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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 1--L�,e -jo LN . PERMIT# 4 00 3 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? y0 N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? v�(�S N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? N 5 UA LV SO <br /> TANK VENTED? IJ <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER Y N <br /> DISTRIBUTION BOX: i <br /> DISTANCE FROM TANK? Q N <br /> DISTANCE TO NEAREST LEACH LINE? t, © 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? l OO Q N <br /> DISTANCE TO ANY WATER WELLS? ` 3 e' ® N <br /> DISTANCE TO NEAREST FOUNDATION? \1 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? \� 1` © N <br /> CORRECT DEPTH OF LL TRENCHES? ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? f \Vl ,BIZ Q N <br /> CORRECT WIDTH OF LL TRENCHES? (D N <br /> CORRECT LENGTH OF LL TRENCHES? C�C�r'-`SIp CYY) N <br /> CORRECT TYPE OF PIPING? J hOe S P��,F Q N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? `�O ® N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? +t 1 L ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? �5 `�t LTJ S N <br /> CORRECT WIDTH? 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 DATE: <br /> AV <br />