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SR0078565
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078565
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Last modified
6/27/2018 2:04:06 PM
Creation date
3/5/2018 1:22:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078565
PE
4213
FACILITY_NAME
LABARTHE, DARYL JR
STREET_NUMBER
3231
Direction
E
STREET_NAME
SPIESS
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00535011
ENTERED_DATE
3/5/2018
SITE_LOCATION
3231 E SPIESS RD
RECEIVED_DATE
12/29/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: z/ ' <br />&S d <br />PERMIT # <br />Check box ACTUAL <br />MEETS SJC <br />PARAMETER <br />if inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />N <br />DISTANCE TO FOUNDATION? <br />/O fi <br />N <br />DISTANCE TO PROPERTY LINE? <br />��� <br />N <br />DISTANCE TO ANY WELLS? <br />Y <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />N <br />CORRECT TYPE OF PIPING? <br />as <br />N <br />TANK VENTED ? <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />N <br />OTHER <br />e <br />N <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />�(s� <br />6'j <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />Op <br />N <br />IS D -BOX LEVEL? <br />Cp <br />N <br />OTHER <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />%�� I <br />rP <br />N <br />DISTANCE TO ANY WATER WELLS? <br />--0 <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />-a) <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />13� til <br />U4 <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />�� _ 3A <br />0 <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />ZK�� �pp -pig <br />42� <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />1 <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />6v1 <br />© <br />N <br />CORRECT TYPE OF PIPING? <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: <br />0 <br />DISTANCE TO PROPERTY LINE? <br />g <br />N <br />DISTANCE TO ANY WATER WELLS? <br />2,C) r <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />c�D !r <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />q: �/ 2 <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />2 S I <br />&7 <br />N <br />CORRECT WIDTH? <br />N <br />OTHER <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />40 <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />9P <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT <br />TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY:�� nlm-fjD DATE: <br />
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