Laserfiche WebLink
SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 0 e-I I a iz A PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: �x I S N <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? 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? �/ �4 J N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? o Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) rL <br /> DISTANCE TO PROPERTY LINE? �`' 02 r'C 0 N <br /> DISTANCE TO ANY WATER WELLS? C� N <br /> DISTANCE TO NEAREST FOUNDATION? 0Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? 1/�-t� (i(i /Y N <br /> CORRECT DEPTH OF LL TRENCHES? �� i y�, V N <br /> CORRECT DEPTH AND TYPE OF ROCK? — Y N <br /> CORRECT WIDTH OF LL TRENCHES? © N <br /> CORRECT LENGTH OF LL TRENCHES? kj Y N <br /> CORRECT TYPE OF PIPING? ✓ Z N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? `/ ^ 2 d fTL <br /> Y N <br /> DISTANCE TO ANY WATER WELLS? ✓ Y N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2 (D N rp <br /> CORRECT WIDTH? '3 6 H � N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y ON <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? (b---V\ <br /> N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY���( � � �ns �/�� � DATE: <br />