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SR0082160
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082160
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Last modified
9/1/2020 4:47:18 PM
Creation date
9/1/2020 4:44:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082160
PE
4211
FACILITY_NAME
21318 N MANN RD
STREET_NUMBER
21318
Direction
N
STREET_NAME
MANN
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01729009
ENTERED_DATE
6/5/2020 12:00:00 AM
SITE_LOCATION
21318 N MANN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# &O ff 2 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? a j N <br /> DISTANCE TO FOUNDATION? N <br /> DISTANCE TO PROPERTY LINE? G•o N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? © N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? �� ' 3 S 0 N <br /> TANK VENTED? (S) 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? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? l N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) 2 <br /> DISTANCE TO PROPERTY LINE? k I,s -� Y N <br /> DISTANCE TO ANY WATER WELLS? 10TP p N s j N 7 (Q .( �/�Q�`V <br /> ( <br /> DISTANCE TO NEAREST FOUNDATION? 10 Ff to 5� N 4!-'4- (.,ik �— <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? 10 -P* N <br /> CORRECT DEPTH OF LL TRENCHES? y I-Li 2 ] h_ 'n N <br /> CORRECT DEPTH AND TYPE OF ROCK? �� Z i YI . N — Z. i N ✓`� 5/ <br /> CORRECT WIDTH OF LL TRENCHES? 2Ll ` Q N <br /> CORRECT LENGTH OF LL TRENCHES? 0F { CLY3 N <br /> CORRECT TYPE OF PIPING? E) N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? X ---3 6 C-D N 1 C <br /> DISTANCE TO ANY WATER WELLS? \/ 1Q1 'f� CIL i Y N^ -, S {�(� �-r SO (D L <br /> DISTANCE TO NEAREST FOUNDATION? �� Y N l.1 C9 <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? �, 2 N 1 �� j H• ,/.Q(fid <br /> CORRECT WIDTH? ) y� Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? C�y ) N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: E - it L <br /> INSPECTED BY: �o-�% � ��n J�`� � DATE: <br />
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