Laserfiche WebLink
SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS:v <br />PERMIT # p <br />Check box <br />ACTUAL <br />MEETS SJC <br />PARAMETER if <br />inspected <br />MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? G <br />Y <br />N <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />Y <br />Y <br />N <br />N <br />DISTANCE TO ANY WELLS? <br />Y <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />Y <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y <br />N <br />CORRECT TYPE OF PIPING? <br />Y <br />N <br />TANK VENTED ? <br />Y <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />Y <br />N <br />OTHER <br />Y <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />Y <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />N <br />IS D -BOX LEVEL? <br />✓ <br />N <br />OTHER <br />N <br />LEACH FIELD: (LL =LEACH LINES) <br />DISTANCE TO PROPERTY LINE? l j� <br />�j <br />� <br />N <br />DISTANCE TO ANY WATER WELLS? <br />15 S -{ <br />N 01-4 (tie <br />DISTANCE TO NEAREST FOUNDATION? <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />Y <br />NPf4 ` <br />CORRECT DEPTH OF LL TRENCHES? <br />V <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />+.4e-) CD <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />r <br />Y <br />N <br />></ <br />CORRECT LENGTH OF LL TRENCHES? <br />Q <br />N <br />CORRECT TYPE OF PIPING? <br />BY <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? �� <br />Y <br />N <br />DISTANCE TO ANY WATER WELLS? <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />Y <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH? <br />Y <br />N <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL <br />TO LOCATE IN FUTURE? <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: OAlk,-e w I jt S�e. <br />INSPECTED Bl�a n ('_ n C �/ _ �^ DATE: ' (3 122--17-0 <br />Z0 <br />(z -i "L*(,& r7 10 / 4/02"o <br />