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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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Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: �^ I <br /> CORRECT TANK CAPACITY? !�00 N <br /> DISTANCE TO FOUNDATION? ✓ N 3 f-,4 /bp�j_S• <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? �/ too r N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? BY N <br /> CORRECT TYPE OF PIPING? 3 S N <br /> TANK VENTED? S N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: f4 <br /> DISTANCE FROM TANK? l I N <br /> DISTANCE TO NEAREST LEACH LINE? Y N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? © N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) L <br /> DISTANCE TO PROPERTY LINE? '[ © N <br /> DISTANCE TO ANY WATER WELLS? O N 1 Lj g <br /> DISTANCE TO NEAREST FOUNDATION? ✓ N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? N <br /> CORRECT DEPTH OF LL TRENCHES? r N• Y <br /> CORRECT DEPTH AND TYPE OF ROCK? �/ y� — l , © <br /> CORRECT WIDTH OF LL TRENCHES? t/ 2 t{; YU N <br /> CORRECT LENGTH OF LL TRENCHES? 3, N <br /> CORRECT TYPE OF PIPING? /4 Z Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? V N <br /> DISTANCE TO ANY WATER WELLS? ( N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2 N 1 — -7 ,s' ,'H- ✓aL <br /> CORRECT WIDTH? ✓ q 4 N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? YU <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. / <br /> COMMENTS: bvm IIJJ (" o a-,44- ✓O (,t SO <br /> a_ 0 2_C iyr 0/'j C 0 0 <br /> a <br /> INSPECTED BY:(:/" , /n J�� '`^ ���� DATE: <br />
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