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SR0081027
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081027
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Last modified
9/19/2019 5:08:01 PM
Creation date
9/13/2019 9:51:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081027
PE
4213
STREET_NUMBER
12937
Direction
S
STREET_NAME
DROGE
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
20719042
ENTERED_DATE
8/12/2019 12:00:00 AM
SITE_LOCATION
12937 S DROGE 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: 2 '1 J PERMIT# <br /> Check ox ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? (p(' Y N <br /> DISTANCE TO FOUNDATION? t N <br /> DISTANCE TO PROPERTY LINE? 2 y ,f- N <br /> DISTANCE TO ANY WELLS? f © N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? (j YO N <br /> DISTANCE TO NEAREST LEACH LINE? b (D N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? L Y N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: ILL=LEACH LINES) -lam l S <br /> DISTANCE TO PROPERTY LINE? L(��-{. N <br /> DISTANCE TO ANY WATER WELLS? (� N <br /> DISTANCE TO NEAREST FOUNDATION? f 'y l Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? !L/ O N <br /> CORRECT DEPTH OF LL TRENCHES? 4 Q N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? 2 (�> N <br /> CORRECT LENGTH OF LL TRENCHES? I/ D N <br /> CORRECT TYPE OF PIPING? C) N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 2 V/� N <br /> DISTANCE TO ANY WATER WELLS? Is <br /> N <br /> DISTANCE TO NEAREST FOUNDATION? p Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? lot N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2� N <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 /> XI <br /> INSPECTED BY: ���_ _ _ ,L /�� DATE: <br />
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