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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: ¢j [ iuruae PERMIT# r� 1 <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? Y N <br /> DISTANCE TO ANY WELLS? Y- N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? 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? `/ N <br /> DISTANCE TO NEAREST LEACH LINE? -7 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? V-� <br /> Y N <br /> DISTANCE TO ANY WATER WELLS? c7 Y N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ 3o •f Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? (5_.� N 2 1(2, Ing L.. ",laCq =J•S,;70 <br /> CORRECT WIDTH OF LL TRENCHES? ✓ Y N <br /> CORRECT LENGTH OF LL TRENCHES? �� Y N <br /> 3 <br /> CORRECT TYPE OF PIPING? L rj N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? ✓ to d R N <br /> DISTANCE TO NEAREST FOUNDATION? V/ j(�/ — Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? �/ j�/ ) N <br /> CORRECT DEPTH AND TYPE OF ROCK? OY} N j_2 /Z ',i L,k a jug yT si` o <br /> CORRECT WIDTH? // CY) 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: t f J„ n�/.} L/ �,,,n , DATE: <br />