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e <br /> SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? E�IS�"1 T N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y <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? O l Y N <br /> DISTANCE TO NEAREST LEACH LINE? 5 Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? �c7� - CS:) N <br /> DISTANCE TO ANY WATER WELLS? ( Q -}- N <br /> DISTANCE TO NEAREST FOUNDATION? RDS { © N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? L4 Y N I-2 �(� (�.q ��!s i ?� <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? j' Y N <br /> OTHER Y N <br /> SEEPAGE PITS: _ <br /> DISTANCE TO PROPERTY LINE? "Do� •.t- © N <br /> DISTANCE TO ANY WATER WELLS? G�C)' -+ 0 N <br /> DISTANCE TO NEAREST FOUNDATION? i ()O ( N <br /> DISTANCE OF SOIL BARRIER TO PITS? in, Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2!�j Y N )-'L T2 f Yl a, aw!1 rat <br /> CORRECT WIDTH? rd 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 PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: DATE: 57 <br />