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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS:' ( *�JCheckbDx <br /> ✓�E it PERMIT# <br /> ACTUAL MEETS SJC <br /> PARAMETER f Inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: o <br /> CORRECT TANKCAPACIIY? X 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 7 Y N <br /> ANY.TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX <br /> DISTANCE FROM TANK? S l . -tit Yv N <br /> DISTANCE TO NEAREST LEACH LINE? {-- N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? - ^t'4.i . L I- Y N <br /> IS D-BOX LEVEL? t v N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? ✓ S �� Y N <br /> DISTANCE TO ANY WATER QUELLS? �/ a a � �} Y N <br /> DISTANCE TO NEAREST FOUNDATION? 3 3 { N - <br /> DISTANCEOFSOILBARRIERBETWEENLL'S? �� 7�,� N 71LL5 <br /> CORRECT DEPTH OF LL TRENCHES? 3� h N <br /> CORRECT DEPTH AND TYPE OF ROCK? h L { y c v✓ Y N <br /> CORRECT WIDTH OF LL TRENCHES? �2 H h N <br /> CORRECT LENGTH OF LL TRENCHES? J ¢ { y N <br /> CORRECT TYPE OF PIPING? ✓ L(x 'Z�I S� 3S ® N <br /> OTHER Y N <br /> SEEPAGE PITS: X { <br /> DISTANCE TO PROPERTY LINE? I - N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? Li 9 F4 N <br /> DISTANCE OF SOIL BARRIER TO PITS? ✓ i �r,vY,�` N <br /> CORRECT DEPTH AND TYPE OF ROCK? V" Sy 4 ���J N •S - , N (-cc <br /> CORRECTWIDTH? ✓ 3 6 l"J N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? C]L.i 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� ow'0- �a/q� (X-- <br /> DATE: • <br />