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SEPTIC SYSTEM INSPECTION CHECK LIST <br />cog, <br />ADDRESS: Q <br />rD <br />PERMIT <br /># p <br />a <br />Check box <br />JACTUAL <br />MEETS SJC <br />PARAMETER <br />if inspected <br />MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />//�� <br />V <br />Y <br />N <br />DISTANCE TO FOUNDATION? <br />N <br />DISTANCE TO PROPERTY LINE? <br />> SDJ ( <br />Y <br />N <br />DISTANCE TO ANY WELLS? <br />^— 13 <br />Y <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />Y <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y <br />N <br />CORRECT TYPE OF PIPING? <br />Y <br />N <br />TANK VENTED ? <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 />C / / <br />J I "C' <br />Y <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />'J -�' <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />N <br />IS D -BOX LEVEL?V <br />YQ <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? 66 <br />N <br />DISTANCE TO ANY WATER WELLS? <br />7 LO 0 -q <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />�, S <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />Q <br />N <br />\/ <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />% tn, <br />'4 0 N, <br />j N . <br />Y <br />Y <br />Y <br />N <br />N 3&& 33 1 cc <br />N <br />I <br />kyY �✓ (IVeb�f <br />� <br />�� <br />✓ <br />CORRECT LENGTH OF LL TRENCHES? <br />o.Y, <br />N <br />CORRECT TYPE OF PIPING? <br />2 L <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? % <br />N <br />DISTANCE TO ANY WATER WELLS? <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />\O <br />Y <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />✓ <br />5 4 <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />Y <br />N <br />N <br />k ht <br />Di <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />Y <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL <br />TO LOCATE IN FUTURE? <br />Y <br />N <br />ANY NO ANSWER ABOVE REQUIRESS� PERMIT TO <br />COMMENTS: 0 18 6 <br />BE EEDRAWN. <br />•` Yb "fes <br />� vhc e <br />of pe i OLl , <br />' ro- i� <br />ArdAts <br />D <br />iH bY=O` <br />1/ <br />C, <br />vAtl2OP4 C3 S <br />' <br />wt®1alic <br />INSPECTED BY: DATE: <br />e � <br />LL� <br />