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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: Lai PERMIT# S C)(9 ? / 02 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY?�� SSI 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? N <br /> CORRECT TYPE OF PIPING? �j�� �j�j 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? Q—Y) N <br /> DISTANCE TO NEAREST LEACH LINE? —Q DY N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? — Q 41.E Y N <br /> IS D-BOX LEVEL? C N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? gy <br /> N <br /> DISTANCE TO ANY WATER WELLS? \� �Q N <br /> DISTANCE TO NEAREST FOUNDATION? V- -7- a N US, <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? 0 rk y(ZW L Y N c <br /> CORRECT DEPTH OF LL TRENCHES? y Lij H Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? K4f, Y N <br /> CORRECT WIDTH OF LL TRENCHES? 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? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? ( Y I N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN, <br /> COMMENTS: <br /> INSPECTED BY: �%� h'J I/,t"�_ DATE: � �/ <br />