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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: �� `,�Z S. 1Z , �,< <� � PERMIT# <br /> 4\ Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? ,/ }]` (� Q�j CY N <br /> DISTANCE TO FOUNDATION? " ' N <br /> DISTANCE TO PROPERTY LINE? �/ �i l�` (� N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? i/ N <br /> CORRECT TYPE OF PIPING? Y} N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? YND <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? r• N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? `/ N <br /> IS D-BOX LEVEL? O N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? C N <br /> DISTANCE TO ANY WATER WELLS? �/ ��j�' Y N <br /> DISTANCE TO NEAREST FOUNDATION? ,/ <u` Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? (Zi N <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ I _ Y N j"_ <br /> Gvc7 <br /> CORRECT WIDTH OF LL TRENCHES? fit;" Y N <br /> CORRECT LENGTH OF LL TRENCHES? t/ b} V N <br /> CORRECT TYPE OF PIPING? spa- (D 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 <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? 6) N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? G% N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: }e T n DATE: <br />