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SR0081932
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081932
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Last modified
5/29/2020 11:59:28 AM
Creation date
5/29/2020 11:54:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081932
PE
4210
STREET_NUMBER
19920
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05318007
ENTERED_DATE
3/24/2020 12:00:00 AM
SITE_LOCATION
19920 E KETTLEMAN LN
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: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: pp <br /> CORRECT TANK CAPACITY? G�( ,� 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? (_ 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? `� 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) , w <br /> DISTANCE TO PROPERTY LINE? > ?10 D -Fk N <br /> DISTANCE TO ANY WATER WELLS? ,2 50 T4QY N 7 Z 5,9 <br /> DISTANCE TO NEAREST FOUNDATION? 2 © N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? ,p y.Q, •Lt Y N <br /> CORRECT DEPTH OF LL TRENCHES? =Z=-2_ YO N } c7 <br /> CORRECT DEPTH AND TYPE OF ROCK? i — Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? ✓ Y N <br /> CORRECT TYPE OF PIPING? Q Q 2 Y N <br /> OTHER Y N <br /> SEEPAGE PITS: ` <br /> DISTANCE TO PROPERTY LINE? J Y N <br /> DISTANCE TO ANY WATER WELLS? ✓ Z ( qY N <br /> DISTANCE TO NEAREST FOUNDATION? Fj C) N <br /> DISTANCE OF SOIL BARRIER TO PITS? 3 0 N <br /> CORRECT DEPTH AND TYPE OF ROCK? `� 'L S v N <br /> CORRECT WIDTH? YO 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__% N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. % ��� � /A <br /> COMMENTS: p Q L <br /> i <br /> D�j <br /> a <br /> GO <br /> INSPECTED ✓' �� ^ /' �C / i DATE: <br />
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