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SR0081163
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081163
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Last modified
12/19/2019 1:20:54 PM
Creation date
12/19/2019 1:20:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081163
PE
4213
FACILITY_NAME
13600 E VAN MAR LN
STREET_NUMBER
13600
Direction
E
STREET_NAME
VAN MAR
STREET_TYPE
LN
City
GALT
Zip
95632
APN
02102027
ENTERED_DATE
9/17/2019 12:00:00 AM
SITE_LOCATION
13600 E VAN MAR LN
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: Vi Ck r' J_; t. - PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? , 20 (�?CJ N <br /> DISTANCE TO FOUNDATION? — © N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? ���3� ® N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? ® N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? M N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) j <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? ,14Y N <br /> DISTANCE TO NEAREST FOUNDATION? 11/ Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? j 2/ O N <br /> CORRECT DEPTH OF LL TRENCHES? - 12�T- ® N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? �, ® N <br /> CORRECT LENGTH OF LL TRENCHES? �5 Y N <br /> CORRECT TYPE OF PIPING? S n9, S N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? /^r N <br /> DISTANCE TO ANY WATER WELLS? ` : p { Y© N <br /> DISTANCE TO NEAREST FOUNDATION? v 2D © N <br /> DISTANCE OF SOIL BARRIER TO PITS? `/ i N <br /> CORRECT DEPTH AND TYPE OF ROCK? N ( —2 (l_Lrl C �_ CtW <br /> CORRECT WIDTH? 22-1 Y N IIJ <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 /> INSPECTED BY: . )(G (/UL DATE: //I /� l <br />
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