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Home My WebLink AboutSEP2016-00057 Monitoring Inspection Site Plan Update Include the following items on the site plan Case# opet. 15-c ( 0SS D. Property boundaries ➢ Drainfield area if known Parcel# 9(ao3„17,oba D. Names of adjacent streets ➢ Septic tanks and/or Pump chamber Address 1 P 1 i LI-Ag-ba IV).t4-. D. Driveways and parking areas ➢ Wells w/distance to OSS components Prepared by 1:>4L if- w�sisctri( D. Surface water(ponds,creeks,etc) ➢ Buildings-residence,sheds,garages,etc Date Prepared i,Ll..(4/ , D. North Arrow /V6*** --' . ,e 2 2013 .p 0 �nV;ronment�Canty /� (� Nealth .„- ,,--- ____---7 -15754.7ZG k5 doe i / // fo --,,,,,,. D c, ,,, ,j, G Gt I L-. Bov / / 3 G / 19'e9ei=M 92,,1,. 1 I k to az-. Vino!*' , - Ai i 7___ __ 1 -l- f A.4 .51- /'- --=i ST' i l/' iii7 _a eni•Del€74 .-5 1Z-usALL Plot plan submitted by A \A& d\IAAK. as a part of a Monitoring inspection Not reviewed or approved by JCPH. ti)ST-1 p? ENVIR ^HECK, L.L.C. NOT TO SCALE Port Townsend, WAve.8368 LNtm.IJFIE.o LN,/v) . _.m r v 9 DKr to $Tq pi..0% , Enviro Check, LLC 1612 Hastings Ave. West 360-379-9400 Port Townsend, WA 98368 PROPERTY INFORMATION House Location:181 Hiller Dr Port Hadlock Tax ID:960300002 Mol[To: Beverly McDonald 7235 91St PI SE Use:Residential,Single Family Mercer Island,Wa 98040 GENERAL SYSTEM TYPE:Gravity Owner:Beverly McDonald ON ID:SOM15-01058 Fold ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold Here Here Inspected:04/19/2016 - Inspection Type:PROPERTY SALE - Correction Status:Some Corrections Made Company: Work Performed By: Submitted 04/19/2016 by: Enviro Check,LLC Dale Wurtsmith Dale Wurtsmith 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. 1-No permit is on file as to size,location or adequacy and it could not be determined. 2-A riser on center lid of septic tank is mandatory on next inspection.(Date of 041919) 3-An"Up Dated Site"plan is en route to 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-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: N/A 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 I 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. YES-See Comments Is the SEP case in a finaled/completed status?(if NO explain in comments) NO-See Comments ONSITE SEWAGE SYSTEM INSPECTION DETAIL ANK:Septic Tank-I Compartment 500-750 Gal(older tank) 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): Effluent filter/screen needed cleaning on arrival N/A Compartment 1 Sludge accumulation(Inches,if other specify): 6 Pumping needed: NO Approximate Gallons to be pumped(if needed)by Certified Pumper: ReportlD:506158 View inspection reports online at www.onlinerme.com Page 1 of 2 Parcel Print Page 1 of 1 Parcel Number: 960300002 03/21/2016 Owner Mailing Address: BEVERLY EMANUE MC DONALD TRTE B E MCDONALD LIVING TRUST 7235 91ST PL SE MERCER ISLAND WA 98040-5803 Site Address: 181 HILLER DR PORT HADLOCK 98040-5803 Section : 7 School District: Chimacum (49) Qtr Section : SW 1/4 Fire Dist: Chimacum (1) Township: 29N Tax Status: Taxable Range: 1E Tax Code: 0211 Planning 98040-5803 area: Sewer: Drainage: Bank: View 1: RR-5 - Rural View 2: Zoning 1: Residential Zoning 2: Zoning 3: Sub 9603 - HILLERS WATERFRONT Division: Land Use 1100 - Residential - Single Unit Code: 98040-5803 Property Description: HILLERS WF TR INC TL 3 http://www.co.j efferson.wa.us/assessors/parcel/parcelprint.asp?v... 4/19/2016 Jefferson County Assessor & Treasurer - Property Details - 98 ... Page 1 of 2 Jefferson County Assessor & Treasurer 30698 BEVERLY EMANUELS MC DONALD TRTE for Year 2015 - 2016 Property Account Property ID: 30698 Legal Description: HILLERS WF TR INC TL 3 Parcel Number: 960300002 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: 7 Range: 1E Location Address: 181 HILLER DR Mapsco: PORT HADLOCK,WA 98339 Neighborhood: HILLER'S WATERFRONT TRACTS&TAYLOR'S TERRACE Map ID: Neighborhood CD: 4645 Owner Name: BEVERLY EMANUELS MC DONALD TRTE Owner ID: 22045 Mailing Address: B E MCDONALD LIVING TRUST %Ownership: 100.0000000000% 7235 91ST PL SE MERCER ISLAND,WA 98040-5803 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Improvement/ Building Improvement#1: Residential Bldg State Code: 11 884.0 sqft Value: $91,549 Bathrooms (#): 1 (FULL) Bedrooms (#): 2 Exterior Wall: PL/T1 Fireplace: WD ST-GOOD Floor Construction: FRAME Foundation: CONBL Heating/Cooling: ELBB Roof Cover: COMP Sub Type Description Class Class Year Area CD MA Main Area 4 1S 1970 884.0 HDECK House Deck 4 * 1970 404.0 HENCL House Enclosure 4 * 1970 136.0 GDET Detached Garage 3 15 1970 336.0 http://trueweb.jeffcowa.us/propertyaccess/Property.aspx?cid=0&... 4/19/2016 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 04 r Mimi y ;101114,t420 c ; 3 rk' 2g.°. Y Legend �_ --- -' Towns fr � — awn ceJCRoads Parls-H 2013 Aerial Photns %lit) f xE .*" rr---mom 4 I rte' _.y:_ <<> 46.11 i'-:::::""?';'' Otitis., FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Tue Apr 19 07:45:49 2016 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=... 4/19/2016