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SR0082225
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082225
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Last modified
3/2/2021 2:13:57 PM
Creation date
3/2/2021 1:59:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082225
PE
4216
FACILITY_NAME
4664 E CLARKSDALE RD
STREET_NUMBER
4664
Direction
E
STREET_NAME
CLARKSDALE
STREET_TYPE
RD
Zip
95220
APN
01709047
ENTERED_DATE
6/22/2020 12:00:00 AM
SITE_LOCATION
4664 E CLARKSDALE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: ; ,rte, L� PERMIT# ;�z <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? ?L N <br /> DISTANCE TO FOUNDATION? (,' N <br /> DISTANCE TO PROPERTY LINE? N Tn <br /> DISTANCE TO ANY WELLS? N N L.T-G,u p orgy 4)rcl_ <br /> TANK LEVEL AND ORIENTED CORRECTLY? V, N <br /> SANITARY TEES CORRECTLY INSTALLED? 41, 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: nn <br /> DISTANCE FROM TANK? /A N <br /> DISTANCE TO NEAREST LEACH LINE? C� N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? ,/ISS N <br /> OTHER N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? J u t` cc 6) N <br /> DISTANCE TO NEAREST FOUNDATION? 1 C N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? \©� N <br /> CORRECT DEPTH OF LL TRENCHES? J L N <br /> CORRECT DEPTH AND TYPE OF ROCK? ` -iAj" N <br /> CORRECT WIDTH OF LL TRENCHES? rC N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? ✓ '� .Zh T �J� jN <br /> DIS-ANCE TO NEAREST FOUNDATION? N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH? ly 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? 81 N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY: DATE: <br />
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