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SEPTIC SYSTEM INSPECTION CHECK LISW <br /> ADDRESS: I W L4 the PERMIT# S 0 2 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? CQMME-NTS <br /> SEPTIC TANK: -AKQ <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? Y N <br /> DISTANCE TO NEAREST LEACI I LINE? / N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? v- S 1 1 Y N <br /> DISTANCE TO ANY WATER KNELLS? 220 N <br /> DISTANCE TO NEAREST FOUNDATION? 75 Y N - <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ✓ to { N <br /> CORRECT DEPTH OF LL TRENCHES? 11 `' N I S t N S 5te-m• 30 in o oP <br /> CORRECT DEPTH AND TYPE OF ROCK? ^!aC b N <br /> CORRECT WIDTH OF LL TRENCHES? �/ y�. , N <br /> 1 CORRECT LENGTH OF LL TRENCHES? CN <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: U a, <br /> DISTANCE TO PROPERTY LINE? ( J >� gyy <br /> N <br /> DISTANCE TO ANY WATER WELLS? -j S' •F} N <br /> DISTANCE TO NEAREST FOUNDATION? + N <br /> DISTANCE OF SOIL BARRIER TO PITS? S © N <br /> CORRECT DEPT}I AND TYPE OF ROCK? L ,S 1 N V .s — -2 ;h, ro Ck_S <br /> CORRECTWIDTH? a..,S•f4 by I A 9 N <br /> OTHER Y N <br /> MI8CFlJ-ANF0US: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? SY N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: XIS '1/i0 ` S"1 1 TP�YYI aA'rl S t k' (L <br /> INSPECTED BY: DAIS: • J / �30/ i C� <br />