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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 2 Ll ' „ 7 ` ! PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: n <br /> CORRECT TANK CAPACITY? �2�0 O�GIJf/ N <br /> DISTANCE TO FOUNDATION? 7��� Y N <br /> DISTANCE TO PROPERTY LINE? + Y N <br /> DISTANCE TO ANY WELLS? � N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ® N <br /> SANITARY TEES CORRECTLY INSTALLED? �Y N <br /> CORRECT TYPE OF PIPING? Dl� ® N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? — ! <br /> N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 'O/ + QY N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 12 N <br /> CORRECT DEPTH OF LL TRENCHES? L��� N <br /> CORRECT DEPTH AND TYPE OF ROCK? �� Y N 1— 2-112- ACh, a"., <br /> CORRECT WIDTH OF LL TRENCHES? Z( N <br /> CORRECT LENGTH OF LL TRENCHES? <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? -�— N <br /> DISTANCE TO ANY WATER WELLS? / N <br /> DISTANCE TO NEAREST FOUNDATION? 7�7) Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? /LI Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 'Lrj / N <br /> CORRECT WIDTH? 42-" sy 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. �; n I ,� DATE. t� G� <br />