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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: rz-1 ra PER-MITT D Q <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? ✓ 200 6) N 2 <br /> DISTANCE TO FOUNDATION? ✓ ((D + N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? t/ 6> N <br /> CORRECT TYPE OF PIPING? vY N <br /> TANK VENTED? kD N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? �J/ N 2 15 KJ-6 <br /> DISTANCE TO NEAREST LEACH LINE? �/ Com'/ © N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 1 O/ -} N <br /> DISTANCE TO ANY WATER WELLS? ' D N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ 4 r�� Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? N <br /> CORRECT DEPTH OF LL TRENCHES? 2 N <br /> CORRECT DEPTH AND TYPE OF ROCK? N k0cy YX STLE <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? 2(410 ') 2, 6b © N <br /> CORRECT TYPE OF PIPING? 0 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? \/ (C/ i-- YJ N <br /> DISTANCE TO ANY WATER WELLS? �/ �— (�Y N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? UY N <br /> CORRECT DEPTH AND TYPE OF ROCK? I n 0 N (L QVV q rbC S f ZQr <br /> CORRECT WIDTH? _ 2/ © N <br /> OTHER (-�NC-� " III I QY 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: pkkwc�" DATE. ` j 2 L4 <br />