My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0081758
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
D
>
DUDLEY
>
627
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0081758
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/13/2020 3:14:49 PM
Creation date
3/11/2020 4:31:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081758
PE
4210
STREET_NUMBER
627
Direction
E
STREET_NAME
DUDLEY
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
17706001
ENTERED_DATE
2/18/2020 12:00:00 AM
SITE_LOCATION
627 E DUDLEY RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
5
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# 5 p <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? J�/ 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 Ed Y N <br /> DISTRIBUTION BOX: a <br /> DISTANCE FROM TANK? / I 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: (ILL=LEACH LINES) �•/ln„� �� � O <br /> DISTANCE TO PROPERTY LINE? ( V �- Y N <br /> DISTANCE TO ANY WATER WELLS? all p�ts�' N . Z 5..-itl Ka, r Q <br /> DISTANCE TO NEAREST FOUNDATION? L10 F4 N If <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? — Y N <br /> CORRECT DEPTH OF LL TRENCHES? Q2 —q3 h, N <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ — /?j;yi, OY N <br /> CORRECT WIDTH OF LL TRENCHES? ✓ N <br /> CORRECT LENGTH OF LL TRENCHES? 2 � N <br /> CORRECT TYPE OF PIPING? �/ S 2 2 N <br /> OTHER Y N <br /> SEEPAGE PITS: <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 TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? 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: cool-;pi L <br /> d,L � <br /> INSPECTED BY, � DATE: <br /> i D- I <br />
The URL can be used to link to this page
Your browser does not support the video tag.