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u <br />SEPTIC SYSTEM INSPEGTION CHECK LIST <br />ADARESS: <br />P1;Rmrr 0 <br />Checkbox ACTUAL <br />PARAMETER if inspected MEASUREMENT <br />MEETS SJC <br />STANDARDS? GQMNIENTS <br />SEPTIC TANK: <br />CORRhGTTANKCAPACtfY? <br />DISTANCETO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCFTO ANY WELLS? <br />TANKLEVEL AND ORIENTED CORRECTLY? <br />SANITARYTEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANKVFNMD ? <br />ANKTANKABNORMALITIES NOTED? <br />OTHER <br />l <br />^—� [—� <br />�T <br />S �_, <br />Y N <br />N <br />N ` <br />N <br />N <br />N <br />N <br />N <br />Y N. <br />Y N <br />DISTRIBUTION BO)L- <br />DISTANCE FROM TANK? <br />DISTANCETONEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />181)-BOXLEVEL? <br />OTHER <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL= ES) <br />DISTANCETO PROPERTY LINE? <br />DISTANCE TOANYWATERWELLS? <br />DISTANCETONEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LVS? <br />CORRECT DEPTH OF LLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OFLLTRENGHES? <br />GORRECT LENGTH OF LL TRENCHES? <br />CORREGTTYPEOFPIPING? <br />OTHER <br />y <br />Y <br />Y <br />Y <br />Y <br />Y <br />y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETO NEARESTFOUNDATION? <br />DISTANCE OFSOIL BARRIERTO PITS? <br />CORRECTDEPTHAND TYPEOFROC <br />CORRECTWIDTH? <br />OTHER <br />Y <br />Y <br />y <br />y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OFSYSTEM? Y\ <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAILTO LOCATE IN FUTURE? Y <br />ANy NO ANsMR ABOVI= REQUIRES PERMITTO BE Rr-DRAWN- <br />GOIWKENIS: <br />N <br />N <br />INsPFCTED BY: I I <br />V Y A \ <br />DATE: - A � � <br />