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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: - �J PERMIT# ,& 7 fr <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 12X N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? r N <br /> DISTANCE TO ANY WELLS? pdY//j Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? 5AW 3 j N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 'S i N <br /> DISTANCE TO NEAREST LEACH LINE? "' N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? C$ N <br /> IS D-BOX LEVEL? ® N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? ?W..j Y N <br /> DISTANCE TO NEAREST FOUNDATION? 0 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? _ Y N <br /> CORRECT DEPTH OF LL TRENCHES? 7�/' i N <br /> CORRECT DEPTH AND TYPE OF ROCK? �i �g�� N <br /> CORRECT WIDTH OF LL TRENCHES? y t N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? �3j' (� N <br /> OTHER Y N <br /> SEEPAGE PITS: P <br /> DISTANCE TO PROPERTY LINE? a/ N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? v- 6 N <br /> DISTANCE OF SOIL BARRIER TO PITS? 7 N <br /> CORRECT DEPTH AND TYPE OF ROCK? Zg' N <br /> CORRECT WIDTH? T N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? IV N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? 00 N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY:� 1 f_r� ��1y,�z�) DATE: <br />