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Oregon Department of Environmental Quality <br /> • Sand filter unit appears to be freefrom roads,vehicular traffic,structures,livestock,deep-rooted <br /> plants etc. <br /> Oyes ONo <br /> If you.answered"No,"please describe below: <br /> • Sand filter appears to be free from surface water runoff and down spouts DYes ONo <br /> • Evidence(f'ponding in/on sand filter media surface -DYes ---No- - <br /> • Surface:access to manifold and valves Eyes ONo <br /> • Monitoring ports are present DYes ONo: <br /> • Laterallines flushed and equal distribution verified DYes ONo: <br /> • The sand filter has a pump Eyes DNo. <br /> (If"No",skip the rest of section 6) <br /> • Pump vault appears to be watertight and in good condition Eyes ENo DN/A <br /> • Pump is functional Eyes ONo <br /> • Pump control mechanism is functional(floats,pressure transducer)Eyes [JNo <br /> • High water alarm in pump vault(audible and visual).is working Oyes ONo <br /> • Pump electrical components are sealed and watertight DYes ONo <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 thee 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 RENo <br /> (If"No,"skip the rest of section 7) <br /> • Please provide theproduct name,system ID number,and manufacturer name below: <br /> Product name <br /> System.ID:number <br /> Manufacturer name <br /> Page 6 of 8 <br />