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SR0079343
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079343
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Last modified
7/19/2018 2:26:42 PM
Creation date
7/19/2018 1:48:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079343
PE
4210
STREET_NUMBER
651
Direction
E
STREET_NAME
WATTERS
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19330020
ENTERED_DATE
7/2/2018 12:00:00 AM
SITE_LOCATION
651 E WATTERS RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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AMeuangkhoth
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: <br />PERMIT # <br />Check box ACTUAL <br />MEETS SJC <br />PARAMETER if inspected MEASUREMENT <br />STANDARDS? COMMENTS <br />SEPTIC TANK: 66t <br />CORRECT TANK CAPACITY?, <br />Y <br />N <br />DISTANCE TO FOUNDATION? <br />Y <br />N <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WELLS? <br />Y <br />N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />Y <br />N <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y <br />N <br />CORRECT TYPE OF PIPING? <br />Y <br />N <br />TANK VENTED ? <br />Y <br />N <br />ANY TANK ABNORMALITIES NOTED? <br />Y <br />N <br />OTHER <br />Ed <br />Y <br />N <br />DISTRIBUTION BOX: 6 <br />DISTANCE FROM TANK? '` <br />Y <br />N <br />DISTANCE TO NEAREST LEACH LINE? <br />Y <br />N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />Y <br />N <br />IS D -BOX LEVEL? <br />Y <br />N <br />OTHER <br />Y <br />N <br />LEACH FIELD: (CE"LhhtfNEf+j-�G;� �6 <br />DISTANCE TO PROPERTY LINE? <br />1110 ` <br />N <br />DISTANCE TO ANY WATER WELLS? <br />114, <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />1136 <br />N <br />DISTANCE OF SOIL BARRIER BETWEEN LUS? <br />.--+ <br />Y <br />N <br />CORRECT DEPTH OF LL TRENCHES? <br />3 (e �� <br />0 <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH OF LL TRENCHES? <br />/S <br />N <br />CORRECT LENGTH OF LL TRENCHES? <br />N <br />CORRECT TYPE OF PIPING?� <br />N <br />OTHER <br />Y <br />N <br />SEEPAGE PITS: M <br />DISTANCE TO PROPERTY LINE? <br />Y <br />N <br />DISTANCE TO ANY WATER WELLS? <br />Y <br />N <br />DISTANCE TO NEAREST FOUNDATION? <br />Y <br />N <br />DISTANCE OF SOIL BARRIER TO PITS? <br />Y <br />N <br />CORRECT DEPTH AND TYPE OF ROCK? <br />Y <br />N <br />CORRECT WIDTH? <br />YN <br />OTHER <br />Y <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? <br />N <br />DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? <br />& <br />N <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />INSPECTED BY: DATE: <br />
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