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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: he PERMIT# �� Z <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: r� <br /> CORRECT TANK CAPACITY? l Ld D N <br /> DISTANCE TO FOUNDATION? I N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? v— Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y Vill 5 K 0 e <br /> CORRECT TYPE OF PIPING? ?� ' S �iJ L Y <br /> TANK VENTED? C_.Y,) N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? �J N <br /> DISTANCE TO NEAREST LEACH LINE? ;YY <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) �+L <br /> DISTANCE TO PROPERTY LINE? Z"'>i j Y N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? N <br /> CORRECT DEPTH OF LL TRENCHES? (p - j,�. N <br /> CORRECT DEPTH AND TYPE OF ROCK? ( Y N <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? 'Y N <br /> CORRECT TYPE OF PIPING? f Q A . 3 Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? C N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? too N <br /> DISTANCE OF SOIL BARRIER TO PITS? Z, Y <br /> CORRECT DEPTH AND TYPE OF ROCK? ZS Z2.S Z �.Y Tl 2 C, <br /> CORRECT WIDTH? �� /2�� T N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? (—Y N <br /> ANY NO ANSWVRA 3OVE RE UIRES PERMIT TO BE REDRAWN. <br /> COMMENTS —1, S e�'!�'�� <br /> I r o Q r11` <br /> f1� i pettl <br /> i/ SL o i —tkLe— OL- <br /> INSPECTED BYf� N� /� DATE: <br /> o, «J <br />