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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: \ ID A:\ ,p S . 1/4ii,\J._<-,c c_r--- 'cl.J3 cNS) PERMIT # <br />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 />7,0 lz. 0 N \r <br />\ c- <br />N <br />\ 1 0 N <br />-\,/ cr.11 6 N <br />\I \.,k,..A, al N <br />--\ <br />(' V. <br />el N <br />\I <br />-- c012.- - ? 5 II N <br />\i -Jk c->S <br />/0 N <br />\,i t---% '0 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 />/ .S N <br />v kv-z! N <br />\I `-i &-5 <br />/ N <br />\r' ,--i c-57 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 />I 5/ N \j <br />ild N <br />V I 1 2( N <br />\f' A)7 fl N <br />\.7 <br />14 zit N <br />\/ 1 cb 8 N <br />U1 V' I ('J N <br />k-{ 0' 10 N <br />\i' De-- 9 --t, N <br />Y N <br />SEEPAGE PITS: NI i p.i <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 TO BE REDRAWN. <br />COMMENTS: <br />icti N <br />N <br />ty,Q_ ,,,K---,c,i, • iz,v 4_ e., K.) as &Jo r r (../:'•)1- ft-L. <br />C b l.A..1) k../QA-----k---.1\ 'Cs A-- (")--/sc._.NJc.-1/4-A • <br />V--e•• N-7_1•Svi. 6, 94,4-,,.c.--- 0 N."--.._ • . Q-c. L. ce, k- C---s-,--, E.,,v4._ 62 P.. 0 _,•11-- <br />c- t•-•5 •P,L.1..,Q_.,0 '1)1.4.• • -t-lz:) <br />INSPECTED BY: DATE: <br />%