HomeMy WebLinkAbout066-110-026 EHDR19-11733 B19-2788 SEPTIC REPORT CAMP FIREPublic Health Department
Environmental Health
202 Mira Lama Drive
Oroville, California 95965
Camp Fire Septic System
Inspection Report
T: 530.5523880 buttecoun{ynetyoubfchealth
F: 530.538.5339
APN: U66-I1D-D?6 Owner Telephone: ol26-�A\L. 9094
Parcel AddressF.hrll;ce_a- Gtry(G
Property Owner Name: Nan& Knr ru
Property Owner Melling Address: ?3!go �h,� L1Je(more, 9ti658
Pnor to inspection, contact Butte County Environmental Health for septic records. If no records
are available. an As -Built of the existing tank and leech lines will be required (Form AS).
Septic Tank Physical Observations
Tank Material:
Concrete 0
Fiberglass ❑ Poly)d
Wood (Not Including Belle) 0
Inlet T'. Present:
Yes'IP No❑
In Good Condition:
Yes 110 No ❑
Outlet T: Present:
YesiA No❑
In Good Condition:
Yee rj( No ❑
Is Effluent In The Tank At Normal Operating Level? Yes,P No ❑
If Not, Explain?
Baffle/ Sidewallsl Top Has Visible CrackslDelenoration: Yea ❑ No
If So. Explain.
Overall Tank Condition: Good Fair ❑ Poor ❑
General Comments:
Dnln Field Ooeratlonal Observations
Perform Hydraulic Load Teat.
Introduce water through the outlet. Minimum of 50 gallons of water
Signs of Leach Line Failure. Yee ❑ No 14
Surfacing Water ❑ Moist Soil ❑ Backflow Into Tank For Over 30 Minutes ❑
Other O Explain.
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Bulge County Certified Professional Ph" Number
(hark M \beef sa4-l�
Name o/ Inspector Signature Date