>3,000 Unknown Advanced Treatment Unit; Totals Yes No If yes, Treatment Unit Name(s): ____________________________________________________________ System Design; Totals: Gravity Bed Dosed Bed Pressure Dosed Bed Gravity Trenches Dosed Trenches Pressure Dosed Trenches Gravity Mound Dosed Mound Pressure Dosed Mound Chambers Drywells None Other ___________________________________________ Unable to Determine System Age Totals in Years; Totals: 0 5 6 10 11 15 16 20 – – – – 21 25 26 30 31 40 > 40 – – – Unknown Soil Texture Totals: Coarse Sand, Medium Sand Fine Sand, Loamy Sand Sandy Loam Loam, Sandy Clay Loam Clay Loam, Silt Loam Clay, Silt Organic soil, Fill soil Seasonal High Water Table; Totals: (inches below grade) 0 12 13 24 25 - 36 37 48 > 48 – – – Bed Size ft²; Totals: 100 300 301 500 501 700 701 900 – – – – 901 1100 1101 1300 1301 1500 1501 1700 – – – –
>3,000 Unknown Advanced Treatment Unit; Totals Yes No If yes, Treatment Unit Name(s): ____________________________________________________________ System Design; Totals: Gravity Bed Dosed Bed Pressure Dosed Bed Gravity Trenches Dosed Trenches Pressure Dosed Trenches Gravity Mound Dosed Mound Pressure Dosed Mound Chambers Drywells None Other ___________________________________________ Unable to Determine System Age Totals in Years; Totals: 0 – 5 6 – 10 11 – 15 16 – 20 21 – 25 26 – 30 31 – 40 > 40 Unknown Soil Texture Totals: Coarse Sand, Medium Sand Fine Sand, Loamy Sand Sandy Loam Loam, Sandy Clay Loam Clay Loam, Silt Loam Clay, Silt Organic soil, Fill soil Seasonal High Water Table; Totals: (inches below grade) 0 – 12 13 – 24 25 - 36 37 – 48 > 48 Bed Size ft²; Totals: 100 – 300 301 – 500 501 – 700 701 – 900 901 – 1100 1101 – 1300 1301 – 1500 1501 – 1700