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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 3Vim 7� <br /> PERMIT# SKC)oglq5S <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Q Q Y N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? N P4 o SW <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? N 1,V1pu 'y� <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? Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y 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 /> C <br /> DISTANCE TO PROPERTY LINE? �c� �T N <br /> DISTANCE TO ANY WATER WELLS? Z Z N I Ll Z <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN ILLS? — Gy- Y N <br /> CORRECT DEPTH OF LL TRENCHES? 0 N <br /> CORRECT DEPTH AND TYPE OF ROCK? l/ Z jy\, N Z S r H• r� C <br /> CORRECT WIDTH OF LL TRENCHES? N T <br /> CORRECT LENGTH OF LL TRENCHES? f'± Y N <br /> CORRECT TYPE OF PIPING? �L} ST/(/)pZ N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? D 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? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO REDRAWN. e <br /> COMMENTS: lj L s -P�Y!/1 O L ✓�hQ C w �O 01 <br /> 4deli <br /> S <br /> e —; C bH — "-e JT <br /> INSPECTED Br ,A��C//_ r �� DATE: <br /> ` I/l J /��.t ll l <br />