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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: SD77 0e F r _ PERMIT# &Q D t-{-7 y <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: ��77 <br /> CORRECT TANK CAPACITY? L io 0 N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? O L-( [ - N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ✓ N <br /> SANITARY TEES CORRECTLY INSTALLED? LTJ N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? ✓ N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? \/ `j -j F N <br /> DISTANCE TO NEAREST LEACH LINE? �/ 7j �� V N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? p y�z 'r L YYN <br /> IS D-BOX LEVEL? Q N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) ( r <br /> DISTANCE TO PROPERTY LINE? ✓ { N <br /> DISTANCE TO ANY WATER WELLS? LOO r4 119 Y N IGO' of 1, Well 119' �;> �� livt I I ac✓O`J Surae( <br /> DISTANCE TO NEAREST FOUNDATION? 11 Tll Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N cL <br /> CORRECT DEPTH OF LL TRENCHES? V _I i n Y N LP 12L <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ �� '� Y N <br /> CORRECT WIDTH OF LL TRENCHES? IF 4 N <br /> CORRECT LENGTH OF LL TRENCHES? ✓ '3 5" R N <br /> CORRECT TYPE OF PIPING? fKTM D 7-12 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? v/ <br /> 1 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 /> CORRECT WIDTH? Y N <br /> OTHER El Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? l.% N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN.f '/ I (_ J <br /> COMMENTS: i 0 I S t►c- '7 r.�vt f� (�eikrL�-(-6-o k7 O I A S C Q-✓1 k wo <br /> 2-3 ypwn 4- oto a., n mac , Own I� <br /> —S-A-) <br /> C D <br /> INSPECTED Bry w/ ^ /� DATE: I ` <br />