HomeMy WebLinkAbout063-340-016 EHDR19-10671 CAMP FIRE SEPTIC REPORTPublic Health Department Camp Fire Septic System
Inspection Report revised
032720
Environmental Health
202 Mira Loma Drive T: 530.552.3880
Oroville, California 95965 F: 530.538.5339 buttecounty.net/publichealth
APN:_____________________________ Owner Telephone:__________________________
Parcel Address: _______________________________________________________________
Property Owner Name: _________________________________________________________
Property Owner Mailing Address:
__________________________________________________
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).
Septic Tank Physical Observations
Tank Material: Concrete □ Fiberglass □ Poly □ Wood (Not Including Baffle)
□
Inlet T: Present: Yes □ No□ In Good Condition: Yes □ No □
Outlet T: Present: Yes □ No□ In Good Condition: Yes □ No □
Is Effluent In The Tank At Normal Operating Level? Yes □ No □
If Not, Explain?
__________________________________________________________
Baffle/ Sidewalls/ Top Has Visible Cracks/Deterioration: Yes □ No □
If So, Explain.___________________________________________________________
Overall Tank Condition: Good □ Fair □ Poor □
General Comments: ______________________________________________________
______________________________________________________________________
Drain Field Operational Observations
Perform Hydraulic Test of Effluent Line to Dispersal Field
Introduce water through the outlet. Minimum of 50 gallons of water.
Signs of Effluent Line break or Leach Field failure: Yes □ No □ *
Surfacing Water □ Moist Soil □ Backflow into Tank for Over 30 Minutes □
Other □ Explain. ________________________________________________________
____________________________________________________________________________
Butte County Certified Professional Phone Number
Name of Inspector Signature Date
James M. McCrossin
10441 Doe Mill Rd Chico, CA 95928
063-340-016
N/A
Septic System
Inspection Report
Page -2-
* This hydraulic test of the effluent line does not constitute a full hydraulic load test of the
dispersal field. A full hydraulic load test can only be effectively done with more water and when
the system has been in continual use.