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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: jPERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? L2-0 Q Y N <br /> DISTANCE TO FOUNDATION? 0/ 7/ N <br /> DISTANCE TO PROPERTY LINE? t.5 -f— N <br /> DISTANCE TO ANY WELLS? 0" Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? D R 6 Y N <br /> TANK VENTED? ® N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? YN <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS C-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) ?J)(L.� <br /> DISTANCE TO PROPERTY LINE? <br /> N <br /> DISTANCE TO ANY WATER WELLS? 5® / Q N <br /> DISTANCE TO NEAREST FOUNDATION? n/ Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? / N <br /> CORRECT DEPTH OF LL TRENCHES? LIZ N <br /> CORRECT DEPTH AND TYPE OF ROCK? 15 °0 CV7J/ N 2 <br /> CORRECT WIDTH OF LL TRENCHES? 22 ® N <br /> CORRECT LENGTH OF LL TRENCHES? 6-7�-/ Y N <br /> CORRECT TYPE OF PIPING? —s 1) N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? V, �® N <br /> DISTANCE TO ANY WATER WELLS? IT) ® N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? ZS/ N �� I <br /> CORRECT WIDTH? N s <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: Q ��,. _ 01' j/ DATE: <br />