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SEPTIC SYSTEM!(INSPECTION GHECK LIST <br /> ADDRESS: f PERI'IT# U <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER 11W If Inspected MEASUREMENT STANDARDS? G MMENTS <br /> SEPTIC TANK: <br /> CORRECTTANKCAPAWY? Y N <br /> DISTANCE TO FOUNDATION? Y <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCI=TO ANY WELLS? Y N <br /> TANKLEVEL AND ORIENTED CORRECTLY? IV �• <br /> SANDRY TEES CORRECTLY INSTALLED? <br /> CORRECTTYPE OF PIPING? N <br /> TANKVENTED? Y N <br /> ANYTANKABNORMALITIESNOTED? Y N_ 1 <br /> OTHER Y N <br /> DISTRIBUTION BOX _ <br /> DISTANCE FROM TANK? _ Y N <br /> DISTANCETO NEARESTLEACH LINE? — N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS fl-BOX LEVEL? N <br /> OTHER N <br /> LEACH FIELD: (LL=L.Ff1CH LINES) I a O"7- <br /> DISTANCE TO PROPERTY LINE? Y N <br /> )ISTANCETOANY WATER WELLS? Y N <br /> DISTANCETO NEARESTFOUNDATION? N - <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? N <br /> CORRECT DEPTH OF LLTRENGHES? ' ' N jr <br /> CORRECT DEPTH AND TYPE OF ROCK? i h µrd Y N <br /> CORRECT WIDTH OFLLTRENGHES? N <br /> CORRECTLENGTH OF LL TRENCHES? I bl, N <br /> CORRECTTYPE OF PIPING? N <br /> OTHER N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY UNE? i Z CY N <br /> DISTANCE TO ANY WATER WELLS? AZ 1- Y N <br /> DISTANCETO NEARESTFOUNDATION? p N <br /> N <br /> DISTANCE OF SOIL BARRIER TO PITS? <br /> CORRECTDEPTH AND TYPE OF ROCK? ,T� N �- O <br /> CORRECT WIDTH? ` ;y� '' N <br /> OTHER N <br /> MISCEI LANEOUS: <br /> DOES PERMIT DRAWING IkEFLECTACCURATE LOCATION OF SYSTEM? Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMITTO BE REDRAWN. <br /> COINMEMS: <br /> . f • <br /> INSPECTED BY: DATE: � / n.� /)O <br />