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SR0078735
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078735
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Entry Properties
Last modified
6/27/2018 2:04:22 PM
Creation date
3/1/2018 12:01:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078735
PE
4210
FACILITY_NAME
MATTHEW BIANCHI
STREET_NUMBER
17231
Direction
N
STREET_NAME
CAL
STREET_TYPE
DR
City
LOCKEFORD
Zip
95237
APN
05117007
ENTERED_DATE
3/1/2018
SITE_LOCATION
17231 N CAL DR
RECEIVED_DATE
2/13/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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0 <br />SEPTIC SYSTEM[ INSPECTION GHEGK LIST <br />ADDRI LOA.PER1UIfi # - <br />Checkbox AC AL MEETSSJC <br />PARAMETER if inspecled MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIG TANK: <br />CORRECTTANKCAPACNY? <br />DISTANCE TO FOUNDATION? <br />TO PROPERTY LINE? <br />DISTANGETO ANY WELLS? <br />TANKLEVELAND ORIENTED CORRECTLY? <br />SANITARYTEESCORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANKVENTED? <br />ANYTANKABNORMALITIES ? <br />OTHER <br />N <br />:Yy <br />N ' <br />NDISTANCE <br />Y N <br />Y N <br />Yr N r' <br />y <br />Y 1N' <br />Y. " <br />Y <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 />i <br />N <br />' N <br />Y N. <br />N <br />Y N <br />ELD: (LL=LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />WEI <br />DISTANCE TO ANY WATERIS? <br />DISTANCETONEAREST FOUNDATTON? <br />DISTANCE OF SOIL BARRIER BETWEEN L1287N <br />CORRECT DEPTH OF LLTRENCHES? <br />CORRECT DEPTH AND TYPE: OF ROCK? <br />CORRECTWIOTH OFLLTRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />' <br />Y N <br />rte_ Y� N <br />�T.lfi N <br />TIEZA <br />Z Y N <br />� N <br />Z.' N t YS <br />�t o N <br />S cl) r N <br />Y N <br />✓ <br />SEEPAGE PITS_ <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETO NEARESTFOUNDATION? <br />DISTANCE OFSOILBARRIERTOPITS? <br />CORRECTDEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />_ <br />N <br />Y N <br />G��y r N <br />_ N <br />Z r� ill N <br />N <br />Y N <br />✓ <br />N[ISCEUANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATELOCATiONOFSYSTEM? Y N <br />DOES PERMITDRAWING SHOWSUFFICIENT DEIAILTO LOCATE IN FUTURE_? Y N <br />ANY NO ANSWER ABOVE REQUIRES PERMITTO BE REDRAINN. <br />COMMENTS: <br />INSPECTED BY: <br />
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