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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Cp F PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY?�/ � Y N <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? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? L/ Q:D N <br /> CORRECT TYPE OF PIPING? A -rM (�' 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? l/ �"( Q N <br /> DISTANCE TO NEAREST LEACH LINE? '1, S �' N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? QY N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? ✓ YL Y N <br /> CORRECT DEPTH OF LL TRENCHES? SQ ;yl N <br /> CORRECT DEPTH AND TYPE OF ROCK? V h N <br /> CORRECT WIDTH OF LL TRENCHES? _ 2 j h61 N <br /> CORRECT LENGTH OF LL TRENCHES? / 4—§77 N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? Y N <br /> OTHER 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? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERM T TO BE REDRAWN. _/ / <br /> COMMENTS: S CON 4aI'� m 0�U D 9 x <br /> -S , G IZe -o-G <br /> INSPECTED BY:��1P �H��,� �� DATE: ��/.�j/Q' <br />