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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: /2)9\\',_-o\Niz,42-Sp` 5;s-.)-cc". \ I ‘" ' PERMIT # ei, v i• c <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? <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 />N <br />\ 1.t -----3 64. N <br />\I c,5' 0 N <br />NI 2;.0 Or tb N <br />J -\ ID N <br />J --,kc-cD ED N <br />J -1(c.---D (t) N <br />J, '-k5 t). N <br />J 0-r1 b N <br />Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE?\I( <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D-BOX LEVEL? <br />OTHER <br />Z N J) <br />C..; ® N <br />NJ) `J\4 e) N <br />4 --Ve)-7 fl)I N <br />Y N <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 BETVVEEN 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 />c1 , qb N ,i1 <br />J -2D \ .1Z ; fb N f <br />\i -3\1 69 N <br />‘-if \Y e) N <br />\i 1 'Drkj) S N , <br />\I <br />\s,:kt \ \ it! ,N <br />2.-*.' N <br />I 17 tN <br />i -,,c,c\---,,--, rwior. 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 />,\ <br />A.`' N <br />3-1 vt9' (I) N <br />Nlj N <br />N <br />,..) LI \t c7 ( els4.0.,\ N <br />`J\KI 7 N <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? el N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? 0 N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />A )0 T-'4C<-,--t4 --3 Poi,' A96) 43q.-4-310(.2 1.--J\JS r c_ITh--)1..1 <br />INSPECTED BY: cbtfelik. DATE: 1./