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4 <br /> SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: /3 6-Ffe- PERMIT# 61240 18<5 76 <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? )-7 -1 N <br /> DISTANCE TO PROPERTY LINE? C) 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? ✓ boa 3s a N <br /> TANK VENTED? ✓ ® N <br /> ANY TANK ABNORMALITIES NOTED? to, �— t� N <br /> OTHER Y N <br /> DISTRIBUTION BOX: t �� <br /> DISTANCE FROM TANK? ✓ S 2 b N <br /> DISTANCE TO NEAREST LEACH LINE? ✓ S' of N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? f 90 N <br /> IS D-BOX LEVEL? R N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? t N <br /> DISTANCE TO ANY WATER WELLS? /,SO r ?D N <br /> DISTANCE TO NEAREST FOUNDATION? VA24?�' -7" N <br /> DISTANCE OF SOIL BARRIER BETWEEN LLS? Ial a N <br /> CORRECT DEPTH OF LL TRENCHES? 3t{ '' -Ml N <br /> CORRECT DEPTH AND TYPE OF ROCK? g'' N <br /> CORRECT WIDTH OF LL TRENCHES? Z` N <br /> CORRECT LENGTH OF LL TRENCHES? 5 a ' N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? % 3�, N <br /> DISTANCE TO ANY WATER WELLS? 1 5`y'd' N <br /> DISTANCE TO NEAREST FOUNDATION? 7�' t- Ab N <br /> DISTANCE OF SOIL BARRIER TO PITS? 5 S N <br /> CORRECT DEPTH AND TYPE OF ROCK? <br /> Ivy c� N <br /> CORRECT WIDTH? ?` ® 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: <br /> INSPECTEDBY: AtestDATE: <br />