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f <br /> SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: V I PERMIT# $OS <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: ` <br /> CORRECT TANK CAPACITY? Ex i <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? N <br /> SANITARY TEES CORRECTLY INSTALLED? Y <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? ✓ b`L N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) TY) n} <br /> DISTANCE TO PROPERTY LINE? v, 2N <br /> DISTANCE TO ANY WATER WELLS? p 4- N <br /> DISTANCE TO NEAREST FOUNDATION? `� OY N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? ,' (0 ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? V/ (D, N 2p_ J+rA4-p-r LZI <br /> CORRECT LENGTH OF LL TRENCHES? 0 N <br /> CORRECT TYPE OF PIPING? !U N <br /> OTHER Y N <br /> SEEPAGE PITS: cc <br /> DISTANCE TO PROPERTY LINE? <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? v(/ N <br /> DISTANCE OF SOIL BARRIER TO PITS? — Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? QY N <br /> CORRECT WIDTH? C) 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 PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: k--e l.i DATE: <br />