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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# 5 Qt) <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: �'j <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? Y 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? 9 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? Y N <br /> DISTANCE TO ANY WATER WELLS? ippob kyw ,s I/Y N <br /> DISTANCE TO NEAREST FOUNDATION? k.-- U Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? ONQ j{� Y N <br /> CORRECT DEPTH OF LL TRENCHES? j 0Y N �� <br /> CORRECT DEPTH AND TYPE OF ROCK? �' Y N <br /> CORRECT WIDTH OF LL TRENCHES? 1/ 2i Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? l.% N <br /> DISTANCE TO ANY WATER WELLS? ._ yto Well n4wtv Y N <br /> DISTANCE TO NEAREST FOUNDATION? loo� 2LlY N <br /> DISTANCE OF SOIL BARRIER TO PITS? <br /> CORRECT DEPTH AND TYPE OF ROCK? [ Y N NO�oG S�e <br /> CORRECT WIDTH? N <br /> OTHER L--eN <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? `V N <br /> ANY NO <br /> COMME TSSWER ABOVE REQUIRES PERMIT TO BE REDRAWN.. <br /> {/bGtsIL J(LL 7` L - <br /> OL <br /> lAp <br /> C C z �cc 5 <br /> INSPECTED BYf� 00L'/`/ /+ � DATE: <br />