Siskiyou — Incremental Development Instructions & Application

Source: https://www.siskiyoucounty.gov/sites/default/files/fileattachments/environmental_health/page/2441/eh_20200520_idapplicationinstructions.pdf

COUNTY OF SISKIYOU

COMMUNITY DEVELOPMENT DEPARTMENT RICHARD J. DEAN
Building ♦ Environmental Health ♦ Planning DIRECTOR
806 South Main Street∙ Yreka, California 96097
Phone: (530) 841-2100 ∙ Fax: (530) 841-4076 AARON STUTZ, MD
https://www.co.siskiyou.ca.us/community-development INTERIM PUBLIC
HEALTH OFFICER

INCREMENTAL DEVELOPMENT INSTRUCTIONS

1. Submit an Incremental Development Application with an on-site sewage disposal evaluation application. Include the payment fee of $255.00 for the on-site evaluation. Submit an accurate plot map denoting the proposed well, sewage disposal and future dwelling site locations on the form provided.
2. Upon Environmental Health Division approval of an area suitable for an on-site sewage disposal system and confirmation that the property is a legally created lot, submit an application for a well permit and the well permit fee of $360.00. Note: The sewage disposal plot map may be used as the plot map for the location of the well site provided the well site denoted conforms to the required setback standards from the approved on- site sewage disposal location.
3. Once the well has been completed, submit documentation of an acceptable potable water supply to the Environmental Health Division along with the $245.00 sewage disposal permit fee, a sewage disposal permit may be issued.
4. The sewage disposal system may be installed. Following Environmental Health Division approval of the constructed sewage disposal system, the permit will be signed as completed and the document record of the development of the parcel will be maintained with the Community Development Department’s records.

NOTE: THERE IS A RISK ASSOCIATED WITH INSTALLING YOUR SEPTIC SYSTEM UNDER THIS PROCESS. YOU MAY BE REQUIRED TO UPGRADE THE SYSTEM PRIOR TO RECEIVING APPROVAL TO CONNECT TO THE SYSTEM. A CONNECTION IS NOT GUARANTEED. PLEASE CONTACT YOUR INSPECTOR TO OBTAIN ANSWERS TO SPECIFIC QUESTIONS YOU MAY HAVE REGARDING THIS PROCESS.

I, ________________________________, acknowledge that this process is allowed so that I may develop my property with a water supply system and sewage disposal system prior to constructing a residence. By signing this document, I also acknowledge that I am aware it is illegal for anyone to reside or camp on the property in absence of a permitted dwelling unit for more than 30 days per year and occupancy of more than 30 days per year constitutes a violation of Siskiyou County Code Section 3-17.01.

BUILDING ENVIRONMENTAL HEALTH PLANNING
Michael Crawford, Deputy Director Vacant, Deputy Director Kirk Skierski, Deputy Director

INCREMENTAL DEVELOPMENT PERMIT APPLICATION

INSTRUCTIONS: This application should be used only when installing a sewage disposal system prior to constructing a residence.

Name ______________________________ Assessor’s Parcel No.______________ .

Mailing Address ________________________________________________________

Township ___________ Range __________ Section_________

Parcel Size Property Location______________________________

Anticipated Number of Bedrooms __________

Water Source: Well____________ Water System ________

Does the well currently exist on the parcel? ( Yes / No )
If yes, please attach a copy of the well log.

This application must be accompanied by an accurately scaled plot map.

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(Property Owner Signature or Agent) (Date)

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DEPARTMENT USE ONLY

Assessor _______________________________________ Date _________________

Planning ________________________________________ Date _________________

Flood ___________________________________________ Date_________________

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On-site Completed: _____________________________ Date________________

Well Permit # CMHC# _____________ Date__

Sewage Permit # CMHC#___ Date________________

*If not a legally created parcel, no well or septage approvals will be granted.

PLOT MAP

APN _Township Range Section

The following Plot Map accurately locates the proposed sewage disposal system, water supply, and the future dwelling site. Additional pertinent information to consider may include the location of the driveway, current or future out building locations and any recorded easements on the parcel.

I declare under penalty of perjury that I have accurately scaled the above Plot Map to identify the location of the sewage disposal system and potable water supply.

Signed: ______________________________ (Property Owner) (Type Name)

Executed on day of 20 . Siskiyou County, California