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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: q 7 / hi; I tIty P 'E.-) L P-7 PERMIT # RAD 0 g "3 7_6'57 <br />Check box ACTUAL MEETS SJC <br />PARAMETER '4‘t', if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? Cy< S-b' V7cI <br />DISTANCE TO FOUNDATION? J 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 />Y N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />Y <br />Y <br />Y <br />Y <br />Y <br />k----- c3 <br />Y <br />Y <br />Y <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D-BOX LEVEL? <br />OTHER <br />N <br />N <br />N <br />N <br />N <br />l - 12q.c-(1( CYD <br />l..--- 5 f-4 C.Th <br />— <br />VP/FOL.; K--- Y <br />\----- Y <br />Y <br />LEACH FIELD: (LL = LEACH LINES)c v I <br />DISTANCE TO PROPERTY LINE? k.i . 1 <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 />---- --r(-- Y N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />‘e,--- <br />k.,--- --... 1 70.14 <br />\---- N 56 ---f-Y <br />v- D,...; e-- Y <br />1„,-- 4-1 s _ Li q ; fr, . /Y-___, V 0.4. „-• <br />l - ri - i 4 i LI , CY.) i - - S ;',1 - r <br />1/-- i-t ; fry - al <br />1 ..--- 1-1 0 -(74 I <br />\-/- A SlA D -7-7- -2-9- Y <br />Y <br />SEEPAGE PITS: <br />( DISTANCE TO PROPERTY LINE? Y PO <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 />(87 14 110 N <br />N <br />N <br />N <br />N <br />N <br />N <br />i/- <br />t/-..5 0 -r-t— si. <br />k./- ‘->i 0 {-t Y <br />1.---- 7 —r- 0 <br />k.---- , Y <br />t,-- ---- 40 <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 />c <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />(,N <br />INSPECTED DATE: <br />Dur