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SR0078613
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078613
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Entry Properties
Last modified
6/27/2018 2:04:11 PM
Creation date
3/2/2018 1:50:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078613
PE
4210
FACILITY_NAME
BRENT WORKMAN
STREET_NUMBER
21379
Direction
N
STREET_NAME
MANN
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01728009
ENTERED_DATE
3/2/2018
SITE_LOCATION
21379 N MANN RD
RECEIVED_DATE
1/11/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />INSPECTED BY: ��/ DATE: l / / / / C' \ <br />ADDRESS: PERMIT # 6 <br />Check box ACTUAL MEETS SJC <br />PARAMETER if Inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCETO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECTTYPE OF PIPING? <br />TANKVFNTED 7 <br />ANY•TANKABNORMALITIES NOTED? <br />OTHER % <br />.1Z <br />Y N <br />Y N <br />Y N ` <br />y_-- " N <br />Y N <br />N <br />Y <br />Y N <br />Y N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />i <br />p� N <br />N <br />Y N <br />C % N <br />Y N <br />LEACH FIELD: (LL=LPCH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />D19TANGETO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <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 />> Y N <br />I �^ � N <br />N <br />Y N <br />Y N` <br />' ' I� �P ✓y� �? N <br />i N <br />: N <br />N <br />Y N <br />✓ <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 />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />i I <br />/j L� —t N <br />N <br />_ Y N <br />cf Y__ N p <br />�— T Y N <br />7 Y N <br />Y N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE_? Y N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />1 <br />COMMENTS: <br />INSPECTED BY: ��/ DATE: l / / / / C' \ <br />
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