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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: q PERMIT# 00 / <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <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? N <br /> CORRECT TYPE OF PIPING? l/ S-D 0 S CD N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Ed Y N <br /> DISTRIBUTION BOX: /\.�� I <br /> DISTANCE FROM TANK? 1 (p N <br /> DISTANCE TO NEAREST LEACH LINE? S y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? 2 Y N <br /> IS D-BOX LEVEL? 6L3 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) � � <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? 1/ 2I f4VKY7 N N? Oh—St <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? C� N <br /> CORRECT DEPTH OF LL TRENCHES? k5" y _ Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? ( ZO j Y N <br /> CORRECT WIDTH OF LL TRENCHES? Zut j N <br /> CORRECT LENGTH OF LL TRENCHES? .r+ 10 Y N <br /> CORRECT TYPE OF PIPING? SD 12-1-3 S Q-7) N <br /> r <br /> OTHER Y N <br /> SEEPAGE PITS: N <br /> DISTANCE TO PROPERTY LINE? 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? Y J� <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER I A'BOVE1REQ�U[I,,RES PERMIT TO BE REDRAWN. 1! II� <br /> COMMENTS: 1+011 � 0 OtV(� so A i"�1 GL �A t S/,Q <br /> o or L L o <br /> 2 Ij <br /> INSPECTED BY: ��` n ��J ��� DATE: <br />