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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 401114 rr • �vl!^4,� �� p �,,� &A PERMIT # S,,Qcro 7S,jq Z• <br />Check box ACTUAL MEETS SJC <br />PARAMETER 40, if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK:w� <br />CORRECT TANK CAPACITY? as <br />Y N <br />DISTANCE TO FOUNDATION? <br />Y N <br />DISTANCE TO PROPERTY LINE? <br />Y N <br />DISTANCE TO ANY WELLS? <br />Y N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />Y N <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y N <br />CORRECT TYPE OF PIPING? <br />Y N <br />TANK VENTED ? <br />Y N <br />ANY TANK ABNORMALITIES NOTED? <br />Y N <br />OTHER <br />Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? 40 I N <br />DISTANCE TO NEAREST LEACH LINE? N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? v_ t--> N <br />IS D -BOX LEVEL? 4P N <br />OTHER Y N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />pi 'r �J N <br />VA <br />DISTANCE TO ANY WATER WELLS? <br />45- 6% N <br />DISTANCE TO NEAREST FOUNDATION? <br />S i —0 N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />Y N <br />CORRECT DEPTH OF LL TRENCHES? <br />N <br />CORRECT DEPTH AND TYPE OF ROCK?�! <br />ji (� N <br />CORRECT WIDTH OF LL TRENCHES? <br />Z N <br />CORRECT LENGTH OF LL TRENCHES? <br />, C/ t I �,i N <br />CORRECT TYPE OF PIPING? <br />s p tz 3 N <br />OTHER <br />Y N <br />SEEPAGE PITS: l <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? "P N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? tl--> N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY:� 4)VI -(73 DATE: .9- <br />E �y"� J <br />