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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# S pp Z <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: 1 < �r1 <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 <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 5 -�'� V N <br /> DISTANCE TO NEAREST LEACH LINE? s,5 .F.F Lq N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? — rP p,; r- Y N <br /> IS D-BOX LEVEL? " N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? s '� o N <br /> DISTANCE TO ANY WATER WELLS? - VLA W ! Y N <br /> DISTANCE TO NEAREST FOUNDATION? l� 0 F V N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? — I Y N <br /> CORRECT DEPTH OF LL TRENCHES? 50 -151 i Y N s <br /> CORRECT DEPTH AND TYPE OF ROCK? (a) N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? 3 S !�''Y''� N <br /> OTHER POO ' 2 LJ 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 N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWE ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: +64 <br /> 22 OK <br /> Z 2 T <br /> S I R�Vt (ylA 1f.P�//1• i t .ems w0� 2 M <br /> d x <br /> INSPECTED BY^ -' �J r� DATE: / /ZQZC� <br />