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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 5 i3 4t- PERMIT# O <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: S ,� <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? YU N <br /> CORRECT TYPE OF PIPING? S 3 5 Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Ed Y N <br /> DISTRIBUTION BOX: n Iz <br /> DISTANCE FROM TANK? L/ 7 Y N <br /> DISTANCE TO NEAREST LEACH LINE? !/ F 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? a Y N <br /> DISTANCE TO ANY WATER WELLS? 2 N <br /> DISTANCE TO NEAREST FOUNDATION? LY N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? -- O,Q, rzw Y N <br /> CORRECT DEPTH OF LL TRENCHES? V q2 N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N t S K I-- C[-4 <br /> CORRECT WIDTH OF LL TRENCHES? Et j, Y N <br /> CORRECT LENGTH OF LL TRENCHES? L[ Q N <br /> CORRECT TYPE OF PIPING? �/ �j��Q 3 S Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? ✓ © N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? ✓ F N <br /> CORRECT DEPTH AND TYPE OF ROCK? �� 2 N - o'Z . y), k-0 f <br /> CORRECT WIDTH? rr--� N <br /> OTHER PC f � 'o ? <br /> ✓ d F f N <br /> MISCELLANEOUS: "T <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? /Y� N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? U N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY:���� /1 �^�C /.� �� DATE: <br />