HomeMy WebLinkAbout8 SiteEvaluation Haling 9-7-22 with Application (3)OONN--SSIITTEE WWAASSTTEEWWAATTEERR
SSIITTEE EEVVAALLUUAATTIIOONN FFOORR NNEEWW DDEEVVEELLOOPPMMEENNTT
Update: January 28, 2015
Date paid: ____________
Amount: _____________
Receipt No. __________
AAPPPPLLIICCAATTIIOONN
APN #: ______________________________
______________________________________
Applicant Name
______________________________________
Applicant Mailing Address
______________________________________
City State Zip
______________________________________
Applicant Telephone Number
TrakIt #: ______________________________
______________________________________
Property Owner Name
______________________________________
Site Evaluation Parcel Address
______________________________________
City State Zip
Evaluation for: Residential use Commercial use
Number of bedrooms or parcels (or description of intended use if non-residential):
Name of Certified Designer (if applicable):
Name of Certified Installer (if applicable):
Site Evaluation application complete and fees paid *
Directions to site attached and site flagged *
Site plan attached (use checklist included in this application) *
- and one of the following -
Test holes excavated in manner described in On-Site Manual *
-or-
Certified Installer/Designer will contact staff to schedule site inspection and soil evaluation *
*Items that must be completed before on-site evaluation takes place
Official Use Only – Do Not Write Below This Line
OOBBSSEERRVVEEDD SSIITTEE CCHHAARRAACCTTEERRIISSTTIICCSS OOFF DDIISSPPEERRSSAALL SSYYSSTTEEMM PPLLAACCEEMMEENNTT AARREEAA
Parcel Size: _______ acres Slope in drainfield area: _______% Slope in repair area: _______%
Effective soil depth: __________ inches
Type of restrictive layer: Impermeable Seasonal groundwater Excessively drained N/A
Horizontal setback requirements can be met: Yes No Need scaled site plan
Soil log data attached: Yes No
Form SE This section completed by applicant EH Staff or Certified Designer 065-260-003
Sylvia Thompson
0 DOGTOWN RD
MAGALIA CA 95954
1
Haling & Associates
1.06 10 12
42
SEWW22-0039
Sylvia Thompson
13717 Skyway Rd
Magalia CA 95954
Site Evaluation TrakIt #:
Page 2
Update: January 28, 2015
AADDDDIITTIIOONNAALL TTEESSTTIINNGG
N/A, no additional testing required for completion of this evaluation
Additional test holes required
Percolation testing required (Site Evaluation cannot be completed until this task performed)
Seasonal groundwater monitoring required (Site Evaluation cannot be completed until this task performed)
(After additional testing has been completed, attach RREESSUULLTTSS.)
EEVVAALLUUAATTIIOONN RREESSUULLTTSS
Wastewater System Type
Standard Gravity Non-Standard Gravity
Pressure Distribution Supplemental Treatment Disinfection or engineered fill
Dispersal System Requirements
Application Rate ____ gpd/ft2 based on: Soil texture Percolation rate Soil data from original map
Minimum vertical separation __________ inches
Depth of curtain drain __________ inches N/A, curtain drain not required
Special Design Considerations/Comments
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Determination when Designer Required
I have determined that an onsite wastewater sys-
tem for this site can be designed and approved
meeting the requirements of Butte County Code
Chapter 19 and the Butte County On-Site
Wastewater Manual provided the design parame-
ters specified in this Site Evaluation are utilized.
System Designer Date
I have reviewed this site in conjunction with the
Certified Designer and concur with the Designer’s
assessment as certified above.
Environmental Health Specialist Date
Determination when Designer Not Required
I have determined that an onsite wastewater system for
this site can be designed and approved meeting the
requirements of Butte County Code Chapter 19 and the
Butte County On-Site Wastewater Manual provided the
design parameters specified in this Site Evaluation are
utilized.
Environmental Health Specialist DateThis section completed by Environmental Health Staff or Certified Designer Note: This Site Evaluation may be invalidated should one
of the following occur: (1) The type of use will be differ-
ent than what was indicated in this application, (2) Site
conditions are altered, adversely impacting the drainfield
or reserve areas, or (3) New information becomes availa-
ble clearing indicating the that findings or conclusions of
the Site Evaluation were incorrect and an adverse impact
to water quality or public health would result if the evalu-
ation was not altered or invalidated.
0.5
24
Recommend bottomless sand filter.
09/07/2022
SSEW22-0039
DATE:JOB NO:NNOT TO SCALEPROJECT SHEET TITLEAUG 2022 1270APN 065-260-003
DOGTOWN RD, MAGALIA, CA
SITE SOIL ASSESSMENT
31 AUGUST 2022 H Haling & Associates&A2540 Zanella Ste. 40
Chico, CA 95928(530) 342-6958TP-1TP-2TP-3TP-4IDDEPTH TO LIMITINGLAYERTYPE OF LIMITINGLAYERTP-142"MOTTLINGTP-244"MOTTLINGTP-3>66"N/ATP-440"MOTTLINGPROPOSEDDR
IV
EW
A
Y
PROPOSEDHOUSEPRIMARYDISPOSALAREA26' x 18.5'481 FT2SECONDARYDISPOSALAREA5 FT SETBACKPROPERTY LINEPROPERTY LINE40 FT
SETBACK
10 FT
CUTPROPER
TY
L
INE TP-4TEST PIT LOCATIONSETBACK LINEPROPERTY LINEMAJOR TOPOGRAPHIC LINE (5FT)MINOR TOPOGRAPHIC LINE (1FT)LEGENDDOGTOWNROAD(FROM
CUT
)MAGALIA
RESERVO
IR>300'
FROM
PROPERTY
L
INE
100 FTSETBACKFROM WELLPROPOSED WELLLOCATION