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1 <br /> SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: a <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANKCAPACIIY? 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? i r,112-f To- m N , t j <br /> CORRECT TYPE OF PIPING? N <br /> TANKVENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: X I S- <br /> DISTANCEFROMTANK? Y N <br /> 0TANCETO NEAREST LEACH LINE?Kw L i✓ C2 r E, y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? Y_ N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? V" 1 Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCETO NEAREST FOUNDATION? t/ Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LPS? N <br /> CORRECT DEPTH OF LLTRENCHES? �/ ��n N x S n <br /> CORRECT DEPTH AND TYPE OF ROCK? I VA N (.S -7 ; ra-c N <br /> CORRECT WIDTH OF LL TRENCHES? �� N <br /> CORRECT LENGTH OF LL TRENCHES? ✓ 5-' { N <br /> CORRECT TYPE OF PIPING? / S 3S N <br /> OTHER Y N <br /> SEEPAGE PITS: S L4 yYl <br /> DISTANCE TO PROPERTY LINE? 2114N <br /> DISTANCE TO ANY WATER WELLS? �/ we N <br /> DISTANCE TO NEAREST FOUNDATION? 4 ® N <br /> DISTANCE OF SOIL BARRIER TO PITS? z + LL © N <br /> CORRECT DEPTH AND TYPE OF ROCK? o- •f 11,5 f 4 N ( 2 j p, V-D CK . <br /> CORRECTWIDTH? :Zo Fj N <br /> OTHER / (0 Ff 7 S UI► Y N <br /> —%0;1 19 <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. '' en <br /> COMMENTS: / ✓l S L �n S /S /1 0 l'�- <br /> 44- ald A o ol Gil ` <br /> o O ✓ C S•r t <br /> ^5 f0 S Wrld D C Ow <br /> o` a Kix Ax- c Q <br /> INSPECTED BY: Q�% /� �� DATE: <br /> 7112- 9 1lq <br />