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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# -5KOV <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: E7l <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? gN <br /> CORRECT TYPE OF PIPING? -5DE 3 N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Ed Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 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? I rZsfl N <br /> DISTANCE TO ANY WATER WELLS? (f) N iv-et- <br /> DISTANCE TO NEAREST FOUNDATION? I q f4 fl N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? _ t. - Y N <br /> CORRECT DEPTH OF LL TRENCHES? y 4;N ON <br /> CORRECT DEPTH AND TYPE OF ROCK? GZ—L3 i V7- QOY N <br /> CORRECT WIDTH OF LL TRENCHES? I az 0 N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? A-5", N <br /> OTHER Y N <br /> SEEPAGE PITS: Q <br /> DISTANCE TO PROPERTY LINE? 7� 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? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: f; si , { -A <br /> INSPECTED BY�,, � ��s�/ �� DATE: <br />