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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: (� =j PERMIT# S0 02 3Ll <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: ���� "",�,, <br /> CORRECT TANK CAPACITY? �� zo Q N <br /> DISTANCE TO FOUNDATION? , 5 r4 N <br /> DISTANCE TO PROPERTY LINE? 7 to F4 QY N <br /> DISTANCE TO ANY WELLS? '7 ?j (:3 N I /- <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N 4 <br /> SANITARY TEES CORRECTLY INSTALLED? gy <br /> N L,, <br /> CORRECT TYPE OF PIPING? l� SCAO 23 N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? � N <br /> DISTANCE TO NEAREST LEACH LINE? V .F N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) \/ <br /> DISTANCE TO PROPERTY LINE? r `o 'F'f' sy N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? 1 '2. El <br /> N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Q 4' N <br /> CORRECT DEPTH OF LL TRENCHES? 1/ N <br /> CORRECT DEPTH AND TYPE OF ROCK? ( 3 --1 N <br /> CORRECT WIDTH OF LL TRENCHES? V o2 N <br /> CORRECT LENGTH OF LL TRENCHES? + ^ N <br /> CORRECT TYPE OF PIPING? 1/ 2� N <br /> OTHER Y N <br /> SEEPAGE PITS: {/� ' <br /> DISTANCE TO PROPERTY LINE? o _v 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? Y N <br /> CORRECT WIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? ,,rY� CD <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? ( Y / N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> L ��COMMENTS: �o/ <br /> �V LIQ112 <br /> J-0 l2_S o <br /> INSPECTED BY- <br /> ��I �- ^�� C � O\ DATE: <br />