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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: ' tit , , latleADrt. 201 MArift(ja PERMIT # wt./x*315g <br />'4E1 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 />Y N <br />N <br />N <br />" <br />N <br />50 N <br />1 LL s'? <br />i a f+ <br />%,' i 50 <br />1 4 2- N - 1..-- <br />4.0"".. <br />1-----. 1.--) 2.9.19t (3) N <br />(7) N <br />Y N <br />Y N <br />1,./..-- <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS 0-BOX LEVEL? <br />OTHER <br />ZD / 3 m------- 0 N <br />0 N <br />N <br />15 N <br />Y N <br />1/'-' 5 <br />a...---"- <br />4.------ <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 />I 5/ (141- N <br />N <br />N <br />N <br />N <br />N <br />N <br />a) N <br />Y N <br />Y N <br />M <br />IIIM 4• i so ..t- <br />IIIM <br />.7 .::,_ 4 i ..„ e4.. <br />(- ' '-'..• • <br />Nei 1 a 9-4- <br />M top ; ", <br />M 01 1 k'N.. <br />MI'j.4 t Y <br />IIM <br />M <br />SEEPAGE PITS: So rn p <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?•IC <br />CORRECT WIDTH? <br />OTHER <br />* 114* <br />-'1-' 1 lc 0 I2-4-. N <br />N <br />N <br />N <br />N <br />N <br />Y N <br />-I- I so f+ <br />*bir4.• -/-0 t <br />...- a. <br />1 <br />OM-- — -Li... cur r2ocie-. <br />IIIM ft. <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 />Co N <br />Y (50 <br />INSPECTED BY: DATE: D