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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: - <br />T <br />PERMIT # 5 S' <br />PARAMETER <br />Check box <br />if inspected <br />ACTUAL <br />MEASUREMENT <br />MEETS SJC <br />STANDARDS? <br />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 />(Z -OO o-( <br />(O { <br />soy F f <br />V✓ Q <br />S Q e- 3 S <br />,., <br />V� <br />V <br />gy <br />a) <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />�/ <br />V <br />✓ <br />✓ <br />✓ <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 />L <br />F. <br />/ <br />✓ <br />Y <br />N <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? Cr7l�) <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 />ro <br />�� �'( <br />'t -5011 2��� � Z� N <br />% 13 �p { <br />J�- h f <br />A <br />J m <br />Y <br />Y <br />�( <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />✓ <br />�/ <br />�✓ <br />SEEPAGE PITS: J� <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 />✓ <br />�/ <br />(2 F T <br />IF4 <br />6 - <br />',� S F - <br />H <br />f <br />Y <br />lC"'J� <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />(- 2 <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 ANSWE A OVE REQUIRES PERMIT TO BE REDRAW" -N. <br />COMMENTS: i'l?"ti <br />N <br />N <br />^ u e O-� /- <br />O �r <br />INSPECTED BY: ��t/(� A n � � / ^ � DATE <br />