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SR0078680
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078680
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Last modified
9/12/2018 9:37:44 AM
Creation date
9/12/2018 9:21:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078680
PE
4211
STREET_NUMBER
26060
Direction
E
STREET_NAME
MAHON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22702015
ENTERED_DATE
1/31/2018 12:00:00 AM
SITE_LOCATION
26060 E MAHON AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADRRESS: ERMIT # <br />Check box AC AL MEETS SJC <br />PARAMETER if inspected MEASUREMENT 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 />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />��DD Y N <br />3 ;` Y N <br />Y N <br />' ° N <br />-\ - Y N <br />Y N + n ' U IE' Ob W <br />Y N <br />N <br />Y N <br />Y N <br />v_ <br />vt0 <br />�/ <br />DISTRIBUTION BOX: <br />DISTANCEFROMTANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER <br />�/+ <br />N <br />Y N <br />Y N (JC-_ tD Vo <br />Y N �— <br />Y 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?Vi <br />CORRECT TYPE OF PIPING? <br />OTHER <br />Y N I <br />Y N <br />Y N <br />---,.,.,',r. N <br />Y N <br />"` Y N <br />- - Y N <br />[�� Y N <br />Y N <br />�/ . <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 />CORRECT WIDTH? <br />OTHER <br />2aF��A Y N <br />Cj-v N <br />Y N <br />Y N <br />eS 6D N <br />Y N <br />Y N <br />v <br />✓ <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 />COMMENTS: <br />C OV <br />INSPECTED BY: DATE: - <br />
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