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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Sy ,�. �a PERMIT# 54-r)ZJ794 <br /> Check box AC UAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <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? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? j (D N �lu3�s`H <br /> DISTANCE TO NEAREST LEACH LINE? 57 �� N 9 <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? V/ 40 N <br /> IS D-BOX LEVEL? v N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? voe �(�� ® N <br /> DISTANCE TO ANY WATER WELLS? 7 S N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Vol3�'` & N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? L S ' 4V N <br /> CORRECT LENGTH OF LL TRENCHES? yS fP N <br /> CORRECT TYPE OF PIPING? r �j�Q �� ® N <br /> OTHER Y N <br /> SEEP S: SW1-70 <br /> DISTANCE TO PROPERTY LINE? a N <br /> DISTANCE TO ANY WATER WELLS? dl') N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? too, 5' N <br /> CORRECT DEPTH AND TYPE OF ROCK? '16 4 N <br /> CORRECT WIDTH? Z 4.7 N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? (e0' 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: p„ �6,,� yq DATE: <br />