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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: I�� C' -.Lt i !' PERMIT# k C <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? �ted QYO N <br /> DISTANCE TO FOUNDATION? A N <br /> DISTANCE TO PROPERTY LINE? 2 0/ ly <br /> N <br /> DISTANCE TO ANY WELLS? �/ pO l N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? V N <br /> CORRECT TYPE OF PIPING? i/ E) N <br /> TANK VENTED? ✓ O N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: ILL=LEACH LINES) F t( SER KE P <br /> DISTANCE TO PROPERTY LINE? 2 U� `Y N <br /> DISTANCE TO ANY WATER WELLS? ✓ r( , N <br /> DISTANCE TO NEAREST FOUNDATION? �- l��j -t- By N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? — Y N <br /> CORRECT DEPTH OF LL TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? 1[ N I -Z <br /> CORRECT WIDTH OF LL TRENCHES? i/ L Y N <br /> CORRECT LENGTH OF LL TRENCHES? / G/ Y N <br /> CORRECT TYPE OF PIPING? ?C Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <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? Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY. DATE: b 02 0 <br />