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SR0082307
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0082307
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Last modified
12/10/2021 11:57:48 AM
Creation date
12/9/2021 4:48:22 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0082307
PE
4211
STREET_NUMBER
25275
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220
APN
00540006
ENTERED_DATE
7/8/2020 12:00:00 AM
SITE_LOCATION
25275 N MAGNOLIA PL
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: c- PERMIT# 3 p <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER iiinspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: l <br /> CORRECT TANK CAPACITY? l Q O 0-1 Y N <br /> DISTANCE TO FOUNDATION? �� N <br /> DISTANCE TO PROPERTY LINE? �� 1 Q � N <br /> DISTANCE TO ANY WELLS? y 5 N / <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N � ;n,L So�: V �o y, D� aHa�/ k�S (�I <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? 512 re- 3 S Y N <br /> TANK VENTED? y N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: r <br /> DISTANCE FROM TANK? 1p, N <br /> DISTANCE TO NEAREST LEACH LINE? S f 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) <br /> DISTANCE TO PROPERTY LINE? 14 { YY N <br /> DISTANCE TO ANY WATER WELLS? 69 N <br /> DISTANCE TO NEAREST FOUNDATION? t/" N <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? O N <br /> CORRECT DEPTH OF LL TRENCHES? Ll 5 L/ Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? _ ; tr �� Y N <br /> CORRECT WIDTH OF LL TRENCHES? l/ N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? e Z L' 'Y N <br /> OTHER v Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? 2� Y N <br /> DISTANCE TO ANY WATER WELLS? Y N 7 a(d wQ l <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? S N <br /> CORRECT DEPTH AND TYPE OF ROCK? S N <br /> CORRECT WIDTH? y -r4 Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y G <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? –Cy N <br /> ANY NO ANSWER ABOVE/R.EQUI ES PERMIT TO BE REDRAWN. _ /_ <br /> COMMENTS: Oma/^T�OL, 'I VL e(�/J ?< 'f P- �/ QyLd (PiO ri�'I ����S <br /> I� <br /> —Foo K / a-L-1, e <br /> o� cL 2AVL L 2 ✓ ro n o <br /> S /Co 2Li <br /> c niIl cb- o- �- <br /> 2 i v� Spew{ CrYL �i �,/ J o I ltl <br /> INSPECTED BY: + ��i C- //�� DATE: /7z) <br />
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