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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: -?5 50 ...- b PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: fX„4C/ <br /> CORRECT TANK CAPACITY? C/ 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? Sid /uw� N <br /> DISTANCE TO NEAREST LEACH LINE? S-1 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? 9::R- N <br /> IS D-BOX LEVEL? LO 4 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? O/e) -"� Z Y N <br /> DISTANCE TO NEAREST FOUNDATION? 37 S'/ -CP N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? ttP N <br /> CORRECT DEPTH OF LL TRENCHES? SS/" N epw <br /> CORRECT DEPTH AND TYPE OF ROCK? 8�' N <br /> CORRECT WIDTH OF LL TRENCHES? 2 N <br /> CORRECT LENGTH OF LL TRENCHES? YZ lIP N <br /> CORRECT TYPE OF PIPING? .SD/L 3r 9P N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Z N <br /> DISTANCE TO ANY WATER WELLS? /Vd rVtt N <br /> DISTANCE TO NEAREST FOUNDATION? S3/ N <br /> DISTANCE OF SOIL BARRIER TO PITS? .S« etra--I '� N <br /> CORRECT DEPTH AND TYPE OF ROCK? '25-' N <br /> CORRECT WIDTH? 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? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: �fj�yQSE{ _ DATE: <br /> z� 7 <br />