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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: - <br />--Z <br />PERMIT # <br />Check box <br />ACTUAL <br />MEETS SJC <br />PARAMETER if inspected <br />MEASUREMENT <br />STANDARDS? <br />COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />Y <br />N <br />DISTANCE TO FOUNDATION? <br />Y <br />N <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WELLS? <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 />Y <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />Y <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: <br />f <br />DISTANCE FROM TANK? <br />S� <br />Y <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />S q w <br />Y <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />Y <br />N <br />IS D -BOX LEVEL? <br />V <br />Y <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WATER WELLS? <br />�U� ` <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />Y <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />Y <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />V' <br />Y <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />Y <br />N <br />CORRECT TYPE OF PIPING? <br />Y <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WATER WELLS? <br />t mD % <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />Y <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />2G, <br />Y <br />N <br />CORRECT WIDTH? <br />Y <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? qO N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? 4D N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: 4; , " < /a- r. y _ �v4. , <br />DATE: q I.2g (Z�-t I <br />