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SR0081296
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081296
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Entry Properties
Last modified
10/30/2019 11:56:15 AM
Creation date
10/30/2019 11:53:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081296
PE
4210
STREET_NUMBER
12920
Direction
E
STREET_NAME
ATKINSON
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06327062
ENTERED_DATE
10/21/2019 12:00:00 AM
SITE_LOCATION
12920 E ATKINSON 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: PERMIT# d 2 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if Inspected MEASUREMENT STANDARDS? CQMMEN"I'S <br /> SEPTIC TANK: <br /> CORRECT TANK CAPAbI Y? Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE1-0ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N , <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED 7 Y N <br /> ANY•TANKABNORMALITIES NOTED, Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y NDISTANCE TO NEAREST LEACH LINE? 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) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER VVELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? N - <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? w Y N <br /> CORRECT DEPTH OFLLTRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Lk N ? <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECTTYPE OF PIPING? EC Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? �oo N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF S01L BARRIER TO PITS? �� N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECTWIDTH? ��— Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECTACCURATE 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: f f� DATE: - <br />
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