HomeMy WebLinkAboutSEP1993-00538 4 44„----„,
__Joe 615 Sheridan Street
a, Port Townsend,WA 98368.
sJ 1+ www.JeffersonCountyPublicHeattkorg
U S BANK NATIONAL ASSOCIATION May 3,2016
SERIES 2006-AM1
6200 PARK AVE
DES MOINES IA 50321-1270
RE: Septic System Monitoring Inspection Report
SITE ADDRESS: 141 MORGAN LN
PARCEL#966900093
CASE#: SOM93-00538
Dear: U S BANK NATIONAL ASSOCIATION
A review of our files for the above referenced property shows that when the title was transferred on or
about March 9,2016 a monitoring inspection was not on file for the onsite sewage system serving the
residence. Jefferson CountyCode 8.15.150(7)d.iii. requires that a monitoring inspection in compliance
with the frequency identified in code be on file prior to the sale or transfer of property.
A list of O&M Specialists and a copy of the record for your system, if available, is enclosed for your
convenience.
The purpose of proper maintenance is so the County,for the benefit and protection of the public's health,
is assured by this department that these systems are designed, installed and maintained in a proper
manner. We appreciate your prompt attention to this matter. If you should have further questions
please contact this office at 385-9444. The code sections referenced are attached for your information.
This letter is intended to serve as formal notice that no further approvals shall be granted until a
monitoring inspection is completed and any required corrections are made and approved by Health
Department staff. A permit is required for repair or modification of an onsite sewage system, per
Washington Administrative Code 246-272A and Jefferson County Code 8.15.
Sincerely,
JC
Environmental Health Specialist
Jefferson County Public Health
360-385-9444
c: File, O&M Provider
Code References
8.15.150 OPERATION,MAINTENANCE AND MONITORING
(1) Responsibility of Owner(s). The owner of every residence,business,or other place where persons congregate,reside
or are employed that is served by an OSS,and each person with access to deposit materials in the OSS shall use,operate,and
maintain the system to eliminate the risk to the public associated with improperly treated sewage. Owners'duties are
included,without limitation,in the following list:
a. They shall comply with the conditions stated on the on-site sewage permit.
b. They shall employ an approved pumper to remove the septage from the tank(s)when the level of solids and scum
indicates that removal is necessary. The septic tank shall be pumped when the total amount of solids equals or exceeds
one-third(1/3)the volume of the tank. The pump and/or siphon chamber(s)shall be pumped when solids are observed.
c. They shall not use water in quantities that exceed the OSS's designed capacity for treatment and disposal.
d. They shall not deposit solid,hazardous waste,or chemicals other than household cleaners in the OSS.
e. They shall not deposit waste or other material that causes the effluent entering the drainfield to exceed the parameters of
residential/household waste strength.
f. They shall not build any structure in the OSS area or reserve area without express,prior consent of the Health Officer.
g. They shall neither place nor remove fill over the OSS or reserve area without express,prior consent of the Health
Officer.
h. They shall not pave or place other impervious cover over the OSS or reserve area.
i. They shall divert drains,such as footing or roof drains away from the area of the OSS.
j. They shall comply with inspection requirements in JCC 8.15.150 and WAC 246-272A
k. They shall complete maintenance and repair of the OSS as recommended by the monitoring entity.
1. They should not dispose of excess food waste via a garbage disposal.
m. They should not drive,park or store vehicles or equipment over the drainfield or reserve area.
n. They should not allow livestock access to the OSS area or reserve area.
o. They shall comply with WAC 246-272A-270.
(2) Breach of Owner's Responsibilities. An owner's or occupier's failure to fulfill any of the responsibilities in 8.15.150(1)
shall be a basis for a Notice of Violation and for the Health Officer to decline to issue approval for further development on
the parcel.
\\tidemark\data\forms\F_SOM_no_inspection.rpt 5/3/2016
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Jefferson County Department of Community Development Office Use Only
621 Sheridan St., Port Townsend WA 98368 (360) 379-4450 Date 1—a-0—)
Evaluation of an Existing Onsite Sewage System (EES) Fee '31
Recpt <0692
Draw on the back of this sheet a current plot plan showing location of: Check 2%
Buildings, Drainfields, Septic Tanks, Wells, etc OR attach a current plot plan Case#
identifying these items.
ALL SPACES MUST BE FILLED IN. ,4C-"i J (3cr
If information is not available enter (NV) or not applicable (NA). •
Type `� , r
T e of Evaluation Reason for Eval a i i
❑ Routine Operation and Monitoring Inspection /'(/
lei. Evaluation of on-site sewage system t. Real Estate transaction JAN 1
❑ Evaluation of drinking water ❑ Complete a Permit #
❑ Building Permit Review and/•1,,, .Ui e n file
U } �❑ Evaluation of on-site sewage&drinking water ❑ Other, explain
Date of evaluation cAnt . Inspected by `" `'' Wurtsmith (Envirocheci,
Tax Parcel # q(,,Eaoleo0.A3 Permitted System yes )c no Permit/case # SEP 1.1\‘
Subdivision, Division, Block and Lot(s) lJa21 C,� CZA,.zCA‘,D"►\\ UT 1c0
Lot Siz Acres or Dimensions X (114:7122f")
Current Owner "Tostkv., soy.
Site Address \U N\b9._(4/a,S t .N. jRtrawoN
Owner Phone # 3(ao- 79(0- 0541
Previous property owner name(s) - (NN if not known) u�s,� E Att.V4„s ���A ,jY1,e04114,t 1.LtA« CL.AfiK
Directions to Site c,,,, Q'T , s\a V\ a� slsz Hwy.tot DDSE DAtilps tg AQQAL.403,e E�6
Iv\o9-G,A,a
(Q.61. Ii?o)
Date System Installed .\ Age of Dwelling N e s 0..a cLavEQ # Bedrooms 1
House Occupied )(� yes no, vacant how long?
Who installed system? N\1
Send completed report to:
Owner
Name "Tcti1 t.a
Mailing Address 1141 MaRGAP L►a.t R�,,,r.�ow,la.�l�,gg$�
�hor /email/fax ?,COc�—'�jq�--a5�j
Realtor or Other Representative
Name C_oLowEl..1.. V:.f4.0erset sgcrt .gs oberrflc
Mailing Address Q bFjo�c a�l7 % .api„aiL* g83o
Phone/ema /fa %tt,o--7q(-4I-" 15 ,s6;a1" oUY��"1 V:0 �r�v"tR�C�(j LAX)
Include the following items on your plot plan:
o Property boundaries ❑ Wells
o Names of adjacent streets ❑ Septic tank
O Driveways and parking spaces ❑ Drainfield (enter NN if unknown)
o Surface water(ponds,creeks, etc) ❑ North Arrow tt v t irE
o Buildings(residence, sheds, garages, etc) 1 & ,-Ji \' D
PLOT PLAN-date prepared r\L IA C5-1U4
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NOT TO SCALE
ENVIR HECK, L.L.C.
1612 Hastings Ave. W.
ilun•
Port Townsend, WA 98368
Permit#o eft C\(o A coo o \3
Evaluation o an Existing Onsite Sewage stem_0 7,30'104_pat ,, F
•
Date of Inspection o\ bk•Sc a—] Inspected by tlge W (En1l k, )
Water Supply (fill in only if water supply is being tested in this evaluation)
Sample was taken Yes No Sample Results
Well casing 12" above ground Yes No �'L,1[-i(( jj1\i r?
Sanitary Seal in place Yes No i /^_aj1 6/i
Public: offsite onsite Name of System +,
Individual: offsite onsite s°' ' E�
titi
Is well more than 100' to drainfield/disposal component _yes_ no, if note e
Is well more than 50' to tanks and effluent transport line_yesno, if nod;Vi i If } ,
ONSITE SEWAGE SYSTEM
#Bedrooms/gallons per day indicated in County Health Dept. records for this case l'\I
#1 - Septic Tank
Tank size �j 0041 gal. X. single compartment two compartment N\ETkt„ material
Riser to grade on inlet yes >cno. Riser to grade on outlet yes X no
Condition of tank K. good needs repair, describe
1st comp. Scum (top layer) 0 in. sludge(bottom layer) q in.
2nd comp. scum in. sludge in.
Was ground water observed leaking into tank ? yes )c. no
If yes,where was water observed?
Condition of baffles: Inlet: ....► needs repair material (PVC,Concrete) Mti71L
Outlet: s.., needs repair material (PVC,concret- CM am.)
Screened Outlet x,, no yes, condition clean clogged/dirty
Septic tank needs to be pumped (per Jefferson County code 8.15.150 (1) (b)) yes k, no
Effluent level at outlet(mark level on circle)
CD If effluent is below the outlet, indicate
when tank was last pumped:
( e g: CD )
Does system include a pump? yes If yes, complete the next section >C, no (if no skip to section 3)
#2 - Pump Chamber
Tank size gal. Material. Riser to grade? yes no
Condition of tank good needs repair, describe
Solids in Tank(see 8.15.150) yes no scum in. sludge in.
Was Ground water observed leaking into tank? yes no
If yes,where was water observed?
Screen around pump? no yes, condition clean dirty/clogged
Shroud around pump? no yes
Electrical Components
Pump operating yes no, describe
High water alarm functions yes no, if no, describe
Elec. Panel condition good needs repair, describe
Pump cycle drawdown inches. Time for pump cycle min/sec.
Timer Settings min/sec on min/hrs off Floats secured: yes no
Permit#o Parcel Q1(o63,0' oncag3
Evaluation o an Existing Onsite Sewage stem ,:f0,: _ , ,,rte;.,,_
#3 — Drainfield •
Appropriate Vegetation in area yes no. Describe vegetation
Indications of surfacing sewage(check one) yes , if yes, describe and diagram on plot plan
1C no
drainfield area is overgrown and not observable
Signs of parking/driving in area yes no X drainfield area unknown
Ground settling or erosion yes no overgrown/not observable
Monitoring Port Observations (if present):
Residual Head yes, #of inches no
Ponding in trench yes, #of inches of ponded effluent no
Repair area is? Available as shown on permit ')(. None evaluated or shown on permit
Addendum (page 5) is attached for evaluation of Treatment Unit or detailed evaluation of drainfield
yes X no
COMMENTS (attach additional sheet if necessary): I , Q �rY
1,/ ED
#1-A. Risers are mandatory on next inspection. JAN1 8 2001
il11
other(A) No permit is on file as to size, location or
adequacy and it could not be determined.
FRE-\9?0TA ( ‘44,ni^14 wtt.P-e Nod Y.EQ-+iRe.O�
SEE ATTACHED ADDENDUM
Was a System Problem Identified?Yes if yes,what section#. No x
This report on the existing onsite sewage system is valid for the permitted or historic(if installed prior to permit
requirements) use of the system only and does not constitute assurance of future County approvals (such as building
permits)on this parcel. Any future application will be judged separately by the rules and laws in effect at that time.
I certify that the information provided is base. .a a review of County records and my direct observations at the time of
inspection.
Name/Signature Date
No guarantee of future onsite sewage system performance is implied or granted based on the information contained in
this report. This report constitutes a summary of findings only.
Permit# Parce # quoc\ootryR-
Evaluation n Existing Onsite Sewage ystem 07/30/U4 ,;df -
•
rio.e't- ar,e59 3
DATE bey 67
ADDENDUMADDRESS /1! /140/2-6A/014.1 gRiNPev)
WNER
Enviro Check,L.L.C. Company Disclaimer
Based on what we were able to observe and our experience with on-site wastewater technology,we submit
this Sewage treatment Inspection/Evaluation Report based on the present condition of the on-site sewage
treatment system.Enviro Check,L.L.C.has not been retained to warrant,guarantee,or certify the proper
functioning of the system for any period of time in the present or future.Because of the numerous factors
(usage,soil characteristics,previous failures,etc.)which may affect the proper operation of a septic system,
as well as the inability of our company to supervise or monitor the use or none visible areas of the system,
this report shall not be construed as a warranty by our company that the system will function properly for
any particular buyer or owner.Enviro Check,L.L.C. disclaims any warranty, either expressed or implied,
arising from the inspection/evaluation of the septic system or this report/evaluation.We are also not
ascertaining the impact the system is having on the groundwater or environment.
Enviro Check,L.L.C. does not make any claim,warranty or guarantee as to where property lines/boundaries
of properties are located.And does not warrant or guarantee any encroachments from on site sewage
systems on to adjacent properties.Any indications of possible property lines/boundaries are approximations
and do not indicate legal property lines or boundaries.
Enviro Check,L.L.C.will not be held responsible in any way for information being undisclosed
(intentionally or unintentionally)by property owner,representative or other parties of interest.
All reports, including E.E.S.inspection reports are subject to any change by Jefferson County
Environmental Health Department.Enviro Check,LLC is not liable for any such changes.
All parties are encourages to check county records for any information regarding properties.i 2) 4 ' \\ 11
Company
Enviro Check,L.L.C.
1161 I S 2 7
PortHastings Ave. W , Ili
Townsend,Wa.98368 4'441L a +� aI'tt j
360-379-9400
I acknowledge that I have studied the information contained herein and that my assessment is honest, done
in acc. •:.• - • - •1 County Ordinances,and to the best of my ability,correct.
Dale R.Wurtsmith Co-Manager
SAMPLING (Septic tank) MEASUREMENTS
Date- Counter Setting-
PH Result- Hour Meter-
DO Result-
Temp.Result