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SR0078257
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078257
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Entry Properties
Last modified
6/27/2018 2:03:42 PM
Creation date
3/2/2018 11:31:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078257
PE
4211
FACILITY_NAME
DE LONG, THEODORE & SHIRLEY TR
STREET_NUMBER
24643
Direction
N
STREET_NAME
MEADOW CREEK
STREET_TYPE
CT
City
ACAMPO
Zip
95220
APN
00530005
ENTERED_DATE
3/2/2018
SITE_LOCATION
24643 N MEADOW CREEK CT
RECEIVED_DATE
10/16/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHEGK LIST <br />ADDRESS: Z �}- - PERMIT <br />C6eckbDx ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? GQ,MMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCFTO ANY WELLS? <br />TANKLEVEL AND ORIENTED CORRECTLY? <br />SANITARYTEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />7ANKVENTED ? <br />ANYTANKABNORMALITIES NOTED? <br />OTHERY <br />j ��i� <br />12, ?9 E� Y N <br />ti! fo rwJ /a d N A i <br />N ��✓Q, <br />/ nt_ Y N <br />N • ' " 4 j c <br />S� I►�i'Q N <br />S 7 Y N <br />Y" N14 <br />Y N. <br />N <br />DISTRIBUTION BOA <br />DISTANCE FROM TANK? <br />DISTANCETO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />ISi)-BOXLEVEL? <br />OTHER <br />` k N <br />`� N <br />N <br />Y N <br />Y N <br />LEACH FIELD: (LL=LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TOANYWATERWELLS? <br />DISTANCETO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN 1126? <br />CORRECT DEPTH OF LLTRENGHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH0FLLTRENCHES? <br />CORRECT LENGTH OF LLTRENCHES? <br />CORRECTTYPE OF PIPING? <br />OTHER <br />— <br />N <br />_� �� + (yam N <br />N <br />` Y N <br />N <br />L� r11 �r� I N <br />Y N <br />N <br />N <br />Y N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORREGTDEPTH AND TYPE OF ROCK? <br />CORREGTWIDTH? <br />OTHER <br />�' S'(% f - N <br />Y N <br />` / 1 N <br />f f' Y N <br />Y N <br />Y N <br />IDIISGEIIANE0US: <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? N <br />DOES PERMITDRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE?Y N <br />ANY NoANSWERABOVEREQUIRES PERM'r- "R VAIN- f <br />COMMENTS: - <br />INSPECTED BY: I/► / / unit. - / J)/ I �r/ ( � i <br />J <br />
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