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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# QQ <br /> Check ox ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? �X S 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? N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ti/ N <br /> DISTANCE TO NEAREST LEACH LINE? S f4 Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ������ Y N <br /> IS D-BOX LEVEL? © N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? OY N <br /> DISTANCE TO ANY WATER WELLS? �� �2 N > I <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? A,— 4 -S i y7 , Y N tq oog h ,'1 j h, SO i c-ole OR <br /> CORRECT DEPTH AND TYPE OF ROCK? N Z.S yr. ISO ►/""� <br /> CORRECT WIDTH OF LL TRENCHES? (-� ' Y• N <br /> CORRECT LENGTH OF LL TRENCHES? DI Q N <br /> CORRECT TYPE OF PIPING? AIV/{�f Y N <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 N <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: So`, <br /> C <br /> INSPECTED BY: ^ DATE: <br /> IIY/l��l Dom_ rj+�,{'1- a` <br />