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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />� <br />PERMIT # 7 <br />Check box <br />ACTUAL <br />MEETS SJC <br />PARAMETER if <br />inspected <br />MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />Y <br />N <br />DISTANCE TO FOUNDATION? <br />Y <br />N <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WELLS? <br />Y <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />Y <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y <br />N <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? <br />✓ <br />eel ( <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />%r <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />✓' <br />— <br />® <br />N <br />IS D -BOX LEVEL? <br />�T' <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />ZO <br />N <br />DISTANCE TO ANY WATER WELLS? <br />/,Sp' <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />JW 3 fp' <br />V <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />lot <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />v� <br />4�D <br />N <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />? / <br />1 <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />ge <br />N <br />CORRECT TYPE OF PIPING? <br />1p fl -,5- <br />® <br />N <br />OTHER <br />L --d <br />Y <br />N <br />DISTANCE TO PROPERTY LINE? <br />20 '4-- <br />N <br />DISTANCE TO ANY WATER WELLS? <br />Z 125' <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />.S0' ,t <br />® <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH? <br />L <br />Y <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL <br />TO LOCATE IN FUTURE? <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />_' <br />dh <br />1'7 <br />P -t � <br />INSPECTED BY: /A DATE: �- 6/ <br />.L--"7 <br />