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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: /2cjQ gr A,, d iu. /Kci PERMIT# 1&0 k6 7S <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 120 d N <br /> DISTANCE TO FOUNDATION? 31 N <br /> DISTANCE TO PROPERTY LINE? 160 —d) N <br /> DISTANCE TO ANY WELLS? IU(p N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? vP N <br /> CORRECT TYPE OF PIPING? �/ spit 3,5, ® N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? /� 0 N <br /> DISTANCE TO NEAREST LEACH LINE? 2 �p N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? ') N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LE NES)C ew <br /> DISTANCE TO PROPERTY LINE? ! N <br /> DISTANCE TO ANY WATER WELLS? "o Y ' 0 N <br /> DISTANCE TO NEAREST FOUNDATION? 3 12P N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF)Z RENCHES? L10 7-2100 0 N <br /> CORRECT DEPTH AND TYPE OF ROCK? f .1 ® N <br /> CORRECT WIDTH OF;erTRENCHES? /,V f il) N <br /> CORRECT LENGTH OFWIRENCHES? ' /3) N <br /> CORRECT TYPE OF PIPING? � 3 '0 N <br /> OTHER Y N <br /> SEEPAGE PITS: N� <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 /> CORRECT WIDTH? 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? ® N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: & — DATE: <br /> --- <br /> 314, 11, `A/✓�µJl <br />