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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT # Q '3 <br />Check box <br />PARAMETER if inspected <br />ACTUAL MEETS SJC <br />MEASUREMENT STANDARDS? <br />COMMENTS <br />SEPTIC TANK: _ <br />CORRECT TANK CAPACITY? x (A�Kq <br />DISTANCE TO FOUNDATION? J <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 />Y <br />Y <br />Y <br />Y <br />v <br />Y <br />�.D <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <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 />✓ <br />V 5 <br />r Y <br />(Z) <br />Y <br />N <br />N <br />N <br />N <br />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 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 />�� y <br />7 t o 0 l Y <br />_� 4 <br />Q -r!4- CD <br />0 _ s 2,;h , Y <br />2 ' . to Ck <br />p jirr^ <br />c7 (D <br />5bai7j S ' <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />✓gyp.; /' <br />( — a . S i yr V- 0 <br />r <br />SEEPAGE PITS: �G <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 W+� <br />- ` <br />v— <br />1/' <br />\� <br />-F4 YY <br />71 50 <br />SY <br />L Q <br />t a .F.- Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />���i .S I ✓I�C C <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: l <br />N <br />N <br />Qeit� 0 Gtir- <br />INSPECTED � C `G� DATE: ���2� <br />