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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: ZS Z N (J �t�{� CIA - PERMIT#Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? ' D-0 Clatt"6) N <br /> DISTANCE TO FOUNDATION? ( I -�-t N <br /> DISTANCE TO PROPERTY LINE? `20 IP �B N <br /> DISTANCE TO ANY WELLS? V/ (tom N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ��// N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? 0 N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? v 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? 123 l y� N <br /> DISTANCE TO ANY WATER WELLS? V Z 2 ,'W�( N <br /> DISTANCE TO NEAREST FOUNDATION? n TT7 © N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S1 © N <br /> CORRECT DEPTH OF LL TRENCHES? 4 21 © N <br /> CORRECT DEPTH AND TYPE OF ROCK? LH I nJL Q N ' 12—Z1 <br /> CORRECT WIDTH OF LL TRENCHES? V/ Z�-t (D N <br /> CORRECT LENGTH OF LL TRENCHES? �j,5 (D N <br /> CORRECT TYPE OF PIPING? D L l S Y N <br /> OTHER <br /> Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? S b Y N <br /> DISTANCE TO NEAREST FOUNDATION? V 70 ffC. 'CN <br /> DISTANCE OF SOIL BARRIER TO PITS? 1 N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2S �E Y N \91- <br /> CORRECT <br /> ZCORRECT WIDTH? 1-4 2) n Gg 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: -"' DATE: � I)Ll <br />