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HomeMy WebLinkAboutAs-built 2539 Burdick Dr DurhamCCOONNTTRRAACCTTOORR’’SS AASS--BBUUIILLTT RREEPPOORRTT Update: September 12, 2014 Staff Use Only Date Received: _______________ Verified in Field: Yes  No  Inspector: ___________________ Property Owner: ________________________________________________________________ Mailing Address: ________________________________________________________________ Property Address: _________________________________________________  SAME AS MAILING ADDRESS APN #: ______________________________TrakIt #:__________________________________ Designer: ______________________________ Installer: ________________________________ All items below must be completed by the installer. N/A Yes No I. SEPTIC TANK A)>5 ft. from foundation?  B)>50 ft from wells and surface water?  C)Bldg stub-out to septic tank: clean-out if not 1-2%?  D)Sanitary Ts in tank intact and clean?  E)Risers installed for access?  F)Leak test performed   G)Tank Size: __________ gal.; Manufacturer_________________________ II.DISPERSAL FIELD A)>5 ft from foundation and >5 ft from property lines?  B)>100 ft from wells and surface water?  C)>10 ft from potable water lines?  D)Distribution box leveled with water?  E)Laterals level to +/- 1 inch & end caps present if not looped?  F) Gravelless chambers utilized?  G) System dimensions the same as shown on the design?  H) Gravel clean, properly sized, and proper depth?  I) Observation ports present?  III.ADDITIONAL ITEMS FOR PRESSURE SYSTEMS A) Sand quality as specified on design?  B) Head height uniform and 24 inches? Actual head height_____  C) Clean-outs and observation ports present?  D) Mound: Side Slope 3:1?  IV. PUMP/PUMP CHAMBER A)Screen basket or effluent filter (circle one) installed?  B)Riser installed for access?  C)Alarm installed?  D)Pump make ____________________; Pump model ____________________________ E)Chamber size ___ gal; ___ gal/inch; Chamber Manufacture ______________________ F)Pump chamber draw-down ________ inches per minute; Height of pump off bottom of pump chamber ______ inches G)Pump controls: Timer (or) Elapsed Time Meter (circle if installed); If timer is used: Pump On ____ Pump Off____ Certification of Installation I certify that I installed the system without any deviation from the design stamped “APPROVED” by Butte County Environmental Health? __________________________________________________ Certified Installer Date This section completed by Certified InstallerForm AS As-Built Form TrakIt #: ___________________ Update: September 12, 2014 As-Built Drawing Installer Certification I certify that all deviations from the design stamped “APPROVED” by Butte County Environmental Health are shown above, and (applicable for supplemental treatment systems only) I further certify that I contacted the designer and left the system open for inspection prior to cover. __________________________________________________ Certified Installer Date Designer Certification (Required only for Supplemental Treatment systems) I certify that I inspected the system installation and that it is in substantial conformity with the approved system design. __________________________________________________ Certified Designer Date (An as-built drawing is required only if changes have been made from the original approved design.) CHECKLIST Drainfield & manifold orientation & layout Trench/bed dimensions and critical distances within layout Septic/pump tank placement. Location of buildings. Observation port & clean-out location. Location of wells & roads. Undisturbed native soil between trenches. North arrow Designer Completed by Installer Burdick Rd New addition 16’x 15’ Abandoned leach lines Existing tank To be slurry filled 4” ABS inlet to tank New 1500 gal poly septic tank Existing leach lines New leach lines added25’ 36’Observation ports Owner GILMORE, VICTORIA Installer JASON SLACK CONSTRUCTION Contact Info. 2539 BURDICK RD. DURHAM, CA 95938 PHONE Contact Info. 5114 MINERS RANCH RD OROVILLE, CA 95966 (530)370-9875 SITE PLAN AS-BUILT ~ JUNE 15, 2022 FOR TANK RELOCATION / LEACH ADD ON 2539 BURDICK RD, DURHAM ~ APN 039-460-002 N E S W 0 44'33'22'11' 22'1 inch equals Property line Property line