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SR0082590
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082590
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Last modified
10/19/2020 4:32:36 PM
Creation date
10/19/2020 3:09:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082590
PE
4210
STREET_NUMBER
4674
Direction
E
STREET_NAME
COOPER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01703035
ENTERED_DATE
9/14/2020 12:00:00 AM
SITE_LOCATION
4674 E COOPER 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: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? /ZOD ® N <br /> DISTANCE TO FOUNDATION? ► N <br /> DISTANCE TO PROPERTY LINE? '� N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? 02 3 , SC�+�1y N <br /> r <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? 41 N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? 7► t?> N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? e N <br /> IS D•BOX LEVEL? AP N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES);�,^-p <br /> DISTANCE TO PROPERTY LINE? s ► N <br /> DISTANCE TO ANY WATER WELLS? 00, N <br /> DISTANCE TO NEAREST FOUNDATION? 00, d 3 N <br /> DISTANCE OF SOIL BARRIER BETWEEN LLS? �-� Y N <br /> CORRECT DEPTH OFieL'TRENCHES? '' N <br /> CORRECT DEPTH AND TYPE OF ROCK? �pj� /� N <br /> CORRECT WIDTH OF/TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER E9 Y N <br /> SEEPAGE PITS: A4 <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATE ELLS? Y N <br /> DISTANCE TO NEAREST FOU TION? Y N <br /> DISTANCE OF SOIL BARRIER TO PIT 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? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE LtREQUIRES ERMIT TO BE REDRAWN. p <br /> COMMENTS: S�r!`G v1k /!/( D Y wide, g G� �C�V y6 /C <br /> INSPECTED BY: DATE: ���,� <br />
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