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, <br /> SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 21 k PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER rfinspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? oc-) N <br /> DISTANCE TO FOUNDATION? ( i N <br /> DISTANCE TO PROPERTY LINE? - N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? <br /> CORRECT TYPE OF PIPING? �� N <br /> TANK VENTED? O N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? \/ 5/ Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y 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? Ff.F- Y N <br /> DISTANCE TO ANY WATER WELLS? ( I f / N <br /> DISTANCE TO NEAREST FOUNDATION? 2-0 Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? �/ � Y N <br /> CORRECT DEPTH OF LL TRENCHES? L.(2m N <br /> CORRECT DEPTH AND TYPE OF ROCK? 18 N t-Z l2 I V1r Il (XAI A Y2)C,bt �fl <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? 10 Q Y N <br /> CORRECT TYPE OF PIPING? _ N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Yv 1' J Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y <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: ''V a_ DATE: <br />