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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 3q 5 PERMIT# pp 2 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? �2 O O G�c�l N <br /> DISTANCE TO FOUNDATION? / �� N <br /> DISTANCE TO PROPERTY LINE? ✓ 1 ID Ft t ® N <br /> DISTANCE TO ANY WELLS? ✓ LA fT N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? V S D L� [� N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER <br /> Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? r N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? Y QY N <br /> OTHER Y N <br /> LEACH FIELD: �tt:—tE-{�Htttdr S) 1 V I ltyi C -X-s <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? L j © N <br /> DISTANCE TO NEAREST FOUNDATION? Q N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ti/ l ) -�t" N <br /> CORRECT DEPTH OF LL TRENCHES? �/ �� © N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? ✓ 2 — m N <br /> CORRECT LENGTH OF LL TRENCHES? v 6 -C N <br /> CORRECT TYPE OF PIPING? S p N <br /> OTHER Y N <br /> SEEPAGE PITS: N O a T r <br /> DISTANCE TO PROPERTY LINE? `` r J- J Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? f - - ------ __._-_.__ _.- <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? 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:����v� � DATE: <br />