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SR0081261
EnvironmentalHealth
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ELLIOTT
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081261
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Entry Properties
Last modified
2/23/2021 11:22:20 AM
Creation date
1/28/2020 9:32:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081261
PE
4216
STREET_NUMBER
20745
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237
APN
05121071
ENTERED_DATE
10/11/2019 12:00:00 AM
SITE_LOCATION
20745 N ELLIOTT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 0 ; PERMIT# 2 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? © N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? t N <br /> DISTANCE TO ANY WELLS? 00 Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? V, Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Yl NI Ssi K i �wK <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? ✓ G> N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? Y 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? Y N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? L44 © N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH? LtY N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? l.0 N <br /> ANY NO ANSWER ABOVE R QUIRES PE MIT TO BE RED WN. <br /> COMMENTS: LAI- �- L�2(.y� 4b <br /> � 4'�^ O ✓J r S�I�.. <br /> Vq <br /> i YtG <br /> 0-6ox u 'ertne- co <br /> m ✓b , L llop 3b -Y0 iin <br /> INSPECTED B 5 DATE: <br />
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