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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: C4 PERMIT# 5 Q <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER 4- if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: /r'' <br /> CORRECT TANK CAPACITY? �6 V 0 �� N <br /> DISTANCE TO FOUNDATION? V N <br /> DISTANCE TO PROPERTY LINE? 1 n",4 f- (y) N <br /> DISTANCE TO ANY WELLS? CD N <br /> TANK LEVEL AND ORIENTED CORRECTLY? \/ ® N <br /> SANITARY TEES CORRECTLY INSTALLED? (3) N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? (/ ® N <br /> ANY TANK ABNORMALITIES NOTED? - r( N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? �/ 5d��- N <br /> DISTANCE TO NEAREST LEACH LINE? 0 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? ✓ 25 N <br /> DISTANCE TO NEAREST FOUNDATION? C N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Lf 8 (2) N <br /> CORRECT DEPTH AND TYPE OF ROCK? j g/' (D N <br /> CORRECT WIDTH OF LL TRENCHES? / RN <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? \/ 5 C q_ 3 (D N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 3 2� Q N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? �/ ( '(�� Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2% Y N 1—,z a (,k IGS �4 <br /> CORRECT WIDTH? Y N <br /> G <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: I� p <br />