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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: f�ickft,- v Ave- <br /> PERMIT# ST t)o2 Z <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 /> 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? ( J N <br /> CORRECT TYPE OF PIPING? 0 N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Ed Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? S. 5 4 <3 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? — D y�Q_ L L_ � Y N <br /> IS D-BOX LEVEL? �� �) N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) ��QQ <br /> DISTANCE TO PROPERTY LINE? ZO Y N <br /> DISTANCE TO ANY WATER WELLS? O N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? _O Ki- L Lr Y N <br /> CORRECT DEPTH OF LL TRENCHES? y I—4 F ,H Y l9 <br /> CORRECT DEPTH AND TYPE OF ROCK? — C, Y N <br /> CORRECT WIDTH OF LL TRENCHES? 'I N_ � N <br /> CORRECT LENGTH OF LL TRENCHES? 'Z a N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: (,t yn <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? L 4 —i U� N <br /> DISTANCE OF SOIL BARRIER TO PITS? V N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N Z. H ti/r0 s <br /> CORRECT WIDTH? N <br /> OTHER L, -f-� 2 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. �J <br /> COMMENTS: <br /> INSPECTED BY:T� % � � n � //„ " A DATE: <br />