HomeMy WebLinkAbout064-590-053 EHDR19-11338 septic report camp fireButte Ccnty
APN: Ol5
Public Health Department
Environmental Health
202 Mira Loma Drive
Oroville, California 95965
Parcel Address:
S0-DS3
Tank Material:
Property Owner Name:
o/Y
Septic Tank Physical Observations
Inlet T: Present: Yes
Cres fon
Ldayne S tout
Concrete
Outiet T: Present: Yes
Property Owner Mailing Address: /4439 SKylay Maçalia cA gS?SY
Prior to inspection, contact Butte County Environmental Health for septic records. If no records
are available, an As-Built of the existing tank and leach lines will be required (Form AS).
NoJ
Overall Tank Condition: Good
General Comments:
NoO
Drain Field Operational Observations
Surfacing Water J
Other O Explain.
Owner Telephone: 530 S9 -8912
Rd.
Fiberglass O
T: 530.552.3880
F: 530.538.5339
Baffle/ Sidewalls/ Top Has Visible Cracks/Deterioration: Yes O
If So, Explain.
Steve GoMzalo
Name of Inspector
Butte County Certified Professional
Is Effluent In The Tank At Normal Operating Level? Yes No O
If Not, Explain?
Fair D
Camp Fire Septic System
Inspection Report revised 03720
Poly
Perform Hydraulic Test of Efluent Line to Dispersal Field
In Good Condition: Yes
Signs of Effluent Line break or Leach Field failure: Yes O
Moist Soil O
in Good Condition: Yes
Ma_aia CA
Poor
Introduce water through the outlet. Minimum of 50 gallons of water.
Wood (Not Including Bafle) O
Signature
No G
No I
95754
No D
No G*
Backflow into Tank for Over 30 Minutes
Phone Number
Date
* This hydraulic test of the effluent line does not constitute a full hydraulic load test of the dispersal
field. A full hydraulic Iload test can only be effectively done with more water and when the system
has been in continual use.