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SR0078386
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078386
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Entry Properties
Last modified
6/27/2018 2:03:55 PM
Creation date
3/2/2018 11:46:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078386
PE
4211
FACILITY_NAME
PONCE, WILLIAM & CHENELLE
STREET_NUMBER
21353
Direction
S
STREET_NAME
OLIVE
STREET_TYPE
AVE
City
RIPON
Zip
95366
APN
22810007
ENTERED_DATE
3/2/2018
SITE_LOCATION
21353 S OLIVE AVE
RECEIVED_DATE
11/13/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: z73,5-,3 3 vve PERMIT # 5 <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY?,� <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Tib N <br />/0 N <br />33' N <br />(D N <br />�— PC7 N <br />N <br />5� N <br />Q N <br />�= N <br />N <br />DISTRIBUTION BOX: / <br />DISTANCE FROM TANK? 7 Q N <br />DISTANCE TO NEAREST LEACH LINE? ��2'' �3 N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? — ® N <br />IS D -BOX LEVEL? ® N <br />OTHER N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE?/ <br />DISTANCE TO ANY WATER WELLS?. <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S?�Z <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />4� N <br />N <br />7Sy / N <br />-� N <br />N <br />�i �w^� S N <br />a N <br />N <br />6r/` N <br />Y N <br />J <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LIN Y <br />DISTANCE TO ANY WATER WELLS. Y N <br />DISTANCE TO NEAREST FOUNDATION? Y N <br />DISTANCE OF SOIL BARRIER TO PITS? Y N <br />CORRECT DEPTH AND TYPE OF ROCK? Y N <br />CORRECT WIDTH? N <br />OTHER Y <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? QV N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? ® N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: e- .,` ",w ' of-d(v- <br />( b)JA- 1 W_—L pt r e ` CO K cL <br />S w P i C Q ovt a `za el Q o <br />I e W uS c%` 0 - in . <5¢.wa c W <br />2 13:1 i -.I- - 7- - - '. , aac k r ;! #1 <br />INSPECTED BY: . In��� /f K �� DATE: 1,K09//z- <br />
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