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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: uS PERMIT# rj f2 fj`G " <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY?��t Y N <br /> DISTANCE TO FOUNDATION? 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? ✓ N <br /> CORRECT TYPE OF PIPING? % N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ✓ l 3 N <br /> DISTANCE TO NEAREST LEACH LINE? ✓ S t N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ rY N <br /> IS D-BOX LEVEL? `(�\ N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) r � '�'l <br /> DISTANCE TO PROPERTY LINE? ✓ + (T/ N <br /> DISTANCE TO ANY WATER WELLS? F f� {( 1?j� O N <br /> DISTANCE TO NEAREST FOUNDATION? v } Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ,/ (e ( E + Z O N <br /> CORRECT DEPTH OF LL TRENCHES? r N <br /> CORRECT DEPTH AND TYPE OF ROCK? 14 N <br /> CORRECT WIDTH OF LL TRENCHES? 2 iLA N <br /> CORRECT LENGTH OF LL TRENCHES? ✓ N <br /> CORRECT TYPE OF PIPING? ALr rt`P ar— N <br /> OTHER Y N <br /> SEEPAGE PITS: n <br /> DISTANCE TO PROPERTY LINE? r V Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <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 <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? YANY NO N <br /> COMMENTS:WE ABOVE R QUIRE PERMIT TO B-3 Q AI <br /> (C Jt'f �07 e,-,x <br /> /2 /� o- a � -77 <br /> Sp on, jec� <br /> INSPECTED BY:�o-� I � DATE: <br />