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SEPTIC SYSTEM INSPECTION CHECK LIST <br />LADDRESS: ''.;.2....-7, LI LI 6 ( A p4,7 A (4- 5-71 A.. le- j_ PERMIT # <br />Check box ACTUAL MEETS SJC <br />PARAMETER .°°, if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: ..."--1...,. <br />CORRECT TANK CAPACITYA> ric-T1 <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 />Y N <br />Y 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 0-BOX LEVEL? <br />OTHER <br /> (Y.) N <br />%. . S -E -4- (---R N <br />1./"-- LD N <br />1/"--- C. N <br />Y N <br />LEACH FIELD: (LL = LEACH LINES) I .?( 3 <br />DISTANCE TO PROPERTY LINE? k <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 d c--(- N <br />1/- ^- t '3 6 'Frf N <br />1./- 10 r * Y N <br />‘.,•---- s>/04-N <br />. L,-- <br />- <br />-3 p._ -3 , ',y, .. Y N <br />Is i/VP t ••••••••' Y N <br />t•/-*fr‘. Y N <br />1,.--- "5 3 ---- N <br />N.-- N <br />Y N <br />SEEPAGE PITS: 6 14/1/ (t3) <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 />OTHER L.-- 9--itl <br />--> 10 4-4 N <br />(5 N <br />t_/-- <br />1.,-• -•- I le) .C--11, <br />L,- a. 3 -r i N <br />1./. 6 _F,.-tc- N <br />l . 10 Ft-- 0 N t - 2 --S- i'in • rbei-s <br />CORRECT WIDTH? <br />`" 1 6 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. <br />COMMENTS: <br />CYD N <br />CD N <br />INSPECTED BY:INN <br />1)CLIC i 4;j l6 DATE <br />