My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0078460
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
S
>
SECOND
>
170
>
4200/4300 - Liquid Waste/Water Well Permits
>
SR0078460
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/27/2018 2:03:59 PM
Creation date
3/5/2018 10:20:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078460
PE
4210
FACILITY_NAME
HOAGLAND, RUSSELL J H
STREET_NUMBER
170
Direction
E
STREET_NAME
SECOND
STREET_TYPE
ST
City
FRENCH CAMP
Zip
95231
APN
19311008
ENTERED_DATE
3/5/2018
SITE_LOCATION
170 E SECOND ST
RECEIVED_DATE
12/5/2017
P_LOCATION
99
P_DISTRICT
001
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: i <br />PERMIT # C� Q <br />Check box <br />PARAMETER if inspected <br />ACTUAL MEETS SJC <br />MEASUREMENT STANDARDS? COMMENTS <br />SEPTIC TANK: <br />CORRECT TANK CAPACITY? <br />DISTANCE TO FOUNDATION? <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WELLS? <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />CORRECT TYPE OF PIPING? <br />TANK VENTED ? <br />ANY TANK ABNORMALITIES NOTED? <br />OTHER <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />DISTRIBUTION BOX: }� <br />DISTANCE FROM TANK? % , <br />DISTANCE TO NEAREST LEACH LINE? �® <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D -BOX LEVEL? <br />OTHER (Y <br />N <br />N <br />N <br />N <br />N <br />LEACH FIELD: (LL = LEACH LINES) <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL'S? <br />CORRECT DEPTH OF LL TRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH OF LL TRENCHES? <br />CORRECT LENGTH OF LL TRENCHES? <br />CORRECT TYPE OF PIPING? <br />OTHER <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />Ed <br />SEEPAGE PITS: F -q' +vy b <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE TO ANY WATER WELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECT WIDTH? <br />OTHER <br />I <br />y n <br />1 ' <br />& <br />Y <br />Q <br />Y <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Q <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />ANY NO ANSWER ABOVE REQUIRES PER 0 BE REDRAWN. <br />COMMENTS: i` f l c <'�� <br />N <br />N <br />r <br />Z- O/it <br />INSPECTED BY./,A.- 1��44w DATE: <br />
The URL can be used to link to this page
Your browser does not support the video tag.