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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Z Yy Al- PERMIT# 4 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? ✓ Lard N <br /> DISTANCE TO FOUNDATION? ✓ 321 N <br /> DISTANCE TO PROPERTY LINE? ra fi N <br /> DISTANCE TO ANY WELLS? 2cic7�I- N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? ✓ N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ZO ® N <br /> DISTANCE TO NEAREST LEACH LINE? (�� 10 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? AP N <br /> IS D-BOX LEVEL? /D N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? V L N <br /> DISTANCE TO ANY WATER WELLS? ZOO «' (D N <br /> DISTANCE TO NEAREST FOUNDATION? 7z.&' N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? N <br /> CORRECT DEPTH OF LL TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? /� to N <br /> CORRECT WIDTH OF LL TRENCHES? V (A N <br /> CORRECT LENGTH OF LL TRENCHES? 3S' b N <br /> CORRECT TYPE OF PIPING? S,t>/c 3 S- N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? /Z /&7 N <br /> DISTANCE TO ANY WATER WELLS? zoo I O N <br /> DISTANCE TO NEAREST FOUNDATION? Tjd f N <br /> DISTANCE OF SOIL BARRIER TO PITS? s (� Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2;' 0 N <br /> CORRECT WIDTH? 'V N <br /> OTHER Y N <br /> MISCELLANEOUS: n <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? 1r 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: tfy✓� � DATE: <br />