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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# O $ Z- '3 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? (� Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DIS—ANCE TO PROPERTY LINE? Y N <br /> DIS'-ANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: N <br /> DISTANCE FROM TANK? Kf s J Y N <br /> DISTANCE TO NEAREST LEACH LINE? 4 Q © 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) <br /> DISTANCE TO PROPERTY LINE? /`-Z3 Y N <br /> DISTANCE TO ANY WATER WELLS? to 4 Y N <br /> DISTANCE TO NEAREST FOUNDATION? N 1 ('3 <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Ox4Q ft"x Y N / <br /> CORRECT DEPTH OF LL TRENCHES? �/ ?j ' _ y q h Y N p,�q U/�17 V <br /> CORRECT DEPTH AND TYPE OF ROCK? C_Y) N h <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? '3 0 N <br /> OTHER Y N <br /> SEEPAGE PITS: l <br /> DISTANCE TO PROPERTY LINE? Li J Y N <br /> DISTANCE TO ANY WATER WELLS? 3 Y N <br /> DISTANCE TO NEAREST FOUNDATION? rj Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? t� 2 S YY N <br /> CORRECT WIDTH? I,� —!;61 ( '/ N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN.COMMENTS: V SCA Q 6C--+W&41 <br /> O <br /> 50# I t, vj, ` <br /> INSPECTED BY.(' DATE: <br /> Do,r--f a Aft <br />