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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 3 3 H ln (tAPERMIT# <br /> Check box ACTUAL "MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: �-r �7 q <br /> CORRECT TANK CAPACITY? 15-00 Y N ��a�¢i G �CG( lA/�k C�° vl <br /> DISTANCE TO FOUNDATION? 2 0 }- Y N J <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? (()01+- N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? t/ N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? ® N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? / <br /> �� s C� N <br /> DISTANCE TO NEAREST LEACH LINE? S N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) IF-® y <br /> DISTANCE TO PROPERTY LINE? -7 N <br /> DISTANCE TO ANY WATER WELLS? 00 f— N <br /> DISTANCE TO NEAREST FOUNDATION? 2C)/{ N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? ' 2 N <br /> CORRECT DEPTH AND TYPE OF ROCK? v'' ($' VG/ N Z Y 01'1 �rCy �Ja2e <br /> CORRECT WIDTH OF LL TRENCHES? 2 0 OO1Lll� N <br /> CORRECT LENGTH OF LL TRENCHES? 2-6 N <br /> CORRECT TYPE OF PIPING? j7r 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? Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: DATE. "�4 1 pZp <br />