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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 3 PERMIT# 00 2 O <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: `�, <br /> CORRECT TANK CAPACITY? t2-00 Y N <br /> DISTANCE TO FOUNDATION? 'j( N <br /> DISTANCE TO PROPERTY LINE? Li N <br /> DISTANCE TO ANY WELLS? u Y N So -{ ISA"U O✓ ls�,e, / <br /> TANK LEVEL AND ORIENTED CORRECTLY? QY N Y� <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? ✓ 3 S N <br /> TANK VENTED? (D N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER cv�e& ,10 - N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 5.s 44N <br /> DISTANCE TO NEAREST LEACH LINE? lj, S f Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) Z <br /> DISTANCE TO PROPERTY LINE? ��^- N <br /> DISTANCE TO ANY WATER WELLS? L.-- 0 Wf OJ N > SO f n&d /:70 <br /> DISTANCE TO NEAREST FOUNDATION? « rj N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? t/ 10 � N <br /> CORRECT DEPTH OF LL TRENCHES? 6 Y <br /> CORRECT DEPTH AND TYPE OF ROCK? <br /> CORRECT WIDTH OF LL TRENCHES? 1i y` N ilk, `( -A r <br /> CORRECT LENGTH OF LL TRENCHES? ✓ S 2 F4- N <br /> CORRECT TYPE OF PIPING? 412 �ys N <br /> OTHER 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 Q./ <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? CD N <br /> ANY NO ANSWER ABQVE REQUIRES� PERMIT ITO BE REDRAWN. � _ �r/ p" O <br /> COMMENTS: <br /> l <br /> 20 <br /> O � r <br /> r u <br /> INSPECTED BY: �i1�^i� n ('+ �` 1 J- �� DATE: <br />