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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 2.. '5C) 1-( -4- t.---Do c.a S gct PERMIT # 5 KA) of 30 2_ b <br />`k Check box ACTUAL MEETS SJC . PARAMETER if inspected MEASUREMENT 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 />00 P`-') 0 N <br />."---- -f N <br />11-/- -s> all N <br />LI...'- N> I 0 0 F N <br />.----- C.... N <br />\-' N IlliSsi vz thy-- r____,Y <br />'1 ' S'D 23 S < v..) N <br />l./- Q.D N <br />Y N <br />i ./ S 'erl 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 />6 44' CD N <br />1./- -C--t- N <br />‘..---' St N <br />%.,"--- 1(. N 1^-°•+ e'Vt <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 />-> -C4 N <br />1.,-- >. / ao -Ft (..)_'_ N <br />et/.' or Y N <br />t•-•--- o .E.----, N <br />t/--.- 9 A ,1.4...th, y N I KS±e.-14-J-- gap . <br />1/-- 18 - lel; il • N 1 -2.. -; I., , e-cs c_itS <br />IL/- /2 1--1. ; fr, _ N <br />k . C 5.-fil Sti f( ° N <br />k./- SDP '3. g 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 />.-2 5-(---1 Q N <br />‘,--- -"? 1 S Of4 (---- N <br />t.' 7 I o-e--e N <br />1 -- j 1 -14- N <br />g <br />V-S--e-t- N <br />‘-- ti 2, ; il • 0 N VV-),r; ed 0-utier--- ciro-oith.-- <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE <br />ANY NO ANSWER ABOVE REQUIRES PERM T TO BE REDRAWN. <br />. • COMMENTS: i ' .1-.4 .10 <br />SYSTEM? Y N <br />IN FUTURE? Y N <br />AL' i',ii , tot_ £"1-/ IC , <br />MENERIIIPIraNIMOMEt ,- _ <br />21Z 4/2 / - 0, c rwy.._ wilks---, pc ef-,-R(Ae-rvt' 14" 1---&,-- <br />I 14.)--6Li 1 a I 4,30-d_ 4_,-/-0/ / le..44-y fr-ve_f . <br />3/ V tz--1 - e ic-ti,i ce S-er1-1- a 0-"C ett"1-)0 LAI 7 rt-//k/ - by 0144'14-- <br />INSPECTED <br />024c1 0-- <br />DATE: