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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: \ L\k\A 4)(tA-NI, C--ccci.,_pW, ..--r"....1.-D%-.....) PERMIT # ,A....z-0 cl-72,ck <br />* Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT 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? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />/ Q.,Oti c\-c\.\ G N <br />N <br />N <br />N <br />N <br />N N <br />N <br />N <br />N <br />. <br />\/,. i'Arli J C7 <br />V c I- t, <br />1, I C : -1() \-• Z <br />J ,IV-LD 65 <br />1 'i 65 <br />-1)(--`‘k (c.--,k, ‘4 ri y <br />\,' ‘,1‘.,"`-x <br />./ IN.t C.Y.) <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 />c ' ) 0 N <br />N <br />N <br />N <br />N <br />I C\ . (D <br />No s-k5s,. e) <br />,-.' \,1. Y <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 />Cr) -k. <br />_ <br />t) N <br />N <br />N <br />N <br />N <br />N <br />N N <br />N <br />N <br />_.N <br />I <br />f \ 03 k- . <br />. <br />\ ) <br />L\ -2: 10 <br />Jlb i,,. 1 ' I LkAr , (2) <br />1, 2j-k. '' Y <br />--, t • <br />C ) q) <br />) '--A)C..- '7,F, Ct%.-Si5" Ci2 <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 />CORRECT WIDTH? <br />OTHER <br />'...) c- ' r t N <br />N <br />N <br />N <br />N <br />N <br />N <br />) <br />\ CDC,.' t <br />\ Z it b <br />I <br />\.\ T,,) <br />ii ^ \/ n 6.v.ii\V <br />d \k`b,nk <br />Y <br />MISCELLANEOUS: , <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? ?:!) <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />N <br />N <br />t <br />'tli -‘t3S' oc-r- k-(1,\--;Li 4 Th‘.1 . t-It_f\--T: l.'s-*lc: <br />,--, <br />I. N <br />INSPECTED B <br />k.)11v1 <br />DATE: <br />ti•Ci 2A/ -2471-r()