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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: _2 eA n a r PERMIT# pp <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER `\� if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? v- 2 Y N <br /> DISTANCE TO FOUNDATION? 1( N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? Y N ND w Mit t/I,y(f l� <br /> TANK LEVEL AND ORIENTED CORRECTLY? (!) N <br /> SANITARY TEES CORRECTLY INSTALLED? (y) N <br /> CORRECT TYPE OF PIPING? © N <br /> TANK VENTED? (y� N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? U N <br /> DISTANCE TO NEAREST LEACH LINE? v/ , N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> r � <br /> DISTANCE TO PROPERTY LINE? V/ l T) N <br /> DISTANCE TO ANY WATER WELLS? Y N KID W F—L L <br /> DISTANCE TO NEAREST FOUNDATION? OY N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ ,$ Y N 1- 2 '(2 iilr C1 NLl (0 G Sl <br /> CORRECT WIDTH OF LL TRENCHES? 2 0) N <br /> CORRECT LENGTH OF LL TRENCHES? �/ Lel Q N <br /> CORRECT TYPE OF PIPING? �/ 3 sj O N <br /> OTHER Y N <br /> SEEPAGE PITS: U M <br /> DISTANCE TO PROPERTY LINE? �� I N <br /> DISTANCE TO ANY WATER WELLS? — Y N k(0 W'E L L— <br /> DISTANCE TO NEAREST FOUNDATION? oY N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? \/ I zQ N -2 /,2, 1 n a,vd rb <br /> CORRECT WIDTH? 2 N <br /> OTHER t-FN TH 12 O 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 <br /> 4 J_„ , ,f- f-'a" DATE: 7 2� <br />