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1 <br /> SEPTIC SYSTEM INSPECTION CHECK LISP <br /> ADDRESS: , Z PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if Inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TAN K: <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y,,.— N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y _ <br /> ANY.TANK ABNORMALITIES NOTED? Y N <br /> OTHER j Y N <br /> DISTRIBUTION BOX: / <br /> DISTANCE FROM TANK? Y N D�. r—Iji <br /> DISTANCE TO NEAREST LEACH LINE? Y� N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ) N <br /> ISO-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (Ll-.:—IL NES) L C <br /> DISTANCE TO PROPERTY LINE? /L4- took Y N <br /> DISTANCE TO ANY WATER WELLS? JTy qN <br /> DISTANCE TO NEAREST FOUNDATION? Y) N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? i N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF Ll-TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <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? YIN <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 /> coMMENrs: - - of 3 i0i� irk a l <br /> + <br /> INSPECTED BY: DATE: . <br />