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SR0080866
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080866
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Entry Properties
Last modified
2/25/2020 10:03:26 AM
Creation date
7/31/2019 9:28:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080866
PE
4213
STREET_NUMBER
15900
Direction
N
STREET_NAME
LOCUST TREE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05113008
ENTERED_DATE
7/8/2019 12:00:00 AM
SITE_LOCATION
15900 N LOCUST TREE 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: I 5YOUc c,, PERMIT# 0 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? �Q a-� O N <br /> DISTANCE TO FOUNDATION? ZY) N <br /> DISTANCE TO PROPERTY LINE? l N <br /> DISTANCE TO ANY WELLS? j Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? 1 j Y N w � <br /> CORRECT TYPE OF PIPING? 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? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) �^ <br /> DISTANCE TO PROPERTY LINE? ✓ S t— N <br /> DISTANCE TO ANY WATER WELLS? 716 Y N <br /> DISTANCE TO NEAREST FOUNDATION? / Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? t7Y� Y N <br /> CORRECT DEPTH OF LL TRENCHES? / N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? ✓ �- N <br /> CORRECT LENGTH OF LL TRENCHES? S �` P f N <br /> CORRECT TYPE OF PIPING? �/ Qq 2 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? l 6 T N <br /> DISTANCE TO ANY WATER WELLS? ✓ — Y1 N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2.S N <br /> CORRECT WIDTH? `/ 22 yl 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? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: ') D—Y'.(0- ;1,J I 11)", DATE: <br />
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