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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT # Z <br />PARAMETER <br />Check box ACTUAL <br />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 />lit. h {r 09/`�� <br />ti <br />�o <br />/� oZ -� <br />I- <br />Y <br />Cl) <br />CYJ <br />Y <br />(Z) <br />Y <br />Y <br />Y <br />V <br />N <br />N,� <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />f <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 />\� n S't <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? 6e, <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <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 />�j l� <br />6 — S yr <br />^- L $ - 2 n_ <br />6 <br />Y <br />Y <br />Y <br />-- <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N ti:2 Lf, 4 L2 L -u <br />N <br />N <br />N l - ;2 - .S !� • /o C/r`. <br />N <br />N <br />N <br />N <br />✓ <br />✓ <br />SEEPAGE PITS: X21 <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 />N D il_ n ,LQ� <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? [ D <br />ANY NO ANSWER ABOVE REQUIRE PERMITarAWN. <br />COMMENTS: LA/Cr Oj/( -b <br />N <br />W <br />_ <br />-. t <br />L �'r <br />INSPECTED Q'i� � a <br />� � � I /L��� <br />DATE: <br />