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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: �r� fa- :�me� PERMIT# 77 d,' <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER ifimpected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECTTANKCAPACITY? / �ypp "y— N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? / 3� lY� N <br /> DISTANCE TO ANY WELLS? i rmvo ows N <br /> TANK LEVEL AND ORIENTED CORRECTLY? 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? N <br /> OTHER < — Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? <br /> DISTANCETO NEAREST LEACH LINE? s �� N <br /> \\ <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? / — Y N <br /> ISD-BOXLEVEL? — 2ft N <br /> OTHER i X N <br /> LEACHFIELD: (LL=LEACHUNES) <br /> DISTANCETO PROPERTY LINE? / /J �r N <br /> DISTANCE TO ANY WATER SMELLS? i �ooa Q,�✓5 6� N <br /> DISTANCE TO NEAREST FOUNDATION? req �y N - <br /> OISTANCEOFSOIL BARRIER BETWEEN LL'S? N <br /> CORRECT DEPTH OF LL TRENCHES? / Q N <br /> CORRECT DEPTH AND TYPE OF ROCK? GW N <br /> CORRECT WIDTH OF LL TRENCHES? / � N <br /> CORRECT LENGTH OF LL TRENCHES? / �' — Ga N <br /> CORRECTTYPE OF PIPING? 5T N <br /> OTHER GY N <br /> SEEPAGE PRS: <br /> DISTANCETO OPERTYLINE? Y N - <br /> DISTANCE ANY WATER WELLS? Y N <br /> DISTANC O NEAREST FOUNDATION? Y N <br /> DIST E OF SOIL BARRIER TO PITS? Y N <br /> COR CT DEPTH AND TYPE OF ROCK? Y N <br /> CO ECTWIDTH? Y N <br /> 0 ER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? CY N - <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TOLOCATE INFUTURE? 19 N <br /> ANYNOA WER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COM TS: <br /> INSPECTED BY:d- J DATE: </ /� <br />