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SR0080476
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080476
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Last modified
10/10/2019 4:07:36 PM
Creation date
10/10/2019 4:05:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080476
PE
4211
STREET_NUMBER
26451
Direction
N
STREET_NAME
SACRAMENTO
STREET_TYPE
BLVD
City
THORNTON
Zip
95686
APN
00120012
ENTERED_DATE
4/12/2019 12:00:00 AM
SITE_LOCATION
26451 N SACRAMENTO BLVD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: IV, PERMIT# <br /> \ Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? ;2,c QQ Q- N <br /> DISTANCE TO FOUNDATION? I ey N <br /> DISTANCE TO PROPERTY LINE? 0 N <br /> DISTANCE TO ANY WELLS? Yw we- Y N (/V a <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? NO 6p Lt e4N4 T ze, N 2 uGh <br /> CORRECT TYPE OF PIPING? SLLjoS S Y N <br /> v <br /> TANK VENTED? ^/ Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? �j N <br /> DISTANCE TO NEAREST LEACH LINE? 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) <br /> DISTANCE TO PROPERTY LINE? 1 ✓ 6 © N <br /> DISTANCE TO ANY WATER WELLS? Y N C.��tn/G� <br /> DISTANCE TO NEAREST FOUNDATION? (3 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? — Y N <br /> CORRECT DEPTH OF LL TRENCHES? �/ �2�� ,, U N I <br /> CORRECT DEPTH AND TYPE OF ROCK? p7. OY N �— Z • S •r!• C Kuf ro <br /> CORRECT WIDTH OF LL TRENCHES? (D N <br /> CORRECT LENGTH OF LL TRENCHES? fYY N <br /> CORRECT TYPE OF PIPING? ��`J 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? Y N <br /> CORRECT WIDTH? Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE RED AWN.// <br /> COMMENTS: - 4e- moi t4 tl/fiLP/jr <br /> t 5 _ - r <br /> INSPECTED BY: <br /> ,D ' /-f-opt� ' / DATE. <br />
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