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SR0079098
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079098
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Entry Properties
Last modified
6/27/2018 2:04:47 PM
Creation date
5/21/2018 1:42:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079098
PE
4210
FACILITY_NAME
GINA TOWNSEND
STREET_NUMBER
3768
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632
APN
00539004
ENTERED_DATE
5/21/2018
SITE_LOCATION
3768 E LIBERTY RD
RECEIVED_DATE
5/10/2018
P_LOCATION
99
P_DISTRICT
004
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />INSPECTED BY: � ' ,✓ � /% DATE: c ,i• / , J � `� <br />ADDRESS: <br />PERMIT # S PcU 4 D S' <br />PARAMETER <br />Check box TUAL MEETS SJC <br />ifinspecied MEASUREMENT STANDARDS? CQMMENTS <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?5� <br />TANKVENTED? <br />ANY. TANK ABNORMALITIES NOTED? <br />OTHER <br />c)Y <br />1`j Lk <br />Y <br />,� n <br />C5 <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N N> <br />N <br />N ----- – <br />N _ <br />N <br />t7lC1' <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 />_ <br />Y ) <br />Z _ <br />Y <br />N <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL = LEQ CH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCETO 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 LI_ TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />YN <br />1: <br />i.t Z _x <br />` !I Y <br />— Y <br />Y <br />N <br />N - <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />SEEPAGE PITS: <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE To ANY WATER WELLS? <br />DISTANCE TO NEAREST FOU NDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK?" <br />CORRECTWIDTH7 <br />OTHER <br />Y <br />Z p <br />x <br />\/' Z ° <br />Y <br />N <br />N <br />NN <br />® 7,5 to <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? Y <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: � ' ,✓ � /% DATE: c ,i• / , J � `� <br />
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