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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: -L"A `\ i�,N Q' �p PERMIT# p C( <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: �1 <br /> CORRECT TANK CAPACITY? Q v N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? 5 }' N <br /> DISTANCE TO ANY WELLS? \ 7 N <br /> TANK LEVEL AND ORIENTED CORRECTLY? f d N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? � Q,, N <br /> TANK VENTED? „ ' <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? « Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? i Lc N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? oI N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Z yJ N <br /> CORRECT DEPTH OF LL TRENCHES? �D'I Y) N <br /> CORRECT DEPTH AND TYPE OF ROCK? Q ZN YJ/ N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y/ N <br /> CORRECT TYPE OF PIPING? F L`\ V N <br /> OTHERYl N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? 1 C,a Y N <br /> DISTANCE TO NEAREST FOUNDATION? -"T�,� Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? Y/ N <br /> OTHER N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? V N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> l>t lr <br /> INSPECTED BY: �y,,, DATE: <br /> U J f <br />