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SR0081534
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081534
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Entry Properties
Last modified
2/12/2020 2:15:47 PM
Creation date
2/12/2020 1:22:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081534
PE
4211
STREET_NUMBER
5420
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95240
APN
01732003
ENTERED_DATE
12/17/2019 12:00:00 AM
SITE_LOCATION
5420 E ACAMPO 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: F, PERMIT# S�OD $'3 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: D© <br /> CORRECT TANK CAPACITY? �/ Y N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? N 11 <br /> DISTANCE TO ANY WELLS? �/ p Y N n S a n p,�d{�Flo r {n•�i <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? {/ Y N <br /> CORRECT TYPE OF PIPING? S 2 3 N SC.h LID <br /> TANK VENTED? (� '9N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Iq r4 �� N <br /> DISTANCE TO NEAREST LEACH LINE? S OJ N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? (' N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) r <br /> DISTANCE TO PROPERTY LINE? /��� N <br /> 1$. V <br /> DISTANCE TO ANY WATER WELLS? ✓ n. 0N �- I oZ � Y1P.��Utj hbr- yyy_t) <br /> DISTANCE TO NEAREST FOUNDATION? O N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 1 0 {- my <br /> N <br /> CORRECT DEPTH OF LL TRENCHES? ✓ — j y�. N <br /> CORRECT DEPTH AND TYPE OF ROCK? j yy N ( --2, 5 iN• ro/CORRECT WIDTH OF LL TRENCHES? % j y�, N <br /> CORRECT LENGTH OF LL TRENCHES? .5- N <br /> CORRECT TYPE OF PIPING? 3S Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? I, S �-{' N <br /> DISTANCE TO ANY WATER WELLS? og/ `�Y N ^'1 SI l�4 OT <br /> DISTANCE TO NEAREST FOUNDATION? �/ `�© l YJ N <br /> DISTANCE OF SOIL BARRIER TO PITS? 5 N <br /> CORRECT DEPTH AND TYPE OF ROCK? N 1 Z•S j N• Y-Lo <br /> CORRECT WIDTH? L( ;Z N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Yl./ <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? 0 N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. �J <br /> COMMENTS: <br /> INSPECTED BY: Dar;o�,- A Po <br /> as <br /> ' n DATE: /� /� <br />
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