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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 4OQN <br />PERMIT # S Z� <br />2Lf <br />PARAMETER <br />Check box <br />if inspected <br />ACTUAL <br />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 />N <br />Y N <br />7 L o F Y N <br />LQ c� ' Y N <br />� <br />N <br />(: "-s K; � Q <br />�Q, N <br />N <br />Y N <br />Y N <br />l <br />�� <br />✓ <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 />/� <br />-/ T <br />Y N <br />Y)N <br />Y��� <br />(� N <br />Y N <br />o y� <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION?OR41t- <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK?j/ <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />^-�j -� Y N <br />p p N <br />N <br />(2 CD N <br />4 a - 5.4 i h • Y O <br />�'�jj QZ:�) N <br />h C-0 N <br />60 7 Y N <br />Q N <br />Y N <br />T <br />L/ <br />!l <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?02 <br />CORRECT WIDTH? <br />OTHER <br />�/ <br />�/ <br />✓ <br />�y <br />�� T ' N <br />� N <br />7 L 0 -{ C1 N <br />Y DN <br />(4 {-, oZS 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: ��cy�; (�'i/� e <br />N <br />Y N <br />L <br />t <br />O <br />OL- <br />I <br />S I <br />INSPECTED BY: �a�l � � � � �` O� DATE: <br />