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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> , PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? I N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER — N �,y,Jy;_rG-{ - T <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ��� U N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? — N <br /> IS D-BOX LEVEL? �` N <br /> OTHER N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? 1\ Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? (1t Y N <br /> CORRECT DEPTH OF LL TRENCHES? \ky Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? w� Y N <br /> CORRECT WIDTH OF LL TRENCHES? \V" Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER — Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 1 Y N <br /> DISTANCE TO ANY WATER WELLS? 1'�Zj Y N <br /> DISTANCE TO NEAREST FOUNDATION? S- Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Z 5 Y N <br /> CORRECT WIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> Tpip, � � <br /> li <br /> INSPECTED BY: �^ DATE: <br />