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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: ' 0"'10 h PERMIT# 00 1110 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: N <br /> CORRECT TANK CAPACITY? r S 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? N <br /> CORRECT TYPE OF PIPING? S '2j S Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER E:d Y N <br /> DISTRIBUTION BOX: n <br /> DISTANCE FROM TANK? <br /> DISTANCE TO NEAREST LEACH LINE? S -F4 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 6 '{ Y N <br /> DISTANCE TO ANY WATER WELLS? ( N I! Q 0-t- I <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? L-L Y N '014 <br /> CORRECT DEPTH OF LL TRENCHES? _ H Y O ✓ <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? L% ;11, N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? -�'� N <br /> DISTANCE TO ANY WATER WELLS? /�- ,2 N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? v_- 2 q Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ Q Y N .Z. S iN. V-0G C-S . <br /> CORRECT WIDTH? 2 Y N <br /> OTHER L 2 . S 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 BY:�fir; � D �1//�� DATE: <br />