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SR0078450
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078450
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Entry Properties
Last modified
6/27/2018 2:03:59 PM
Creation date
3/1/2018 11:33:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078450
PE
4211
FACILITY_NAME
CHARLES M BURKNER/ROBERT GREENMYER
STREET_NUMBER
24501
Direction
N
STREET_NAME
FUHRMAN
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
02104620
ENTERED_DATE
3/1/2018
SITE_LOCATION
24501 N FUHRMAN RD
RECEIVED_DATE
11/30/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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u <br />PARAMETER <br />SEPTIC TANK: <br />CORRECT TANK 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 />TANKVENiED? <br />ANYTANKABNORMALITIES NOTED? <br />OTHER <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCETO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />LFACH FIELD: (LL=LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETO NEAREST FOUNDATION? <br />DISTANCE OF SOIL HARRIER BETWEEN LL'S? <br />CORRECT DEPTH OF LLTRENGHES? <br />coRRECTDEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />SEPTIG SYSTEM INSPEGTION GHEGK LIST <br />CheckbDx ACTUAL MEETS <br />ifinspeofed MEASUREMENT STANDARDS? CQMNJENTS <br />l C N <br />N <br />i <br />iob Y. N 4 <br />�{ N <br />,vj A0 N <br />N - <br />Y N <br />Cf Z <br />Y N <br />N <br />aYN <br />N <br />Y N <br />N q <br />Y <br />"2 sc � Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISIANCETO NEARESTFOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECTDEPTHAND TYPE OFROCK? <br />CORRECTWIDTH? <br />OTHER <br />t <br />Coy <br />2> <br />(Y� <br />CY) <br />�` <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />✓ <br />✓ <br />✓ <br />✓ <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING FtEFLECTACCURATELOCATION OFSYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANYNOANSWERABOVEREQUIRES '"ITTOBEREDRAWN. <br />CollriKENTS: ; 1 zz- <br />Y <br />Y <br />N <br />N <br />v <br />�,Z�-evt both- c <br />INSPECTED BY: "" <br />
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