HomeMy WebLinkAbout064-530-042 EHDR19-11221 CAMP FIRE SEPTIC INSPECTION REPORTrL
Public Hsalth Departrnent
Enyironmental Health
202 Mira Loma Drive
Oroville, California 95965
Camp Fire Septic System
'lnspection Report
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r: 530.552.3880
F;530.538.5339
APN:Owner Telephone:
Wood (Not lncluding Baffie) n
veiK No tr
Yestsl No fl
Non
ParcelAddress:
Property Owner Name:
Property Owner Mailing Address:
Prior to inspection, contact Butte County Environmental Heatth for septic records. lf no records
are available, an As-Built of the existing tank and leach lines will be required {Form AS).
SeptiF Tank Pbygical 0bearyatioTs
Tank Material: Concrete { Fiberglass tr Foly tl
lnlet T: Present: Yes p Notr ln Good Condition:
Outlet T: Present: VesB Non ln Good Condition:
Is Effluent ln The Tank At NormalOperating Level? YesV
lf Not, Explain?
Bafflel Sidewallsl Top Has Visihle CrackslDeterioration: Yes tr No'E
lAqbl Ca,rw(
lf So, Explain.
Overall Tank Sondition: GoodV
General Comments:
Fair il Poor il
Drain Fiefd Operational Obeeryatione
Pedorm Hydraulic Load Test.
lntroduce water through the outlet. Minimum of 50 gallons of water.
$igns of Leach Line Failure: Yes D N" F
Surfacing Water n Moist $oil tr Backflow lnto Tank For Over 30 Minutes n
Other n Explain.
Hegenbart Septic Tank Cleaning
PO BOX 243 Magalia CA 95954 530-877-8261
Butte County Certified Professional Phone Number
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SEPTAGE PUMPER REPORT
HEGENBART SFPTIC TANK CLEANING ,
Pq BOX 243 MAGALIA CA 95954 530-877-8261
Assessor's Parcel No:
Owner's Name:
, Evatuation o^t" ;{121!21- Sanitech No -Phone No.
Propefi
City, State, Zip:
MailingAddress:
fu ac nr'/,,,n'" f-- f{9lY
Evaluator: ,{ ,- , ', ') .* /#
- License No-
SEPTIC TANK OBSERVATIONS
Access Riser(s) in Place......... .....".....-..... ............i..{zt-No []Yes
StructuralTank Condition.. FI Good [ ] Fair [ ] Poor
Liquid Operating Level .............,............ ..........:....... [] High ffiNormal []LowBaffleCondition.. [ffioodl]Fair []Poor
Septic Tank Volume /(#) Gallons
Addi. Tank Volume .- Gallons
Riser Condition,.'......... [] Good [ ] Fair [] Poor
Sanitary Tee, Outlet ....... ........... i [ ] No . fi Yes
Scum Depth, Outlet Compartment ............" ..... 6 \ lnches
SludgeDepth.outletCompartment,.,....'..',...TankMaterial fr Concrete tl Poly/Fibergla'ss []Other
Septic Tank Pumping Required... .......[$ No I I Yee
Was Septic Tank Pumped ..:.............. ..... [# No I I Yes
Date Septic Tank (s) Previously Pumped ................... Date
Depth To Septic Tank Access Lid ...,........ . 3T lnches
Effluent Pump....... ....,............:........ [,* No [ ] Yes
ABSORPTION FIELD OBSERVATIONS
Effluent Line Diverter Valve . Lj| No [ ]Yes
Well on Property (l Itlo [ ] Yes
Common Area Absorption Fie1d.......... .., P} No I J Yes
Absorption Field Type. ..,......,.:...... ,. . ta Standard [] Alternative
Surfacing Effluent [i[ No []Yes
Hydraulic Load Test I I No fi Yes
Hydraulic Load TestResults,.... ................... t I Excellent W Good [] Satisfactory
ri...r.!..i.!...! [] Marginal t I Poor IIFAILURE
Down Slope Seepage kl No []Yes
Saturated Absorption Field...... [f-No [] Yes
Multiple Systems .......[Fwo [ ] Yes
Graywater Discharge lf,-No [ ]Yes
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COMMENTS/ OBSERVATIONS I
COMMENT$:
This onsite wastewater treatment and disposal system evaluation repoft is a true and corirplete record of the onsite
wastewater treatment and disposal system on the date of the evaluation. No wananty is given or implied regarding the
remaining life of this system.
I certifu that this onsite wastewater treatment and disposal system evaluation report reflects conditions observed on
the parcel (s) during the routine maintenance of the onsite wastewater treatment and disposal system.
EVALUATOR SIGNATURE (/r t /z-- rTE:
LOCATION OF SEPTIC TANK & ABSORPTION FIELD
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pARCELApBRESS: flljZ Can,u.^,*Show all existing structures, wells, water courses, decks , porches, sidewalks and driveways.
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