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SEPTIC SYSTEM INSPECTION CHECK LIST <br />INSPECTED BY: / �a 610 <br />vi _ DATE: • 6P �l �/ <br />ADDRESS: �j , u <br />qV\- PERMIT # <br />PARAMETER <br />Check box ACTUAL- MEETS SJC <br />If inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY?J <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Rco <br />Q '2�, 1 Y <br />% ` Y <br />a �j5 Y <br />y S _ <br />es <br />S��i� <br />Q <br />O Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N , <br />N <br />N <br />N <br />N <br />✓ <br />v�% <br />DISTRIBUTION BO-X.- <br />OX:DISTANCE FROM TANK? <br />DISTANCE <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS fl -BOX LEVEL? <br />OTHER <br />j <br />'/ Y <br />Y <br />N <br />N <br />N <br />N <br />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 LL'S? <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 />' <br />Z Y� <br />Y <br />_J/ A (y <br />� <br />t P, Y <br />C �� Y <br />) <br />` Y� <br />S 35 Y <br />Y <br />N <br />N <br />N - <br />N <br />N <br />N <br />N> N <br />N <br />N <br />N <br />I/ <br />�/ <br />✓ <br />�/ <br />✓ <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 />CORRECT WIDTH? <br />OTHER <br />5 N <br />N <br />1-7 ' N <br />✓ ' Y N <br />Y N <br />✓ y ?� " 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 REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: / �a 610 <br />vi _ DATE: • 6P �l �/ <br />