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SR0083037
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083037
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Last modified
2/3/2021 8:23:32 AM
Creation date
2/2/2021 3:54:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083037
PE
4210
STREET_NUMBER
15484
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20805001
ENTERED_DATE
12/17/2020 12:00:00 AM
SITE_LOCATION
15484 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: 6APERMIT# c p <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N o rm,.Uto l ca�i5e <br /> DISTANCE TOFOUNUATION? Y N it(,-o-5 alre,.1.(4 rove <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? Y N <br /> DISTANCE TO NEAREST LEACH LINE? T 2 (s) N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? U N <br /> IS D-BOX LEVEL? O_r) N <br /> OTHER ti( Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? r Y N VAj-b Q �(} W f I y W��.Pd <br /> DISTANCE TO ANY WATER WELLS? ✓ N l71 ((�. <br /> DISTANCE TO NEAREST FOUNDATION? i Qui L; J <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? 1-2 N r t^i <br /> CORRECT DEPTH OF LL TRENCHES? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? 0 N Y <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? N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y (� <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. (` <br /> COMMENTS: "aCW Y1Q4. <br /> 10 tr c)�. <br /> r i <br /> ct rd <br /> L act d +k c511 Is 2 fzbal <br /> wl fa' <br /> INSPECTED BY: 0 <br /> i��, DATE: <br />
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