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SR0082497
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082497
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Last modified
9/17/2020 1:59:52 PM
Creation date
9/17/2020 12:54:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082497
PE
4210
STREET_NUMBER
24485
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00726048
ENTERED_DATE
8/24/2020 12:00:00 AM
SITE_LOCATION
24485 N JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: �Li� a C: PERMIT# (U L <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER y if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? o 60, V N <br /> DISTANCE TO FOUNDATION? �!r- Y N <br /> DISTANCE TO PROPERTY LINE? !� N <br /> DISTANCE TO ANY WELLS? t �j N <br /> TANK LEVEL AND ORIENTED CORRECTLY? �% (� N <br /> SANITARY TEES CORRECTLY INSTALLED? © N <br /> CORRECT TYPE OF PIPING? S09 3;�_ N <br /> TANK VENTED? / N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: _"" � <br /> DISTANCE FROM TANK? l7/ N <br /> DISTANCE TO NEAREST LEACH LINE? = { N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? L.= N <br /> IS D-BOX LEVEL? cam/ N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? 7' ©� N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? �/ �( � V N <br /> CORRECT DEPTH OF LL TRENCHES? N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? �/ �j © N <br /> CORRECT TYPE OF PIPING? ✓ s jam? 1�; C9 N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? `�[��-� © N <br /> DISTANCE TO ANY WATER WELLS? y N <br /> DISTANCE TO NEAREST FOUNDATION? kc,r (b N <br /> DISTANCE OF SOIL BARRIER TO PITS? 111 Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? 2s Y N <br /> CORRECT WIDTH? 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 BY. DATE: <br />
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