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SR0079560
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079560
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Entry Properties
Last modified
9/26/2018 1:46:59 PM
Creation date
9/26/2018 1:15:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079560
PE
4210
STREET_NUMBER
13806
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
02104103
ENTERED_DATE
8/27/2018 12:00:00 AM
SITE_LOCATION
13806 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LISP <br /> C'nll,� r ;>) PERMIT# -�E i» i 6? ?16 p <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: I f <br /> CORRECT TANK CAPACITY? �C y Y N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LI NF? 27` /� N <br /> DISTANCE TO ANY WELLS? -7ell) L Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? ! Y N ? S G <br /> CORRECT TYPE OF PIPING? f} 5� p� Y N <br /> TANK VENTED? / N <br /> ANY•TANKABNORMALITIES NOTED? N <br /> OTHER Y N <br /> DI RIBUTION BOX: <br /> DISTA OM TANK? Y N <br /> DISTANCETON EST LEACH LINE? Y N <br /> DOES SYSTEM HAVE - AL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (IL=I-EACH UNES) <br /> DISTANCE TO PROPERTY LINE? _ Y N <br /> DISTANCE TO ANY WATERVVELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETVvEEN LL'S? Y <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF L1_TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEARESTFOUNDATON? Y N <br /> DISTANCE OF SOIL_BARRIE�70 PITS? Y N <br /> CORRECT DEPTH AN PE OF ROCK? Y N <br /> CORRECTWID _ Y N <br /> OTHER Y N <br /> MISCELLANEOUS: \! <br /> DOES PERMIT DRAWING REFLECTACCURATE 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: L-yl ', _ �� : i i <i ' �(� l✓ L �/ <br /> 77 <br /> 04, <br /> 4 <br /> yG <br /> INSPECTED BY: DATE: <br />
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