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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Q PERMIT# 0 <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? N <br /> DISTANCE TO ANY WELLS? Wei Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? U N <br /> SANITARY TEES CORRECTLY INSTALLED? ✓ (!q N <br /> CORRECT TYPE OF PIPING? 1 2 3 5 Y N <br /> TANK VENTED? Y 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? QY N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? rf ® N <br /> IS D-BOX LEVEL? ✓ ® N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) / <br /> DISTANCE TO PROPERTY LINE? J,s C 3Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? f Q N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? f 10 (�Y:) N <br /> CORRECT DEPTH OF LL TRENCHES? q5 Y 6) a <br /> CORRECT DEPTH AND TYPE OF ROCK? — '11,1 ; I'a o e— �Y N <br /> CORRECT WIDTH OF LL TRENCHES? f' I j"� U N <br /> CORRECT LENGTH OF LL TRENCHES? cp (p f © N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: / <br /> DISTANCE TO PROPERTY LINE? ✓ 6 N <br /> DISTANCE TO ANY WATER WELLS? Y70 Y N <br /> DISTANCE TO NEAREST FOUNDATION? 0 N <br /> DISTANCE OF SOIL BARRIER TO PITS? —OY N <br /> CORRECT DEPTH AND TYPE OF ROCK? N — Z.S t V► • ✓b c- t <br /> CORRECT WIDTH? 60 ; Y7. Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. LC L I <br /> COMMENTS: A,Qi� /L. ��l e-u c-&-to <br /> urrr 'n <br /> INSPECTED BYT DATE: <br /> 1 �- 1 a f��a n�� a, <br />