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SEPTIC SYSTEM INSPECTION CHECK LIST
<br />ADDRESS: \c.,v1,.\ t-Dz,,.%t---s 44,&,cc-,) PERMIT # <, c, c ,0 c-,..5c
<br />Check
<br />
<br />box ACTUAL MEETS SJC
<br />
<br />inspected MEASUREMENT STANDARDS? COMMENTS PARAMETER if
<br />SEPTIC TANK:
<br />CORRECT TANK CAPACITY?
<br />DISTANCE TO FOUNDATION?Jt
<br />DISTANCE TO PROPERTY LINE?
<br />DISTANCE TO ANY 1NELLS?
<br />TANK LEVEL AND ORIENTED CORRECTLY?
<br />SANITARY TEES CORRECTLY INSTALLED?i
<br />CORRECT TYPE OF PIPING?
<br />ANY TANK ABNORMALITIES NOTED?
<br />OTHER
<br />\\VV13 ,k ,,,, N Jr
<br /> V N
<br />J t ey_ ' 0 N
<br />\ct•e -"\j° N LPt-si-p+.4 -0-cis.4), --vt44,54-x-- 41
<br />\4\ (-) N
<br />N
<br />44 \i-iy N
<br />TANK VENTED ?N f N
<br />"c'N
<br />Y N
<br />DISTRIBUTION BOX:
<br />DISTANCE FROM TANK?NI/
<br />DISTANCE TO NEAREST LEACH LINE?
<br />DOES SYSTEM HAVE EQUAL DISTRIBUTION?
<br />IS D-BOX LEVEL?
<br />OTHER
<br />v.1.:
<br />(6 N
<br />\I
<br />CO 1
<br />N
<br />J, ,-kc.,"") N
<br />'A Je-,`, % N
<br />Y N
<br />LEACH FIELD: (LL = LEACH LINES)
<br />DIS-ANCE TO PROPERTY LINE?
<br />DISTANCE TO ANY WATER WELLS?
<br />DISTANCE TO NEAREST FOUNDATION?
<br />DISTANCE OF SOIL BARRIER BETWEEN LL'S?
<br />CORRECT DEPTH OF LL TRENCHES?
<br />CORRECT DEPTH AND TYPE OF ROCK?
<br />CORRECT WIDTH WIDTH OF LL TRENCHES?
<br />CORRECT LENGTH OF LL TRENCHES?
<br />CORRECT TYPE OF PIPING?
<br />OTHER
<br />\ t N 1i
<br />\ \\1
<br />N
<br />
<br />\% NN
<br />si \ 0 \ 2
<br />t
<br />,
<br />'...\-1.:, N
<br />3 \,\t, - ‘ N ,LA"
<br />N
<br />i
<br />C-) c, - CD 'k)I N
<br />'-->-0.— - N
<br />Y N
<br />SEEPAGE PITS:
<br />DISTANCE TO PROPERTY LINE?
<br />DISTANCE TO ANY WATER WELLS?
<br />DISTANCE TO NEAREST FOUNDATION?
<br />DISTANCE OF SOIL BARRIER TO PITS?
<br />CORRECT DEPTH AND TYPE OF ROCK?
<br />CORRECT WIDTH?
<br />OTHER
<br />I
<br />\.. t N c)
<br />\.'""‘-'<1 N
<br />"c -) . N
<br />\i
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<br />'1,- (.- \ çht-
<br />,. t, \k'l, N
<br />Y N
<br />MISCELLANEOUS:
<br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? t N
<br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? t N
<br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN.
<br />COMMENTS:
<br />fAA D V— f vt, izie- d., 19 • ' ,
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<br />INSPECTED INSPECTED BY,cul3s5‘\"1 DATE: sprf\1 to, 'tau
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