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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# j <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 1 �(�(>G� N <br /> DISTANCE TO FOUNDATION? 2 r l� N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? 01 N <br /> TANK LEVEL AND ORIENTED CORRECTLY? j� YV N <br /> SANITARY TEES CORRECTLY INSTALLED? CY) N <br /> CORRECT TYPE OF PIPING? X- N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? j N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? U N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? CV N <br /> DISTANCE TO ANY WATER WELLS? 3 Y N <br /> DISTANCE TO NEAREST FOUNDATION? Z a,? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2L � & N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> • o a,- - -LSVG <br /> r� 0-r <br /> a els o cK -f— <br /> INSPECTED BY: DATE: 3 / <br />