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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: l g�, .r',f — — PERMIT# <br /> Checkbox ACTUAL MEEISSJC <br /> PARAMETER iilnspocted VLASUREMENT STMIDARDS? COIA."TS <br /> SFPTIC TANK: <br /> CORRECT TANK CAPACITY? / Y FJ <br /> DISTANCE TO FOJNDATION? ( `� N <br /> DISTANCE 10 F`W PL RTY LINE? 6 II <br /> UISLANCE TO ANY V%".I.S? I'1 _ <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SAN ITARYTEES CORRECILYINSTALLED? Y N <br /> CORRECT TYPE OF PIPING? Y' N <br /> TANK VFNIED? Y N _ <br /> ANY TANKABNORMALITIES NOTED? Y 1'1 _ <br /> OTHER — <br /> DISTRIBUTION BOX VIC <br /> DISTANCE FROM TANK? �Y' tJ _ <br /> DISTANCE TO NEAREST LEACH LINE.? ��y � N <br /> DOFS SYSIEIA 1Trc ECYJAL UISI RIUJTIO';i - X N _ <br /> IS D43DX LEVF I.? r Q' N <br /> OTHFR N <br /> LEACH FIELD: (LL-LEACH LINFS) <br /> DISTANCE TO PROPERLY LINE? /v i N <br /> DISTANCE TOANY WATER WELLS? N <br /> DISTANCE TO N:AREST FOUNDATION? N <br /> DISTANCE OF SOIL.RARRIE R BETWEEN LL'S? / N <br /> CORRECT DEPTH OF ll TRENCHES? l Y N <br /> CO RECT DET'TH AND TYPE OF ROCK? I N <br /> CORRECT WIDTH OF 11,TRENCHES? 1 g- A 2,7 N _ <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT]YPE OF PIPING? N <br /> C•TH=R f � N - - - <br /> SFEPAGEPIT : <br /> U:STM:CET PROPERTYIINE? Y N <br /> D'STANCF )ANY WATER WELLS? Y N <br /> D'STANC= 0 NEAREST FOUNUATION? Y N <br /> U _ <br /> STAND OF SOIL BARRIER TO PITS? Y N <br /> G;]RR.- O:PTH AND TYPE OF ROCK? Y N <br /> CORR VDTH? Y 1.1 <br /> OTHF f Y N <br /> AS ISCELLAfIF0115; <br /> r.O'S PFRMI f DRAVtNG REFLECT ACCURATE LOCATION OFF SYSTEM? N <br /> CC-S PERMIT DRAWING SHOktl SUFFICIZNT DETAI_TO LOCATE IN FUTURE? Y N <br /> ANY"IO JNSYiER AROVE REQUIRES PERMIT TO RF REDRAWN. <br /> C06VuENTS: <br /> ITIS°F D3Y` i� DA.F.: <br />