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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: ZO .5 �! �� w • ;•� i2 �( <br />PERMIT # <br />Check box ACTUAL <br />MEETS SJC <br />PARAMETER <br />if inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <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 />Y <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 />Y <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: ,41i <br />DISTANCE FROM TANK? <br />Y <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />Y <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />Y <br />N <br />IS D -BOX LEVEL? <br />Y <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />✓ <br />r <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />/ <br />Z <br />Q7 <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />Y <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />Y <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />Y <br />N <br />CORRECT TYPE OF PIPING? <br />��r 3 <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WATER WELLS? <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />Y <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH? <br />P:1 <br />YN <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? & N <br />ANY NO ANSWER ABOV QUIRES PERMIT TO BE REDRAWN. / <br />COMMENTS: i" P 4 tj / � e,R.,/elle z—L� <br />INSPECTED BY: % , ` DATE: <br />