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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Z9f F maY OSa s CCt(t7-, PERMIT# S 0 0 -7 2- <br /> Check <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: /—�/ <br /> CORRECT TANK CAPACITY? 2,n q G.� lYN <br /> DISTANCE TO FOUNDATION? r 5 OY N <br /> DISTANCE TO PROPERTY LINE? ✓ N <br /> DISTANCE TO ANY WELLS? ✓ N <br /> TANK LEVEL AND ORIENTED CORRECTLY? V� Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? S f? Y N <br /> TANK VENTED? �/ Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER <br /> Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? v ® N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? �/ (`y� N <br /> IS D-BOX LEVEL? U`J� N <br /> OTHER <br /> Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? -( y N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? 1!3 N <br /> CORRECT DEPTH OF LL TRENCHES? k I N <br /> CORRECT DEPTH AND TYPE OF ROCK? (,A N _z 1✓lC�\ Z <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER <br /> Y N <br /> umPS <br /> DISTANCE TO PROPERTY LINE? t N <br /> DISTANCE TO ANY WATER WELLS? Z oc5-ft Y N <br /> DISTANCE TO NEAREST FOUNDATION? YN <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? V� L O N I -Z (V1 CC, 0—a YAC(C Si <br /> CORRECT WIDTH? (D N <br /> OTHER LL'N(�TH ? yl ( �� G) 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 /> C MMENTS: <br /> Yl Vb Su fz <br /> UC .meq rye, <br /> Y✓1 L.L . <br /> te✓V n V <br /> v ,a <br /> INSPECTED BY: DATE: 12,117 <br /> Z'I/ <br />