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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: A PERMIT# SZo <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: �^ OQ <br /> CORRECT TANK CAPACITY? �[ l Y N <br /> DISTANCE TO FOUNDATION? ✓ y Y N p <br /> .2t•� ►n,�,l a . <br /> DISTANCE TO PROPERTY LINE? ✓ 11.13 f N �- (� �- 5 B,,•f/,� <br /> DISTANCE TO ANY WELLS? (0 '+ Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? S U p— S YN <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER --j 0 Soi Y Nvt-i I Pt <br /> DISTRIBUTION BOX: � <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? s Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? "' 3Y N <br /> DISTANCE TO ANY WATER WELLS? �� /�� N <br /> DISTANCE TO NEAREST FOUNDATION? { f �Q Y N L Oq a S <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? �/ �� N <br /> CORRECT DEPTH OF LL TRENCHES? Y ON p� <br /> CORRECT DEPTH AND TYPE OF ROCK? . r-Y N <br /> CORRECT WIDTH OF LL TRENCHES? d q N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: ,r_ <br /> DISTANCE TO PROPERTY LINE? I ' O �n 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. , nL� <br /> COMMENTS: T S -ILC/ QI..r `o 0 <br /> INSPECTED BY: I���, DATE: II <br />