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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Z3 LO PERMIT# G(� <br /> Check box ACTUAL 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? N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y 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 WELLS? /3 X/ N <br /> DISTANCE TO NEAREST FOUNDATION? Vol3 j N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? too, L !3 N <br /> CORRECT DEPTH AND TYPE OF ROCK? j' • '� N <br /> CORRECT WIDTH OF LL TRENCHES? �/ YQ N <br /> CORRECT LENGTH OF LL TRENCHES? I 0 N <br /> CORRECT TYPE OF PIPING? sj ® N <br /> OTHER Y N <br /> SE PITS: 5� <br /> DISTANCE TO PROPERTY LINE? /06 r N <br /> DISTANCE TO ANY WATER WELLS? �/ 177' 40 N <br /> DISTANCE TO NEAREST FOUNDATION? 32 N <br /> DISTANCE OF SOIL BARRIER TO PITS? 17 N <br /> CORRECT DEPTH AND TYPE OF ROCK? �O N <br /> CORRECT WIDTH? 3 N <br /> OTHER El' 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 /> 3 <br />