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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Q j i PERMIT# SK 0 oZ SS <br /> Check ox ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: 1r 200010,1 - r►�D <br /> CORRECT TANK CAPACITY? CMZ ,/ 2 �� �� N -ZOO <br /> DISTANCE TO FOUNDATION? 6 g f f N <br /> DISTANCE TO PROPERTY LINE? gy <br /> N <br /> DISTANCE TO ANY WELLS? �� ( rj N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ti� N <br /> SANITARY TEES CORRECTLY INSTALLED? (D N <br /> CORRECT TYPE OF PIPING? �, i�S G 11 1.=4W4 N _ �� S`DR 35 <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER �/ se-r S Y N <br /> DISTRIBUTION BOX: / <br /> DISTANCE FROM TANK? 16 ,;2-,;2- N <br /> DISTANCE TO NEAREST LEACH LINE? 5 .E'-� Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? (-S:) N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> f <br /> DISTANCE TO PROPERTY LINE? �/ s Y N <br /> DISTANCE TO ANY WATER WELLS? 7 to p 4 Y N <br /> DISTANCE TO NEAREST FOUNDATION? 1l S S-! Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Lo -F4 Y N L -;2( w <br /> CORRECT DEPTH OF LL TRENCHES? (�s �`�, Y N &aDS Oma/ r•g O <br /> CORRECT DEPTH AND TYPE OF ROCK? _yQ i H�� Y N _ S ;✓►• r,>G . <br /> CORRECT WIDTH OF LL TRENCHES? Lt h _ Y N <br /> CORRECT LENGTH OF LL TRENCHES? r4 Y N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? AY <br /> N <br /> DISTANCE TO ANY WATER WELLS? �� ( s N <br /> DISTANCE TO NEAREST FOUNDATION? �/' ti S N <br /> DISTANCE OF SOIL BARRIER TO PITS? V— Ey� <br /> N <br /> CORRECT DEPTH AND TYPE OF ROCK? N I _l;Z,S /n, r©DEC <br /> CORRECT WIDTH? 2 OY 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 ANSWER ABOVE REQUIR S PERMIT TO BE R DRAWN. r // <br /> COMMENTS: L �/ 6 1-6 � t!'1 <br /> /C S a i p 42 i2i <br /> INSPECTED BY: DATE: <br /> a.,, ; o►y Slee-;� lo� X81 zo <br />