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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# Q 2 <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? 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: <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: (LL=LEACH LINES) ,[ <br /> DISTANCE TO PROPERTY LINE? r`' N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? �/' L lJ- Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: 1 c <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? N ✓� <br /> DISTANCE TO NEAREST FOUNDATION? Z N <br /> DISTANCE OF SOIL BARRIER TO PITS? — p y�,Q_ Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? (9 N ( Z S iq- Cl,- <br /> CORRECT WIDTH? I� �/ rj Y N <br /> OTHER (-,P ` �i « Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE/✓REDRA � L D �5 �� �� <br /> COMMENTS: QkAl fel ,, <br /> 5 er So <br /> "s o <br /> 1p o a <br /> o-1 t r . <br /> INSPECTED BY: aY ( � DATE: /TO <br />