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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: c' N �v PERMIT# 4 0 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N 0 bOQ ,W/�/ ' <br /> DISTANCE TO FOUNDATION? Vo Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? 3.0 Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? L Y N <br /> SANITARY TEES CORRECTLY INSTALLED? c( Cj Y N <br /> CORRECT TYPE OF PIPING? �jC� Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ��f� Y N <br /> IS D-BOX LEVEL? f-) Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? (c4 Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 5 Y N b' - 1' 2 j :; k <br /> CORRECT DEPTH OF LL TRENCHES? Y N 4Gj r' <br /> CORRECT DEPTH AND TYPE OF ROCK? yam° Y N <br /> CORRECT WIDTH OF LL TRENCHES? '1,`-'l'r Y N <br /> CORRECT LENGTH OF LL TRENCHES? C,U1 Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: Yt <br /> DISTANCE TO PROPERTY LINE? 0 Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? %6 Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Q' \ Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 5' \`(Z day A Y N <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: DATE: <br />