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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: PERMIT # <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />TO ANY WELLS? <br />DISTANCE TO PROPERTY LINE?vzr— <br />LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANKVENTED? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Y N <br />2j Y N <br />Y NDISTANCE <br />Y NTANK <br />Y N <br />Y N <br />D Y N <br />Y N <br />Y N <br />Y N <br />V1 <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 />Y N <br />Y N <br />Y N <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 LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />I Y N <br />Y N <br />Y N - <br />G> Y N <br />Y N <br />' _ 2 Y N <br />Y N <br />t' S Y N <br />Y N <br />Y N <br />v <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 />l hp Y N <br />~� Y N <br />Y N <br />— 2 112' Y N <br />Y N <br />Y N <br />v <br />�/. <br />V <br />�/ <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 ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: DATE: •6//'�— /o�- <br />NO <br />;7m� <br />