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SR0080873
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080873
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Last modified
9/13/2019 10:41:53 AM
Creation date
9/13/2019 9:41:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080873
PE
4211
STREET_NUMBER
19155
Direction
E
STREET_NAME
ALLEN
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24507081
ENTERED_DATE
7/10/2019 12:00:00 AM
SITE_LOCATION
19155 E ALLEN RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 5 ( k j PERMIT# -' ,C <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: / <br /> CORRECT TANK CAPACITY? (6o U (YJ N <br /> DISTANCE TO FOUNDATION? 1i (j 0 N <br /> DISTANCE TO PROPERTY LINE? ✓ j —r CY:�' 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? Y N <br /> TANK VENTED? V 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) 11 r E K r <br /> DISTANCE TO PROPERTY LINE? ✓ �(f Gy�l N <br /> DISTANCE TO ANY WATER WELLS? ✓ � f— N <br /> DISTANCE TO NEAREST FOUNDATION? 2 L�4- N I <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N { GPA{ L1(io n h I•k,- 6ec I X c'1 <br /> CORRECT DEPTH OF LL TRENCHES? CD N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH OF LL TRENCHES? L- N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? / ��� �7 � 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? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH? Y <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? 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. <br />
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