HomeMy WebLinkAbout039-590-010 EH-SE-25-000018 SITE EVALUATION APPLICATIONOONN--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
Th
i
s
s
e
c
t
io
n
c
o
m
p
l
e
t
e
d
b
y
a
p
p
l
ica
n
t
EH
S
t
a
f
f
o
r
C
e
r
t
i
f
i
e
d
D
e
s
i
g
n
e
r
parcel with restaurant, bar and patio
039-590-010
TY Cape Holding Company, Inc.
12609 River Road
Chico CA 95973
530-514-6482
x
Commercial
Unknown
x
x
TY Cape Holding Company, Inc., C/O Scott Clapp
12609 River Road
Chico CA 95973
Rolls Anderson Rolls
EH-SE-25-000018
$100.00
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 Date
Th
i
s
s
e
c
t
i
o
n
c
o
m
p
l
e
t
e
d
b
y
En
v
i
r
o
n
m
e
n
t
a
l
H
e
a
l
t
h
St
a
f
f
o
r
C
e
r
t
i
f
i
e
d
D
e
s
i
g
n
e
r
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.
Update: January 28, 2015
SITE EVALUATION SITE PLAN CHECKLIST
Owner’s name
Assessor’s Parcel Number
North arrow
Property lines
Any relevant site features such as cliffs, cut banks, irrigation canals, springs, rock outcrop,
landslide areas, drainage ways, etc/
Any existing and/or proposed site improvements, such as wells, buildings, pools, driveways,
etc. (please specify whether existing or proposed)
Existing wastewater dispersal areas, if present
Proposed primary and repair wastewater dispersal areas
Test hole locations (if already excavated at the time of applicationTh
i
s
s
e
c
t
i
o
n
c
o
m
p
l
e
t
e
d
b
y
a
p
p
l
ica
n
t
x
x
x
x
x
x
WH
K-3452MEMOIRSTOILETSVITREOUS C
H
I
N
A
K-3452MEMOIRSTOILETSVITREOUS
C
H
I
N
A
140'140'
IRR
IRR
IRREE
E
E
E
E
EXIT
EXIT
AD
J
A
C
E
N
T
P
A
R
C
E
L
AD
J
A
C
E
N
T
P
A
R
C
E
L
RIVER RD
.
RIVER RD
.
RIVER RD.RIVER RD.
PINE
C
R
E
E
K
PINE
C
R
E
E
K
NO
T
A
P
A
R
T
NO
T
A
P
A
R
T
APN: 039-590-019APN: 039-590-019
(E) SEPTIC
TOP OF BANK
MID WOOD DECK
UPPER WOOD
DECK (E) STAGE
TAPROOM & KITCHEN BOAT HOUSE
ADJACENT PARCELADJACENT PARCEL
NOT A PARTNOT A PART
ADJACENT PARCELADJACENT PARCEL
NOT A PARTNOT A PART
(E) P
A
V
E
R
S
(E)
P
A
V
E
R
S
BIKES
APN: 039-590-010APN: 039-590-010
L.S. FEATURE
(E) PEDESTAL
(E) PEDESTAL
GATE
(E) WELL
(E) CONC. PATIO
TRASH
SEASONAL TRAILER
SIGN
GATE
LIFT
UTILITY PAD
BO
A
T
L
A
U
N
C
H
R
A
M
P
APP
R
O
X
I
M
A
T
E
W
A
T
E
R
L
I
N
E
STORAGE
OFFICE
RESTROOMS
(E) WELL
TO BE ABANDONED
SIGN
SIGN
DO
C
K
OVERFLOW
EVENT AREA
RIVER RD.RIVER RD.
(E
)
S
T
A
I
R
S
(E) CONC.
PROPERTY LINE
ASPHALT OR CURB
BUILDING OUTLINE
TOPOGRAPHY
APPROXIMATE WATER LINE
UTILITY LINE OVERHEAD
UTILITY POLE
UTILITY POLE ANCHOR
E ELECTRICAL SERVICE
FENCE
EXISTING(E)
PROJECT
RGA PROJECT #
DRAWN
CHECKED
DEMO PERMIT
OWNER
PROJECT ADDRESS
ASSESSORS PARCEL
NUMBER
PLAN CHECK #
115 MEYERS STREET
SUITE 110
CHICO, CA 95928
530 342 0302
RUSSELL,
GALLAWAY
ASSOCIATES inc.
RUSSELL,
GALLAWAY
ASSOCIATES inc.
r .r .
www.rgachico.comwww.rgachico.com
..gg aa
architecture + engineering
2025.08.21
PRELIMINARY 2025.10.21
SITE PLANSITE PLAN
A0.1sA0.1s
RG
MG
24-435
SCOTTY'S
LANDING
RENOVATION
TY CAPE
HOLDINGS INC.
12609 RIVER
RD.
CHICO, CA
95973
039-590-019
-
SCALE : 1" = 30'-0"
AA - SITE PLANAA - SITE PLAN
SCALE : NONE
DD - SITE LEGENDDD - SITE LEGEND