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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: ( I '"2., S .`--=> N ./1 ,c,,e - 6_-_,,---_,v- C PERMIT # , 1 <br />'t 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 TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />I WO V N cy <br />N <br /> <br />--0 -fr <br />V • Y N <br />k.,---- 2 C-:-)1' N ^- I /-0--14- i )1/ L3.--- 1 ive I i <br />L..../ L--/? N <br />l../ C_Y) N VV( C CIAA -611 g -4' ( <br />L.-- `- i ) v..--3c,N <br />CC3 N c"--- <br />Y N <br />Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE?V <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS 0-BOX LEVEL? <br />OTHER <br />--"1-- 24'4 c=1 N <br />S `0 N <br />\..." (2) N <br />t..."" ,9 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 />7-)1-1-f- (y) N <br />'.- / i / ff 4 Y N <br />t./ 7/ ) -rl, N <br />v---- ( ! 1 Y N <br />1j "0 i 0. C---4 N <br />t"' ( (I( — I VI X. Y N t --"Z -5 , k r 0c1-3 <br />t - ---1— 171 N <br />,./- (.) ' C) N <br />'"A '"--r-/ 1 , 1 Z 0 N <br />Y N <br />SEEPAGE PITS: <br />k I) DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS?o <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 />-it C.9 N <br />....--- N <br />'t/ ---) I 3 C N ....) <br />t../- 5 f 'f' L.Y..> N <br />k-- '---- S e•( cly.) N <br />'V' Li '-i-- i h. 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 TO BE REDRAWN. <br />COMMENTS: <br />0 N <br />Y N <br />INSPECTED BY-:-D DATE: 3//7/-2