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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: I / --i-00 E. le.4 PERMIT # Sg.6 0 K 2,3 117_ <br />-le Check box ACTUAL <br />PARAMETER ' if inspected MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <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 />74° t" f • 0 N I= <br />EN 't Y N <br />i <br /> <br />1M i ---P N <br />M > ZOO '-"el-- - N <br />= N <br />EIM /.1-- . 'A , ' <br />1.-- 5 p CI) N <br />MIll CI) 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 />Y N <br />Y N <br />Y N <br />Y 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 />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y 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 />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />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 19-BE IR EDRAp. <br />COMMENTS: A/eAv _4"AX Covet 1 t I <br />N <br />(g N <br />- tort e t. 1. -14 • <br />,. I liVa._ -6- 0 k-,I. -e zs-c---...4(7,_ <br />P.3 p2-0;a11:1 (.- frid*-e- c-a're+ showf e - W i L4 4r7--F . ca,,t.'7- --6e.Q <br />i. im--e04 <br />INSPECTED BY:, <br />DATE 1A/1 67e2V°