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SR0081406
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081406
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Last modified
1/23/2020 10:13:32 AM
Creation date
1/23/2020 8:22:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081406
PE
4210
STREET_NUMBER
27266
Direction
E
STREET_NAME
FLOOD
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
09329006
ENTERED_DATE
11/15/2019 12:00:00 AM
SITE_LOCATION
27266 E FLOOD 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: 2,-1266 L PERMIT# Sp U C� <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY 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? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? QY N <br /> DISTANCE TO NEAREST LEACH LINE? 120/ OY 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? I O r�- U N <br /> DISTANCE TO ANY WATER WELLS? 2Q O N <br /> DISTANCE TO NEAREST FOUNDATION? + N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Y N <br /> CORRECT DEPTH OF LL TRENCHES? V, y 2,'r QN <br /> CORRECT DEPTH AND TYPE OF ROCK? ���� N <br /> CORRECT WIDTH OF LL TRENCHES? 3() Y N <br /> CORRECT LENGTH OF LL TRENCHES? �3 S/ YY y N <br /> CORRECT TYPE OF PIPING? SDR35 LJ N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? o I 'r N <br /> DISTANCE TO ANY WATER WELLS? pQ {- O N <br /> DISTANCE TO NEAREST FOUNDATION? (D N <br /> DISTANCE OF SOIL BARRIER TO PITS? - Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2�-5 N <br /> CORRECT WIDTH? L-i 2• 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: y Ls _,,,L DATE: l Il I Iol <br />
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