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SR0082080
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082080
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Last modified
6/5/2020 10:07:26 AM
Creation date
6/5/2020 9:04:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082080
PE
4211
FACILITY_NAME
25999 N CHEROKEE RD
STREET_NUMBER
25999
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
RD
City
ACAMPO
Zip
95632
APN
00539036
ENTERED_DATE
5/14/2020 12:00:00 AM
SITE_LOCATION
25999 N CHEROKEE 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: 5p e Q_ PERMIT# Q <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 1600 a LN <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? �� 9 TF Y N <br /> DISTANCE TO ANY WELLS? 1f Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N rT*e-/ <br /> CORRECT TYPE OF PIPING? S' N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: J <br /> DISTANCE FROM TANK? �- , 5 1 Y N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? L/ CO, OY N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? cy) N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? Lo <br /> 0 N <br /> CORRECT DEPTH OF LL TRENCHES? y 2 ; V7. Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 1� 2 ; �, N 1 _ ,S I N /��L <br /> CORRECT WIDTH OF LL TRENCHES? _ Y N <br /> CORRECT LENGTH OF LL TRENCHES? Ll Li �rr N <br /> CORRECT TYPE OF PIPING? 3 Q N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 9, "� ly N <br /> DISTANCE TO ANY WATER WELLS? Y N <br /> DISTANCE TO NEAREST FOUNDATION? �/ .Z4 py <br /> N <br /> DISTANCE OF SOIL BARRIER TO PITS? b, S N <br /> CORRECT DEPTH AND TYPE OF ROCK? �� S .F� N <br /> CORRECT WIDTH? L{ 8 j h. 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? 4�s N <br /> ANY NO ANSWERVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: ToweA ; ,,, 15 Q S 5;b/(/ <br /> Q I ' <br /> INSPECTED BY: DATE: <br /> S azo �7,0� <br />
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