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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: : <br />PERMIT # -51<,649.2 <br />Check box <br />ACTUAL <br />MEETS SJC <br />PARAMETER if <br />inspected <br />MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />N <br />DISTANCE TO FOUNDATION? <br />Y <br />N lVe7L,.4/,f <br />c,. yl, <br />DISTANCE TO PROPERTY LINE? <br />c�/ <br />® <br />N <br />DISTANCE TO ANY WELLS? <br />— <br />6) <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />-- <br />(9 <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />N <br />v <br />CORRECT TYPE OF PIPING? <br />k" 3 y <br />N <br />7C <br />TANK VENTED ? <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />--- <br />N <br />OTHER <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />v <br />�� <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />7 <br />16 P1 <br />(Q% <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />..... � <br />(r <br />N <br />IS D -BOX LEVEL? <br />® <br />N <br />OTHER <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />d j <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORRECT DEPTH OF LL TRENCHES? <br />j ' <br />=;1 �5 <br />Y <br />S <br />® <br />N� �� <br />N <br />N <br />C, rL►.� <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />Z <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />N <br />7 <br />CORRECT TYPE OF PIPING? <br />e 6z 3 S <br />N <br />OTHERN <br />(� <br />DISTANCE TO PROPERTY LINE? <br />/�j $ i <br />N <br />DISTANCE TO ANY WATER WELLS? <br />J SO % <br />® <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />- <br />® <br />N fJo <br />DISTANCE OF SOIL BARRIER TO PITS? <br />N <br />CORRECT DEPTH AND TYPE OF ROCK?- <br />- <br />N <br />CORRECT WIDTH? <br />/� <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. / <br />COMMENTS: j e -e t <br />x/Aa �'��� iv// v,�f lGii' iTlJ.nti Cz-rvi� a•.....� �r��. � la+ -c r <br />INSPECTED BY: 144s– <br />In_DATE: <br />