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SR0080825
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080825
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Last modified
7/24/2019 2:38:27 PM
Creation date
7/24/2019 1:56:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080825
PE
4210
STREET_NUMBER
12933
Direction
E
STREET_NAME
ATKINSON
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06327007
ENTERED_DATE
6/26/2019 12:00:00 AM
SITE_LOCATION
12933 E ATKINSON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: �a /! h rC4 PERMIT# g a rlZ S <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <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 WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? ;/- N <br /> CORRECT TYPE OF PIPING? 's r- S LY N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: _ <br /> DISTANCE FROM TANK? `/ Y N <br /> DISTANCE TO NEAREST LEACH LINE? ✓ (� N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) / <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? ( 2 N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? (!1 e L Y N <br /> CORRECT DEPTH OF LL TRENCHES? LlCQ N e 3 f <br /> CORRECT DEPTH AND TYPE OF ROCK? lon, Y N <br /> CORRECT WIDTH OF LL TRENCHES? 2�-( i N <br /> CORRECT LENGTH OF LL TRENCHES? v Lt f) vY N <br /> CORRECT TYPE OF PIPING? 2 V N <br /> OTHER Y N <br /> SEEPAGE PITS: Z ,�-� <br /> DISTANCE TO PROPERTY LINE? ✓ Z /0 N <br /> DISTANCE TO ANY WATER WELLS? to N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? ✓ Sf t N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ ZS ('7 -f- N t <br /> CORRECT WIDTH? i/ 6 N <br /> OTHER c4a*t(e- �eTwm I (f v- - S (�Y N <br /> MISCELLANEOUS: I / <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y (� <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? DY N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BYE,ra A DATE: <br />
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