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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: (,qq( G w,-,dhri Q F , q njpa PERMIT# rg(M815 1 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: tX 1ST 1 N G <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? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y 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? J . 5 +a Q/ N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? ✓ 0 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? ft (�j N <br /> DISTANCE TO ANY WATER WELLS? ✓ Id 8 Ft N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ 25.5 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? — Y N e)cisting, "cl.W hos dmp-mew-k& <br /> CORRECT DEPTH OF LL TRENCHES? / f!ire -4�rj & N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N r0,:.c 18SS inn t11tVMr 1=(k j <br /> CORRECT WIDTH OF LL TRENCHES? ✓ 18 in ® N <br /> CORRECT LENGTH OF LL TRENCHES? / 41 f{ l N <br /> CORRECT TYPE OF PIPING? a (-Q 24 t//� N <br /> OTHER (`di j ✓ 24 ft l/ N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? ✓ 5 y H N <br /> DISTANCE TO ANY WATER WELLS? 19G T N <br /> DISTANCE TO NEAREST FOUNDATION? ! 1 G•5 f4 ® N <br /> DISTANCE OF SOIL BARRIER TO PITS? I G F4 LY N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2 5.5 Ft tf N I-£•S Incb iQ= <br /> CORRECT WIDTH? J ?i ff (0 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? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: CG r0 I p((?,S'fiG DATE: 9 I Z2 f^i�7 w <br />