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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: Z�(� 'ems -�a–{� PERMIT# <br />Check box ACTUAL MEETS SJC <br />PARAMETER if Inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCFTOANY WELLS? <br />TANKLEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANKABNORMAUTIESLAOTED? <br />OTHER <br />DISTANCE TO PROPERTY LINE? <br />Y N <br />Y N <br />Y N <br />Y K <br />N <br />/` _ Y N , <br />N <br />N, <br />Y N <br />Y N <br />Y N <br />DISTANCE TO ANY WATER WELLS? <br />Y N <br />DISTRIBUTION BOX <br />DISTANCE FROM TANK? <br />DISTANCETO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS fl -BOX LEVEL? <br />OTHER <br />Y IN <br />Y N/ <br />Y <br />yv N <br />Y N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />LEACH FIELD: (LL – H LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION?Y <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORRECT DEPTH OF LLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTHOFLL.TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />Y N <br />J I GY1 N <br />Y N <br />N - <br />Y N <br />' Y N <br />Z " C r " lA N <br />N !vf5 5 PO -C <br />N <br />s 2 K3 N <br />�---- Y N <br />Y N <br />,/ <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />Y N <br />DISTANCE TO ANY WATER WELLS? <br />Y N <br />DISTANCETONEAREST FOUNDATION? <br />Y N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />Y N <br />CORRECTDEPTH AND TYPE OF ROCK? <br />Y N <br />CORRECTWIDTH? <br />Y N <br />OTHER <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING AEFLECT ACCURATE LOCATION OF SYSTEM? <br />Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />Y N <br />ANY No ANSWER ABOVE FQUIRES PERMIT TO BE REDRAWN. <br />t• rdV� <br />/� <br />(J <br />veCOMMENTS: <br />I"Z (� <br />S (r <br />h r . U : A 1 D <br />!� <br />SM ("0 <br />9 <br />Erin <br />19VPECTE DATE* <br />