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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Woo .-, PERMIT# S �Q <br /> Check ffox ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: / <br /> CORRECT TANK CAPACITY? 1600 6171N <br /> DISTANCE TO FOUNDATION? 1/ 6 N <br /> DISTANCE TO PROPERTY LINE? �/ 3o -F N <br /> DISTANCE TO ANY WELLS? S0 f f N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? ✓ Ny,/ Q u PJVI <br /> CORRECT TYPE OF PIPING? ✓ 3 S oCJ N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER ✓ -zoo 10 N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? i o Y N <br /> DISTANCE TO NEAREST LEACH LINE? t/ N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? O N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES)T._(`; ✓a r <br /> DISTANCE TO PROPERTY LINE? (3x) ✓ Y N <br /> DISTANCE TO ANY WATER WELLS? `/ y sp N <br /> DISTANCE TO NEAREST FOUNDATION? [ 6 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? n/ n, Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? t yi (-fl�p Y N <br /> CORRECT WIDTH OF LL TRENCHES? ; Y N <br /> CORRECT LENGTH OF LL TRENCHES? i/ (p 8 N <br /> CORRECT TYPE OF PIPING? Z (D N <br /> OTHER ✓ F� r o N <br /> Ste- u v0 P s , / <br /> DISTANCE TO PROPERTY LINE? ✓ l� f <br /> �yy N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ ��7 F{ G N <br /> DISTANCE OF SOIL BARRIER TO PITS? ✓ N <br /> CORRECT DEPTH FjfJD TYPE OF ROCK? �/ N �. S --Z <br /> CORRECT WIDTH � 9�h. 1✓ y � ld (11�2��16� N <br /> OTHER 1 I/ 71LS'a -E, p (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? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BER DRAWN. 1 / <br /> COMMENTS: eJL4A I !PTS pro Ao <br /> C OGS <br /> o PAS Y! '{ I n Iv <br /> L �L <br /> INSPECTED BY: i �� j DATE: �-) 12 S/1'V <br />