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SR0079859
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079859
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Last modified
4/22/2019 2:31:13 PM
Creation date
4/22/2019 10:02:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079859
PE
4210
STREET_NUMBER
14044
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
02104304
ENTERED_DATE
11/9/2018 12:00:00 AM
SITE_LOCATION
14044 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: I,' - I ry PERMIT If <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WEI IS? - 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 /> TANK VENTED? Y N <br /> ANY-TANKABNORMALITIESNOTED? Y N l <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? ✓ t ® N r <br /> DISTANCE TO NEAREST LEACH LINE? 1/ CY) N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? V © N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) ' <br /> DISTANCE TO PROPERTY LINE? L!/ N <br /> DISTANCE TO ANY WATER 1(VELLS? �L1 C (T N T <br /> DISTANCE TO NEAREST FOUNDA71 ION? L¢( ! t. �Y) N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? 0 V 0y N 7 t�l V(� 6w"I LLL, 5 j Lx <br /> CORRECT WIDTH OF TL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? 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? ✓ © N <br /> DISTANCE OF SOIL BARRIER TO PITS? \� ` _ N <br /> CORRECT DEPTH AND TYPE OF ROCK? DS t N T ie\Cy",) llsG u d- 31,0 <br /> CORRECTWIDTH? ckk,l, N <br /> OTHER Y N <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 /> INSPECTED BY: /] , ` � �� - DATE: - — <br />
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