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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: V PERMIT# © 3 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER VInspected MEASUREMENT STANDARDS? CQINMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? / K I �y Y N <br /> DISTANCETOFOUNDATION? 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 /> CORRECTTYPE OF PIPING? Y N <br /> TANKVENTED 7 Y N <br /> ANYTANKABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: 5�i <br /> DISTANCE FROM TANK? 16 F� fico N c <br /> DISTANCETO NEAREST LEACH LINE? V la N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ N <br /> IS"OX LEVEL? `/ V N <br /> OTHER Y N Q Ovt c Vi�f� <br /> LEACHFIELD: (LL=LEACHLINES) ` ' VN ;i A c a o P K <br /> DISTANCE TO PROPERTYLINE7 ✓ �j �/ N <br /> DISTANCE TO ANY WATER WELLS? i/ N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? N L L . <br /> CORRECT DEPTH OF LLTRENCHES? T{ ) ; Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? to c Y N fkt <br /> CORRECTWIDTHOFLLTRENCHES? f —r N <br /> CORRECTLENGTHOFLLTRENCHES? v- Pr N <br /> CORRECTTYPE OF PIPING? 'j S Y N <br /> OTHER Y N <br /> Mme- <br /> DISTANCE TO PROPERTY LINE? ✓ �j f �Y N <br /> DISTANCE TO ANY WATER WELLS? {/ f N <br /> DISTANCETONEAREST FOUNDATION? ✓ _ F�_ �� N <br /> DISTANCE OF SOIL BARRIER TO PJTS? ,,j, j .F{ _ 1 N <br /> 'S <br /> CORRECTDEPTH AND TYPE OF ROCK? i/ N t 0 C I kz <br /> CORRECTWIDTH? ✓ © N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES pERMITDRAWING REFLECTACCURATE LOCATION OFSYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO E REDRAWN. f� <br /> COMMENTS: <br /> L�I'll. — G � (Q t OuAJ I S a4 <br /> S p Q. _e�v11 U-' Vt o✓✓-e 2 i� e - <br /> INSPECTED BY: t DATE: - 9 13/ 1 <br /> 3 ! 1 `� <br />