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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 172 31 r.%*- A-of PERMIT# 5AV0 760 00 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? N <br /> DISTANCE TO FOUNDATION? 2! N <br /> DISTANCE TO PROPERTY LINE? ve, ICsd It (� N <br /> DISTANCE TO ANY WELLS? 2x" 4, Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? $ N <br /> SANITARY TEES CORRECTLY INSTALLED? ® N <br /> CORRECT TYPE OF PIPING? ./ SpIZ 3 jr '® N <br /> TANK VENTED? ED N <br /> ANY TANK ABNORMALITIES NOTED? Ct% N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? S N <br /> DISTANCE TO NEAREST LEACH LINE? 7 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? �o o It— Z� N <br /> DISTANCE TO ANY WATER WELLS? 2p&1+ N <br /> DISTANCE TO NEAREST FOUNDATION? I Z '� N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 12 N <br /> CORRECT DEPTH OF LL TRENCHES? �/ y j H ID N <br /> CORRECT DEPTH AND TYPE OF ROCK? /S(�� '19 N <br /> CORRECT WIDTH OF LL TRENCHES? L !D N <br /> CORRECT LENGTH OF LL TRENCHES? SS N <br /> CORRECT TYPE OF PIPING? spot as ® N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 100 ft.- N <br /> DISTANCE TO ANY WATER WELLS? Z-ar 91 t N <br /> DISTANCE TO NEAREST FOUNDATION? SO N <br /> DISTANCE OF SOIL BARRIER TO PITS? s�S' 10 N <br /> CORRECT DEPTH AND TYPE OF ROCK? Z$` 'M N <br /> CORRECT WIDTH? yi'� '® N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <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: 21/W1 <br />