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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: I f qs PERMIT# S O O leR Ll <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: � �OQ <br /> CORRECT TANK CAPACITY? 1,— N <br /> DISTANCE TO FOUNDATION? QYD N <br /> DISTANCE TO PROPERTY LINE? (f) N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N fit\ <br /> CORRECT TYPE OF PIPING? S '3 S N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? 1r- S 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)/ <br /> DISTANCE TO PROPERTY LINE? C� ✓ -�'� N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? v- L D f N <br /> CORRECT DEPTH OF LL TRENCHES? r-3 N <br /> CORRECT DEPTH AND TYPE OF ROCK? ,i ; Y N <br /> CORRECT WIDTH OF LL TRENCHES? 'eZLt ° T N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? (j Til' N <br /> OTHER T` Y N <br /> SEEPAGE PITS: /�/ <br /> DISTANCE TO PROPERTY LINE? [/ �o 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? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTEDrr C DATE: \ J /� <br /> GY� <br />