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SR0078392
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078392
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Entry Properties
Last modified
6/27/2018 2:03:56 PM
Creation date
3/1/2018 11:16:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078392
PE
4214
FACILITY_NAME
RANDY & TERI GARTIN
STREET_NUMBER
998
Direction
N
STREET_NAME
FINE
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
09304032
ENTERED_DATE
3/1/2018
SITE_LOCATION
998 N FINE RD
RECEIVED_DATE
11/14/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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A <br />0 <br />SEPTIC SYSTEM INSPEGTION GHEGK LIST n <br />INSPECTED BY: <br />on m gas <br />PERI I17 # <br />Checkbox ACTUAL MEETS SJG <br />if inspected 19JEF1SUREMENT STANDARDS? G MNJENTS <br />7S=EPT[G <br />CORRECTTANI(CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCETO ANY WELLS? <br />TANKLEVEL AND ORIENTED CORRECTLY? <br />SANITARYTEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANKVENTED? <br />ANYTANKABNORMALITIE ? <br />OTHER <br />_ <br />Y N <br />Y N <br />Y <br />N <br />Y� <br />Y , <br />Y N <br />Y N _ <br />Y N. <br />Y N <br />DISTRIBUTION BOh <br />DISTANCE FROM TANK? <br />DISTANCETO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS �D-BOX LEVEL? <br />OTHER <br />Y N <br />1 N <br />N <br />N <br />Y N <br />MGH FIELD: (LL= ES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER W- ELLS? <br />DISTANCETO NEARESTFOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN WS7 <br />CORRECT DEPTH OF LLTRENGHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WJDTH OF LLTRENGHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />V <br />'S 0 N <br />-�'r N <br />N <br />N <br />' �� N <br />Y N <br />Y N _ <br />,� Z Q �= x ( N Z L <br />Y N <br />f <br />SEEPAGE PITS_ <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETO NEARESTFOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECTDEPTH AND TYPEOF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />' , Y N <br />6 �'n N <br />J N <br />r N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br />ANY NO ANSWER ABOVE REQUIRES PERMITTO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: <br />
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