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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: „ ;,� PERMIT# ?j <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: A I <br /> CORRECT TANK CAPACITY? ZoD a L'J N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? �/ 5S Y N <br /> DISTANCE TO ANY WELLS? 2 5 .E' Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ti/ 3 N <br /> SANITARY TEES CORRECTLY INSTALLED? Y © – ; <br /> CORRECT TYPE OF PIPING? scl N <br /> TANK VENTED? V BY N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: � <br /> DISTANCE FROM TANK!r'�/�/ovia– 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? 4 F"� N <br /> DISTANCE TO ANY WATER WELLS? 'L p N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ t N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? — ( N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? (2 y�, N <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? ✓ N <br /> CORRECT TYPE OF PIPING? 'Z�Z <br /> OTHER C� 4!�OW " Y <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 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? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PET BE REDR N. <br /> COMMENTS: �1 �SlA e IU Bit? l l� " "(_•_ �r Q� <br /> O V <br /> v b <br /> INSPECTED B,,�n"/ /��� DATE: ( [ r /1 9 <br />