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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: /" PERMIT #co <br />Check box ACT AL MEETS SJC <br />PARAMETER 'rfimpecfed 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? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />O Y N <br />G' Y N <br />N <br />t N <br />Y N <br />Y N <br />�� �%L_ N <br />N <br />Y N <br />Y N <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 />Y N f <br />Y N <br />N <br />N <br />Y N <br />LEACH FIELD: (LL=LEACH UNES) <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 OFLLTRENCHES? <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 />C Y' N <br />/ Y N <br />pI I Y N - <br />Y N <br />Y N <br />—�o ra r Eo Y N <br />al N <br />N <br />Y N <br />Y N <br />f <br />S E 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 />X <br />J N <br />N <br />N <br />Y N <br />min PwA —16 N <br />Y N <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br />ANY NO ANSWER ABOVE REQUIRES ERMIT TO RAWN. )) �6_ <br />COMMENTS: Gc,� cj� 7 .�C I SYI , 1617C — <br />INSPECTED BY: i DATE: / t <br />