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SR0080529
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080529
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Last modified
9/6/2019 3:46:03 PM
Creation date
9/6/2019 3:00:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080529
PE
4211
STREET_NUMBER
8000
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00704027
ENTERED_DATE
4/25/2019 12:00:00 AM
SITE_LOCATION
8000 E COLLIER 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: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 2 o N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? YQ N <br /> DISTANCE TO ANY WELLS? )� © N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? ©! N <br /> TANK VENTED? V N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: _ <br /> DISTANCE FROM TANK? Ij �{ © N <br /> DISTANCE TO NEAREST LEACH LINE? ('Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) bY <br /> DISTANCE TO PROPERTY LINE? 50 T 1N <br /> DISTANCE TO ANY WATER WELLS? ) 2{-t N <br /> DISTANCE TO NEAREST FOUNDATION? •f N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? l� �� OY N 1- 21 f 2 M(C. d A)q I"1!f V S 1?C_ <br /> CORRECT WIDTH OF LL 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? SU/ ® N <br /> DISTANCE TO ANY WATER WELLS? ✓ 7 QY N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2 Y N Z ry a,Ln n,_)•q 2e_ <br /> CORRECT WIDTH? 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: 7 <br />
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