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Oregon Department of Envi •nmental Quality <br /> • Sandfilter unit a• sears to be free from roads,vehicular traffic,structures,livestock,deep-rooted <br /> plants etc. <br /> Oyes ONo <br /> If you answered" o,"please describe below: <br /> • Sand filter appe. • to be free from surface water runoff and down spouts DYes ONo <br /> • Evidence of pondi g in/on sand filter media surface DYes ONo <br /> • Surface access to anifold and valves DYes ONo <br /> • Monitoring ports .re present DYes DNo <br /> • Lateral lines flush d and equal distribution verified DYes ONo <br /> • The sand filter has a pump DYes ONo <br /> (If"No",skip the est of section 6) <br /> • Pump vault appe. to be watertight and in good condition DYes ONo ON/A <br /> • Pump is functiona DYes ONo <br /> • Pump control mec•anism is functional(floats,pressure transducer)DYes ONo <br /> • High water alarm i pump vault(audible and visual)is working DYes ONo <br /> • Pump electrical co ponents are sealed and watertight DYes ONo <br /> • Additional Comm ts: <br /> • <br /> 7. Alternative Treat i ent Technology System <br /> The owner of an A system must maintain an annual service contract with a certified <br /> Maintenance Provi ler.Maintenance records should be available from the system owner,or the <br /> contracted Mainten: ce Provider.Please attach copies of the previous two years of <br /> maintenance reco 's to this evaluation form. <br /> Note* Some ATT ,stems may have a WPCF permit.Please contact the local Health Department <br /> or the DEQ to obta,n a copy of the WPCF permit. <br /> • The septic system as an Alternative Treatment Technology(ATT)DYes 'No <br /> (If"No,"skip the st of section 7) .. <br /> • Please provide the roduct name,system ID number,and manufacturer name below: <br /> Product name <br /> System ID.number <br /> Manufacturer name <br /> Page 6 of 8 <br />