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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: W Ll PERMIT# Sp Cq <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: )�'Z <br /> CORRECT TANK CAPACITY? 120011,X, Y N <br /> DISTANCE TO FOUNDATION? ✓ 12-1 N <br /> DISTANCE TO PROPERTY LINE? '5n'-4 <br /> N <br /> DISTANCE TO ANY WELLS? �/ �s(� + N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Q N <br /> SANITARY TEES CORRECTLY INSTALLED? t/ N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? V Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? �(�� N <br /> DISTANCE TO NEAREST LEACH LINE? \/ /j/ 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? 3(�� YQ N <br /> DISTANCE TO ANY WATER WELLS? , Y N <br /> DISTANCE TO NEAREST FOUNDATION? I BY N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 121 N <br /> CORRECT DEPTH OF LL TRENCHES? 2 N <br /> CORRECT DEPTH AND TYPE OF ROCK? I�-/ (3) N - 2 /I /14, rbCk 97 ZrL <br /> CORRECT WIDTH OF LL TRENCHES? 2,f// ® N <br /> CORRECT LENGTH OF LL TRENCHES? 5S/ e) N <br /> CORRECT TYPE OF PIPING? S p R c�- d N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? J 7 <br /> o, Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? '2 + Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? (_:/ N <br /> CORRECT WIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: r � DATE: $ •2 O� <br />