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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: S ( . r PERMIT# � r10(� <br /> Check box ACTUALI, MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: Ltx.k in�l <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 ti0 Myg?i% t x ))(16 I✓lG0ld <br /> CORRECT TYPE OF PIPING? Y N se �l(. <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ?j N <br /> DISTANCE TO NEAREST LEACH LINE? 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? ® N <br /> DISTANCE TO ANY WATER WELLS? I N 'Mai 0 X t }U -�kkS <br /> DISTANCE TO NEAREST FOUNDATION? (/ N VW I � h <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? q/ Y N <br /> CORRECT DEPTH OF LL TRENCHES? Li(�`�� Y� N U 4} <br /> CORRECT DEPTH AND TYPE OF ROCK? N �v j OL <br /> CORRECT WIDTH OF LL TRENCHES? YQ N ` <br /> CORRECT LENGTH OF LL TRENCHES? f/ N <br /> CORRECT TYPE OF PIPING? Fj Q '2-,(p Y N <br /> OTHER El Y N <br /> SEEPAGE PITS: <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 <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. (�� <br /> COMMENTS: 01 G� w <br /> cu r 4 LS <br /> U <br /> r <br /> INSPECTED BY: DATE: ` 2 <br /> K&WO, kwa; U I I <br />