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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: L) N Ott P-OADtVMT&ARMlT# JC) 7"1 4 <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 />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />N <br />N <br />4 l N <br />Y N <br />Y N <br />Y N <br />p Y N <br />Y N <br />Q N <br />Y N <br />v <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) FI <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN -L'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 />IA <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 />N <br />O21 Y N <br />0 N <br />, Y N <br />41 Y N <br />i 'V N <br />Y N <br />Y N <br />SQ. Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />YN <br />Y N <br />7�© <br />El <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 />t' <br />i e <br />/��/� <br />O ��{I 1 h <br />INSPECTED BY: I DATE: <br />