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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: / ,S J ,' �I PERMIT# 6dZ007qqF7 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? wot roye N <br /> DISTANCE TO FOUNDATION? yy' -6 N <br /> DISTANCE TO PROPERTY LINE? 1 N <br /> DISTANCE TO ANY WELLS? %/ 11-1 t) N <br /> TANK LEVEL AND ORIENTED CORRECTLY? be ® N <br /> SANITARY TEES CORRECTLY INSTALLED? a N <br /> CORRECT TYPE OF PIPING? -VIZ ar ilb N <br /> TANK VENTED? %/ — r5 N <br /> ANY TANK ABNORMALITIES NOTED? f dD N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? S14 3 -0 N <br /> DISTANCE TO NEAREST LEACH LINE? $` -M N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? 6P N <br /> IS D-BOX LEVEL? Q N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? �/S 1 N <br /> DISTANCE TO ANY WATER WELLS? (pp' N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 12', i3' N <br /> CORRECT DEPTH OF LL TRENCHES? 420 N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ s" N <br /> CORRECT WIDTH OF LL TRENCHES? L' ® N <br /> CORRECT LENGTH OF LL TRENCHES? 6T, 0 N <br /> CORRECT TYPE OF PIPING? SU/R 35' o N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? vof N <br /> DISTANCE TO ANY WATER WELLS? f ZZy' N <br /> DISTANCE TO NEAREST FOUNDATION? �/ 1'�' 10 N <br /> DISTANCE OF SOIL BARRIER TO PITS? olo (r� 1j; Wo L{Q1 ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? 25' ® N <br /> CORRECT WIDTH? yl N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? eP 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 />