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SEP1975-00519
Public Health KENNETH OAKLAND June 12, 2017 1595 SW MINTERBROOK RD PORT ORCHARD WA 98367-9453 RE: NOTICE AND ORDER TO CORRECT-Septic System Corrections Required Septic System Monitoring Inspection SITE ADDRESS: 2642 RAIN FOREST RD PARCEL# 710300010 CASE#: SOM75-00519 Dear KENNETH OAKLAND: On April 28, 2017 a monitoring inspection was completed on the above referenced property. The following issues identified below require correction: 1. It appears that the drainfield has been modified since installed. A review of our records shows that we have no record of a permit for the modifications. You are required to contact a licensed designer to develop a plan and apply for a permit. 2. The access risers on the tank were not sealed properly to the tank and could allow infiltration of water. This can result in damage to the drainfield. 3. An access risers is required on the outlet port of the septic tank. Because neither the design nor the installation of one or more of the on-site septic system components found to be present at the real property listed above have been reviewed or approved by Jefferson County Public Health violations of the following provisions of the following regulations have occurred: > JC Code 8.15.060 Adequate Sewage Disposal Required > JC Code 8.15.080 (1) Onsite Sewage System Permit Required > WAC246-272A-0200 Permit Requirements Other items identified above are in violation of the following sections of JCC8.15: > JC Code 8.15.150(1) Operations, Maintenance and Monitoring Jefferson County Public Health hereby gives you notice to correct the violations identified above within thirty days of the date of this notice, by doing the following: > Hire an Onsite Wastewater Treatment Designer, or a Professional Engineer to inspect the septic system components that were installed > Submit the inspection report to the Jefferson County Public Health, Environmental Health Division for review to determine if your system can be permitted according to WAC 246-272A and the County Codes or a design for a system that complies with state and local code to the Jefferson County Public Health, Environmental Health Division for review, and: > Obtain a Sewage Disposal Permit from Jefferson County Public Health pursuant to JCC 8.15.080. > Correct items identified above. > Contact this office at 360-385-9444 to inform me of the actions you are taking. Please be advised that you also need to comply with other sections of Jefferson County Code, and may need to apply for the following if applicable: > building permit This is obtained through the Jefferson County Department of Community Development. They can be contacted at(360) 379-4450. This letter is intended to serve as formal notice that no further approvals shall be granted until corrections are made and approved by Health Department staff. Failure to comply with this notice and order to correct violation may result in the issuance of a civil infraction to you pursuant to section 180 of said regulations. The civil infraction may result in a fine of up to$513.00 per violation per day to be assessed to you. A permit is required for any repair or modification of an onsite sewage system, per Washington Administrative Code 246-272A and Jefferson County Code 8.15. A list of designers that have submitted work here is enclosed. The code sections referenced are attached for your information. 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 and if you should have further questions please contact this office at 385-9444. Please note that pursuant to JC Code 8.15.170 of the above regulations that any person aggrieved by the contents of a Notice and Order to Correct Violation issued under this regulation, or by any inspection or enforcement action conducted by Jefferson County Public Health under this regulation may request, in writing, a hearing before the Health Officer or his/her designee. Such request shall be presented to the Health Officer within 10 business days of the action appealed. Such a hearing, if requested by you, will be your sole opportunity to present live testimony and witnesses in support of your position.Aely, IA., i ,)614/IS Environmental Health Specialist Jefferson County Public Health 360-385-9444 c: File, O&M Provider enc List of Designers Code References JCC 8.15.060(3) Adequate sewage disposal required. Any new or replacement residence or commercial structure,or any expansion,as that term is defined in Section 8.15.050 of this Code,may be connected to a pre-existing on-site sewage system only when the pre-existing system has hydraulic capacity,sufficient vertical and horizontal separation,an adequate reserve area and satisfies all other requirements to be in compliance with current code. JCC 8.15.080(1) On-site sewage system permit. No person shall install or cause to be installed a new on-site sewage system nor perform any modification,extension,repair,relocation,or connection to an existing on-site sewage system without a valid permit issued by the health officer. JCC 8.15.170(1)Appeal-Hearing. Appeal of Public Health Action-Health Officer Administrative Hearing.Any person aggrieved by the contents of a notice and order to correct violation issued under this regulation,or by any inspection,permit issuance or enforcement action conducted by public health under this regulation,may request,in writing,a hearing before the health officer or his or her designee.The appellant shall submit specific statements in writing of the reason why error is assigned to the decision of public health.Such request shall be presented to the health officer within 10 business days of the action appealed;except in the case of a suspension,the request for a hearing must be made within five business days.Upon receipt of such request together with hearing fees,the health officer shall notify the person of the time,date,and place of such hearing, which shall be set at a mutually convenient time not less than five business days nor more than 30 business days from the date the request was received.The health officer will issue a decision upholding or reversing public health's action.The health officer may require additional actions as part of the decision. WAC 246-272A-0200 Permit Requirements. Prior to beginning the construction process,a person proposing the installation, repair,modification,connection to,or expansion of an OSS,shall report the following and obtain a permit from the local health officer: (a) General information... (b) The soils and site evaluation as specified under WAC246-272A-220 (c) A dimensioned site plan... (d) A detailed design... JCC 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_Inst_nopermt_vio.rpt 6/12/2017 Jefferson County Department of Community Development Office Use Only ,2 Sheridan St., Port Townsend WA 98368 (360) 379-4450 Date ILL 9/Z 'Ii 7 Fee 358, O O MONITORING INSPECTION Also known as Evaluation of an Existing Onsite Sewage System (EES) Recpt C�1(7- ' e? Check S—(4) Draw on the back of this sheet a current plot plan showing location of: Case#SSS Buildings, Drainfields, Septic Tanks, Wells, etc OR attach a current plot plan identifyin'g'these items. ALL SPACES MUST BE FILLED IN. If information is not available enter (NV) or not applicable (NA). Type of Evaluation Reason for Evaluation ❑ Routine Operation and Monitoring Inspection Evaluation of on-site sewage system ❑ Real Estate transaction El Evaluation of drinking water ❑ Complete a Permit # El Building Permit Review and/or no septic permit on file ❑ Evaluation of on-site sewage &drinking water El Other , explain Date of evaluation t 1 S I --i Inspected by &AN Pc)r\-c) fit ).SAD� k, Tax Parcel # 7 / ©T CC)01 0 Permitted System Xyes no Permit/case # SEP 7S -511 Subdivision, Division, Block and Lot(s) Lot Size Acres or Dimensions X 2 Current Owner %t, d',./4,54,/-1 (4 �„>, Site Address , 4-1 9, ,-ecu Cif' I or Owner Phone # L,C -7/0— reit X53--esi- >/77Ho 36° �5�4"-8�‘"29t rlG Previous property owner name(s) - (NN if not known) Directions to Site l 1 tRA- A- 14tt^ Kt 2 C(r-e Date System Installed 4/'"( 75 Age of Dwelling '/� # Bedrooms House Occupied )( yes no, vacant how long? Who installed system? Send completed report to: Owner Name _xi Mailing Address /S'g 5 st' i i,;t B-O/igrTecc^ iatk ' i kg" ? Phone/email/fax X53- ; s 1-7/77 k'evi f-rys- , r-9,n; 3L-CJ e7 7 3 ) Realtor or Other Representative Name Mailing Address Phone/email/fax t . ii ' e... e - ' .,,,i a";-'• Oi PIAt . P ' t-' Ask. . ti. :l. ; . k 1 *' 30 OLD 4 I.K.',15ell (..4(.,,,,.. .i'''.I .......,_,. , '5C-bi 4 1 /SI c,L 2 je r (......0.1, JL . . 11 ill 1 i 1 I' i _,--- __*7,, -- . , I m ----------- ..„........, .,„,----- _ .itittr‘ 141 2- — d,e/F — 1 C i kkX"helOIAJ e JOE) * 5411101 - __fel ilk 4s. :--;'•i 0 -;;'. --"mmm- .; ...- '/ * 9 rpa EiEEI J' , —.....--7------:. • r r, ,t., 1'30 as a part of a Monitoring inspection , Not reviewed or approved by JCPH. , ,, 1 ,,,,i / dfij ....7-c) , „.... ..4- ' / .. 1 ............._____ Site Visit: May 15, 2017 Parcel#710300010 CASE# SOM75-00519 Homeowners: Ken&Kirsten Oakland Photo Log Photographer:Susan Porto Area & Photographs Description Photosfrom � septic O&M a :::47,.: inspection . � % �� 1t. *� -- conducted by � `r JCPH staff Susan ,..t-°..,#ay, -.''''',1", -'"7s,,jf,,,:A Porto and Alisa �: Hasbrouck, met r; . with owner Ken � ��� ��,. ,,;� Oakland° a` a ' � ' "' .fit r d . ` g $ ;,„. xF- ,. ��,, tar � ',� *� ' '� �,- Own y.. '' 441,,. is v a., Page 1 of 3 • Site Visit: May 15, 2017 Parcel#710300010 CASE# SOM75-00519 Homeowners: Ken&Kirsten Oakland {, = �� .r .-.,.,,,crit ....„,,..,...,.,..„ ,,,, ,...„,.....-„,-# lit ..:-..,,,,..-.:,. . .. .,-,._:.,..,-;;;5-',4*, ' \ ' ' ' ' '''''''''''- '71.4';''''''' 4%' .4*.:,#i*.4. :1,,,„ ,, , 7..., f. 1,11 • ft. x ,..tu :, r .,,. ' .-x 't ,,,,,, 77:.....,,,:-.4.,,;',':;.-:',. 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Page 3 of 3 Work assigned to: BLANK ONSITE SEWAGE SYSTEM INSPECTION REPORT 2642 Rain Forest Dr-Forks,Jefferson GENERAL SYSTEM TYPE:conventional gravity trench Max Design Flow(GPD): Last Inspection: Curren;Inspection sppectio;Dap: Last Inspection Type: Last Inspection Status: TaxID: ` Si /� / 710300010 SITE NOTES TANK:Septic Tank-1 Compartment Component appears to be functioning as intended: /No Effluent level within operational limits(if NO explain in comments): 0/No All required baffles in place(N/A=No baffles required): 112 No/ Effluent Filter Cleaned (N/A=Not Present): -s/N Compartment 1 Scum accumulation (Inches, if other specify): 7Z Effluent filter/screen needed cleaning on arrival Yes/No N f Compartment 1 Sludge accumulation(Inches, if other specify): / Pumping needed: Yes/No Approximate Gallons to be pumped(if needed)by Certified Pumper: Component appears to be functioning as intended: V/ Ponding present?If YES explain in comments: es NC/NA General Site& System Conditions All Components accessible for maintenance lap and in good condition: Yes/ _.• Surfacing Surfacing effluent from any component(incluse . mound seepage): Yes/N3/NA Components appear to be watertight-no visual leaks: Gj , i tp1. Yes/ Improper encroachment(roads, buildings,etc.)onto component(s): Yes Component settling problems observed: Yes M Abnormal ponding present for one or more of the disposal components: Yes k.'/NA Subsurface components adequately covered Ye /No Owner compliance issues noted es No/NA & La? D, Site maintenance required(e.g. Landscape maintenance)If yes,describe in es/( 1 NA comments: Occupant compliance problem(occupant not operating the system properly). If YES, YesNo describe in notes: If deficiencies were identified on last inspection were they corrected before or during Yes/No CI this inspection?(If NO,describe in notes, NA=no deficiencies on last report): OSS Components,structures and appurtenances located per as-built/record drawing Yes e (reference Septic Permit#in notes). If NO,describe in notes and 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, es No etc.)(If YES,describe in notes): The house/structure was vacant r used infrequently, ssessment of the drainfield was Yes No/NA not possible. Is the SEP case in a finaled/com8 0,v,., pleted status?(if NO explain in comments) Yes/No / /r 041, , ,, „.„,„.„,„: , . / i ':.4/07)2/4 / . (-4:iLii' ' . 1 6 ,;---,s 2642 Rain Forest Dr—Forks,Jefferson Page 1 of 1 r 7J:l ` ' W3 E. Caroline. OLYMPIC HEALTH DISTRICT Permit No. Part Angeles SBIAGE DISPOSAL PERMIT APPLICATION Submit in Duplicate Builder;„ Court House 4, Port Townsend Date AUORWIRcl ADDRESS13 X w PHONE,. B' DIRECTIONS. ORCATING SITE D4)gQ c� , T- br cry► /� �+ Ut �` LU ✓zn., � 5 e5 APPLICATION IS HEREBY.>MADE TO: INSTALL NDd SYSTEM REPAIR EXISTING SYSTEM �- 2 YPE Q UI PING NO. OF BEDROOMSBASYN S TE STL NAME OF ALLER DRAINFIELD LENGTH: 130 1JIDTH 'Z ' DEPTH 2 ' #LINES 2 SEPTIC TANK SIZE DRAW A DETAILED PLOT PLAN BELOW. SEE -INSTRUCTIONS. SOIL TYPE d min, w)% o- { )D49c 11 III ) cf; , t ff) 5 /it/qq @CC-)� 4A,/O, full �.nn vuz in bu ll'u PERMIT UNLESS PRIOR 3 !S E"AGE DISPOSAL PLANS, LOCATION OR SM; INVALIDATES THIS L OBTAINED FROM THE HLALTH DEPARTMENT. v DATE OF INSTALLATION SIGNATURE OF APPLICANT APRRtED DATE -INSPECTED BY DATE,_.....w SANITARIAN'S C.O111 ENTS: Is q®od - 6.t s;tee t2ot %4" q- n0 Porn dna„ /I�U✓�-, Co�i�,, 5' *44t r hs �/ Ct 6/e <S i . I CERTIFY THAT THIS S TEM '' INSTALLED IN THE MANNER APPROVED BY THE HEALTH DEAPRTiENm _ mr / A A .... /4 7 -,� r- L RS NAME -� ` a SITE EVALUATION R JEFFERSON COUNTY HEALTH DEPT. `,�f Receipt NO:..___� — Multi -Service Building1 u Fee: _ 802 Sheridan Avenue' �� Port Townsend, Washington 98368 CP 4 Date: 3� (206) 385.0722 Applicant EBB #2T4 Address: 45r/.3 - tjr eia r- P_ _ Sec. V &_ 31 Twn._ 27 It' TRg.;k0_-W; WM Jefferson County yat DesCnpUoa (Dw Blk.. L@Ap+�+ __-__ p - - — Tele hone: ----- Duecuonafor Locaung S re (Draw map on back} THIS REPORT DOES NOT CONSTITUTE APPROVAL OF A BUILDING OR SEWAGE DISPOSAL PERMIT. THOSE PERMITS SHALL BE GRANTED ONLY UPON APPLICATION AND WILL BE REVIEWED IN ACCORDANCE WITH CONDITIONS AND REGULATIONS EXISTING ON THE DATE OF THE PERMIT APPLICATION. THIS REPORT IS NOT A PERMIT APPLICATION. Site Size 2- ACZ•ES-- ----- -- Seller Ray t'Itll�i¢e�stl�02'Ot_ MB,'CheKA__— Buyer Edwin Miller & Shervl Miller I request this site evaluation for ! single family residence or — - - — INSTRUCTIONS: A minimum or two soil log holes at least 4 feet deep, 2 feet diameter, and 50 feet apart must be dug in the prpposed drainf laid area and flagged before the evaluation is made. See attached instruction sheet. A site evaluation of the above property was made on by ibis department and the property has been found: ACCEPTABLE - Soil and site conditions are ac idlia6wal a disposal system, as requested above, under existing conditions and regulat' L1 CONDITIONALLY ACCEPTABLE - Soil and site conditions are acceptable for installation of a sewage disposal system, as (eg4ested above, under existing conditions and regulations, provided THE CONDITIONS SET OUT BELOW ARE MET. I i UNACCEPTABLE. Soil and site conditions are unacceptable for installation of a septic tank system. r COMMENTS: 51-1-1.(r exls �4ti ,s S ,tis l/ ,`;V /f 75 SOIL LOGS: Respectfully, Lt f ��� ENVIRONMENTAL HEALTH SPECIALIST swbn,,lted �/ 0 in N0 Osp m Ln m. o -n O < rTl Q° Ui �Q Ow� Z V tot OZ2 <_ MO C: rn z JLA 7- 0 Q