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SR0081356
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081356
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Last modified
1/23/2020 10:12:36 AM
Creation date
1/23/2020 8:20:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081356
PE
4213
STREET_NUMBER
10512
Direction
E
STREET_NAME
WOODBRIDGE
City
ACAMPO
Zip
95220
APN
01723021
ENTERED_DATE
11/4/2019 12:00:00 AM
SITE_LOCATION
10512 E WOODBRIDGE
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: ( , -C'l�i i - PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER ? if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: p <br /> CORRECT TANK CAPACITY? ZDW © N <br /> DISTANCE TO FOUNDATION? _ ,5 © N <br /> DISTANCE TO PROPERTY LINE? `sn/+ © N <br /> DISTANCE TO ANY WELLS? 2_00/ }- © N <br /> TANK LEVEL AND ORIENTED CORRECTLY? ® N <br /> SANITARY TEES CORRECTLY INSTALLED? © N <br /> CORRECT TYPE OF PIPING? N <br /> TANK VENTED? ��' OY N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? YO N <br /> DISTANCE TO NEAREST LEACH LINE? G. N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? O N <br /> IS D-BOX LEVEL? © N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) ` 1 L��fS 4 ?,,'2- <br /> DISTANCE <br /> 2DISTANCE TO PROPERTY LINE? kz� rjO�-(t- N <br /> DISTANCE TO ANY WATER WELLS? ) �� I OY N <br /> DISTANCE TO NEAREST FOUNDATION? V-*' LU N <br /> DISTANCE OF SOIL BARRIER BETWEEN-L'S? !(-A/ N <br /> CORRECT DEPTH OF LL TRENCHES? Lf� fT N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? 21 © N <br /> CORRECT LENGTH OF LL TRENCHES? 1f1 N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? so/+ Y N <br /> DISTANCE TO ANY WATER WELLS? 2 00 Y N <br /> DISTANCE TO NEAREST FOUNDATION? (0l N <br /> DISTANCE OF SOIL BARRIER TO PITS? `LA' Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 7 N ,_2 (� i/1C VU <br /> � T Qj?C <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 /> INSPECTED BY: J-4,k�- V DATE: r I�� <br />
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