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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: /370 A/. pi W__. Ad PERMIT # 5ape -776' gz <br />, Check box ACTUAL <br />PARAMETER ' if inspected MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />PIM 0 N ur <br />V' SID <br />I <br /> e, N <br />V SI, I+ 0 N <br />.../ i Li 4 , CD N <br />a — a) N <br />I 017 N <br />"/ 513g 3( e) N <br />v'r Tr) N <br />0 N <br />{5 N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D-BOX LEVEL? <br />OTHER <br />Hp 1 et N 4 <br />V 5‘ 0 N <br />vi _-- 0 N <br />/ CD N <br />ti — dp N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />56 11- 0 N %./ <br />%.01 I cp 1+- 4E3 N <br />si 70 f- 6 N <br />%/c 10' ED N <br />V.,, 2 9 ii -0 N <br />V 19 N 1-val flivt,43 ts <br />J 2 ' 0 N <br />I615 ' 6 N <br />Vi ZVI IZ "N r ef, N <br />a N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />101 CD N <br />1101 0 N <br />10011- r). N <br />5' ` 15 N <br />zs' --0 N <br />Liz" -7/) N <br />-e• N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />0 <br />di;) <br />N <br />N <br />INSPECTED BY: /1/Ace-te-din 641/411600 <br /> DATE: