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SR0082811
Environmental Health - Public
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19998
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082811
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Last modified
12/10/2020 4:51:49 PM
Creation date
12/10/2020 3:34:23 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082811
PE
4210
FACILITY_NAME
19998 FAIRWAY CT
STREET_NUMBER
19998
STREET_NAME
FAIRWAY
STREET_TYPE
CT
City
WOODBRIDGE
Zip
95258
APN
01325005
ENTERED_DATE
11/2/2020 12:00:00 AM
SITE_LOCATION
19998 FAIRWAY CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# O o2 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: y1� <br /> CORRECT TANK CAPACITY? / Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? �/ S'D�'�j �j N <br /> TANK VENTED? Y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? - -0y N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? (a) N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? \/ S �"� N <br /> DISTANCE TO ANY WATER WELLS? ha bvt S �1�r l/ Y N <br /> DISTANCE TO NEAREST FOUNDATION? �/ 1'3 E+ ( N �.. 1 Q m P�/•� <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? Y N <br /> CORRECT DEPTH OF LL TRENCHES? 1/ O i h, Y Ny-43!22 �- <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N ++ <br /> CORRECT WIDTH OF LL TRENCHES? �r N <br /> V <br /> CORRECT LENGTH OF LL TRENCHES? F N <br /> CORRECT TYPE OF PIPING? 'Z Q� N <br /> OTHER vY N <br /> SEEPAGE PITS: 2 <br /> DISTANCE TO PROPERTY LINE? ) S -q N <br /> DISTANCE TO ANY WATER WELLS? — qL <br /> Y N <br /> DISTANCE TO NEAREST FOUNDATION? 1/ ) Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? \� Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? CD N <br /> CORRECT WIDTH? II w_ ,/ IFb N <br /> OTHER L.ejyt 4- 3 CD N <br /> MISCELLANEOUS: �r� <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y `N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? (�) <br /> N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. �Q l <br /> COMMENTS: ;,e 5F bos- pfcj <br /> INSPECTED BY: � DATE: <br />
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