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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 4 2 (p 6. f el'a /,'.t <br />PERMIT # 5 j1,!� <br />Check box ACTUAL <br />MEETS SJC <br />PARAMETER if <br />inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />N <br />DISTANCE TO FOUNDATION? <br />�� ��i <br />N <br />DISTANCE TO PROPERTY LINE? <br />',A- <br />N <br />DISTANCE TO ANY WELLS? <br />. - 200 <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />N <br />CORRECT TYPE OF PIPING? <br />SAS! 3 <br />N <br />TANK VENTED ? <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />603 / <br />�^ <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />— <br />® <br />N <br />IS D -BOX LEVEL? <br />---. <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />/lp, <br />® <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />/,?, <br />ai <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />C) <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N -7rt q, /.f <br />CORRECT WIDTH OF LL TRENCHES? <br />Z f <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />g! f <br />N <br />CORRECT TYPE OF PIPING? <br />s(J R a s <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />lD % <br />N <br />DISTANCE TO ANY WATER WELLS? <br />%S <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />�j/Q / <br />�! <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />/�� /O , ! <br />Z9 <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />vZ S <br />N <br />CORRECT WIDTH? <br />F�j <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />Y <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL <br />TO LOCATE IN FUTURE? <br />® <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: NAS &-&," A#_. ft DATE: Z/Z3 LOQ <br />