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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 39(00 ti• tsra,e r Q AE_ PERMIT# cSn40 <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? N <br /> DISTANCE TO PROPERTY LINE? SOS+ N <br /> DISTANCE TO ANY WELLS? v I C,&' 5•• 0 N <br /> TANK LEVEL AND ORIENTED CORRECTLY? -b N <br /> SANITARY TEES CORRECTLY INSTALLED? 'p N <br /> CORRECT TYPE OF PIPING? Sp/j,3 0 N <br /> TANK VENTED? _ ® N <br /> ANY TANK ABNORMALITIES NOTED? ® N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 'D N <br /> DISTANCE TO NEAREST LEACH LINE? ,Sf a 4-ra±n:6 4) N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? eo' N <br /> IS D-BOX LEVEL? 0 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> r <br /> DISTANCE TO PROPERTY LINE? LOL -45) N <br /> DISTANCE TO ANY WATER WELLS? v 54 e- dL1o.nX -0 N <br /> DISTANCE TO NEAREST FOUNDATION? v op 2Zq -4 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? r Z , 13, —4 N <br /> CORRECT DEPTH OF LL TRENCHES? Za{11 -ZP N <br /> CORRECT DEPTH AND TYPE OF ROCK? -t; rS -4 N <br /> CORRECT WIDTH OF LL TRENCHES? ID N <br /> CORRECT LENGTH OF LL TRENCHES? O' --a N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <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? 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: prorfX' asAj*4 le- 1,0,+- a ,e.Z 4t- I&e-&f� -e v-,A, dr.•w0. <br /> INSPECTED BY: Afs��"` DATE: �/� 2 26ZD <br />