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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: i <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? Y N <br /> CORRECT TYPE OF PIPING? 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 /� Y N <br /> DISTANCE TO NEAREST LEACH LINE? s Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? 0 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) r2� <br /> DISTANCE TO PROPERTY LINE? ` ✓ $� l (� N <br /> DISTANCE TO ANY WATER WELLS? C-Y) N <br /> DISTANCE TO NEAREST FOUNDATION? i/ N <br /> DISTANCE OF SOIL BARRIER BETWEEN LLS? N <br /> CORRECT DEPTH OF LL TRENCHES? ✓ S y Y N i2 s _ <br /> CORRECT DEPTH AND TYPE OF ROCK? N I • S <br /> CORRECT WIDTH OF LL TRENCHES? (/ 2l{ i h � `Z N <br /> CORRECT LENGTH OF LL TRENCHES? Ll Q P+ N <br /> CORRECT TYPE OF PIPING? 5 DR' 3S Y N <br /> OTHER Y N <br /> SEEPAGE PITS: C <br /> Wi <br /> DISTANCE TO PROPERTY LINE? �� (-T N <br /> DISTANCE TO ANY WATER WELLS? s s- _ N <br /> DISTANCE TO NEAREST FOUNDATION? -{ N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ .2 S Y N <br /> CORRECT WIDTH? �� �j )yt, N <br /> OTHER p; S4W A- of Q {� 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? SY N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY:��; P �� /� �� DATE: 12,611 <br />