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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 1-0 ©� y 0�, wy <br /> N <br /> DISTANCE TO FOUNDATION? v/ j, J { N <br /> DISTANCE TO PROPERTY LINE? �/ 3 - C { Y N ` <br /> DISTANCE TO ANY WELLS? ✓ `j ( N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N , <br /> CORRECT TYPE OF PIPING? <j� l� �rj N <br /> TANK VENTED Y N <br /> ANY-TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: { } <br /> DISTANCE FROM TANK? rt 1 Y N <br /> DISTANCE TO NEAREST LEACI I LINE? SY <br /> N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? 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 VVELLS? 5" Y N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LPS? �/ �` © N <br /> CORRECT DEPTH OF LL TRENCHES? 'k y� Y(� N v L1 C -e a 2k <br /> CORRECT DEPTH AND TYPE OF ROCK? y� N - r vt <br /> CORRECTWIDTH OF LLTRENCHES? ✓ -C t Y N <br /> CORRECT LENGTH OF LL TRENCHES? 141 -� Y N L.L, L,2'Y1',tk <br /> CORRECT TYPE OF PIPING? �j 5 Y N <br /> OTHER Y N <br /> SEEPAGE PITS: I� <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? 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? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? 1 Y N <br /> ANY NO ANSWER ABOVE REQUIRES(PERMIT TO BE REDRAWN. <br /> COMMENTS: 1 1 U I t Ifl <br /> L <br /> I � lJ✓� �r �Z , <br /> C L - e( t/L �!i M, <br /> INSPECTED By'-T-"', I n 400 DATE: <br />