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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDE�ESS: PERMIT# CIL, <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? c O Y H <br /> DISTANCE TO FOUNDATION? LIZ Y N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? v/ ?26 Y N - <br /> TANK LEVEL AND ORIENTED CORRECTLY? V/ Y N <br /> SANITARY TEES CORRECTLY INSTALLED? V, Y N <br /> CORRECT TYPE OF PIPING? 3 S Y N <br /> TANKVENTED 7 N <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER ,n 0>j r. _ N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? xl Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N - <br /> DISTANCE OF SOIL BARRIER BETWEEN LUST Y N <br /> CORRECT DEPTH OFLLTRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 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 /> CORRECTWIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? J Y/ N <br /> ANY NO ANSWER ABOVE REQUIRES�ERMIT TO 8E REDRAWN. <br /> COMMENTS: 1r I� �� �1 `tf�J✓1'� C- <br /> i U N� <br /> INSPECTED BY: �� r� DATE: • I S <br />