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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 'Z C) PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: r <br /> CORRECT TANK CAPACITY? 6 O Y N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? vumy Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? V-1, Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 2-0( N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? (Y/ N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL S? N <br /> CORRECT DEPTH OF LL TRENCHES? ✓ 142, U N <br /> CORRECT DEPTH AND TYPE OF ROCK? N - 2 SGL Ac rZ)(- 7 1 <br /> CORRECT WIDTH OF LL TRENCHES? � v'S N <br /> CORRECT LENGTH OF LL TRENCHES? J Y N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? ✓ 26 Y N <br /> DISTANCE TO ANY WATER WELLS? t +- Y N <br /> DISTANCE TO NEAREST FOUNDATION? C) 'f" Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? �/ Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 215 Y N Z (z, I 0(,Ll 02(1 /t= <br /> CORRECT WIDTH? it Z 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: , DATE: nI '� <br />