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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT # <br />Check box ACTUAL MEETS SJC <br />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?Y <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />c' 1 c <br />( <br />Q -YJ <br />7 oa <br />Y <br />rj� <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N �/ <br />N <br />N <br />N <br />N <br />V- <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 />L <br />z, 7 O <br />V S <br />Y <br />JY <br />Y <br />N <br />N <br />N <br />N <br />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 LUS? <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 />2 Q <br />r > T <br />> too <br />Y <br />L16j Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N i 1/. 4 y <br />N #j. rb L Wi <br />N <br />N <br />N <br />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 />15,19 (:2v) <br />Z V <br />a <br />1� 'L j N V <br />Y <br />N <br />N <br />N <br />s <br />N 'Lii (f <br />N r p, 7 <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? oe <br />ANY NO ANSWER ABOV EQUI ES PER IT TO BE REDRAWN. <br />COMMENTS: - 6 &,*%, <br />N <br />N <br />1 / <br />� Or -ma <br />CJ <br />INSPECTED BYE � A(:,00 <br />� DATE: I/ / 17-D?- <br />