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SR0079804
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079804
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Last modified
4/22/2019 2:29:07 PM
Creation date
4/22/2019 9:55:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079804
PE
4210
STREET_NUMBER
24977
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
ACAMPO
Zip
95632
APN
00514405
ENTERED_DATE
10/29/2018 12:00:00 AM
SITE_LOCATION
24977 N CHEROKEE LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
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EHD - Public
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SEPTIC SYSTEM( INSPECTION GHECK LIST <br /> ADDRESS: L-L-1 l 77 Cher ck-,( e �ZccL CCiilq�c' PERMIT# SlzGO -7�/ <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER ifinspecfed MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N <br /> NSTANCETOFOUNDATION? _ Y N _ <br /> DISTANCE TO PROPERTY LINE? _ Y N ^ <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N , <br /> CORRECT TYPE OF PIPING? Y N <br /> TANKVENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: _ <br /> DISTANCE FROM TANK? `/ �J`JJ N t <br /> DISTANCE TO NEAREST LEACH LINE? 4—� <i� N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ CJ N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? �/ L{ ® N <br /> DISTANCE TO ANY WATER YVELLS? \/ (1) N <br /> DISTANCE TO NEAREST FOUNDATION? t/ (P N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? L-t 1�( j C� N <br /> CORRECT DEPTH AND TYPE OF ROCK? Yl N <br /> CORRECT WIDTH OF LL TRENCHES? (1 1 N <br /> CORRECT LENGTH OF LL TRENCHES? (� �l N <br /> CORRECT TYPE OF PIPING? Y' ��' 35 CY) N <br /> OTHER Y N <br /> SEEPAGE PITS: ( <br /> DISTANCE TO PROPERTY LINE? 1 T11 11 {_ C? N <br /> DISTANCE TO ANY WATER WELLS? WD N <br /> DISTANCE TO NEAREST FOUNDATION? 'i + N <br /> DISTANCE OF SOIL BARRIER TO PITS? r CYJ N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ X5.4-t N <br /> CORRECTWIDTH? V 5 -k N <br /> OTHER Y N <br /> MISCFLLANEOUS: <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 /> INSPECTED BY: � DATE: .� <br />
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