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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: s ¢,e. - PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: exI <br /> CORRECT TANK CAPACITY? !/ Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ,( dD N <br /> DISTANCE TO NEAREST LEACH LINE? (� o N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ED N <br /> IS D-BOX LEVEL? ✓ eO N <br /> OTHER Y N <br /> LEACH FIELD: (LL= rNES) r (•f Pr b <br /> DISTANCE TO PROPERTY LINE? v4 2p N <br /> DISTANCE TO ANY WATER WELLS? �`� N <br /> DISTANCE TO NEAREST FOUNDATION? "a� N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? ti y1'� N <br /> CORRECT DEPTH AND TYPE OF ROCK? ,��� N <br /> CORRECT WIDTH OF;k BENCHES? ✓ /D� N <br /> CORRECT LENGTH OF RENCHES? �f 2y/ (� N <br /> CORRECT TYPE OF PIPING? V ;W-3, N <br /> OTHER Y N <br /> SEEPAGE PITS: A <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? 49 N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? I9 N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: s�� DATE: 7Ile`l/s- <br />