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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS:Z 5 9 I ,-c,Als r—Al PERMIT# 0 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER 40 if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: J <br /> CORRECT TANK CAPACITY? <br /> DISTANCE TO FOUNDATION? ✓ _-qq N <br /> DISTANCE TO PROPERTY LINE? S.. N <br /> DISTANCE TO ANY WELLS? ✓ ( { N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? 3 $ Y N <br /> TANK VENTED? V N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> T� <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? {-( N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ (lam N <br /> IS D-BOX LEVEL? �� �L'J1 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? �� �Y N <br /> DISTANCE TO ANY WATER WELLS? �% , �j N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ F Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ✓ { N <br /> CORRECT DEPTH OF LL TRENCHES? ✓ i t — 2 j Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? _ h i { pr Y N <br /> CORRECT WIDTH OF LL TRENCHES? a y r (yD N <br /> CORRECT LENGTH OF LL TRENCHES? v5W -f-f QY N <br /> CORRECT TYPE OF PIPING? 2 4 G N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? - �Y N <br /> DISTANCE TO NEAREST FOUNDATION? �—E N <br /> DISTANCE OF SOIL BARRIER TO PITS? YY N <br /> CORRECT DEPTH AND TYPE OF ROCK? oL S N - ,2 S vi {�� <br /> CORRECT WIDTH? �{ ,y <Y� N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES P MIT TO BE REDRAWN. I <br /> COMMENTS: ,v,n� IS �6 ik, vv,, I Vl-Q2� -,- <br /> lo <br /> lO d E ro 8 S „i i <br /> O ir -to 2 y <br /> INSPECTED BY:—DW a ' �� DATE: /� 9// <br />