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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: L PU _ PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? ✓ Y N <br /> C DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? Q-Y N <br /> DISTANCE TO ANY WELLS? UY N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ✓ N <br /> SANITARY TEES CORRECTLY INSTALLED? ✓ Q N <br /> CORRECT TYPE OF PIPING? 0Y N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ✓ t N <br /> DISTANCE TO NEAREST LEACH LINE? ✓ C V 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? v © N <br /> DISTANCE TO ANY WATER WELLS? + 0) N <br /> DISTANCE TO NEAREST FOUNDATION? )/ © N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ✓ I ft N <br /> CORRECT DEPTH OF LL TRENCHES? ✓ n N <br /> CORRECT DEPTH AND TYPE OF ROCK? N —Z (t, 1 Yl C ALU ram�� <br /> CORRECT WIDTH OF LL TRENCHES? v �_�� 1� N <br /> CORRECT LENGTH OF LL TRENCHES? �zfz�( N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? YN <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y <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? Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: l��G`U�C Cwt paw)/ DATE: 2 U I Cl <br />