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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: p a pec PERMIT# wQto g Z <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: nn <br /> CORRECT TANK CAPACITY? Z N <br /> DISTANCE TO FOUNDATION? b N <br /> DISTANCE TO PROPERTY LINE? yy I N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ® N <br /> SANITARY TEES CORRECTLY INSTALLED? m N <br /> CORRECT TYPE OF PIPING? 6/23,5 N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? ® N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y 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) F,.4&b /� I <br /> DISTANCE TO PROPERTY LINE? �l� N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? i f� N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OFZ'TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? ' Y N <br /> CORRECT TYPE OF PIPING? 0 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 /> 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 AB VE REQUIBES PERMIT TO BE/REDRAWN. <br /> COMMENTS: GK,4*-UIb-t 03401 % <br /> INSPECTED BY: n ^ DATE: V3/ <br /> J fs <br />