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SR0080526
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080526
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Entry Properties
Last modified
3/24/2022 1:58:10 PM
Creation date
1/23/2020 8:19:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080526
PE
4211
STREET_NUMBER
15817
Direction
E
STREET_NAME
EUGENIA
STREET_TYPE
AVE
City
RIPON
Zip
95366
APN
24519020
ENTERED_DATE
4/24/2019 12:00:00 AM
SITE_LOCATION
15817 E EUGENIA 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: S' �;V '�� Y� PERMIT# <br /> Check box AdrUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 12 10 D4 Y N <br /> DISTANCE TO FOUNDATION? In, Y N <br /> DISTANCE TO PROPERTY LINE? t 1 + Y N <br /> DISTANCE TO ANY WELLS? 'o�)� N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? S bk Y N <br /> TANK VENTED? Q) 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? 5 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? D N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? i -f QY N <br /> DISTANCE TO ANY WATER WELLS? j�� + Y N <br /> DISTANCE TO NEAREST FOUNDATION? �,i �1�, Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 2 N <br /> CORRECT DEPTH OF LL TRENCHES? - / Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? N -2 t(z iMA. Cvw/ <br /> CORRECT WIDTH OF LL TRENCHES? / Y N <br /> CORRECT LENGTH OF LL TRENCHES? ✓' �1% Q N <br /> CORRECT TYPE OF PIPING? V/ 5D23LY) N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? 1 <br /> DISTANCE TO NEAREST FOUNDATION? 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? 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: � ,�� DATE: <br />
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