HomeMy WebLinkAbout066-190-016 EHS24-0193 SEPTIC DESTRUCT DEC Public Health Department Danette York, M.P.H., Director
Dr. David Canton, DO, MPH, JD, Health Officer
Environmental Health Division 202 Mira Loma Drive T: 530.552.3880
Oroville, California 95965 F: 530.538.5339
buttecounty.net/publichealth
DECLARATION OF SEPTIC TANK DESTRUCTION
SEPTIC TANK DESTRUCTION PERMITTING PROCESS
1. Complete and submit an On-Site Wastewater Construction Permit application, identifying “Tank Destruction”
as the requested activity when completing the application form.
Note: On-Site Wastewater Construction Permit applications are multi-purpose forms used for permitting septic tank destruction as
well as septic system installation, modification, and repair.
2. Submit with the application the following: (a) Scaled plot plan showing the location of the septic tank to be
destroyed and the location of the replacement septic tank, if applicable, (b) Completed and signed Declaration
of Septic Tank Destruction, and (c) Application fee of $261.
Note: If the proposed septic tank destruction is part of an on-site wastewater system repair, modification, or replacement for which
another On-Site Wastewater Construction Permit is being issued, the septic tank destruction will be permitted under that application
and no additional application or fee will be required for the septic tank destruction other than completion of this Declaration of
Septic Tank Destruction.
3. Follow the Septic Tank Destruction Procedure on the reverse side of this form.
PROPERTY OWNER’S NAME ASSESSOR PARCEL NUMBER
PROPERTY ADDRESS CITY ZIP
CONTRACTOR NAME COMPANY NAME
DESCRIBE METHOD OF DESTRUCTION:
DESCRIBE FILL USED: TANK BOTTOM PERFORATED?
YES NO
COMMENTS:
SIGNATURE OF PERSON PERFORMING WORK PRINT NAME DATE
Luis Yoshimoto 066-190-016
6570 Drake Ct.Magalia, Ca 95954
Walberg, Inc.Walberg, Inc.
Puncture bottom and fill with pea gravel
Pea gravel
Sheree Liddell 7/16/2024
Updated: December 30, 2022
Septic Tank Destruction Procedure
A. The LEA strongly recommends that all work be performed by a Licensed Contractor, although some
work may be done by do-it-yourself property owners with prior LEA authorization. All work must
meet LEA and Building Division requirements and pass inspection by the LEA.
B. The septic tank must be pumped and certified empty by a Certified Septage Pumper.
C. If the tank is to be destroyed in place and is greater than 5’ from any existing or future proposed
structures, the person performing the work must ensure than the bottom of the tank is broken such
that it is unable to hold water, and then filled with self-compacting soil, sand, or pea gravel. Should
the person performing the work choose to fill the empty tank with 2-sack slurry, breaking the bottom
of the tank is not required. Should the person performing the work choose to remove the tank, the
excavation must be backfilled with clean self-compacting soil, sand, or pea-gravel.
D. If the tank is less than 5’ from any existing or future proposed structures, a two-sack slurry mixture
must be used to fill the tank; otherwise, a Professional Engineer must certify the destruction
methodology utilized.
E. Arrangements for inspection of the system destruction must be made with the LEA. In some
instances, the Licensed Contractor may be able to submit electronic documentation of the
destruction process in place of an on-site inspection.
F. The person performing the work must submit the Declaration of Septic Tank Destruction form
provided.