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SR0084939
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WALNUT GROVE
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9015
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084939
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Entry Properties
Last modified
5/5/2022 8:30:28 AM
Creation date
5/5/2022 8:14:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084939
PE
4222
FACILITY_NAME
9015 W WALNUT GROVE RD
STREET_NUMBER
9015
Direction
W
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
0014040
ENTERED_DATE
3/3/2022 12:00:00 AM
SITE_LOCATION
9015 W WALNUT GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
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EHD - Public
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Address: 9015 W. Walnut Grove Road, Walnut Grove ID: SR0084939 <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 7 n � LyE57' V1A� T l;20 VE .Q'AD Cm: 7y,R V7 -A& 2!L4 <br />OWNER NAME: ZrA D I .51 All d _DATE: <br />APN: OO I -O -4n APPUCATION R DEPTH TO FIRST WATER: <br />SOIL TYPE: <br />REMARKS: /t/9 5;-rAAtD1AffT Ite " - A i <br />SOIL PROFILE F REQUIVIEDI <br />De th Soil Type Depth::F5TUjKPepth Sod Type Depth Soil Type 1 Dept Soil T <br />it Hob 8 t <br />Pamel: Diameter' In I Depth: to <br />.O 7 rr 3.02 <br />PERCOLATION RATE: A'i• minh, <br />RECOMMENDED SEPTIC EA: E { <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): <br />EHDQl REV11/ <br />RECOMMENDED SEPTIC AREA: <br />Phone: ,2U9 -4i2 -14§d Date <br />Phone: Date <br />Phone -lull' Date i7'07 ro 27 <br />FERC TEST RATE FORM <br />Naseem Ahmed, Registered Environmental Health Specialist <br />
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