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SR0082738
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082738
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Last modified
12/23/2020 3:37:52 PM
Creation date
12/23/2020 3:35:45 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082738
PE
4214
STREET_NUMBER
5582
Direction
W
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
APN
25001023
ENTERED_DATE
10/15/2020 12:00:00 AM
SITE_LOCATION
5582 W F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: YA I PERMIT# S <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 1 Z00 Y N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? t-�f(JU ® N n©i- C,} 5 a t <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? ✓ Q N <br /> CORRECT TYPE OF PIPING? Y) N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER -}arj L Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? 51 �� N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? �/ (f� N <br /> IS D-BOX LEVEL? N <br /> OTHER c., MGtcke, Y N le SSC. made A`A oiC. <br /> LEACHFIELD: (LL=LEACHLINES) ►n�j �YLi�O� <br /> DISTANCE TO PROPERTY LINE? 71 11 V N <br /> DISTANCE TO ANY WATER WELLS? N (l bk- h1- <br /> DISTANCE TO NEAREST FOUNDATION? ✓ ��� �}��, Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? \ ® N <br /> CORRECT DEPTH OF LL TRENCHES? V" 'L J9 N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? ✓ \ `,(\ Y ) N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? 28 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 <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: 7E,C,Z J'O v-e!t <br /> A-16 4W, POUNIALOVI <br /> INSPECTED BY: (v ,1,,� '�y,I�l��f DATE: <br />
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