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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 15- 41-1-/-1? PERMIT # _5 g oc) J C <br />Check box ACTUAL MEETS SJC . <br />PARAMEI ER If hnspected ' MEASUREMENT STANDARDS? CQMMENTS . <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? IIM / 2 e).° Y N - <br />DISTANCE TO FOUNDATION? INI CI> Y N <br />DISTANCE TO PROPERTY LINE? MN --e}..2 Y N <br />DISTANCE TO ANY WELLS? <br />5- ) • <br />Y N <br />TANK LEVEL AND ORIENTED CORRECTLY? gm Y N <br />SANITARY TEES CORRECTLY INSTALLED? Illn Y N ‘ 4'17-k- t.i" irIA. <br />CORRECT TYPE TYPE OF PIPING? _.c..) <br />r <br />:7 _____-• , <br />11 Y N .1 - / D • <br />TANK VENTED? 7 . <br />Mill - 41 Y .1e-t- /Ife".- -1' e <br />ANY-TANK ABNORMALITIES NO I ED? MIN • ' Y . . <br />OTHER Y <br />DISTRIBUTION BOX <br />DISTANCE FROM TANK? \--- N -C <br />DISTANCE TO NEAREST LEACH LINE? IIM qpit• N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? 4 _ t' IS )-BOX LEVEL?l A 111) <br />OTHER N - <br />LEACH FIELD: (LL = LEACH LINES) :,,,,c k- Or1C, -ici)'.1 _ • <br />DISTANCE TO PROPERTY LINE? \/ , . ( <br />2 N I , , <br />DISTANCE TO ANY WATER WELLS? N A i 1 c7 i k - - - -3 te ( a Y t (C:. ) r nil) In <br />DISTANCE TO NEAREST FOUNDATION? t <br />,/' IF de N -, <br />DISTANCE OF SOIL BARRIER BETWEEN ITS? t./ i 0 • N C P Vt-b2 r -t-) ( <br />CORRECT DEPTH OF LL TRENCHES? t/ • Z 1 ' N <br />CORRECT DEPTH AND TYPE OF ROCK? N Al? 14 --1. L-Q, " <br />_,--- <br />CORRECT WIDTH OF LL TRENCHES? N <br />CORRECT LENGTH OF LL TRENCHES? 53 N <br />CORRECT TYPE OF PIPING? N <br />p- 3 -5 OTHER -/I Y N <br />SEEPAGE PITS: i- 1---- 1 <br />DISTANCE TO PROPERTY LINE? i 1'1- - VN i - <br />DISTANCE TO ANY WATER WELLS?I/ 0 C .) Y) N Alcryt— C_011- -0 rir1i 1\-.) ft <br />t. <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? L/100 N 0 <br />CORRECT DEPTH AND TYPE OF ROCK? 7 <br />i <br />2-1') 410 N i <br />CORRECT WIDTH? V N . <br />OTHER ' I N . <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />• <br />, <br />4 /7 L______. _I ,/ <br /> <br />DATE: - • INSPECI ED BY: <br />