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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 0 PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: .fi.. <br /> CORRECT TANK CAPACITY? x�5V�l 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? ✓ S 3 Q N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: /� <br /> DISTANCE FROM TANK? 5 { f' N <br /> DISTANCE TO NEAREST LEACH LINE? _ . .� [� N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? — oNe Y N <br /> IS D-BOX LEVEL? Y) N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? 106 44- N <br /> DISTANCE TO NEAREST FOUNDATION? (j 2 � N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? L(— Y N <br /> CORRECT DEPTH OF LL TRENCHES? 3 6-3 i��• © N <br /> CORRECT DEPTH AND TYPE OF ROCK? a p r- Y N <br /> CORRECT WIDTH OF LL TRENCHES? 1/ 2q } il. tS N <br /> CORRECT LENGTH OF LL TRENCHES? L-- Q Z) N <br /> CORRECT TYPE OF PIPING? 6 0 N <br /> OTHER Y N <br /> SEEPAGE PITS: C <br /> DISTANCE TO PROPERTY LINE? ^> 5 (F N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? YY N <br /> CORRECT DEPTH AND TYPE OF ROCK? S Y N ^Z S ;N. !-O cAj <br /> CORRECT WIDTH? N <br /> OTHER Y N <br /> MISCELLANEOUS: Q <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWE ABOVE REQUIR S PERMIT TO BE REDRAWN. <br /> COMMENTS: O Za - Ts a—,, <br /> T p t r <br /> 1 <br /> INSPECTED BY. t /� ,n r/�_ + DATE: ��i <br />