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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: ERMIT# Z <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: tan <br /> CORRECT TANK CAPACITY? J Y N <br /> DISTANCE O FOUNDATION? 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? 52 0 N <br /> DISTANCE TO NEAREST LEACH LINE? Y N M� \1,� 0lut�l , <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? 23i �,� N <br /> DISTANCE TO ANY WATER WELLS? ✓ N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ,/ 1 `9 Y N M�(J%a�t V-4 ��I�G1� �'Q CSS n <br /> CORRECT DEPTH OF LL TRENCHES? ✓ N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH OF LL TRENCHES? I/ 2 N <br /> CORRECT LENGTH OF LL TRENCHES? T�7 N <br /> CORRECT TYPE OF PIPING? F�(x- 2� N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? I� (� © N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? a/ _ { N <br /> DISTANCE OF SOIL BARRIER TO PITS? ,/ \ N <br /> CORRECT DEPTH AND TYPE OF ROCK? 1/ 3 VIC ® N <br /> CORRECT WIDTH? 1/ LA (—A—. Y N <br /> OTHER HW & ] ZS 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: <br /> INSPECTED BY: t 1 V\CtC DATE: �' Z� 120 20 <br />