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SR0083489
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083489
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Entry Properties
Last modified
6/15/2021 2:32:19 PM
Creation date
6/15/2021 2:22:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083489
PE
4210
FACILITY_NAME
366 E FRISBEE LN
STREET_NUMBER
366
Direction
E
STREET_NAME
FRISBEE
STREET_TYPE
LN
City
FRENCH CAMP
Zip
95231
APN
19331036
ENTERED_DATE
3/31/2021 12:00:00 AM
SITE_LOCATION
366 E FRISBEE LN
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br />ADDRESS: 2 \zA.,.- ‹ "./c,,,_. \ A,,.N.,e_ PERMIT # <br />Check box ACTUAL MEETS SJC <br />PARAMETER if inspected 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?Y <br />OTHER <br />V1.--.0 (") Y N <br />—1‘ Y N <br />lo0' Y N <br />\ \ b Y N <br />'A 1:-/--) Y N <br />`-)\ L Y N <br />4D 4Z-N - -33S Y N <br />kA. ef- Y N <br />N <br />Y N <br />DISTRIBUTION BOX: <br />V\' DISTANCE FROM TANK? <br />DISTANCE TO NEAREST LEACH LINE? <br />DOES SYSTEM HAVE EQUAL DISTRIBUTION? <br />IS D-BOX LEVEL? <br />OTHER <br />Y N kJ em CYc-b"( iii,EZ,i.. <br />Y N <br />Y N <br />Y N <br />Y 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?").J.:1u <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 />k0 Y N <br />\ 1...0 i Y N <br />\ 1 i Y N <br />0 I N. Y N <br />Y N <br />\ V Y N "- <br />'Vt.' Y N <br />( <br />LP ) Y N <br />C1.--- - S. <br />Y N <br />Y N <br />SEEPAGE PITS: \•D J N. <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 />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />Y N <br />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? Y <br />ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br />COMMENTS: <br />N <br />N <br />0 k- Q....-p- _.0 ‘,,DOn 7 ,kz,...)( <br />c NJ Q t. cN-Lc- . • <br />P L.-,cv L.c.- 15...,-) <br />vi1/4.46.44,-ve,-,n-ret,, li=$ is (....t... cyi,1.54; c- •4;,... v__e <br />- <br />INSPECTED BY:OistLsv5\e‘ DATE: <br />S 1/
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