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DEC 13 2013
12/3/2013
Sho/d Excavating Inc.
PO Box 179 360-385-0480
Port Hadlock,WA 98339
PROPERTY INFORMATION
Location:121 Olympus Blvd
Port Ludlow
Tax ID:978900052
Mail To:
Use:Residential,Single Family
Owner:
ON ID:SOM13-00124
1 r" ONSITE SEWAGE SYSTEM INSPECTION REPORT Fold
Inspected:10/28/2013 - Inspection Type:PROPERTY SALE - Correction Status:Some Corrections Made Here
Company: Certification-Level 2 Work Performed By: Submitted 10/28/2013 by:
Shold Excavating Inc. Timothy Johnson Timothy Johnson
This report does not assure approvals by Jefferson County Public Health for ANY future building permits or development.
COMMENTS&GENERAL INSPECTION NOTES
Deficiencies Noted:deficiencies must be corrected to ensure proper longevity of the Onsite Sewage System.
Risers are required on septic tank by next inspection.
Outlet baffle is missing and needs to be replaced.
Do to high scum and sludge levels septic tank should be plumped.
There is no final or as-built drawing in the county records.
Site map was submitted to the county.
GENERAL SITE&SYSTEM CONDITIONS
The General Site and System Conditions were: Fully Inspected
All Components accessible for maintenance,secure and in good condition: NO-Deficient
Surfacing effluent from any component(including mound seepage): NO
Components appear to be watertight-no visual leaks: YES
Improper encroachment(roads,buildings,etc.)onto component(s): NO
Component settling problems observed: NO
Abnormal ponding present for one or more of the disposal components: N/A
Subsurface components adequately covered YES
Owner compliance issues noted N/A
Site maintenance required(e.g.Landscape maintenance)If yes,describe in comments: NO
Occupant compliance problem(occupant not operating the system properly). If YES,describe in notes: NO
If deficiencies were identified on last inspection were they corrected before or during this inspection? N/A
(If NO,describe in notes,NA=no deficiencies on last report):
OSS Components,structures and appurtenances located per as-built/record drawing(If NO,describe NO-Deficient
in notes). If no as-built exists or changes made,state NO and provide record to Health Dept
Alterations made to the OSS(valves adjusted,timer settings modified,ports installed,etc.)(If YES, NO
describe in notes):
The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. NO
Is the SEP case in a finaled/completed status?(if NO explain in comments) NO-Deficient
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
TANK:Septic Tank-1 Compartment 750 Gallon
This component was: Fully Inspected
Component appears to be functioning as intended: YES
Effluent level within operational limits(if NO explain in comments) YES
All required baffles in place(N/A=No baffles required): NO See Comments
Effluent Filter Cleaned(N/A=Not Present): N/A
Compartment 1 Scum accumulation(Inches,if other specify): 12
Effluent filter/screen needed cleaning on arrival N/A
Compartment 1 Sludge accumulation(Inches,if other specify): 18
This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation or future performance.
ReportiD:326359 View inspection reports online at www.onlinerme.com Page 1 of 2
Parcel Photos Page 1 of' 1
Parcel Number 978900052
Site Address:
121 OLYMPUS BLVD
PORT LUDLOW 98365
1'14` � �� No 2nd Photo Available
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http://www.co jefferson.wa.us/assessors/parcel/parcelphotositus... 10/28/2013