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SR0080864
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080864
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Last modified
7/31/2019 9:31:05 AM
Creation date
7/31/2019 9:28:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080864
PE
4211
STREET_NUMBER
24765
Direction
N
STREET_NAME
FUHRMAN
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
02104526
ENTERED_DATE
7/8/2019 12:00:00 AM
SITE_LOCATION
24765 N FUHRMAN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: S PERMIT# Cj O <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: I <br /> CORRECT TANK CAPACITY? �/ L d(� b N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? i/ F, N <br /> DISTANCE TO ANY WELLS? L/ (D Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? t/ N <br /> SANITARY TEES CORRECTLY INSTALLED? V iy <br /> NCORRECT TYPE OF PIPING? N <br /> TANK VENTED? 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? PC 0 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? CP N <br /> IS D-BOX LEVEL? V N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? Z, In Y N <br /> DISTANCE TO NEAREST FOUNDATION? V/ S Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Lo U N <br /> CORRECT DEPTH OF LL TRENCHES? L40 V N <br /> CORRECT DEPTH AND TYPE OF ROCK? 12 - vi, ,Y N l— Z - 5- i v• j�0(` <br /> CORRECT WIDTH OF LL TRENCHES? AY N <br /> CORRECT LENGTH OF LL TRENCHES? L/ 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? Y N <br /> DISTANCE TO NEAREST FOUNDATION? q Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? _�j _0 N <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ 0 N <br /> CORRECT WIDTH? �/ Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <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:� .. DATE: / f <br />
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