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SR0081430
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081430
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Last modified
3/11/2020 4:54:59 PM
Creation date
3/11/2020 4:15:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081430
PE
4211
STREET_NUMBER
12352
STREET_NAME
VAN ALLEN
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
20522011
ENTERED_DATE
11/20/2019 12:00:00 AM
SITE_LOCATION
12352 VAN ALLEN 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: j ' PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? L Y N <br /> DISTANCE TO FOUNDATION? V 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? J �� <br /> (D N <br /> DISTANCE TO NEAREST LEACH LINE? / T 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? ✓ I(��•-� O N <br /> DISTANCE TO ANY WATER WELLS? (nu/4- N <br /> DISTANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? N <br /> CORRECT DEPTH OF LL TRENCHES? t�/LJ� Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N I-'L �,b nL Li i in;Gl CJI 7� <br /> CORRECT WIDTH OF LL TRENCHES? 2-1 Y N <br /> CORRECT LENGTH OF LL TRENCHES? r✓ �� N <br /> CORRECT TYPE OF PIPING? -�ID P,-3 Y N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 0 Y N <br /> DISTANCE TO ANY WATER WELLS? �� j 5C, --t- Y N <br /> DISTANCE TO NEAREST FOUNDATION? I(,7,/-f- YQ N <br /> DISTANCE OF SOIL BARRIER TO PITS? 'Q" Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? r�l Y 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 8Y: ; p�(� •_ ^,L ��v DATE: <br />
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