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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 201 '21 kUcjjt4 b,k, e,j La c q za5 PERMIT# S;2 00 q 33 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? (J) N <br /> DISTANCE TO FOUNDATION? ,/ I qQ N <br /> DISTANCE TO PROPERTY LINE? f [0C,s (V 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? / s'D2 3S N <br /> TANK VENTED? % N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? �/ 2�� �j N <br /> DISTANCE TO NEAREST LEACH LINE? ,/ 5 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) :E�j Fi I 'ice i'- <br /> DISTANCE TO PROPERTY LINE? / JGG f N <br /> DISTANCE TO ANY WATER WELLS? ,/ loci`-I- N <br /> DISTANCE TO NEAREST FOUNDATION? / 15` dr1 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? ,/ 72� N <br /> CORRECT DEPTH OF LL TRENCHES? ^'�g` ,; i N 3�' -100'� yyiCctwol <br /> CORRECT DEPTH AND TYPE OF ROCK? &1,4 <br /> CORRECT WIDTH OF LL TRENCHES? f I�g`� Y N <br /> CORRECT LENGTH OF LL TRENCHES? f 5 5` CD N <br /> CORRECT TYPE OF PIPING? f (j;) N <br /> OTHER Y N <br /> SEEPAGE PITS: _ <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? V Ic' N <br /> DISTANCE TO NEAREST FOUNDATION? qc ® N <br /> DISTANCE OF SOIL BARRIER TO PITS? f 27,—" CC) N <br /> CORRECT DEPTH AND TYPE OF ROCK? 611w-r'kiz (Y) N <br /> CORRECT WIDTH? Q N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? QN <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? lY! N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: DATE: <br /> G� /�/ <br />