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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: - <br />��,;t <br />PERMIT # S L <br />Check box <br />PARAMETER if inspected <br />ACTUAL <br />MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION?(`j <br />DISTANCE TO PROPERTY LINE?S <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 />�- <br />�i2 3 S <br />(� <br />® <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />F7i <br />�% <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />� <br />i \�j <br />(� <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 LUS? <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 />57 <br />,� I <br />3` <br />l3" <br />L' b <br />p fz3 S <br />�--� <br />Y <br />© <br />Q <br />® <br />Y <br />N <br />N <br />N <br />N �� b -P-,{ &wc, c) <br />N <br />N �h�i 16C( 1C71 S <br />N <br />N <br />N <br />N <br />< <br />PAOG I ITOi_ <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 />�} <br />��j+ <br />I ZZ <br />"?�3 <br />1 + <br />® <br />Y <br />N <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. <br />COMMENTS: 5 t t �Q Z' ALN <br />Y <br />Y <br />N <br />N <br />a <br />INSPECTED BY: AJ 0 S Ef y„, A H. o'` F 0 DATE: <br />ib(26I1i <br />