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SEPTIC SYSTEM INSPECTION CHECK LIST <br />INSPECTED BY: / / � l DATE: - <br />4 <br />ADDRESS: - PERMIT # , <br />Check box ACTLW MEETS SJC <br />PARAMETER If Inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? Y N <br />DISTANCE TO FOUNDATION? Y N <br />DISTANCE TO PROPERTY LINE? Y ` <br />DISTANCFTO ANY WELLS? N <br />TANK LEVEL AND ORIENTED CORRECTLY? Y N <br />SANITARY TEES CORRECTLY INSTALLED? Y N , <br />CORRECT TYPE OF PIPING? Y N <br />TANK VENTED 7 Y N <br />ANY -TANK ABNORMALITIES NOTED? Y N <br />OTHER Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS -D-BOX LEVEL? <br />OTHER <br />N r <br />Y N <br />Y N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />CORRECT DEPTH OF Li. TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />GORRECTTYPE OF PIPING? <br />OTHER <br />r <br />/ Y N <br />N <br />`� Y N <br />N <br />C i f { C/ `I . \ .N p <br />I �`� n i44 <br />N <br />N <br />J Y N <br />Y N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />Y N <br />Y N <br />Y N <br />Y N <br />_ Y N <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br />ANY NO ANSWER ABOVE RE IES P/E�RMIT T U REDRAWN. <br />COMMENTS: <br />INSPECTED BY: / / � l DATE: - <br />4 <br />