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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS; v Oa /l PERMIT# irozkz <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? /ZZO N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? -f- 7'► Y 10 <br /> TANK LEVEL AND ORIENTED CORRECTLY? -m N <br /> SANITARY TEES CORRECTLY INSTALLED? �— 4T) N <br /> CORRECT TYPE OF PIPING? 9:�l I& <br /> TANK VENTED? �— jT) N <br /> ANY TANK ABNORMALITIES NOTED? Cl N <br /> OTHER Y N <br /> DISTRIBUTION BOX: ► <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? 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? O �'� N <br /> DISTANCE TO ANY WATER WELLS? /dS N <br /> DISTANCE TO NEAREST FOUNDATION? 2D N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? to ' Y 67 <br /> CORRECT DEPTH OF LL TRENCHES? 117 ?-► ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y 0 <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? V N <br /> CORRECT TYPE OF PIPING? f ,51—�Sasa Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? 70 t N <br /> DISTANCE OF SOIL BARRIER TO PITS? /0, �D N <br /> CORRECT DEPTH AND TYPE OF ROCK? —Z N <br /> CORRECT WIDTH? 36 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? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. //�� II <br /> COMMENTS: µwe � - // <br /> e4w.- –f 6--- s eP-4ti -{x ,.�K• Lem k a(Gt <br /> UGIe-S Ct LAet P f t �• GUrtt.y�� oH� �• �� up YL <br /> •^ 4 f[ :•� r - . 4 e f .e ods v y c�clr�c �� b02 <br /> !� r•�-CJ o GIJQ tJN^ -6J G.2a <br /> INSPECTED BY: ` tom_ y` DATE: �� �y <br />