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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 29 Z 2 <br />v,.') et* -S <br />PERMIT # Q 7S <br />Check box <br />ACTUAL <br />MEETS SJC <br />PARAMETER <br />if inspected <br />MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: qtr �t <br />CORRECT TANK CAPACITY? <br />Y <br />N <br />DISTANCE TO FOUNDATION? <br />Y <br />N <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WELLS? <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />Y <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y <br />N <br />CORRECT TYPE OF PIPING? <br />Y <br />N <br />TANK VENTED ? <br />Y <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />14' 6" <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />S <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />N <br />IS D -BOX LEVEL? <br />N <br />OTHER <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />L.j s , <br />�i <br />N <br />DISTANCE TO ANY WATER WELLS? <br />app 1 t <br />® <br />N <br />�/ <br />DISTANCE TO NEAREST FOUNDATION? <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />— <br />Y <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />c/,y <br />N <br />f <br />CORRECT DEPTH AND TYPE OF ROCK? <br />�t /-��� <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />0 <br />N <br />17j <br />CORRECT LENGTH OF LL TRENCHES?�% <br />�� <br />l�i <br />N <br />CORRECT TYPE OF PIPING? <br />bp/L 3 i- <br />N <br />OTHER <br />N <br />4EE"AG&P"*Vi Su ---P <br />DISTANCE TO PROPERTY LINE? <br />LJ <br />N <br />DISTANCE TO ANY WATER WELLS? <br />zyp t .r <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />f <br />F <br />5 <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />t <br />ID <br />N <br />CORRECT WIDTH? <br />Q� <br />N <br />OTHER <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE <br />LOCATION OF SYSTEM? <br />()4j <br />N <br />DOES PERMIT DRAWING SPOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />U'S <br />N <br />ANY NO ANSWER ABOVE -QUIRES PERMIT <br />TO BE REDRAWN. <br />COMMENTS: 2, <br />w, e <br />an <br />1 <br />� <br />INSPECTED BY: *6* -O 42,V.L� DATE: //6/x/7 <br />