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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 2, PERMIT# SiPcC� HS—�; <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: 4X 1� t <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? �I 1 +P N <br /> DISTANCE TO NEAREST LEACH LINE? 5 0 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? v Y N <br /> IS D-BOX LEVEL? Vol Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? ./ // � N <br /> DISTANCE TO ANY WATER WELLS? Z(, ` N <br /> DISTANCE TO NEAREST FOUNDATION? j (off N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? v N <br /> CORRECT DEPTH OF LL TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? j K' N <br /> CORRECT WIDTH OF LL TRENCHES? Z ® N <br /> CORRECT LENGTH OF LL TRENCHES? sj 0 N <br /> CORRECT TYPE OF PIPING? c�)) /� _ � ® N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 13-5 N <br /> DISTANCE TO ANY WATER WELLS? -3ew,` T Z9 N <br /> DISTANCE TO NEAREST FOUNDATION? foo ''t N <br /> DISTANCE OF SOIL BARRIER TO PITS? r, 1 N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ 2 j N <br /> CORRECT WIDTH? N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? tP N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? 40 N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: L ��� ./fG�'��,_ �L,\ DATE: <br />