Laserfiche WebLink
SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: y (7 5�1a ^ <br />a fir <br />PERMIT# i� <br />Check box <br />PARAMETER if inspected <br />ACTUAL <br />MEASUREMENT <br />MEETS SJC <br />STANDARDS? <br />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 />s <br />CYC <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 />Ai,;p e- Al ea V PY; P C ✓� <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 />p <br />X"'0 1Q� rL� <br />.l< 1 L <br />b <br />(Y <br />CrYCl <br />lYl <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 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 />JCS <br />({D K yT 3 > <br />V <br />(Y/ <br />Q <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />Utit c /✓ems -Y YI r, py Yif}- <br />X <br />x <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION?lo <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />x <br />3 U <br />7 <br />�'� 7 <br />U <br />Y <br />r( <br />(Y) <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />6yte/ Ci P�►�"� <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: necC, as SJR S�G��►IL.GI� / 1 <br />N <br />N <br />INSPECTED BY: �. , _ ji /%✓ DATE: 3 /1 / Z - L <br />