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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: j PERMIT# -,Ur-,eja 1C <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER % if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? ` Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Cts + Y N <br /> DISTANCE TO ANY WELLS? /.t Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ®Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? �/ k 2, N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Cj N <br /> DISTANCE TO NEAREST LEACH LINE? Ci ��VJJ 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) _��I t1 ZiIjY <br /> DISTANCE TO PROPERTY LINE? �/ l j j C N <br /> DISTANCE TO ANY WATER WELLS? g 0/ N <br /> DISTANCE TO NEAREST FOUNDATION? L C� -f Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? L4 D N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Z/ N <br /> CORRECT LENGTH OF LL TRENCHES? (- ' CY N <br /> CORRECT TYPE OF PIPING? I�3 Y N <br /> OTHER Y N <br /> SEEPAGE PITS: S U PIP <br /> DISTANCE TO PROPERTY LINE? S N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? o N <br /> DISTANCE OF SOIL BARRIER TO PITS? YY N <br /> CORRECT DEPTH AND TYPE OF ROCK? c) N <br /> CORRECT WIDTH? _ ti Y N J <br /> OTHER L�ti�7 Ij ? I Z I 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 8Y. ` wiv DATE: j,Li [-b LCJ <br /> ' <br />