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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 2171 I-V , Vv` Yet PERMIT# ry/Icr� Cj L 3 c <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: cc, <br /> CORRECT TANK CAPACITl?" - 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 Ed Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? /Y 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) <br /> DISTANCE TO PROPERTY LINE? !7 '9 N <br /> DISTANCE TO ANY WATER WELLS? 12-4' N <br /> DISTANCE TO NEAREST FOUNDATION? 1 j' N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? . YYt N <br /> CORRECT DEPTH OF e TRENCHES? �j�+'' (� N <br /> CORRECT DEPTH AND TYPE OF ROCK? 1 e61% N <br /> CORRECT WIDTH OFktTRENCHES? j1' N <br /> CORRECT LENGTH OF,LCTRENCHES? Zl' N <br /> CORRECT TYPE OF PIPING? SUR 'f j (Z> N <br /> OTHER Y N <br /> SEEPAGE PITS: TV" <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? &':;o 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: yH �ffj�'lfj� DATE: <br />