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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />6&v, 19.6 <br />PERMIT # <br />PARAMETER <br />Check box ACTUAL <br />if inspected MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />d <br />(� <br />g5 <br />Sp(2 3S <br />�e� <br />® <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />IrIZO <br />7 <br />DISTRIBUTION BOX: n <br />DISTANCE FROM TANK? NA- <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN -L'S? <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />9 <br />s(s� <br />I2 ' <br />S44 ts <br />Lam` <br />Z g <br />bp2 3S <br />�� <br />(Z) <br />Y <br />C:) <br />© <br />0 <br />ZD <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />.! <br />A <br />SEEPAGE PITS: n fyy- <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />El <br />Y <br />Y <br />Y <br />Y <br />Y <br />YN <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. nn <br />COMMENTS: <br />Y <br />© <br />N <br />N <br />1 1 <br />� Q . <br />INSPECTED BY: ilyC}{ J -r -1K d/_ .,,,,4 DATE: //.,/ /7,6 /g <br />