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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# /20 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? N <br /> DISTANCE TO FOUNDATION? h9q Y N /�'d — S.re fju�`� y,e,� <br /> DISTANCE TO PROPERTY LINE? In, -d N <br /> DISTANCE TO ANY WELLS? LO q N <br /> TANK LEVEL AND ORIENTED CORRECTLY? IM N <br /> SANITARY TEES CORRECTLY INSTALLED? vp �- -M N <br /> CORRECT TYPE OF PIPING? L/y (D N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? AV N <br /> OTHER N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? /37 N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? GD N <br /> IS D-BOX LEVEL? ® N <br /> OTHER N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> 1 <br /> DISTANCE TO PROPERTY LINE? l D (o�� N <br /> DISTANCE TO ANY WATER WELLS? I Z Q N <br /> DISTANCE TO NEAREST FOUNDATION? 100 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? % 12',, ►Z i 'Z� N <br /> CORRECT DEPTH OF LL TRENCHES? yZ'' N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH OF LL TRENCHES? y N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER �— `ZS N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? pCf/ N <br /> DISTANCE TO ANY WATER WELLS? /60 --a) N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? 5 d le � N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2 S' N <br /> CORRECT WIDTH? y 2�� N <br /> OTHER N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? /O N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N � S�(� <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: 90 A, A44— Co�wrt � 1 L QT• e<o tQIJ <br /> O&V-t 2 R p J hr- cc t <br /> d clsr N �' �'Kf 6.+ P V•lCP lkj4144 <br /> '✓ kb cr r f,r4 N Y t K•e <br /> INSPECTED BY: DATE: <br />