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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: D �� c <br />�/ <br />PERMIT #Ij <br />Check box <br />ACTUAL <br />MEETS SJC <br />PARAMETER If Inspected <br />MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />&VVI <br />(D <br />N <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />3a!` <br />8i <br />O <br />(0 <br />N <br />N <br />N <br />✓ <br />✓ <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y <br />J <br />N <br />N <br />1/ <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? S <br />Q <br />N <br />DISTANCE TO NEAREST LEACH LINE?✓ <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS 0 -BOX LEVEL? <br />✓ <br />�' <br />Y� <br />d% . <br />N <br />N <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL=LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />✓�E <br />��' <br />ZD <br />N <br />DISTANCE TO ANY WATER WELLS?V <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />✓ <br />_�c�i j �h ` <br />fig` <br />a <br />(� <br />N <br />N <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />✓ <br />2-3 `' <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />v" <br />2 ` <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />✓ <br />41�y ' <br />(D <br />N <br />CORRECT TYPE OF PIPING? <br />lJ2i% <br />© <br />N <br />OTHER <br />- <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />E ISL <br />lam' Z ` <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />Ste' <br />(� <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />V, <br />?5 ' <br />(� <br />N <br />CORRECT WIDTH? <br />3G `' <br />C"� <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION <br />OF SYSTEM? <br />Y <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />Y <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO <br />BE REDRAWN. <br />COMMENTS: <br />7 / 7,;/, 1 <br />INSPECTED BY: ' C -- v"' <br />