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SR0082557
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082557
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Last modified
11/19/2024 3:48:04 PM
Creation date
8/20/2021 10:24:23 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082557
PE
4214
STREET_NUMBER
12139
Direction
E
STREET_NAME
STATE ROUTE 12
City
LOCKEFORD
Zip
95237
APN
05125044
ENTERED_DATE
9/4/2020 12:00:00 AM
SITE_LOCATION
12139 E HWY 12
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# <br /> Ch ck box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: O <br /> CORRECT TANK CAPACITY? OJIMY N <br /> DISTANCE TO FOUNDATION? Y N ?� d <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WELLS? N oh J <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? !j' i3 N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? 9 N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WATER WELLS? �/ ti OYLsL N (,7e'IwiyG! <br /> •-- <br /> DISTANCE TO NEAREST FOUNDATION? {/ s N IF <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? D N <br /> CORRECT DEPTH OF LL TRENCHES? '` v� N <br /> CORRECT DEPTH AND TYPE OF ROCK? r Y N <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? N <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? V(J N <br /> DISTANCE TO ANY WATER WELLS? rt(4c" N <br /> DISTANCE TO NEAREST FOUNDATION? C:r) N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECT WIDTH? ;,,,, a N <br /> L -3 6-�9 <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? ( Y J N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. �� f <br /> I I - i-rir �� <br /> COMMENTS: p..� <br /> (&v t Q o k <br /> INSPECTED BY' DATE: <br /> 'Dae--/ c�— A/�' <br /> r <br />
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