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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Aia PERMIT# �2 6 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: /�/� <br /> CORRECT TANK CAPACITY? 6 O o- By N / "�onor�•-A 40,11DISTANCE TO FOUNDATION? 5 !j!' N <br /> DISTANCE TO PROPERTY LINE? -a S _r (D N <br /> DISTANCE TO ANY WELLS? « O Y N 1207R IV <br /> TANK LEVEL AND ORIENTED CORRECTLY? -y-) N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? 1� �j� �j S N <br /> TANK VENTED? tDY 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 /> 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 BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y 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? YN <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y CND <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? QYD N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN <br /> COMMENTS: �� � '� p2 j/CdII <br /> 2 C <br /> ct ;kl ✓7 <br /> INSPECTED BY: D� kz�� At: Q /� /7,0 <br /> bei 48 r4- see ti e t'e <br /> Lt- <br /> 0 444 /o c,l4 • P <br />