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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Z Z'j/' c h---s — j PERMIT# ,SlZelt-1 g-111.06 <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? 3cj N <br /> DISTANCE TO PROPERTY LINE? s _ 2—cr'4. C9 N <br /> DISTANCE TO ANY WELLS? Zyr� ,t N <br /> TANK LEVEL AND ORIENTED CORRECTLY? 0 N <br /> SANITARY TEES CORRECTLY INSTALLED? S-Ayz '3.1' r', N <br /> CORRECT TYPE OF PIPING? / N <br /> TANK VENTED? 4a N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 2 i �, V N <br /> DISTANCE TO NEAREST LEACH LINE? 3' d N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? AP N <br /> IS D-BOX LEVEL? ' f N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? _ �, �/ N <br /> DISTANCE TO ANY WATER WELLS? „ 2)< N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? (Z' IT1 N <br /> CORRECT DEPTH OF LL TRENCHES? + "_ C(2 ' lq:� N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ <{ " -0 N <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? „/ %) N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Vol N <br /> DISTANCE TO ANY WATER WELLS? 7 j N <br /> DISTANCE TO NEAREST FOUNDATION? 4 Z N <br /> DISTANCE OF SOIL BARRIER TO PITS? ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? ,/ Z S Qi N <br /> CORRECT WIDTH? ep N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? jb' 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: <br /> INSPECTED BY: E�y,� y��� DATE: 2,-10 <br />