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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 200 a c, N <br /> DISTANCE TO FOUNDATION? v (Y7 N <br /> DISTANCE TO PROPERTY LINE? 7 0 N <br /> DISTANCE TO ANY WELLS? C N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y) N <br /> SANITARY TEES CORRECTLY INSTALLED? l.Y N <br /> CORRECT TYPE OF PIPING? 15-0 2 3 Y N <br /> TANK VENTED? YO N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: / <br /> DISTANCE FROM TANK? F N <br /> DISTANCE TO NEAREST LEACH LINE? 3 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? YO N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> r <br /> DISTANCE TO PROPERTY LINE? �� �� Y N <br /> DISTANCE TO ANY WATER WELLS? YN <br /> DISTANCE TO NEAREST FOUNDATION? ✓ 2�. Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? r' Y N <br /> CORRECT DEPTH OF LL TRENCHES? �� �1 QQ jh� N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ 12 I ;h v N <br /> CORRECT WIDTH OF LL TRENCHES? �/ ',Zp Y N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? 3 s Y N <br /> OTHER Y N <br /> SEEPAGE PITS: /On�i <br /> DISTANCE TO PROPERTY LINE? Mole, 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 N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAW . 11 <br /> COMMENTS: ' J nfl 1' l /CJ1 / 111 <br /> Olf'f' <br /> 16 <br /> L c3 <br /> tf T SO✓l <br /> (•//►_ INSPECTED BY: ����_ `� ����\� DATE: �,z A Q` <br />