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SR0080958
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080958
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Last modified
9/13/2019 10:43:07 AM
Creation date
9/13/2019 9:42:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080958
PE
4211
STREET_NUMBER
20201
Direction
E
STREET_NAME
AYERS
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
20509044
ENTERED_DATE
7/30/2019 12:00:00 AM
SITE_LOCATION
20201 E AYERS AVE
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? Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? 4FY N <br /> DISTANCE TO ANY WELLS? I n fi Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? \/ 'C) N <br /> TANK VENTED? IZ, CD N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Cj Y N <br /> DISTANCE TO NEAREST LEACH LINE? / N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? ✓ N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? I Or ly <br /> N <br /> DISTANCE TO ANY WATER WELLS? J –�— N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ ��CY-{– N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? N <br /> CORRECT DEPTH OF LL TRENCHES? 14,2-11N <br /> CORRECT DEPTH AND TYPE OF ROCK? 1/2 11/ Y N <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? YN <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: J <br /> DISTANCE TO PROPERTY LINE? [ /+ <br /> R <br /> N <br /> DISTANCE TO ANY WATER WELLS? f !�(� �- N <br /> DISTANCE TO NEAREST FOUNDATION? y -} YN <br /> DISTANCE OF SOIL BARRIER TO PITS? / Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? (Y) N L?'(2 j fid. L/il t Sj <br /> CORRECT WIDTH? 2- 1 0 N <br /> OTHER L F N Gm ? ✓ 1 C) (J) 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 B � ti (� w DATE: <br />
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