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1 <br /> SEPTIC SYSTEM INSPECTION GHEGK LIST <br /> ADDRESS: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y <br /> DISTANCE TO FOUNDATION? _ N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCFTO ANY WELLS? Y IN <br /> TANK LEVEL AND ORIENTED CORRECTLY? -N <br /> SANITARY TEES CORRECTLY INSTALLED? Y'll, <br /> CORRECT TYPE OF PIPING? Y N <br /> TANKVENTED 7 Y N <br /> ANY.TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? �/ _ j Y 1 N <br /> DISTANCE TO NEAREST LEACH LINE? � (!r-) N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? Y i N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEI CH UNES) <br /> DISTANCE TO PROPERTY LINE? _gy <br /> ) N <br /> DISTANCE TO ANY WATER VVELLS? ) N jAd <br /> DISTANCE TO NEAREST FOUNDATION? N Gl'_<, <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? N <br /> CORRECT DEPTH OF LL TRENCHES? ✓' �i f/1 L ��;`� Y� N ( ' <br /> CORRECT DEPTH AND TYPE OF ROCK? f ' / pl���1 1l Y N <br /> CORRECT WIDTH OF LL TRENCHES? C�- ' N <br /> CORRECT LENGTH OF LI_TRENCHES? 1 ( N <br /> CORRECT TYPE OF PIPING? <br /> OTHER Y N <br /> DISTANCE TO PROPERTY LINE? 1,50 f 0 N <br /> F <br /> DISTANCE 70 ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? �•� ��} Y Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? /, ,f1 N <br /> CORRECTWIDTH? L' J �� N <br /> OTHER 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 EDRAWN. /� n <br /> COMMENTS: f a <br /> INSPECTED BY: \ v ^� DATE: <br /> u <br /> v. <br />