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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# Q 3 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? �I �Q Y N <br /> DISTANCE TO FOUNDATION? JJ 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? N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER E=j Y N <br /> DISTRIBUTION BOX: r <br /> DISTANCE FROM TANK? �j T+ (;_r DY N <br /> DISTANCE TO NEAREST LEACH LINE? ,� N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? d ytk- Y N <br /> , <br /> IS D-BOX LEVEL? �J N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? �- " N <br /> DISTANCE TO ANY WATER WELLS? (p N j I <br /> DISTANCE TO NEAREST FOUNDATION? ® N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Lo LY N <br /> CORRECT DEPTH OF LL TRENCHES? Li Q j N, C7 N i N• Co CAT <br /> CORRECT DEPTH AND TYPE OF ROCK? L/ I Z i vi- m N - '.� S h• r o C K� <br /> CORRECT WIDTH OF LL TRENCHES? C-�Y:) N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? S'r 2 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? f" N <br /> DISTANCE TO ANY WATER WELLS? 1 N <br /> DISTANCE TO NEAREST FOUNDATION? a/ 'j N <br /> DISTANCE OF SOIL BARRIER TO PITS? `� Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? N i VI ►-0 <br /> CORRECT WIDTH? �i7j N, 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? G N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE RErle—zo <br /> WN. <br /> COMMENTS: �" h t: rte-► 4, b O ,< o <br /> b�,eJrz <br /> CK IPA ,�a <br /> INSPECTED BY: DATE: / <br />