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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: („(85" Vpd\ ritti)vi 1124. ')In‘le-i-on ( '6 1 - PERMIT # --,g_boce,7y3Liq I <br />-.4 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 />) LOU OP N i <br />Vtt% V N tfteDWt Seffk, iank- io deantifT <br />L., ?IV C" 0 N <br />4 -kbOW S <br />I/ <br />NN <br />M (00 N <br />= "7012-3S-G.,) N <br />M 0 N <br />Y N <br />Y 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 />51 2 0 CD N 1/- <br />L,..--- 5 i 2ki C) N <br />L.- --- N <br />1.-- --- <br />E N l <br />Y 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 />G7-Q ç N ir- <br />+ 1(C) I+ N <br />./ 1.3' Ct'l N <br />t e (0 R. N <br />t,-'. ,l1)... t in <br />V 11?); r\ NN ?,—, '02 - 2- vx, col- yLk.,i4 . <br />1...' 2:7- % ,r\ oe.../ N <br />le'(,* CP N <br />i/ ST79-3(5- 62) N 'R f it) CCUI-'& • <br />Y 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 />-3 " N 8 <br />i 1-\()(I4. <br />N <br />i.--"" Cr.) .-1-- • $0. N <br />i.----. t (AA- SZ0 N <br />1,--- Lk 2,", r\ T....) N <br />1.---- tALIn. sr, N <br />Y 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:00 A Q. \ \ .0 <br />Y <br />Y N <br />1,2)-. VQ.6S41 Wtvd-iovt(i -1-0 rlob.itt. <br />v,01 (I, tvexA-- orkcie.6A-H-on. <br />INSPECTED BY: f ., inus. DATE: 1%1 S0120 20 <br />cul-ta Trk5