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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: ` 3 �- s . J ,�; QY► <br /> PE IT# a 30 <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 /> DISTANCETO ANY WELLS? ! <br /> TANKLEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y W <br /> , <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED 7 Y N <br /> ANYTANKABNORMALITIES ? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX � <br /> DISTANCE FROM TANK? rr S N <br /> DISTANCETONEAREST LE9. fffNE?'Ellrerw 3 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N (i <br /> IS D-BOX LEVEL? N �— <br /> OTHER P1 N <br /> LEACHPIES) �=i 1+7:: r <br /> DISTANCE TO PROPERTY LINE? J ZO N � WACL 1-AJ lj <br /> DISTANCE TO ANY WATER WELLS? Ct ` -F' N 'u <br /> DISTANCE TO NEAREST FOUNDATION? Y N r'n g Q til n c /�o C n 1 <br /> DISTANCE OF SOIL BARRIER BETWEEN L US? �j Y N �—s <br /> CORRECT DEPTH OF11-TREAGF}E6? �iryw"w N <br /> CORRECT DEPTH AND TYPE OF ROCK? N c? COLAP),"4 ' <br /> CORRECT WIDTH OF LL TRENCHES? 15< 5 L' Y N <br /> CORRECTLENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? 57 N ST 7© LL <br /> OTHER N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N _ <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCETO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PffS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECTWIDTH? Y 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 REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: w n DATE: - <br /> vU <br />