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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> A5DRESS: 76) 57 Fesai PERMIT# S <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: CXiSL'N <br /> CORRECT TANK CAPACITY? "� 9 Y N <br /> DISTANCE TO FOUNDATION? J 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? 0 N e <br /> CORRECT TYPE OF PIPING? 0 N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: Q,� <br /> DISTANCE FROM TANK. 1 3 s Y N fl )j t� <br /> DISTANCE TO NEAREST LEACH LINE? Y N j <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? 8 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? �/ 2 , $ N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? raAy i-L Y N <br /> CORRECT DEPTH OF LL TRENCHES? N . Y � �/ Awe r- �t i N I'o C V4. <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ N ( " ,S i <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? ZIZ Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE?��P 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? P4 g Y N <br /> CORRECT WIDTH? N <br /> OTHER L-em 941 QY N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED B -(�' � a /� � C � ,�\ DATE: <br />