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468 Septic Checklist 11-8-19 Septic System Inspection Checklist: Address: g(a co, (S MeadvL-j Date: t Inspector: Br Septic Tank: VtAleast 9' of cover sers in lace within 6"or less of finished grade 'air rade1air spa e above tees e ;. f3.-"drop oni inlet to outlet Ou uet tee equipped with an approved effluent filter Pump: N/A D Alarm po ered by a circuit separate from the circuit to pumps 0 Alarm fu ctional El Pump fan tional at time of inspection D-Box: N/A VD-Box i1s, quipped with tee, baffle, or splash plate if effluent is pumped or slope I is>.08 f1 et per foot N/A D-Box is level I cjUf oil( ,.tlet 11 s are level for first two feet Sal quippe with a riser within 6 inches or less of finished grade Leaching Area: V/ ength d width correct according to plan E u, ippe with vent if more than 3 feet of cover OR more than 50 feet of line N/A Ends cap ed ❑ tle V s nd certificate N/A pectin port to within 3 inches of grade agneti tape Notes: 03 YJ ) I (-,Lb in (I CIA-. +an IC a ����it ' r�r� � S� rs•�.t#s e 4�S#� rx . •, a > s IJ \ 4¢ �Q' `Z 1 �•e' t� �c�.