Laserfiche WebLink
SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: ciLv I ,v.--ko.....-s- ii"P C'N-i) PERMIT # 4 q2, 6 0 t s 7 ti <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 />\\AV (Y7 N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />\ <br />\ \4\ <br />6) <br />QDI <br />; <br />V <br />\ WO ' 1-• <br />\8 \\Iii <br />\ \A 1' <br />N A ft•-`1 <br />\ 1-"' 1.1 ] <br />\ <br />\ <br />V <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 />lt.47 k7. <br />@ <br />Y <br />N <br />N <br />N N <br />N <br />N <br />\ ---'_13 <br />\ \I\SP7 % <br />\ -\,(r./ci <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 WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />4o 0 ' 4 <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />\ <br />\ \-1.--:") <br />\ 7.-C1 <br />\ \ <br />\ 'In0 <br />\ NI--," <br />\ \ I b" /1 4N vt (-191.11,-a,#42--- in,e ....c F.,.. <br />N i '-•\. <br />1-7.2t- .6S <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 />TYPE CORRECT DEPTH AND PE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />\O 4"-- 012._ <br />(7 <br />el) <br />tip <br />111 <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />\., <br />\i• • ,L o <br />\..( <br />II \N.((CPO <br />\C:' \, t • ,%, v.. <br />• <br />N,iiiil <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 />e) <br />N <br />N <br />INSPECTED BY: DATE: