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SR0079643
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079643
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Last modified
10/25/2018 3:26:02 PM
Creation date
10/25/2018 1:36:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079643
PE
4211
STREET_NUMBER
3876
Direction
E
STREET_NAME
EMERSON
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00514523
ENTERED_DATE
9/14/2018 12:00:00 AM
SITE_LOCATION
3876 E EMERSON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
DAfonskaia
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: rosary•- " PERMIT# 7 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? N <br /> DISTANCE TO FOUNDATION? ' N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? S0 N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? r N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? S 9p N <br /> DISTANCE TO NEAREST LEACH LINE? 5' ® N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? 41 N <br /> IS D-BOX LEVEL? R N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? 5D e) N <br /> DISTANCE TO NEAREST FOUNDATION? WO N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? J 7 ® N <br /> CORRECT DEPTH OF LL TRENCHES? y+Q 313,0 N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH OF LL TRENCHES? C� N <br /> CORRECT LENGTH OF LL TRENCHES? w j'l N <br /> CORRECT TYPE OF PIPING? �/ SD/l 3�� N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? �� N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? 5 ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ ?,S N <br /> CORRECT WIDTH? N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? ® N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: wle � DATE: <br />
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