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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: / (O7Czi <br />" uJu Lx� <br />PERMIT # <br />Check box ACTUAL Il <br />MEETS SJC <br />PARAMETER if <br />inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK OA PACITY? <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: <br />DISTANCE FROM TANK? <br />2j- ' <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />( <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION?�A'j <br />N <br />IS D -BOX LEVEL? <br />j.7�-- <br />�' <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />/O <br />N <br />DISTANCE TO ANY WATER WELLS? <br />f . 7' <br />(D <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />0 <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />Y <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />vL[D <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />v of <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />vZ <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />I <br />N <br />CORRECT TYPE OF PIPING? <br />5p/z 3 <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />f <br />,f7 <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />kolo 14 <br />v <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />-7 '� 12 ' <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />2—!S;' i <br />N <br />CORRECT WIDTH? <br />367 <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL <br />TO LOCATE IN FUTURE? <br />(% <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: �j [,Q..� ? �n <br />M <br />DATE: � >r <br />