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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 0 -}-1,5 T r ck. 1.....,n . ao, V&A_ 1,e CiL)_ PERMIT # SR_ 0 0 13 j ei tio 2 <br />. Check box ACTUAL <br />PARAMETER if inspected MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE 10 f OUNDA1 ION ).. <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS?IS <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 />1 II <br />Y <br />0 <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />IM II ig, CC) <br />. ,f.) <br />= (77 <br />Y <br />Y <br />v--- CO <br />Y <br />Y <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 />,-- <br />3- <br /> ittl Y N <br />N <br />N <br />N <br />N <br />l/ <br />Cr -3 k \ 0\1/4 <br />L------ <br />1------- <br />Y <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 />1 1 — , CD N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />-1- WO kt Y <br />Ay" EMI; g <br />V V, a <br />%.----- 2_ -A- r. 67 <br />‘------- 2_13i (\ 0 <br />6.) <br />1----" 5 S H- CD <br />‘..--. 5 Dp_ -3( <br />Y <br />SEEPAGE PITS: C-2-J0t•A? • <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 />" -Q (k Y N <br />N <br />N <br />N <br />N \ <br />l/ <br />t t O ç <br />1...-'' Y <br />Iti-41 s n \Y <br />\., -.7.111Z 9 2 A-0 7 i v‘ kt, .4- ode- • <br />N/ 9 241,1 rN N <br />N Y <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 />Y <br />Y IJ <br />INSPECTED BY: e- JOAk (\05) DATE: \ elf)