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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: `IO PERMIT# 5 VC <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? I 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? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? U N <br /> DISTANCE TO NEAREST LEACH LINE? �/ F (YN <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? �/ Y N <br /> IS D-BOX LEVEL? f Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) 1 h <br /> DISTANCE TO PROPERTY LINE? (Y N <br /> N <br /> DISTANCE TO ANY WATER WELLS? <br /> DISTANCE TO NEAREST FOUNDATION? v '� 6 P4 Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? -.c Y N <br /> CORRECT DEPTH OF LL TRENCHES? L4,2 N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? V, a f Y N <br /> CORRECT LENGTH OF LL TRENCHES? H ( 4 N <br /> CORRECT TYPE OF PIPING? t/ a Y N <br /> OTHER Y N <br /> SEEPAGE PITS: , <br /> DISTANCE TO PROPERTY LINE? v- _ f' OY N <br /> DISTANCE TO ANY WATER WELLS? t 0 {�- N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ F (�( N <br /> DISTANCE OF SOIL BARRIER TO PITS? �/ l - N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ -5, 7 N <br /> CORRECT WIDTH? v -� i n, N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? YY N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: �IOL <br /> n(` �S�` (� ��i ��!_ k0.�r. DATE: <br />