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SR0082496
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082496
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Entry Properties
Last modified
12/28/2020 11:57:26 AM
Creation date
12/28/2020 11:56:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082496
PE
4211
STREET_NUMBER
14499
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
02103039
ENTERED_DATE
8/24/2020 12:00:00 AM
SITE_LOCATION
14499 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# SKOQ !i�a!j V6 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? 2DO p.� Y N <br /> DISTANCE TO FOUNDATION? to P4Y N <br /> DISTANCE TO PROPERTY LINE? 4 lkY N <br /> DISTANCE TO ANY WELLS? Q .�'{- Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? N <br /> CORRECT TYPE OF PIPING? S C, S 3 S Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER /�k2p ti Y N <br /> DISTRIBUTION BOX: �' <br /> DISTANCE FROM TANK? t N <br /> DISTANCE TO NEAREST LEACH LINE? S 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) (" <br /> DISTANCE TO PROPERTY LINE? �� Y N <br /> DISTANCE TO ANY WATER WELLS? (/ 'LD * -Y N <br /> DISTANCE TO NEAREST FOUNDATION? v- N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? �/ H N <br /> CORRECT DEPTH AND TYPE OF ROCK? t 2- i h. Y N <br /> CORRECT WIDTH OF LL TRENCHES? /pZ Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? ASTMCY N <br /> OTHER 9 pC �/ 1 �'-( Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? -;z k ( N ZDD Oh S iID he- <br /> DISTANCE <br /> yDISTANCE TO NEAREST FOUNDATION? ey N <br /> DISTANCE OF SOIL BARRIER TO PITS? -�- N <br /> CORRECT DEPTH AND TYPE OF ROCK? 0N !�'�,S �N V�-o <br /> CORRECT WIDTH? L4 02- j Y' N <br /> OTHER 4✓6� �a �y� 1� ��Q .5 Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? O N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED B�a�, �- �-�".S�+i � DATE: <br />
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