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SEP2015-00161
5 (,,,--1-- PA Pier 04,-, • include the following items on your ptot.plan .. , - t( ropeity boundaries a Wells Piol4wc Dames of adjacent streets t'eptic tank riveways and parking spaces iinfield(entO unknown) a Surface water(ponds,creeks,etc) Si North Arrow tiVBuildings(residence,sheds,garages,etc) AS see This 0,9y : Y PLOT PLAN-date prepared ! - I- �i5 ft, OaU 1 LL 6-: tAisS (vcth1 t Irt Ggib- 1 D N, \. ,, . 00 c..).-6,\Nrz Plot plan submitted by Ni \S-2 R as a part of a Monitoring inspection ra),(, Not reviewed or approved by MPH. 114 .i<' 45-- --- --4 til 0 ‘k.)./1 so/,.._ )' I d ;.. xi t to i , ca 60,Ass 14 , R Hou.,Gg/ 60 ea.,MM..•••• ••••)0C) Al't 8D(Cf? DM./iL) FIELD A4 i toci,‘ D Pg. -DI Al A.., .enc, I ,k:-.,) D .,.._.__..........____, 0 0 D ---r-T-so OOIT Si--L i 11 lam ,E. 670 Permit#or Parcel# 978 .S61) 103 Q 1 Evaluation of an Existing Onsite Sewage item_07130104_pdf pal-p:.2 o 1212512015 Goodman,Inc. 2495 Cape George Rd 360-385-7155 Port Townsend, WA 98368 PROPERTY INFORMATION Location:100 Lillian St Chimacum Tax ID:978300103 Mall To: Mike Sharco 100 Lillian St © ° PV Use:Residential,Single Family Chimacum,WA GENERAL SYSTEM TYPE:Gravity Owner.Mike Sharco ON ID:SOM15-01070 Fold ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold Here Here Inspected:12/21/2015 - Inspection Type:ROUTINE - Correction Status:Some Corrections Made Company: Certification-Level 1 Work Performed By: Submitted 12/28/2015 by: Goodman,Inc. Doug Nebel Doug Nebel 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. Tank was pumped on 12-21-2015.Risers are mandatory on next inspection.No permit on file,Drain field area unknown New site drawing sent to H.D. GENERAL SITE&SYSTEM CONDITIONS The General Site and System Conditions were: Fully Inspected All Components accessible for maintenance,secure and in good condition: NO-See Comments 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: NO Subsurface components adequately covered YES Owner compliance issues noted NO 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-See Comments 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-See Comments ONSITE SEWAGE SYSTEM INSPECTION DETAIL TANK:Septic Tank-1 Compartment 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): YES Effluent Filter Cleaned(N/A=Not Present): N/A Compartment 1 Scum accumulation(Inches,if other specify): 10 Effluent filter/screen needed cleaning on arrival N/A Compartment 1 Sludge accumulation(Inches,if other specify): 6 Pumping needed: YES See Comments Approximate Gallons to be pumped(if needed)by Certified Pumper: 750 ReportlD:484399 View inspection reports online at www.onlinerme.com Page 1 of 2 Jefferson County Assessor & Treasurer - Property Details - 05 ... Page 1 of 4 Jefferson County Assessor & Treasurer 35905 MICHAEL R SHARKO for Year 2014 - 2015 Property Account Property ID: 35905 Legal Description: OLSON'S TO IRONDALE BLK 1 LOTS 6& 7 Parcel Number: 978300103 Agent Code: Type: Real Tax Area: 0211- 1-49F1E1H2L1 Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: 29N Section: 10 Range: 1W Location Address: 100 LILLIAN ST Mapsco: CHIMACUM, WA 98325 Neighborhood: OLSON'S ADDN TO IRONDALE Map ID: Neighborhood CD: 4232 Owner Name: MICHAEL R SHARKO Owner ID: 27127 Mailing Address: 100 LILLIAN STREET %Ownership: 100.0000000000% CHIMACUM, WA 98325 Exemptions: Taxes and Assessment Details Property Tax Information as of 12/24/2015 Amount Due if Paid on: ER. NOTE:If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. First Second Year Statement Half Half penalty Interest Base Amount ID Base Base Paid Due Amt. Amt. Statement Details 2015 25682 $265.11 $265.02 $0.00 $0.00 $530.13 $0.00 http://trueweb.j effcowa.us/propertyaccess/Property.aspx?cid=0... 12/24/2015 Jefferson County Assessor & Treasurer - Property Details - 05 ... Page 2 of 4 ►Statement Details 2014 25786 $247.62 $247.50 $0.00 $0.00 $495.12 $0.00 Values Taxing Jurisdiction Improvement / Building Improvement#1: RESIDENTIAL BLDGS State Code: 11 576.0 sqft Value: $18,281 Bathrooms (#): 1 (FULL) Bedrooms (#): 2 Exterior Wall: SI/ST Floor Construction: FRAME Foundation: PO&BL Heating/Cooling: F/A Roof Cover: COMP Sub Type Description Cess Class Year Area CD MA Main Area 2- 1S 1954 576.0 HENCL House Enclosure 2 * 1954 288.0 Sketch Property Image • filiM http://trueweb.j effcowa.us/propertyaccess/Property.aspx?cid=0... 12/24/2015 Jefferson County Assessor & Treasurer - Property Details - 05 ... Page 3 of 4 x k LL j. 7 y-1 _ k_ cow r Land Roll Value History Deed and Sales History Payout Agreement ofssl This website is under active development. Some functionality is not yet available and data is not guaranteed. Assessor Home Page Treasurer Home Page County Maps Permits Disclaimer Website version:9.0.32.2200 http://truewebjeffeowa.us/propertyaccess/Property.aspx?cid=0...effcowa.us/propertyaccess/Property.aspx?cid=0... 12/24/2015