HomeMy WebLinkAbout055-540-045 EHDR19-00347 SEPTIC REPORT CAMP FIRE
Form revision: December 29, 2015
System Owner and Parcel Identification
System Owner: Billson Construction, Permit #B20-2840 APN: Click here to enter text.
System Address: 432 Bay Tree Drive, Paradise, CA 95969
System Components (Check all that apply):
☒ A. Septic tank ☐ B. ATU/Packed Bed ☐ C. Gravity Dispersal, or
☐ D. Pressure Dispersal
Inspection Checklist
Wastewater System Component PD OK RS N/A
A. Septic Tank
1. Scum and sludge level measured ☐ ☒ ☐ ☐
2. Tank inspected for integrity ☐ ☒ ☐ ☐
3. Effluent filter checked ☐ ☒ ☐ ☐
B. ATU or Packed Bed (submit inspection checksheet approved by the Proprietor)
C. Gravity Dispersal Drainfield (if applicable)
1. Depth of effluent ponding within trench: Click here to enter text. ☐ ☐ ☐ ☒
2. Inspected for indication of effluent breakout or discharge to surface of the ground ☐ ☐ ☐ ☒
3. Observation ports accessible and maintained ☐ ☐ ☐ ☒
4. Area free from roads, structures, vehicular traffic ☐ ☐ ☐ ☒
5. Surface water drainage and down spouts diverted from drainfield area ☐ ☐ ☐ ☒
D.1. Control Panel (if applicable)
1. Timer/digital counter readings recorded during inspection for future reference?
Note: For control panels that record pump activity electronically, counter operation can be verified remotely.
Yes No N/A
☒ ☐ ☐
2. Pump cycle counter operation verified by manual operation of the pump
Note: For control panels that record pump activity electronically, counter operation can be verified remotely. ☐ ☒ ☐ ☐
3. Audible and visual alarms tested ☐ ☒ ☐ ☐
4. Run time checked if dispersal field demand-dosed ☐ ☐ ☐ ☒
5. Electrical box inspected for moisture and secure connections ☐ ☒ ☐ ☐
D.2. Pressure Dispersal Drainfield
1. Trench/bed checked for excessive ponding ☐ ☐ ☐ ☒
2. Dispersal area check out for effluent breakout or surfacing ☐ ☐ ☐ ☒
3. Observation ports accessible and maintained ☐ ☐ ☐ ☒
4. Dispersal area free from roads, structures, vehicular traffic ☐ ☐ ☐ ☒
5. Surface water drainage and down spouts diverted from dispersal area ☐ ☐ ☐ ☒
6. Equal distribution confirmed by measuring distal end orifice pressure head ☐ ☐ ☐ ☒
7. Orifices in good condition and not in need of hydroflushing ☐ ☐ ☐ ☒
Problem detected,
additional service required
Component inspected and
in satisfactory condition
Component not present
or not inspected OK PD Routine service provided
during service call N/A RS
Form revision: December 29, 2015
Constituent Analysis
Constituent Result Sample Date Lab
1. Influent BOD N/A Click here to enter a date. Click here to enter text.
2. Influent TSS N/A Click here to enter a date. Click here to enter text.
3. Effluent BOD N/A Click here to enter a date. Click here to enter text.
4. Effluent TSS N/A Click here to enter a date. Click here to enter text.
Inspector Comments
This septic tank pumps its effluent to a transport line that goes to the main, community system.
We found no problems at this time.
Certification
I certified that I am an OM&M Specialist certified by Butte County Environmental Health (LEA) and the
information provided in this report is based on my observations and is true to the best of my knowledge.
4/21/2021
OM&M Specialist Signature Date of Inspection
Hydrotec Solutions, Inc.
Company Name
Return to Butte County Environmental Health with completed Operating Permit application and fee.
Mailing address: 202 Mira Loma Drive
Oroville, CA 95965
530-538-7281