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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# 5,Qt,5& v]4 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? -P N <br /> DISTANCE TO FOUNDATION? 31/ zD N <br /> DISTANCE TO PROPERTY LINE? fW $'p�+ —0 N <br /> DISTANCE TO ANY WELLS? dD N <br /> TANK LEVEL AND ORIENTED CORRECTLY? r d7 N <br /> SANITARY TEES CORRECTLY INSTALLED? i 0 N <br /> CORRECT TYPE OF PIPING? ,.F Doa3j- ® N <br /> TANK VENTED? 'A N <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? %/ 3 L (� N <br /> DISTANCE TO NEAREST LEACH LINE? 614,0 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? P N <br /> IS D-BOX LEVEL? -- 4> N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? /t5 4D N <br /> DISTANCE TO ANY WATER WELLS? %00, ("48 N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? �Z N <br /> CORRECT DEPTH OF LL TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? lq" N <br /> CORRECT WIDTH OF LL TRENCHES? ./ 1' N <br /> CORRECT LENGTH OF LL TRENCHES? (�� `� N <br /> CORRECT TYPE OF PIPING? 7 bo/L3,- d5 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? JD' Q N <br /> DISTANCE TO ANY WATER WELLS? 49 N <br /> DISTANCE TO NEAREST FOUNDATION? So !- &> N <br /> DISTANCE OF SOIL BARRIER TO PITS? S ' s ' V N <br /> CORRECT DEPTH AND TYPE OF ROCK? l p t N <br /> CORRECT WIDTH? 2 f N <br /> OTHER El 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. <br /> COMMENTS: L"&f side o t-t p'S'c- S s4e,-% . <br /> INSPECTED BY: �Y9��t�y+--�q� t5j DATE: i <br />