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SR0078566
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078566
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Entry Properties
Last modified
6/27/2018 2:04:06 PM
Creation date
3/5/2018 1:24:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078566
PE
4214
FACILITY_NAME
CLINT COPELAND
STREET_NUMBER
24846
Direction
N
STREET_NAME
SKYVIEW
STREET_TYPE
LN
City
ACAMPO
Zip
95220
APN
00533017
ENTERED_DATE
3/5/2018
SITE_LOCATION
24846 N SKYVIEW LN
RECEIVED_DATE
12/29/2017
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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-7) <br />SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: A) cSK <br />r`eLAJ <br />PERMIT # sleQ7zErT6 op <br />Check box <br />PARAMETER if inspected <br />ACTUAL <br />MEASUREMENT <br />MEETS SJC <br />STANDARDS? COMMENTS <br />SEPTIC TANK: r -_x S+i^ <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 />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />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 />�p� r <br />�^ <br />N <br />N <br />N <br />N <br />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 LUS? <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 />�� �jr / <br />�p <br />tot <br />/Z <br />Z <br />5D2 s <br />Y <br />Y <br />m <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />V7yy <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 />CORRECT WIDTH? <br />OTHER <br />%/ <br />y, <br />12 / 6 <br />j6'p {- <br />I <br />2 6 <br />o <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />® <br />N <br />N <br />INSPECTED BY: 1w¢5 e-nte-m /1,'M �A DATE: /131 2arQ <br />
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