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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: I Li II- I E. tj in--1- M; IC e-ct- PERMIT # `-g...00g 3o 8 0 <br />-4' heck box ACTUAL <br />PARAMETER ' if inspected MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: ...<-_,-c.j... i A <br />CORRECT TANK CAPACITY? C,.. >c-, I -3 I, v gi <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 />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />,.- N <br />1,-' cZ As 5 (..._D N <br />Y N <br />Y N <br />Y 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 />-7-, S -C-1- c.D N k/ <br />1/- s-r-f (3 N <br />---- te"..t,t0 o•-.: i"-- Y N <br />\ .../ CD 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 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 />to -P-i- Y N k/ <br />1.- /•-- 1 (2_ 4> -PA- 11, N <br />\,- -a_cf .---(-- 0 N <br />,....- ,,,,_ .. v..--- N <br />'l/5 a ‘, 0- Y N <br />....- ra-a--23;fri, s( N 1 - ''..-- ;,-,- r.oe-Ge-P <br />f\./- X‘4, i vl - c_YD N <br />1/-- 4 o -F4- N <br />v- /4617111) '-q7 --11- Y N <br />Y N <br />SEEPAGE PITS: ("?' 14 Me <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 N100A/1 <br />DISTANCE TO PROPERTY LINE? <br />1./ 7 1 SO N <br />%/-- s> 104* N <br />\/- 'S f --k- Y N <br />‘,/- 1-4- f:4 100 N l—a-s •J in - 6" C W"\ <br />‘. --P-k Y N <br />t/-- I '5 -'r+ Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. t., <br />COMMENTS: /..„.. e,0,1.,14 /44%.4---;t0,--4 CA <br /> i <br />N 6, N <br />, p2 <br />/ 4 , 014.4- --a 0<j 3 - 4 ky <br />• <br />INSPECTED BY: DATE: <br />