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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: S PERMIT# 0 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? C-,.-44 S Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: C <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ti/ N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) II <br /> DISTANCE TO PROPERTY LINE? T © N <br /> DISTANCE TO ANY WATER WELLS? N W7 <br /> DISTANCE TO NEAREST FOUNDATION? `3 S �Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? pyt LL Y N <br /> CORRECT DEPTH OF LL TRENCHES? Li aD N <br /> CORRECT DEPTH AND TYPE OF ROCK? L 2 � h- IL�) N <br /> CORRECT WIDTH OF LL TRENCHES? L4 N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? S'� '02-7 N <br /> OTHER ��0� �V1 L`Ou �� 't- (Y� N <br /> SEEPAGE PITS: S l.X <br /> DISTANCE TO PROPERTY LINE? j N <br /> DISTANCE TO ANY WATER WELLS? ZOO N <br /> DISTANCE TO NEAREST FOUNDATION? 100 1-'4 N <br /> DISTANCE OF SOIL BARRIER TO PITS? L/ 6 Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? N ( -2 r5 rN Y-u C <br /> CORRECT WIDTH? �� �j k X 12 Y N <br /> OTHER'�r0uh4QQ� ( '`+" • ✓ Q Y N <br /> MISCELLANEOUS: 0 <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE R VIRES PERMIT TO B/E_REDRAWN. / l' <br /> COMMENTS: S "� Ce-B-Jq 1;p-p_ Co� �O� i7 �Gt, IIC� 0�7. <br /> INSPECTEDBY:���+ � ��`� �'/ � DATE: <br />