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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT # <br />Check box ACTUAL <br />MEETS SJC <br />PARAMETER if inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />ZCi71d <br />® <br />N <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />Q <br />40 <br />N <br />N <br />DISTANCE TO ANY WELLS? <br />���Gy <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />_ <br />�. <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />N <br />CORRECT TYPE OF PIPING? <br />N <br />TANK VENTED ? <br />to <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />R <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />Y <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />Y <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />Y <br />N <br />IS D -BOX LEVEL? <br />Y <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WATER WELLS? <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />Y <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />Y <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />Y <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />Y <br />N <br />CORRECT TYPE OF PIPING? <br />Y <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WATER WELLS? <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />Y <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH? <br />Y <br />N <br />OTHER El <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />Y <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />Y <br />N <br />PERMIT ' 0 BE REDJIAWN <br />ANY NO ANSWER ABOVE REQUIREST <br />COMME TS:Cam <br />'ie ze/ �j / <br />6 <br />- �.C�a �• <br />g- g4g e' C dr�r - <br />L • 7- <br />• ' < 2 lc - <br />INSPECTED BY: ��� DATE: <br />