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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: \\0),N\44 (.,(.\,p.;\1-.\ -s.,.% PERMIT # <br />Check box ACTUAL <br />PARAMETER (4f if inspected MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS') <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ?•k-(vc- <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />\\(YOC) (;) <br />N <br />NN <br />N <br />N <br />NN <br />N <br />N s‘.—.V.A..",„.., \ <br />.) V401 Cii <br />t <br />\ \) <br />'-'\ .c 5 N <br />,1 \-\ -'S (Y) <br />0 \-A,ViO U <br />t <br />1,D C3 <br />Y <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS 0-BOX LEVEL? <br />OTHER <br />/- 111 ) 11, N <br />N <br />N <br />N <br />N <br />0 , \L-- , cp Q-) k:s-c---‘ Q -CA . <br />U C>. <br />`ik --`D (r <br />-14*-5 1::) <br />Y <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE 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 OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />' <br />\':1 a N <br />N <br />N <br />N <br />e <br />N <br />N <br />N <br />N <br />\c, -- `•-\ Vi .1:). k \ (.3:3 , j ic_ii.__ <br />t. v\i <br />r1.2-• - '2-`k l 'CV-- <br />\ ;:i t -sr <br />\ V E \X (---)T-V - LC-'J <br />coo % _ --\ „Li , <br />Y ,,,\-.)K:. os,-- 1---• l,--- - <br />/11:2 ,,,..1_,_< ci <br />-1 .."1• \ i' <br />i <br />CD111 Y ';' S t-IN, o t..--i 0 i-- 7 fc -1.-4-•Nt.--s- <br />LMC\ -2C, 0 <br />Y <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 />-- <br />CORRECT WIDTH? <br />OTHER <br />i <br />\.':) 0 N <br />N <br />N <br />CI <br />N <br />A <br />A ,Y,' \ °\`•2 b <br />s\ -1,0(-Y 4 C <br />si I-3/ t's Y Q I P, <br />—, Y \^ t•-) P`c Cb -,'rri-- C..c) Q sir--'7A—s-A <br />i /40" <br />Y <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM?N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />'1.. N <br />NCW\ .` A\ C'''C\ i\ (> 4 C'''LHC C-&- sk'f -N • L-13\1 <br />INSPECTED BY <br /> <br />DATE: <br />V:t &