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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: S PERMIT# <br /> 5 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Q C& 0 N <br /> DISTANCE TO FOUNDATION? ,/ I S.ft & N <br /> DISTANCE TO PROPERTY LINE? Cb- (D N <br /> DISTANCE TO ANY WELLS? O f (Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? © N <br /> SANITARY TEES CORRECTLY INSTALLED? 1/ © N <br /> CORRECT TYPE OF PIPING? V S(�p�r� „©� N <br /> TANK VENTED? f (2) N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? v, Cij It N <br /> DISTANCE TO NEAREST LEACH LINE? (D N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? 77 O N <br /> IS D-BOX LEVEL? ✓ C) N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? t/ �� + Y N <br /> DISTANCE TO ANY WATER WELLS? _� + f C Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? p { Y N <br /> CORRECT DEPTH OF LL TRENCHES? y 2 of��G4 Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? G�-j (. Y N —7 I'yl <br /> CORRECT WIDTH OF LL TRENCHES? ✓ ^ Y N <br /> CORRECT LENGTH OF LL TRENCHES? V Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> A : Std M PS ( 3 <br /> DISTANCE TO PROPERTY LINE? I/ b ' Y N <br /> DISTANCE TO ANY WATER WELLS? ✓ 00 ( Y N <br /> DISTANCE TO NEAREST FOUNDATION? T t Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? �f Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? ;/ 2 Y N i_2 u) YD( < <.`7,C <br /> CORRECT WIDTH? t/ �. 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: w value. DATE: 1 I I A <br />