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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: &z 37 PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? N <br /> DISTANCE TO FOUNDATION? Zy 49 N <br /> DISTANCE TO PROPERTY LINE? * '® N <br /> DISTANCE TO ANY WELLS? -73 ® N <br /> TANK LEVEL AND ORIENTED CORRECTLY? 0 N <br /> SANITARY TEES CORRECTLY INSTALLED? d9 N <br /> CORRECT TYPE OF PIPING? 3 p' $) N <br /> TANK VENTED? ®- N <br /> ANY TANK ABNORMALITIES NOTED? ® N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? !w ® '� Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? loo6 �rj " N <br /> DISTANCE TO ANY WATER WELLS? d5 N <br /> DISTANCE TO NEAREST FOUNDATION? 33° 49 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? a ® N <br /> CORRECT TYPE OF PIPING? S.1 4•1 ti 4 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 3 '® /0 N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? �d r�—� ® N <br /> DISTANCE OF SOIL BARRIER TO PITS? f® ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? fig' N <br /> CORRECT WIDTH? 31k a 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 R QUIRES PERMIT TO E REDRAWN <br /> COMMENTS: r� W &---� hf , <br /> INSPECTED BY: DATE: 7,6 7,6 <br />