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SR0079058
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079058
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Entry Properties
Last modified
6/27/2018 2:04:45 PM
Creation date
5/16/2018 4:54:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079058
PE
4211
FACILITY_NAME
BURGESS, RHETT S & ASHLEY A
STREET_NUMBER
24950
Direction
E
STREET_NAME
DODDS
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
20719025
ENTERED_DATE
5/16/2018
SITE_LOCATION
24950 E DODDS RD
RECEIVED_DATE
4/30/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: p <br />PERMIT # eyQ . <br />Check box ACTUAL <br />PARAMETER if inspected MEASUREMENT <br />MEETS SJC <br />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 />SANITARYTEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANKVENTED? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Y N <br />(o� Y N <br />Y N <br />=ppoY N <br />Y N <br />Y N , <br />Y N <br />Y N <br />Y N <br />f <br />DISTRIBUTION BOX: <br />DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />ISD -BOX LEVEL? <br />OTHER <br />" { I <br />15-2' <br />�S <br />rj <br />Y <br />Y <br />Y <br />Y <br />Y <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 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 />( 00, <br />l <br />1 <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 />f <br />J <br />v/ <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 />` �� <br />G� <br />�. Z� <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 />v <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? d <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />N <br />N <br />INSPECTED BY: U, v� DAI L: • �/ -7//Q" <br />
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