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0 <br />SEPTIC SYSTEM INSPECTION GHEGK LIST <br />ADDRESS: PERIL r # 12 <br />Check box ACTUAL MEETS SJC <br />PARAMETER If inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECT TANKCAPACTTY? <br />IGOY, N <br />DISTANCE TO FOUNDATION? <br />N <br />DISTANCE TO PROPERTY LINE? <br />MISCELLANEOUS: <br />DOES PERMITDRAWINGREFLECTACCURATEL06ATIONOFSYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER VE REQUIRES PERMI N. <br />COMMENTS: i�� <br />Q Y' N <br />DISTANCE TO ANY WELLS? <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />�— Y N <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y N dYI r{ <br />CORRECTTYPE OF PIPING?r <br />Y N <br />TANKVENTED 7 <br />N <br />ANYTANKABNORMALITIESNOTED? <br />Y N <br />OTHER <br />Y N <br />DISTRIBUTION BOX <br />DISTANCE FROM TANK?_ <br />Y N <br />DISTANCE TO NEAREST LEACH LINE? <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />Y N <br />IS D -BOX LEVEL? <br />Y N <br />OTHER <br />Y N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />I (2 N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />—� N <br />DISTANCE OF SOIL BARRIER BETWEEN WS? <br />Y N <br />CORRECT DEPTH OF LLTRENCHES? <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />j, " Y N (� <br />`�— <br />CORRECTWIDTH OF LLTRENCHES? <br />° N <br />CORRECT LENGTH OF LL TRENCHES? <br />Y N <br />CORRECTTYPE OF PIPING? <br />y N <br />OTHER <br />Y 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 <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMITDRAWINGREFLECTACCURATEL06ATIONOFSYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER VE REQUIRES PERMI N. <br />COMMENTS: i�� <br />Y <br />Y <br />N <br />N <br />. I•, . <br />^ , <br />INSPECTED BY: � � DATE; <br />