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SR0079726
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079726
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Last modified
10/25/2018 2:43:43 PM
Creation date
10/25/2018 1:39:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079726
PE
4211
STREET_NUMBER
13265
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00726017
ENTERED_DATE
10/5/2018 12:00:00 AM
SITE_LOCATION
13265 E JAHANT RD
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 LISW <br /> ADDRESS: 7 , PERMIT <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER If inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Z O O Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? 1+ . N <br /> DISTANCE TO ANY WELLS? Gj LS"% N c> i V P �,A S; Q <br /> TANK LEVEL AND ORIENTED CORRECTLY? , N 'I�' L r I P he <br /> SANITARY TEES CORRECTLY INSTALLED? Z IN '( <br /> CORRECT TYPE OF PIPING? N�J � c� v� <br /> Ste ' ✓�ci�1^ 4v 4C%` � <br /> TANK VENTED 7 (Y'r N <br /> ANY.TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? ) N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y') N <br /> ISO-BDXLEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LE(CFI DNES) <br /> DISTANCE TO PROPERTY LINE? _5Y {—D Y- <br /> , N <br /> DISTANCE TO ANY WATER WELLS? I C) N mak_ 0 <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN 11'S? vj u_� Y N <br /> CORRECT DEPTH OF L TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? rc U N <br /> CORRECT WIDTH OF LJ_TRENCHES? Y N <br /> s — <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? CY N <br /> DISTANCE TO ANY WATER WELLS? .�() r N f �jQ <br /> DISTANCE TO NEAREST FOUNDATION? �! N <br /> DISTANCE OF SOIL BARRIER TO PITS? j (/ N <br /> CORRECT DEPTH AND TYPE OF ROCK? / r .3 Y N <br /> CORRECTWIDTH? 2�—`� Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECTACCURATE LOCATION OFSYSTEM? Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCA"I-E IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPE TED BY: DATE: <br /> (/ - �/u <br /> co <br />
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