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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: i 1 cil 1-tA, I I le_izt PERMIT # 12_00 g 3 0 18 <br />4-4 C eck box ACTUAL MEETS SJC <br />PARAMETER 4: if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />D 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 />t 2-6 6 0040 N V <br />1./- . e N <br />V.- -7. / 0 Y N <br />1./.- "-- t --2._ 4, f-f- c...( N <br />1./..- `•• Y-) N <br />V.-- CD N <br />\-- 5 II (Z. 3 5 9,..,7 N We rci, l), e/Yrr <br />c_yi 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 />9 g -fi C. N 1.. <br />V/..* . .4.- _ N 5 . 6 ( , <br />...../ C7 N <br />l.... t_. N <br />Y N <br />LEACH FIELD: (LL = LEACH LINES)/ <br />DISTANCE TO PROPERTY LINE? Oa/ <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 />.---) t 0 -r+ (- N V"...... <br />‘, / ..• N '' _ C' <br />V"-- - . Y N <br />%.,..-- N <br />S IIlei . Y N <br />l...-- : - 20 ' , L. N 1 - -2--- C e I.4 . rti Ckk <br />N.../... '*2 s . C.Y.D N <br />\---- 5 N <br />L,..-- Asi..(m1)i42.4 3 N <br />Y N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? Ga) <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 />\,/..- t‘'" 1-/ 3 <br />t- --",, 1 5 o <br />%-.- "7 t o-P-1- co N <br />I/. 5 -F + N <br />Q s-r-i- 8 N t --- '''Z 'S.' i V/ • r:v aq ,...i ." <br />Li -2_ IN tei . C -7> N <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE <br />ANY NO ANSWER AROVE REQUIRp PERMIT TO BEFDRAWN. <br />COMMENTS: - ..W:eiel- 0.9-3 '-'6-1/4,41 <br />OF SYSTEM? N <br />IN FUTURE? Y N <br />"6"-c0 V) 69 6 t rt S--ef6rri 7 411-1/- <br />erij i (4.a"si ti#1-p-eA by A A A- see-e.r< . <br />INSPECTED BY: 1 k <br />SkiezoL <br />DATE: