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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 2 U v , S 2 0 t14PERMIT# S i <br /> CA?eck box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? j (j( N <br /> DISTANCE TO FOUNDATION? V1, +N f N <br /> DISTANCE TO PROPERTY LINE? h (j r.t N <br /> DISTANCE TO ANY WELLS? ACL )!_( N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? � ��T .j N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? F/ l% N <br /> DISTANCE TO NEAREST LEACH LINE? 1-Z N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? 4 N <br /> IS D-BOX LEVEL? (YJ N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) _ <br /> DISTANCE TO PROPERTY LINE? 56 //�-�� N <br /> DISTANCE TO ANY WATER WELLS? LjCjj � l]V N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ 57()/, - N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? (21 Q N <br /> CORRECT DEPTH OF LL TRENCHES? �I Z t N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH OF LL TRENCHES? 2,c� / ® N <br /> CORRECT LENGTH OF LL TRENCHES? pj N <br /> CORRECT TYPE OF PIPING? t/ DQ-2, 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: <br />