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Shod Excavating Inc.
PO Box 179 380-385-0480
Port Hadlock, WA 98339
PROPERTY INFORMATION •
Location:321 Chimacum Rd
Port Hadlock
Tax ID:901024103
Mail To: COMMUNITY METHODIST CHURCH
321 CHIMACUM RD Use:Residential,Single Family
PORT HADLOCK,WA
98339 GENERAL SYSTEM TYPE:gravity
Owner:COMMUNITY METHODIST CHURCH
ON ID:SOM16-00022
Foltl e- ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold
Here
Inspected:01/28/2016 - Inspection Type:ROUTINE - Correction Status:All corrections made Here
Company: Certification-Level 2 Work Performed By: Submitted 03/09/2016 by:
Shold Excavating Inc. Martin Fugere Martin Fugere
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This report does not assure approvals by Jefferson County Public Health for ANY future building permits or development.
COMMENTS&GENERAL INSPECTION NOTES
Deficencies Were Noted:Corrections were made to resolve the deficiencies.
system was installed pre permits
3 piece lid on septic tank was replaced with one piece lid with riser
GENERAL SITE&SYSTEM CONDITIONS
The General Site and System Conditions were: Fully Inspected
All Components accessible for maintenance,secure and in good condition: YES
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-Corrected
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, YES
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-Corrected
ONSITE SEWAGE SYSTEM INSPECTION DETAIL
TANK:Septic Tank-2 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): 0
Effluent filter/screen needed cleaning on arrival N/A
Compartment 1 Sludge accumulation(Inches,if other specify): 5
Compartment 2 Scum accumulation(Inches,if other specify): 0
Compartment 2 Sludge accumulation(Inches,if other specify): 4
Pumping needed: NO
Approximate Gallons to be pumped(if needed)by Certified Pumper: 0
ReportlD:495004 View inspection reports online at www.onlinerme.com Page 1 of 2
grainfield.:Gravity Fully Inspected
This component was:
Component appears to be functioning as intended: YES
Ponding present?If YES explain in comments: NO
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.
ReportlD:495004 View inspection reports online at www.onlinerme.com Page 2 of 2