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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# S <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Ail (./ N <br /> DISTANCE TO FOUNDATION? 1,2 77 N ;(-f M,t� 6I p 17-/ <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? N 30 IC4 ,U <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N W Q ltiPih <br /> CORRECT TYPE OF PIPING? S I 3 S N , <br /> TANK VENTED? v- Y N <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 Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 6 YO N <br /> DISTANCE TO ANY WATER WELLS? S Q N ( �3 f !,✓� <br /> DISTANCE TO NEAREST FOUNDATION? s Y N cor <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ff N <br /> CORRECT DEPTH OF LL TRENCHES? - Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Z "ki- Y N I r Z.S r N• i�O C <br /> CORRECT WIDTH OF LL TRENCHES? 'Z i h, Y N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? Z Z9 N <br /> OTHER Y N <br /> SEEPAGE PITS: �/�Q <br /> DISTANCE TO PROPERTY LINE? oY � Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? 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 Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOV REQ IRES PERMIT TO BE REDRAWN. <br /> COMMENTS: Q Qvt- O LAI! \ <br /> -oO <br /> —,,Vt C—L-0 t V1 e r 1 <br /> INSPECTED B :I DATE: O/ZV/9 <br />