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SEPTIC SYSTEM INSPECTION GHEGK LIST n <br />ADDRESS: <br />PERMIT <br />PARAMETER <br />Checkbox ,ACTUAL <br />if inspected MEASUREMENT <br />MEETSSJC <br />STANDARDS? GQMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCETO ANY WELLS? <br />TANKLEVEL AND ORIENTED CORRECTLY? <br />SANITARYTEES CORRECTLY INSTALLED? <br />CORREGTTYPE OF PIPING? <br />TANKVENTED? <br />ANYTANKABNORMALITiES NOTED? <br />OTHER <br />_ ��yy^^�� <br />i Lj WY <br />2— Y <br />to <br />�� g <br />�— Y <br />n12{ cw . a c}iPi ��f� <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N •�-j4Lp 4- <br />N Tib �� r Io ryh <br />N s �' <br />N <br />N. <br />N <br />DISTRIBUTION BOY,: <br />DISTANCE FROM TANK? <br />DISTANCETO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />ISD-BOKLEVEL? <br />OTHER <br />r3' <br />(p <br />Q <br />® <br />L? <br />Y <br />N <br />N <br />N <br />N <br />N <br />LaGH FIELD: (LL=LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETONEAREST FOUNDABOX? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORREGT DEPTH OF LLTRENGHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTHOFLLTRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />-7 i1 <br />y ` <br />_ 2j t f' <br />/ j ` <br />'3 y,, <br />Z ( <br />$' <br />IV <br />® <br />6 <br />Y <br />Y <br />N <br />N <br />N - <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />✓ <br />V7$® <br />SEEPAGE PITS: 0 <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS?_ <br />DISTANCETO NEARESTFOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />�— <br />n r <br />S <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />.1 <br />DOENS PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAILTO LOCATE IN FUTURE? Y N <br />, r� v i <br />ANY NO ANSNIERABOVE REQUIRES PERM TO BE REDRAWN. i c)Ilk <br />COMMENTS: Q� ` (^ (� I d �/ L <br />i <br />czerton f <br />�� <br />'l <br />a e <br />INSPECTED BY: — I VA] r:. S 1 (16 PC 1t6 <br />;l <br />