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4200/4300 - Liquid Waste/Water Well Permits
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SR0080890
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Last modified
9/6/2019 3:39:58 PM
Creation date
9/6/2019 3:03:43 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080890
PE
4210
STREET_NUMBER
735
Direction
E
STREET_NAME
FRISBEE
STREET_TYPE
LN
City
FRENCH CAMP
Zip
95231
APN
19335006
ENTERED_DATE
7/16/2019 12:00:00 AM
SITE_LOCATION
735 E FRISBEE LN
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# <br /> eck box ACTU MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 1 X 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? N <br /> SANITARY TEES CORRECTLY INSTALLED? Y <br /> CORRECT TYPE OF PIPING? Y 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? �N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) r I 1-7 F 9 F-b <br /> DISTANCE TO PROPERTY LINE? -�- G//)� N <br /> DISTANCE TO ANY WATER WELLS? I O p�t -}- l_lv N <br /> DISTANCE TO NEAREST FOUNDATION? 2 n + d N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? l ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N Z Z Yl rL, CWC6? Z2 <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? �/ 2 �> N <br /> CORRECT TYPE OF PIPING? ✓ SDS 3501 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? Y 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 <br /> � DATE: <br />
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