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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: H S PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y /�1 <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? ;'Y N <br /> DISTANCE TO ANY WELLS? i 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? ✓ nD t m N <br /> DISTANCE TO NEAREST LEACH LINE? ✓ © N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? `� lY/ N <br /> DISTANCE TO NEAREST FOUNDATION? ® N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> Glob CORRECT DEPTH OF LL TRENCHES? C © N <br /> CORRECT DEPTH AND TYPE OF ROCK? N j GU w Yb LU <br /> CORRECT WIDTH OF LL TRENCHES? v 2f�tV,(4, 6 QY N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? v (�1 (� N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? V/ (D N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? © N <br /> CORRECT WIDTH? $ (3)) N <br /> Iq <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 REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: DATE: <br />