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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: L !kW-\ \Z-c L ev- PERMIT# S 0 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? l+q� Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? C`D N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? 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? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 10\� t�`� . `Y N >< (��,�W��1,-V <br /> DISTANCE TO ANY WATER WELLS? `y �$ N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? N 1 a N <br /> CORRECT DEPTH OF LL TRENCHES? L , N <br /> CORRECT DEPTH AND TYPE OF ROCK? <br /> CORRECT WIDTH OF LL TRENCHES? 2 0 NcjpSsJQ — �,�>r�Sc:AM <br /> CORRECT LENGTH OF LL TRENCHES? N \� pcQ.Q Q�l ► O M Q � <br /> CORRECT TYPE OF PIPING? �j�� 3 C� ® N <br /> OTHER Y N <br /> SEE s-' <br /> DISTANCE TO PROPERTY LINE? 1 i ® N S <br /> DISTANCE TO ANY WATER WELLS? J I \ r,"� �c Y, ® N c,Pip a�yy tL(a� <br /> DISTANCE TO NEAREST FOUNDATION? J ``���(, N L\.VAS br\N1 k` 1r�YiQ fl Day. <br /> DISTANCE OF SOIL BARRIER TO PITS? <br /> CORRECT DEPTH AND TYPE OF ROCK? �� , N <br /> CORRECT WIDTH? N <br /> OTHER <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> S <br /> INSPECTED BY: DATE: <br />