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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS- 7LY L 6t C PERMIT# 5oe004?0rpV <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: 6'.3v <br /> CORRECT TANK CAPACITY? 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? 11V N <br /> DISTANCE TO NEAREST LEACH LINE? 7 1 —V N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? 00 N <br /> IS D-BOX LEVEL? m N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? �pD �� 1p N <br /> DISTANCE TO ANY WATER WELLS? voo20 ® N <br /> DISTANCE TO NEAREST FOUNDATION? Z31 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 14 N <br /> CORRECT DEPTH OF LL TRENCHES? N ;S <br /> CORRECT DEPTH AND TYPE OF ROCK? Y'' -ID N <br /> CORRECT WIDTH OF LL TRENCHES? Z N <br /> CORRECT LENGTH OF LL TRENCHES? 1 f '!� N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Me If 4> N <br /> DISTANCE TO ANY WATER WELLS? /7/ N <br /> DISTANCE TO NEAREST FOUNDATION? rj /— v N <br /> DISTANCE OF SOIL BARRIER TO PITS? Sec nw-!a 11p, N <br /> CORRECT DEPTH AND TYPE OF ROCK? voll, 12's` ZIP N <br /> CORRECT WIDTH? 4W M� -ZP N <br /> OTHER FET Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? 0 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: ev— y-2) DATE: &tom, 6-11-11 <br />