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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: .- . <br />�c �lsC <br />PERMIT # ;9 Ca Z <br />Check box ACTUAL <br />MEETS SJC <br />PARAMETER if <br />inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />ZGt7d <br />N <br />DISTANCE TO FOUNDATION? <br />N <br />DISTANCE TO PROPERTY LINE? <br />® <br />N <br />DISTANCE TO ANY WELLS? <br />—,77.1 <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />— <br />N <br />CORRECT TYPE OF PIPING? <br />N <br />TANK VENTED ? <br />��� <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />N <br />OTHER <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />,T <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <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 />!L <br />N <br />DISTANCE TO ANY WATER WELLS? <br />_ <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />/71 <br />(� <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />121 <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />Z <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />Z <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />N <br />CORRECT TYPE OF PIPING? <br />Q <br />N <br />OTHER <br />N <br />SEEPAGE PITS: 6i A"f's <br />DISTANCE TO PROPERTY LINE? <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />l� t f— <br />o <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />6-4 <br />® <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />Z <br />® <br />® <br />N <br />N <br />OTHER <br />Y <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 />N <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />16, l <br />0 <br />r <br />INSPECTED BY: 6- irl 60 DATE: / 32 j�/' <br />