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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: a PERMIT# g=r 0O Q 2 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 2�0 p✓, N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? �/ iv I;zf2N <br /> DISTANCE TO ANY WELLS? q 6 P4 Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? 5 2 3 5 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? ED N <br /> DISTANCE TO NEAREST LEACH LINE? 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? N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN ILLS? L 0 OY N <br /> CORRECT DEPTH OF LL TRENCHES? Li Z h_ N L <br /> CORRECT DEPTH AND TYPE OF ROCK? L Z fn. Y N 2, 5 j yl <br /> CORRECT WIDTH OF LL TRENCHES? V 2 y_ Y N <br /> CORRECT LENGTH OF LL TRENCHES? ( pp N <br /> CORRECT TYPE OF PIPING? �� 722 Y N <br /> OTHER Y N <br /> SEEPAGE PITS: nn <br /> DISTANCE TO PROPERTY LINE? V 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? Y ON <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? OY N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: TA , r,/ S <br /> O"- — &c <br /> INSPECTED 8Y:T <br /> (�/ % w / - DATE: <br /> 11/1 <br /> 1/1 n/jq <br />