Address: <br /> Page 6 <br />