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SR0079308
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0079308
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Last modified
7/30/2018 2:38:18 PM
Creation date
7/30/2018 2:25:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0079308
PE
4214
STREET_NUMBER
20241
Direction
E
STREET_NAME
WALNUT
STREET_TYPE
DR
City
LINDEN
Zip
95236
APN
091310230
ENTERED_DATE
6/21/2018 12:00:00 AM
SITE_LOCATION
20241 E WALNUT DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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I <br />SEPTIC SYSTEM INSPECTION GHECK LIST <br />ADDRESS: -202-41 ___W a L ✓\ tt t" PERMIT # 4' p /5 n -4'• Cl `3 O <br />LEACH FIELD: (LL=LEACH LINES) <br />DISTANCE TO PROPERTY LINE? ` ` <br />DISTANCE TO ANY WATER }(YELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL.'S? <br />CORRECT DEPTH OFLLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTHOFLLTRENCHES? <br />CORRECTLENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING?Y <br />OTHER <br />Check box ACTUAL MEETS SJC <br />PARAMETER <br />if inspected MEASUREMENT STANDARDS? CQMMENTS <br />SEPTIC TANK: <br />, <br />CORRECT TANKCAPACTIY? <br />Y N <br />DISTANCE TO FOUNDATION? <br />_ IPI—f' <br />_ <br />r Y <br />��,.. I <br />I <br />Y N <br />DISTANCE TO PROPERTY LINE? <br />N <br />N <br />Y N <br />DISTANCE TO ANY WELLS? <br />X N <br />TANK LEVEL AND ORIENTED CORRECTLY? <br />SANITARY TEES CORRECTLY INSTALLED? <br />Y r, <br />CORRECTTYPE OF PIPING? <br />Y N <br />TANKVENTED ? <br />Y N <br />ANYTANKABNORMALITIES NOTED? <br />Y N <br />OTHER <br />Y N <br />DISTRIBUTION BOJ' <br />DISTANCE FROM TANK? <br />Y N <br />DISTANCE TO NEAREST LEACH LINE? <br />Y N <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />Y N <br />IS D -BOX LEVEL? <br />Y N <br />OTHER <br />Y N <br />LEACH FIELD: (LL=LEACH LINES) <br />DISTANCE TO PROPERTY LINE? ` ` <br />DISTANCE TO ANY WATER }(YELLS? <br />DISTANCE TO NEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER BETWEEN LL.'S? <br />CORRECT DEPTH OFLLTRENCHES? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTHOFLLTRENCHES? <br />CORRECTLENGTH OF LL TRENCHES? <br />CORRECTTYPE OF PIPING?Y <br />OTHER <br />a Y N <br />N <br />N - <br />N <br />] ' T N <br />Ts`p N <br />Y N <br />IV N <br />N <br />Y N <br />, <br />SEEPAGE PITS - <br />DISTANCE TO PROPERTY LINE? <br />DISTANCE <br />DISTANCE TO ANY WATER WELLS?} <br />DISTANCETONEAREST FOUNDATION? <br />DISTANCE OF SOIL BARRIER TO PITS? <br />CORRECT DEPTH AND TYPE OF ROCK? <br />CORRECTWIDTH? <br />OTHER <br />_ IPI—f' <br />_ <br />r Y <br />��,.. I <br />I <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />MISCELLANEOUS: <br />DOES PERMIT DRAWING REFLECTACCURATE LOCATION OF SYSTEM? Y <br />DOES PERMIT DRAWING SHOW SUFFICIENT DEfA1L TO LOCATE IN FUTURE? Y <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />N <br />N <br />INSPECTED BY: UA I t: • `Y' / •-q'1'2101 <br />/1 <br />
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