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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 6 Li Lie,,.- PERMIT# p 2 pIf 6 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? p.I YO N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? LOS i k N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N IL <br /> SANITARY TEES CORRECTLY INSTALLED? Y N a�,C� s/I*0 <br /> CORRECT TYPE OF PIPING? ti/ D�3 S <2�' N J' <br /> TANK VENTED? V N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? + SY N <br /> DISTANCE TO NEAREST LEACH LINE? s F{ 5 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? � (�(� Y N <br /> IS D-BOX LEVEL? V N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Q�Q� L L Y N <br /> CORRECT DEPTH OF LL TRENCHES? A,--- LJO Ll2 N. YY N <br /> CORRECT DEPTH AND TYPE OF ROCK? 'L i N, (/1 N 'L, s y� , ��L kcS <br /> CORRECT WIDTH OF LL TRENCHES? H l_YJ N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? S Z�2Z N <br /> OTHER Y N <br /> LD <br /> SEEPAGE PITS: S u <br /> DISTANCE TO PROPERTY LINE? 0 N <br /> DISTANCE TO ANY WATER WELLS? -Z Z:5 N <br /> DISTANCE TO NEAREST FOUNDATION? TG N <br /> DISTANCE OF SOIL BARRIER TO PITS? © N <br /> CORRECT DEPTH AND TYPE OF ROCK? ti/ V N - Z, Sy7 CfKS <br /> CORRECT WIDTH? N <br /> OTHER L-Pma -+Il L6 C D 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 REDR7,01J <br /> . L ,gyp <br /> COMMENTS: vii S 'e ci wyLS gg <br /> INSPECTED BY. ,.— r DATE: /' /-2,02� <br />