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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: F k PERMIT# E— <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? V N <br /> DISTANCE TO FOUNDATION? ✓ (/ N <br /> DISTANCE TO PROPERTY LINE? 5b F� (DY N <br /> DISTANCE TO ANY WELLS? [ d - (_Z) N 13 <br /> TANK LEVEL AND ORIENTED CORRECTLY? V, CD N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? 0 N <br /> TANK VENTED? (Y) N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ® N <br /> DISTANCE TO NEAREST LEACH LINE? V 5 f © N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? Q N <br /> DISTANCE TO NEAREST FOUNDATION? (YD N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ✓ In ('�Y N <br /> CORRECT DEPTH OF LL TRENCHES? V/ r C�U) Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ k-i'D 0 NJ�— <br /> CORRECT WIDTH OF LL TRENCHES? oC Y N <br /> CORRECT LENGTH OF LL TRENCHES? ,/ 5. 0 N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: frer / � t -19 <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? 1 p I( I(7 N <br /> DISTANCE OF SOIL BARRIER TO PITS? 4 7 `�- N <br /> CORRECT DEPTH AND TYPE OF ROCK? . ZS ® N <br /> CORRECT WIDTH? !I t lir ' N <br /> OTHER L4 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, f <br /> COMMENTS: .ZHS Sr r �— .�fJ I►�A t�l�• 7� -54�+ L��l°. <br /> z. c.v�ygegq <br /> rc. /� wrac tu/ I <br /> GlAA- <br /> , ♦ <br /> INSPECTED BY: -eec, iL j DATE: G _�9 <br />