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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: /9 3 - ' 01&0 <br />PERMIT # SnCoQ 9S5' <br />Check box ACTUAL <br />PARAMETER if inspected MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />/ j cid <br />T3: <br />SUn 3 j' <br />-- <br />i9 <br />I* <br />L9 <br />® <br />Y <br />N <br />N <br />N <br />do <br />N <br />N <br />N <br />N <br />N <br />N <br />v- <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />S <br />�� ` <br />t/ _- <br />9 <br />e;/ <br />K <br />Y <br />N <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />/Cy f r <br />/40F ' <br />/.3 S <br />/ 2 1 <br />32" <br />Sn A./ ffg /S <br />Z , 5, , <br />5-6 ' <br />,"art 115- <br />4D <br />® <br />® <br />Y <br />40 <br />0 <br />4' <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />✓ <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />v171 <br />/- <br />yy +r <br />® <br />ea <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? !P <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: G- G! / Ljt.✓ ra.^-- <br />N <br />N <br />5C �� csk• LU��� <br />,' elr rn�3s Kc <br />to o <br />n. <br />a <br />INSPECTED BY: /elwepi�- -w ,_ d DATE: fb/)b/ /� <br />