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<br /> fr... . ":, Sand filter appeals to be free from surface Water runoff and down spouts DYes ONo
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<br /> 4:: Evidence of ponding in/on sand filter media surface DYes ON° .. ..
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<br /> • Surface access to Manifold and valves:. DYes:.1:1No
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<br /> •i IS;P:onliorg ports are present: DYes '1:1N0 !! :: ii i !' .. •, -
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<br /> ii: Lateral lines flushed and equal distribution verifted: DYes ;ONo • •• ••
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<br /> ii• The sand lter has:a pump DYes [No:,
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<br /> *-1 i'• i; ,1; : ::; PUmIS!vault appears to be watertight and in good condition DYes ONo EIN/A11 :
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<br /> •!. .: ;: :',1 i! •- l4Umi):control mechanism is functional:(floats,presaure trangncer)DYes 134o 11 . : •
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<br /> i. High water alarm in pump vault(audible and visual)is working DYes ONo.; 1; ' . • .
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<br /> •:, Pump electrical components are sealed and watertight 1:::1YeS; UNo
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<br /> ' :• :: i': 7: Alternative Treatment Technology System ,. .: • • : • •
<br /> ' •. ••"i i Ei The owner of an KIT system must maintain an annual service contract with.a certified
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<br /> Maintenance trovider::Maintenarice records should be available from the system owner,or the :.
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<br /> • •*. :: i: - ii: contracted Maintenance Provider Please attach copies Of the previous two years of
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<br /> maintenance records to this:evaluation form. :: i: ii i• • .
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<br /> .*::. '..i i: ;i • .E:-: Note*Some 2tc..TT systems may have iw13:cF iennit.Please contact the local Health Department •
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<br /> •:: -; ii• ;;;i; 0: The septic system has an Alternative Treatment Technology;(ATT)DYes No
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<br /> :.;': ;.:: ;ii ;•;;I: 40.: Please prOvide•thelnodUct name,.system ID number,and manufacturer name below:::1
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