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SEPTIC SYSTEM INSPECTION CHECK LIST ADDRESS: 3 LE'l •Pock 41 , S/ /' Cg 9.5-2c-r- PERMIT # ,i(/_ 00 S" 3 61" ' Check box ACTUAL MEETS SJC PARAMETER 'N ' if inspected MEASUREMENT STANDARDS? COMMENTS SEPTIC TANK: CORRECT TANK CAPACITY? Y N DISTANCE TO FOUNDATION? V t C 0- Y N DISTANCE TO PROPERTY LINE? V 1 ,4 Y N DISTANCE TO ANY WELLS? V / 61 .1/ Y N TANK LEVEL AND ORIENTED CORRECTLY? V Y N SANITARY TEES CORRECTLY INSTALLED? V Y N CORRECT TYPE OF PIPING? V S 0 A 3s-- Y N TANK VENTED? vr". Y N ANY TANK ABNORMALITIES NOTED? Y N OTHER Y N DISTRIBUTION BOX: DISTANCE FROM TANK? V $ i i 1 o ,` -, Y N DISTANCE TO NEAREST LEACH LINE? V Y N _cp._ DOES SYSTEM HAVE EQUAL DISTRIBUTION? V Y N IS D-BOX LEVEL? V Y N OTHER Y N LEACH FIELD: (LL = LEACH LINES) DISTANCE TO PROPERTY LINE? t7 gli- Y N DISTANCE TO ANY WATER WELLS? 1.7 A'' Y N DISTANCE TO NEAREST FOUNDATION? V -- .,--- cis. J... Y N r DISTANCE OF SOIL BARRIER BETWEEN LL'S? V 13P- Y N CORRECT DEPTH OF LL TRENCHES? L./. Y N CORRECT DEPTH AND TYPE OF ROCK? kr 16 - I t 4, _ Y N CORRECT WIDTH OF LL TRENCHES? 1/ 7Jk Y N CORRECT LENGTH OF LL TRENCHES? V CS41- Y N CORRECT TYPE OF PIPING? V Y N OTHER Y N SEEPAGE PITS: DISTANCE TO PROPERTY LINE? V 3 '-l- Y N DISTANCE TO ANY WATER WELLS? V 4"' i t / 'I .41-- Y N DISTANCE TO NEAREST FOUNDATION? V /1.."" 1 Tg1.1. Y N DISTANCE OF SOIL BARRIER TO PITS? V 1 ; 4! Y N CORRECT DEPTH AND TYPE OF ROCK? V 2 c -0 Y N CORRECT WIDTH? V l Y N OTHER se N MISCELLANEOUS: DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? V N DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? e N ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. COMMENTS: INSPECTED BY: DATE: &17/24,2-1