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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: �3\� Z ,= --_:v <br />,\ c ,,a5�, �;_ . ,� t <br />PERMIT# <br />Check box ACTUAL <br />MEETS SJC <br />PARAMETER <br />if inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: 1 <br />CORRECT TANK CAPACITY? 1 <br />Y <br />N t, <br />DISTANCE TO FOUNDATION? <br />Y <br />N <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WELLS? <br />Y <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />Y <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />b <br />N <br />CORRECT TYPE OF PIPING? <br />Y <br />N dk3 <br />TANK VENTED ? <br />Y <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />Y <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />6\I <br />N <br />$O� <br />DISTANCE TO NEAREST LEACH LINE? <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />y <br />N <br />IS D -BOX LEVEL? <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL= LEACH LINES) <br />t <br />DISTANCE TO PROPERTY LINE? <br />N <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />t,� P <br />N $ <br />N <br />�i�4x ��- Q- rsN�, c 5 A - �S� <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />`✓L <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />V <br />UxZ - �O" <br />\So - ��� <br />N <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />Z -11k" <br />N TO <br />0 �� <br />CORRECT LENGTH OF LL TRENCHES? <br />�U o ' <br />N <br />CORRECT TYPE OF PIPING? <br />meq^.- �� <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: \' <br />DISTANCE TO PROPERTY LINE? N 1 <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 <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE <br />LOCATION OF SYSTEM? <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN, <br />COMMENTS: <br />s ", <br />6 <br />5Tp <br />A A4 g <br />- r <br />-- <br />- - <br />Z.- 6 L ,. <br />INSPECTED BY(�w DATE: <br />� <br />